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- Lotion
- Topical solution
Topical erythromycin (either alone or in combination with oral antibiotics) is a NICE "DO NOT USE". Risk of resistance with topical use.
- Gel
- Cream
- Gel
For use with oral lymecycline or doxycycline.
20% cream
15% gel
- Gel
5% benzoly peroxide wth clindamycin gel
- Gel
3% benzoyl peroxide with clindamycin
- Capsules
100mg capsules.
- Capsules
- Tablets
- Gel
- Cream
- Gel
A fixed combination treatment (e.g. adapalene with topical benzoyl peroxide) is recommended as maintenance treatment for acne. Only consider monotherapy with adapalene if preferred treatment is not tolerated or contraindicated. As per NICE NG198
- Gel
Restricted for moderate/severe acne - only for monotherapy if combination products are contraindicated or patient wishes to avoid topical retinoid/antibiotic
Available OTC for mild acne.
- Wash gel
Restricted for moderate/severe acne - only for monotherapy if combination products are contraindicated or patient wishes to avoid topical retinoid/antibiotic
Available OTC for mild acne.
- Tablets
2nd line after failure of standard treatments (topical treatments and oral antibiotics), particulary for those patients with polycystic ovary syndrome.
Females only.
- Gastro-resistant tablets
Reserve for use if tetracyclines are contraindicated / not suitable - as per CKS.
(250mg gastro-resistant tablets)
- Tablets
Reserve for use if tetracyclines are not suitable - as per CKS
- Capsules
Important information and resources relating to the Pregnancy Prevention Programme and neuropsychiatric disorders are available on PAD (click drug name to see the PAD page for isotretinoin)
- Gel
- Topical solution
NICE recommend that clindamycin is used within a fixed combination product - topical benzoyl peroxide with clindamycin
- Not Specified
Listed in 'Items which should not routinely be prescribed in primary care: policy guidance'. Click drug name for details
- Topical solution
Topical erythromycin (either alone or in combination) products are not included in NICE/UKHSA recommendations. Risk of resistance with topical use.
- Cream
Acne vulgaris. Not assessed for inclusion on formulary. NICE publication date to be confirmed.
This drug has not yet been assessed for formulary status.
NICE is unable to make a recommendation because the company has not provided an evidence submission. NICE therefore terminated its appraisal and as such, advice regarding safety, effectiveness (including cost-effectiveness) and its place in therapy is yet to be determined.
Before prescribing this drug it is recommended that clinicians contact their Medicines Optimisation team to discuss possible alternatives/options.
If a specialist team would like the APC to consider adding this treatment to the Joint Formulary. They should contact the team at syheartlandsicb.apc@nhs.net and the team will provide support for the submission.
- Cream
This product has not been assessed for inclusion on the formulary. Please contact your pharmacy team for advice.