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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 12 - Ear, nose and oropharynx 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing

12.02.01 Drugs used in nasal allergy
12.02.01 Antihistamines
12.02.01 Corticosteroids

Beclometasone Dipropionate 50micrograms per metered dose
(Nasal Spray )

First Choice
1st choice steroid spray
In primary care adults may purchase this over the counter

Betamethasone 0.1% nasal drops
(Eye / ear/ nose drops)

Formulary

Budesonide 64micrograms per metered dose
(Nasal Spray )

Formulary

Fluticasone furoate (Avamys®)
(Nasal Spray)

Formulary

Most cost-effective brand in Primary care.

Fluticasone propionate (Flixonase Aqueous®)
(Nasal Spray)

Formulary

Most cost-effective brand in Secondary care.

Fluticasone Propionate 400mcg nasal drops

Formulary

For use where steroid nasal sprays have been ineffective or are unsuitable.

Entry reviewed: June 2024

Mometasone Furoate 50micrograms per metered dose
( Nasal Spray )

Formulary
Non formulary items

Flunisolide (Syntaris®)

 
Non Formulary

Fluticasone Propionate (Nasofan®)

 
Non Formulary

Triamcinolone Acetonide (Nasacort®)

 
Non Formulary
12.02.01 Cromoglicate
Classifications
May be initiated in any care setting
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
Red medicines are designated as specialist only medicines which should only be prescribed by a specialist, usually within secondary care (either due to the requirement for specialist knowledge, long-term monitoring requirements, or restrictions that mean medicine supplies are only available to hospitals).
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.