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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
12.03.01 Drugs for oral ulceration and inflammation

Benzydamine 0.15% (Difflam®)

GREEN
Formulary
  • Difflam oral rinse 0.15%
  • Difflam® spray 0.15%     

Notes:

  • Benzydamine is useful to treat discomfort in a variety of ulcerative conditions. It may cause stinging, often reduced by dilution with an equal volume of water
BNF BNFc SPC

Betamethasone 500mcg
(Soluble tablet)

Amber SPA
Formulary

For use as a mouthwash

BNF BNFc SPC

Cetylpyridinium, Chlrocresol, Lidocaine (Anbesol®)
(Teething Gel)

SELF
Formulary

In Primary care - can be purchased over-the-counter.

Entry reviewed May 2025

BNF BNFc SPC

Choline Salicylate 8.7% (Bonjela® Adult)
(Oral gel)

GREEN
Formulary
Available for patients aged 16 or older
In primary care may be purchased over the counter
BNF BNFc SPC

Gelclair®

RED
Restricted Drug Restricted

Treatment of mucositis in POSCU (Paediatric Oncology Shared Care Unit) patients - DTC April 2024

BNF BNFc SPC

Lidocaine and Phenylephrine (Co-phenylcaine®)
(Topical solution)

RED
Formulary
BNF BNFc SPC
Non formulary items

Anaesthetic throat lozenges (Tyrozets®)

 
Non Formulary
SPC

Antacid with Oxetacaine

 
Non Formulary
BNF BNFc SPC

Benzocaine 150mg/5ml susp

 
Non Formulary
BNF BNFc SPC

Caphosol®

 
Non Formulary
BNF BNFc SPC

Carmellose Sodium (Orabase®)

 
Non Formulary
THIS PRODUCT HAS NOW BEEN DISCONTINUED
BNF BNFc SPC

Doxycycline

 
Non Formulary
BNF BNFc SPC

Doxycycline (Periostat®)

 
Non Formulary
BNF BNFc SPC

Flurbiprofen lozenge

 
Non Formulary
BNF BNFc SPC

Hydrocortisone 2.5mg (Mucoadhesive buccal tablets)

 
Non Formulary

May be purchased over the counter at a Chemist

BNF BNFc SPC

Lidocaine 10% mouth spray

 
Non Formulary
BNF BNFc SPC

Lidocaine and Cetylpyridinium (Dentinox® Teething Gel)

 
Non Formulary
BNF BNFc SPC

Lidocaine and Chlorhexidine (Instillagel®)

 
Non Formulary
BNF BNFc SPC

Salicylates - Salicylic acid (Pyralvex®)

 
Non Formulary
BNF BNFc SPC

Triamcinolone Acetonide 0.1% in Adhesive Basis (Adcortyl in Orabase®)

 
Non Formulary
THIS PRODUCT HAS BEEN DISCONTINUED
BNF BNFc SPC
Classifications
GREEN
May be initiated in any care setting
Amber SPA
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Amber SPIS
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
SCG
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
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).
DNP
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
SELF
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.