NHS Logo
Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 13 - Skin 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing
Links:
British Association of Dermatology (BAD) recommended list of ’specials’ 2018
13.05.02 Preparations for psoriasis
BLMK Management of Plaque Psoriasis in Adult Patients (in Primary Care) BLMK Management of Plaque Psoriasis in Children (in Primary Care) BLMK Severe Localised Psoriasis BLMK Treatment pathway for Severe Plaque Psoriasis
13.05.02 Topical preparations for psoriasis
BLMK Management of Plaque Psoriasis in Adult Patients (in Primary Care) BLMK Management of Plaque Psoriasis in Children (in Primary Care) BLMK Severe Localised Psoriasis BLMK Treatment pathway for Severe Plaque Psoriasis

Calcipotriol Ointment

GREEN
Formulary

Prescribe generically (formerly Dovonex® brand)

 

Entry reviewed: May 2023

BNF BNFc SPC

Calcipotriol with Betamethasone (topical)

GREEN
Formulary
  • Calcipotriol 50 microgram/g + betamethasone 500 microgram/g ointment* or gel [prescribe generically]
  • Enstilar® Foam, calcipotriol 50 microgram/g + betamethasone 500 microgram/g
  • Wynzora® cream

See BLMK ICB Pathway for the management of plaque psoriasis in primary care

*Brand previously known as Dovobet

 

Entry reviewed: May 2023

BNF BNFc SPC

Calcitriol Ointment (Silkis®)

GREEN
Formulary

See BLMK ICB Management of plaque psoriasis in primary care guidance

 

Entry reviewed: May 2023

BNF BNFc SPC

Coal tar 5% Lotion (Exorex®)

GREEN
Formulary

Useful for thin, widespread psoriasis plaques

 

Entry reviewed: May 2023

BNF BNFc SPC

Coal tar with salicyclic acid & prescipitated sulfur ointment (Sebco®)

GREEN
Formulary

For thick scales in scalp psoriasis

 

Entry reviewed: July 2025

BNF BNFc SPC

Dithranol 3% cream (Micanol®)

Amber SPA
Formulary
BNF BNFc SPC
Non formulary items

Calcipotriol scalp solution

 
Non Formulary

Discontinued

Entry reviewed: July 2025

BNF BNFc SPC

Coal Tar 20% in YSP

 
Non Formulary
BNF BNFc SPC

Coal Tar in Unguentum M

 
Non Formulary

Special order

BNF BNFc SPC

Dithranol 0.1%, 0.25%, 0.5%, 1% & 2% (Dithrocream®) (Cream)

 
Non Formulary

Manufacturer has started a phased discontinuation so the strength required may not be available. 

The 0.1% is likely to remain available until August 2022.

BNF BNFc SPC

Dithranol Ointment BP

 
Non Formulary
BNF BNFc SPC

Salicylic Acid In White Soft Paraffin

 
Non Formulary

unlicensedunlicensed 5% Ointment
unlicensedunlicensed 10% Cream

BNF BNFc SPC

Salicylic Acid in White Soft Paraffin

 
Non Formulary
BNF BNFc SPC

Tacalcitol lotion (Curatoderm®)

 
Non Formulary

Discontinued

Entry reviewed: July 2025

 

BNF BNFc SPC

Tars (Zinc and Coal Tar Paste®)

 
Non Formulary
BNF BNFc SPC
13.05.02 Oral retinoids for psoriasis
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.