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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

13.06 Acne and rosacea

Ivermectin cream (Soolantra®)
(For management of papulopustular rosacea)

First Choice

NB: Facial erythema of rosacea is considered a cosmetic condition & prescribed treatment is not supported for this use.

 

Entry reviewed: May 2024

Azelaic acid 15% gel (Finacea 15% gel)
(For management of papulopustular rosacea)

Formulary

NB: Facial erythema of rosacea is considered a cosmetic condition & prescribed treatment is not supported for this use.

 

Entry reviewed: May 2024

Metronidazole 0.75% Cream (Rozex® cream)
(For management of papulopustular rosacea)

Formulary

NB: Facial erythema of rosacea is considered a cosmetic condition & prescribed treatment is not supported for this use.

 

Entry reviewed: May 2024

Metronidazole 0.75% gel (Rozex® gel)
(For management of papulopustular rosacea)

Formulary

Prescribe as Rozex® (current preferred and cost-effective brand of gel in Primary Care)

 

NB: Facial erythema of rosacea is considered a cosmetic condition & prescribed treatment is not supported for this use.

 

Entry reviewed: May 2024

Non formulary items

Trifarotene Cream (Aklief®)

 
Non Formulary

New product August 2022 no formal assessment

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.