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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
Links:
British Association of Dermatology (BAD) recommended list of ’specials’ 2018
13.09 Shampoos and other preparations for scalp and hair conditions
13.09 Hirsutism

Eflornithine 11.5%
(Cream)

GREEN
Restricted Drug Restricted

Low-priority funding, prescribing should only be considered in exceptional circumstances. Please refer to JPC guidance on place in therapy and prescribe accordingly.

  • Self-funded cosmetic treatments for reduction in hair growth or hair removal (e.g. shaving, plucking, laser treatment, electrolysis) should be the primary options for the majority of women with hirsutism.
  • It is important that the patient is properly assessed and underlying causes addressed (such as weight reduction if obese) before pharmacological therapy is considered as hirsutism can result from serious medical conditions or from medication (e.g. ciclosporin, glucocorticoids, minoxidil, phenobarbitone, phenytoin, combined oestrogen-androgen hormone replacement therapy).
BNF BNFc SPC
Bulletin 272 Gender Identity Services – Primary Care Prescribing Responsibilities for the Hormonal Treatments (including Eflornithine for the Treatment of Hirsutism in this setting) – JPC Position Statement JPC: Bulletin 271: Position Statement: Eflornithine 11.5% cream (Vaniqa®) for the Treatment of Hirsutism
13.09 Androgenetic alopecia
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.