Chapters
| Status | Drug name | NICE TAs | Comments |
|---|---|---|---|
 | Beclometasone dipropionate | First line | |
| Betamethasone eye/ear/nose drops | ||
| Ephedrine nose drops 0.5% and 1% drops | Short term use only | |
| Flucitasone furoate (Avamys) | Approved for use in children and adults. Previous APC decision reviewed in December 2015. | |
| Flucitasone propionate and azelastine (Dymista®) | Third line option for adults and children over 12 with moderate to severe allergic rhinitis who have failed ot respond to a steroid nasal spray with the addition of an oral antihistamine. Follow APC treatment algorithm. | |
 | Fluticasone propionate nasal drops (Flixonase Nasule) | Specialist recommendation for nasal polyps. | |
| Mometasone furoate aqueous nasal spray | High relative cost. Second line. | |
| Mupirocin 2% nasal ointment | ||
| Naseptin nasal cream | Contains arachis (peanut oil) | |
| Octenisan nasal gel | Where allergy to Bactroban® exists or there are supply issues with Bactroban® | |
 | Polyfax nasal ointment | ||
| Sodium chloride 0.9% nasal drops | ||
| Xylometazoline 0.1% nasal spray/drops | Short term use only |
Drug status key
Formulary drugs are allocated a traffic light status. This provides guidance on where clinical and prescribing responsibilities lie in regard to the initiation and maintenance of prescribing.
Grey
Positive NICE TA and/or awaiting local clarification on place in therapy. Please contact your medicines optimisation team for more information.
Red
Initiation and maintenance of prescribing by specialists only.
Amber
Initiation and maintenance of prescribing by specialists and transfer to primary care prescribing when appropriate, or in primary care following a specialists recommendation. Prior to initiation some medicines may require committee agreement or a framework to support safe transfer and maintenance.
Green
Initiation and maintenance of prescribing by specialists, GPs and other qualified clinicians.
Blue
Under review at University Hospitals Birmingham NHS Foundation Trust.
