University Hospitals Birmingham NHS Foundation Trust

Chapters

StatusDrug nameNICE TAsComments
Status: GreenBenzydamine 0.15% oral rinse
Status: GreenBenzydamine 0.15% oral spray
Status: GreenBiotene oralbalance saliva replacement gel

Approved for ACBS conditions e.g. dry mouth (Xerostomia) as a result of (or having undergone) radiotherapy, or sicca syndrome. Palliative care, dental practitioners.

Status: GreenBonjela oral gel
Status: RedCaphosol oral rinse

Oncology and haematology only.

Status: GreenChlorhexidine gluconate 0.2% alcohol free mouthwash
Status: RedChlorhexidine gluconate 1% dental gel
Status: RedGelclair sachets

Oncology and haematology only

Status: AmberHydrocortisone 2.5mg buccal tablets

Specialist recommendation

Status: GreenHydrogen peroxide 6% mouthwash
Status: RedLidocaine 10% mouth spray
Status: GreenMiconazole oral gel
Status: GreenNystatin 100,000 units/ml suspension

Do not prescribe sugar free

Status: GreenOrabase protective paste
Status: GreenOrahesive powder
Status: GreenPilocarpine hydrochloride tablets (Salagen)

Licensed for treatment of xerostomia following irradiation for head and neck cancer; dry mouth and dry eyes in Sjögren's syndrome. Effective only in patients who have residual salivary gland function. 

Status: RedPovidone iodine mouthwash
Status: GreenSaliva artificial spray (Saliveze)

Approved for ACBS conditions, e.g. dry mouth (xerostomia) as a result of having (or having undergone) radiotherapy, or sicca syndrome. Palliative Care, Dental practitioners  

Status: GreenSalivix® pastilles

Approved for ACBS conditions, e.g. dry mouth (xerostomia) as a result of having (or having undergone) radiotherapy, or sicca syndrome. Palliative Care, dental practitioners.

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

Grey

Positive NICE TA and/or awaiting local clarification on place in therapy. Please contact your medicines optimisation team for more information.

Red

Red

Initiation and maintenance of prescribing by specialists only.

Amber

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

Green

Initiation and maintenance of prescribing by specialists, GPs and other qualified clinicians.

Blue

Blue

Under review at University Hospitals Birmingham NHS Foundation Trust.

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