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 Formulary Chapter 19: Wound Care Formulary - launched April 2014 - Full Chapter
Notes:

Welcome to the Woundcare Formulary - a joint formulary across  Primary and Seconday care in South Buckinghamshire.  The Woundcare Formulary was launched in April 2014.

 - To search for a particular dressing or product use the search box  -above.

 - To request a non-formulary woundcare product please use the  non-formulary form - see link below

For woundcare advice please contact Tissue Viability.

Please contact the formulary team if you require further information.

Chapter Links...
 Details...
19  Expand sub section  Wound care products
19.01  Expand sub section  Absorbent
Advadraw Flat
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
10cm x10cm
Available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)


BNF A5.2.7
In secondary care obtain from Pharmacy 
   
Advadraw Spiral
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
0.5cm x 40cm (CR3799)- Available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)



BNF A5.2.7
In secondary care obtain from Pharmacy 
   
19.01.01  Expand sub section  Absorbent Cellulose – general use
Cosmopor E®
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
5cm x 7.2cm This size only - Available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

8cm x 10cm
8cm x 15cm
10cm x 20cm
10cm x 25cm
10cm x 35cm

BNF A5.1.2
In secondary care obtain from Supplies 
   
Gamgee Roll (Pink, Blue)
(500g)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.5.1
In secondary care obtain from Supplies 
   
Gamgee Roll (sterile) (Rocialle®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Amber Initiation
45cm x 45cm
45cm x 90cm

Restricted - to use in secondary care by Burns and Plastics. Only to be used if sterile product required, otherwise use Gamgee roll (non-sterile)

BNF A5.5.1
In secondary care obtain from Supplies 
   
Leukomed T Plus®
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
5cm x 7.2cm
8cm x 10cm
8cm x 15cm
10cm x 20cm
10cm x 25cm
10cm x 30cm
10cm x 35cm

Restricted - for use in secondary care only
To be reviewed and rationalised

BNF A5.1.2
In secondary care obtain from Supplies 
   
Mepore®
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
7cm x 8cm
10cm x 11cm
11cm x 15cm
All sizes - Available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.1.2
In secondary care obtain from Supplies 
   
Mesorb®
(500g)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
10cm x 10cm
10cm x 15cm
10cm x 20cm
15cm x 20cm
25cm x 20cm
20cm x 30cm
Restricted - for use in Primary Care only
All sizes available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.1.2
In secondary care obtain from Supplies 
   
Shermond Dressing Pad
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
10cm x 20cm
20cm x 20cm


BNF A5.5.1
In secondary care obtain from Supplies 
   
19.01.02  Expand sub section  Cotton Wool Roll – very basic use
19.01.03  Expand sub section  Super Absorbent to top
Kerramax Care
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green

 20cm x 50cm


Available from ONPOS


 
   
19.01.03.01  Expand sub section  Super Absorbent - Moderate/High
KerraMax
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
10cm x 10cm
20cm x 22cm
20cm x 30cm
20cm x 50cm

BNF A5.1.2

In primary care available via ONPOS 
Sorbion® Sachet Extra (non-adhesive)
View adult BNF View SPC online View childrens BNF  Track Changes
Second Choice
Amber Recommended
10cm x 10cm
10cm x20cm
In primary care - on advice of Tissue Viability (TV) only; if tissue viability recommend it they may arrange for a supply as a "specialist" through ONPOS but it cannot be ordered without TV input

BNF A5.2.3
In secondary care obtain from Pharmacy 
   
Sorbion® Sachet Border (adhesive)
View adult BNF View SPC online View childrens BNF  Track Changes
Second Choice
Amber Recommended
15cm x 15cm
In primary care - on advice of Tissue Viability (TV) only; if tissue viability recommend it they may arrange for a supply as a "specialist" through ONPOS but it cannot be ordered without TV input

BNF A5.2.3
In secondary care obtain from Pharmacy 
   
Sorbion® Sachet Extra (non-adhesive)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
20cm x30cm
Restricted - to be prescribed in secondary care only. Not to be stocked on wards


BNF A5.2.3
In secondary care obtain from Pharmacy 
   
Sorbion® Sachet Border (adhesive)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
15cm x 25cm

Restricted - to be prescribed in secondary care only. Not to be stocked on wards


BNF A5.2.3
In secondary care obtain from Pharmacy 
   
19.01.03.02  Expand sub section  Super Absorbent – Low/Moderate – atraumatic
Sorbion® Sana (non-adhesive)
View adult BNF View SPC online View childrens BNF  Track Changes
Second Choice
Amber Recommended
12cm x 12cm
In primary care - on advice of Tissue Viability (TV) only. TV have the capability to order stock via ONPOS, but this supply is restricted to TV specialists.

BNF A5.2.3
In secondary care obtain from Pharmacy 
   
19.02  Expand sub section  Alginate
Aquacel Extra®
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
5cm x 5cm (420671)
10cm x 10cm (420672)
15cm x 15cm (420673)
4cm x 20cm (420821)
All sizes available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)


BNF A5.2.4
In secondary care obtain from Pharmacy 
   
Aquacel® Ribbon
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
2cm x 45cm (S7503)
1cm x 45cm (420127)
All sizes available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)


BNF A5.2.4
In secondary care obtain from Pharmacy  
   
Kaltostat®
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber Recommended
5cm x 5cm
7.5cm x 12cm

In primary care - Tissue Viability (TV) recommendation only. In primary care TV have the ability to order as stock from "specialist" ONPOS list
In secondary care - restricted, only for use in areas treating surgical patients.

BNF A5.2.6
In secondary care obtain from Pharmacy 
   
Kaltostat®
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
10cm x 20cm
15cm 25cm
Not for use in Primary Care
In secondary care - restricted, only for use in areas treating surgical patients.


BNF A5.2.6
In secondary care obtain from Pharmacy 
   
Kaltostat® (cavity dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
2g rope
Restricted - Renal use only
Not for use in Primary Care


BNF A5.2.6
In secondary care obtain from Pharmacy 
   
19.03  Expand sub section  Hydrofibre
19.04  Expand sub section  Antimicrobial to top
19.04.01  Expand sub section  Antimicrobial -Silver
 note 

Use silver dressings initially for a challenge period of 2 weeks.  Silver dressings should be reserved for use in wounds with, or at risk of, high bioburden or local infection.  After 2 weeks:

  • If there is improvement in the wound but continuing signs of infection it may be clinically justifiable to continue the silver dressing with further regular reviews.
  • If the wound has improved and signs of infection are no longer present, discontinue use of silver dressing.  Once the bioburden is under control and the wound is improving, a non-antimicrobial dressing should be considered.
  • If there is no improvement, the silver dressing should be discontinued and consider changing to a dressing with a different antimicrobial agent.  If the patient is unwell consider using a systemic antibiotic and re-evaluate possible untreated comorbidities.

See link to Silver Consensus below

Acticoat® Flex 3
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red

5cm x 5xm (66800396)
10cm x10cm (66800399)
10cm x 20cm (66800409)
10cm x 120cm (66800435)
Restricted - to use in secondary care for Paediatrics, Spinal Outpatients, Dermatology, Burns and Plastics


BNF A5.3.3
In secondary care obtain from Pharmacy

 
   
19.04.01.01  Expand sub section  Silver - Foam Adhesive
Biatain® Ag  (adhesive)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
NOTE: to be replaced with Biatain® Ag Silicone low adherence dressing, see entry below.

12.5cm x12.5cm (9632)
This size only available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

18cm x 18cm (9635) In primary care available on prescription only

BNF A5.3.3
In secondary care obtain from Pharmacy 
   
Biatain® Ag Silicone (low adherence)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
7.5cm x 7.5cm (9636)
10cm x 10cm (9637)
12.5cm x 12.5cm (9638)
Above sizes only available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

15cm x15cm (9639) In primary care available on prescription only.
17.5cm x17.5cm (9640) In primary care available on prescription only.


BNF A5.3.3
In secondary care obtain from Pharmacy 
   
19.04.01.02  Expand sub section  Silver - Foam Non-Adhesive
Biatain® Ag  (non-adhesive)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
NOTE: to be replaced by Biatain® Ag Silicone, low adherence dressing.

10cm x 10cm (9622)
This size only available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

15cm x 15cm (9625)
In primary care order using a prescription

BNF A5.3.3
In secondary care obtain from Pharmacy 
   
19.04.01.03  Expand sub section  Silver - Hydrofibre
Aquacel Ag+ Extra®
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
5cm x 5cm (413566)
10cm x 10cm (413567)

In primary care, sizes listed above are available as stock through the On-line Non-Prescription Ordering System (ONPOS)

15cm x15cm (413568)
In primary care available on prescription only

BNF A5.3.3
In secondary care obtain from Pharmacy 
   
Aquacel Ag® Ribbon
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green

2cm x 45cm (413571)
1cm x 45cm (413570)
Both available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)


BNF A5.3.3
In secondary care obtain from Pharmacy

 
   
19.04.02  Expand sub section  Antimicrobial - Honey to top
Actilite®
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
5cm x 5cm (CR4281)
10cm x10cm (CR3849)
10cm x 20cm (CR3852)
Available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.3.1
In secondary care obtain from Pharmacy 
   
Activon Tulle®
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
5cm x 5cm (CR3658)
10cm x10cm (CR3761)
Both available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.3.1
In secondary care obtain from Pharmacy 
   
Algivon®
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
5cm x 5cm (CR3831)
10cm x 10cm (CR3659)
Both available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)


BNF A5.3.1
In secondary care obtain from Pharmacy 
   
Medihoney® Antibacterial Wound Gel
(10g, 20g)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Both available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

A5.3.1
In secondary care obtain from Pharmacy
 
   
19.04.02.01  Expand sub section  Honey - Tubes
19.04.02.02  Expand sub section  Honey - Tulles
19.04.02.03  Expand sub section  Honey - Alginate
19.04.02.04  Expand sub section  Honey - Viscose/Non-adherent
19.04.03  Expand sub section  Antimicrobial - Iodines to top
19.04.03.01  Expand sub section  Iodine - Cadexomer
Iodoflex® Paste
(5g, 10g)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Both available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

A5.3.2
In secondary care obtain from Pharmacy

 
   
Iodosorb® Ointment
(10g)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Both available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

A5.3.2
In secondary care obtain from Pharmacy
 
   
Iodosorb® Powder
(3g)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
Restricted - for use in secondary care by Dermatology only.



BNF A5.3.2
In secondary care obtain from Pharmacy 
   
19.04.03.02  Expand sub section  Iodine - Povidone
Povidone-Iodine fabric dressing (Inadine®)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber Recommended
5cm x 5cm (PO1481)
9.5cm x 9.5cm (PO1491)
In secondary care restricted - to use in secondary care for superficial low exudate wounds. Only allowed as stock in Burns, Plastics, Dermatology, Podiatry, Spinal Unit and Diabetic Clinics/Wards.

May be continued in Primary Care when initiated by hospital consultant or Tissue Viability.

BNF A5.3.2
In secondary care obtain from Pharmacy 
   
19.04.04  Expand sub section  Antimicrobial - Chlorhexidine
Chlorhexidine Gauze Dressing BP (Bactigras®)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber Recommended
5cm x 5cm (66007456)
10cm x10cm (66007457)
15cm x 20cm (66007461)
15cm x 1m (66007505)
In secondary care restricted - to use in secondary care for superficial low exudate wounds. Only allowed as stock in Burns, Plastics, Dermatology, Podiatry, Spinal Unit and Diabetic Clinics/Wards.

May be continued in Primary Care when initiated by hospital consultant or Tissue Viability.

BNF A5.3.4
In secondary care obtain from Pharmacy 
   
19.04.05  Expand sub section  Antimicrobial - Dialkylcarbamoyl Chloride
19.04.06  Expand sub section  Anitmicrobial - PHMB to top
19.05  Expand sub section  Bandages
19.05.01  Expand sub section  Bandages – Retention
19.05.01.01  Expand sub section  Bandages – Retention – standard
Actiwrap®
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
6cm x 4m, latex-free
8cm x 4m, latex-free
Both available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)


BNF A5.8.2
In secondary care obtain from Supplies 
   
Crepe
(bandage)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
Restricted - only for use in secondary care only at Stoke Mandeville Hospital

In secondary care obtain from Supplies 
   
K-Band®
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
10cm x 4m (stretched)

In secondary care not recommended for stock on general wards.
In primary care available as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.8.2
In secondary care obtain from Supplies  
   
19.05.01.02  Expand sub section  Bandages – Retention – cohesive latex free
19.05.02  Expand sub section  Bandages – Subcompression wadding to top
19.05.03  Expand sub section  Bandages – Multi-layer Compression Bandaging
 note 
K-Four®
(multilayer compression bandage system)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
Layer 1 - K-Soft 10cm x 3.5m, K-Soft Long 10cm x 4.5m
Layer 2 - K-Lite 10cm x 4.5m, K-Lite Long 10cm x 5.25m
Layer 3 - K-Plus 10cm x 8.7m, K-Plus Long 10cm x 10.25m
Layer 4 - Ko-Flex 10cm x 6m, Ko-Flex Long 10cm x 7m
Use of Layers 3 and 4 restricted in secondary care to use by Dermatology team or on recommendation of Tissue Viability
In primary care available as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.8.6, 5.8.7, 5.8.8
In secondary care obtain from Supplies
 
   
Profore Latex Free®
(multilayer compression bandage system)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
Profore #1 10cm x 3.5m (unstretched)
Profore #2 10cm x 4.5m (stretched)
Profore #3 10cm x 8.7m (stretched)
Profore #4 10cm x 2.5m (unstretched)
Profore Plus 10cm x 3m (unstretched)
In secondary care, use of Profore #3 and #4 and Profore Plus restricted to use by Dermatology team or on recommendation of Tissue Viability
In primary care available as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.8.6, A5.8.7, A5.8.8
In secondary care obtain from Supplies 
   
Coban® 2
(multilayer compression bandage system)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber Recommended
Two layer system - one size

Restricted - to recommendation by Tissue Viability or Lymphoedema Nurse only

BNF A5.8.8
In secondary care obtain from Supplies
 
   
Coban® 2 Lite
(multilayer compression bandage system)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber Recommended
Two layer system (reduced compression)- one size

Restricted - to recommendation by Tissue Viability or Lymphoedema Nurse only

BNF A5.8.8
In secondary care obtain from Supplies
 
   
19.05.04  Expand sub section  Bandages – Short Stretch Compression
Actico® Cohesive Short-Stretch
(compression bandage)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
10cm x 6m is the most common in use.
In primary care this size only available as stock through the On-line Non-Prescription Ordering System (ONPOS)

6cm x 6m
8cm x 6m
12cm x 6m

In secondary care all sizes are restricted to: use by Dermatology team or on recommendation of Tissue Viability only
In primary care unusal sizes should be recommended by a specialist e.g. tissue viability or lymphoedema specialist
BNF A5.8.7 
   
Comprilan® Short-Stretch
(compression bandage)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber Recommended
10cm x 5m
In primary care restricted to: prescribing by Tissue Viability only

BNF A5.8.7 
   
19.05.05  Expand sub section  Bandages – Paste Bandage
Calaband®
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
7.5cm x 6m (3607)

In secondary care obtain from Pharmacy 
   
Ichthopaste®
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
7.5cm x 6m (4959)

In primary care available as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.8.9
In secondary care obtain from Pharmacy
 
   
Zinc Paste Bandage 6m x 7.5cm (Viscopaste® )
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
Restricted - for use in eczema. NOT recommended for leg ulcers as long term use may lead to the development of sensitivity.

Available on ONPOS

BNF A5.8.9
In secondary care obtain from Pharmacy
 
   
ZipZoc®
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
7.5cm x 6m (66151550)

In secondary care restricted - Dermatology indications only
In primary care available as stock through the On-line Non-Prescription Ordering System (ONPOS)


BNF A5.8.9
In secondary care obtain from Pharmacy
 
   
19.05.06  Expand sub section  Bandages – Tubular
Actifast®  (Yellow)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
10.75cm x 1m (285-6599)
10.75cm x 5m (285-6523)
10.75cm x 10m (only available in secondary care)

In primary care 1m and 5m lengths available as stock through the On-line Non-Prescription Ordering System (ONPOS)


BNF A5.8.3
In secondary care obtain from Supplies 
   
Actifast® (Blue)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
7.5cm x 1m (285-6557)
7.5cm x 5m (285-6573)
7.5cm x 10m (only available in secondary care)

In primary care 1m and 5m lengths available as stock through the On-line Non-Prescription Ordering System (ONPOS)


BNF A5.8.3
In secondary care obtain from Supplies 
   
Actifast®  (Green)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
5cm x 1m (285-6516)
5cm x 5m (285-6532)
5cm x 10m (only available in secondary care)

In primary care 1m and 5m lengths available as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.8.3
In secondary care obtain from Supplies 
   
19.06  Expand sub section  Capillary Action Wound Dressings to top
19.07  Expand sub section  Cleansing Agents
Prontosan®
(gel)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber Recommended
30mL

Wound irrigation solution containing betaine, a surfactant which penetrates, disturbs and removes biofilm and wound debris, and PHMB to help control bacterial levels on the wound. Indicated for cleansing, decontamination and moisturising of acute and chronic skin wounds and first and second degree burns.

Restricted - on recommendation of Tissue Viability only.

Audit use: January 2015
BNF A5.3.4
In secondary care obtain from Pharmacy 
   
Sodium Chloride 0.9%  (Normasol®)
(irrigation sachet (sterile))
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
25mL, 100mL sachet
In primary care available as stock through the On-line Non-Prescription Ordering System (ONPOS)

In primary care tap water preferred

BNF 13.11.01
In secondary care obtain from Pharmacy 
   
Urgostart® 10cm x 10cm
(protease-modulating matrix dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
Restricted - only to be used in accordance with the Leg Ulcer Treatment Pathway.

Available on ONPOS
In Secondary care restricted to prescribing by Tissue Viability only.


BNF A5.4.1
In secondary care if required phone Pharmacy to order. 
   
19.08  Expand sub section  Contact Layers
Atrauman®
(non-adherent dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice
Green
5cm x 5cm
7.5cm x 10cm
10cm x 20cm
20cm x30cm

In primary care available as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.1.1
In secondary care obtain from Supplies 
N-A Ultra®
(dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
Second Choice
Green
9.5cm x 9.5cm
9.5cm x 19cm
In primary care available as stock through the On-line Non-Prescription Ordering System (ONPOS)

In secondary care to be used 2nd line to Atrauman and only to be stocked by Podiatry and Dermatology

BNF A5.1.1
In secondary care obtain from Supplies 
   
Mepitel®
(soft silicone dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber Recommended

2nd choice to Mepitel One


5cm x 7cm (290500)
8cm x 10cm (290700)
12cm x 15cm (291000)
20cm x32cm (292030)

In secondary care restricted to Paediatrics, Spinal Outpatients, Dermatology, Burns, Plastics and ICU/HDU and when requested by Tissue Viability.

In primary care restricted to specialist recommended (usually tissue viability)

BNF A5.2.3
In secondary care obtain from Pharmacy

 
   
Mepitel® One
(soft silicone dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber Recommended

1st choice over Mepitel


6cm x 7cm (289170)
9cm x 10cm (289270)
13cm x 15cm (289470)
24cm x 27.5cm (289670)

In secondary care restricted to Burns and Plastics or on Tissue Viability recommendation.

In primary care restricted to recommendation by Tissue Viability.

BNF A5.2.3
In secondary care obtain from Pharmacy

 
   
Paraffin Gauze (Jelonet®)
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Restricted Drug Restricted
Red
10cm x 10cm (66007409)
Restricted - in secondary care to Dermatology, Podiatry and Plastics

In primary care usually switch to Atrauman

BNF A5.1.1
In secondary care obtain from Pharmacy 
   
19.09  Expand sub section  Film Dressings
19.09.01  Expand sub section  Film Dressings – General Wounds
Bioclusive®
(vapour-permeable, transparent, adhesive film dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
10.2cm x 12.7cm
12.7cm x 17.8cm
5.1cm x 7.6cm

Restricted - for use in secondary care only.
Film dressings to be reviewed and rationalised

BNF A5.2.2
In secondary care obtain from Supplies  
   
Tegaderm® Film
(vapour-permeable, transparent, adhesive film dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
6cm x 7cm (1624)
12cm x 12cm ( )

In primary care available as stock through the On-line Non-Prescription Ordering System (ONPOS)

10cm x 12cm (1632)
In primary care by prescription only


BNF A5.2.2
In secondary care obtain from Supplies  
   
19.09.02  Expand sub section  Film Dressings – IV/Cannula to top
Tegaderm® IV
(vapour-permeable, transparent, adhesive film dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice
Green
7cm x 8.5cm (peripheral catheter)
10cm x 15.5cm (peripherally inserted central venous catheter (PICC))
In primary care available as stock through the On-line Non-Prescription Ordering System (ONPOS)

8.5cm 10.5cm (central venous catheter)
In primary care only available on precription

BNF A5.2.2
In secondary care obtain from Supplies 
IV3000®
(vapour-permeable, transparent, adhesive film dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
10cm x12cm (central venous catheter)(SJ4008)
In primary care this one only is available as stock through the On-line Non-Prescription Ordering System (ONPOS)


7cm x 9cm (ported peripheral catheter)(SJ4006)
9cm x12cm (PICC line)(SJ66004009)
10cm x 14cm (SJ4925)

Restricted - for use in patients who have had skin reactions to Tegaderm dressings

BNF A5.2.2
In secondary care obtain from Supplies 
   
Tegaderm® CHG Chlorhexidine Gluconate IV
(iv dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
8.5cm 11.5cm
10cm x 15.5cm

Use for central lines only.
Restricted to patients on parenteral nutrition and isolated infected patients. Patients who are immunosuppressed or who have neutropenic sepsis may also require CHG dressings.
Only to be stocked on surgical, spinal, gastroenterology and ITU wards and Radiology.

BNF
In secondary care obtain from Supplies 
   
19.10  Expand sub section  Foam Dressings
Lyofoam®
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
15cm x 20cm

Restricted - for dressing of hypospadias operations

BNF A5.2.5
In secondary care obtain from Pharmacy 
   
19.10.01  Expand sub section  Foam Dressings – Adhesive
Biatain® Adhesive
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice
Green
7.5cm 7.5cm (3462)
10cm x 10cm (3430)(this size not available in secondary care)
18cm x 28cm (3426)
In primary care available as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.2.5
In secondary care obtain from Pharmacy 
Tegaderm® Foam Adhesive
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First Choice
Green
13.9cm x 13.9cm (heel)(90619)

In primary care available as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.2.5
In secondary care obtain from Pharmacy 
Aquacel® Foam (adhesive)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted Green Traffic Light 
16.9cm x 20cm (sacral)(420626)(ONPOS)

Sizes below are 2nd Choice if Biatain Silicone® not appropriate or contraindicated:
8cm x 8cm (420804)(ONPOS)
10cm x 10cm (420680)(ONPOS)
12.5cm x 12.5cm (420619)(ONPOS)
17.5cm x 17.5cm (420621)(ONPOS)(in secondary care may only be stocked in Spinal Outpatients)
10cm x 20cm (421150)(In primary care available on prescription only)
19.8cm x 14cm (heel)(420625) 2nd Choice if Tegaderm® Heel not working or contraindicated. (In primary care available on prescription only)

In primary care most sizes available as stock through the On-line Non-Prescription Ordering System (ONPOS) except 19.8cm x 14cm (heel) and 10cm x 20cm which are prescription only.

In secondary care all above, restricted to prescribing only by TV Nurse, Dermatology, Burns and Plastics and Spinal teams.

Red Traffic Light 
25cm x 30cm (420624) restricted - to be prescribed in secondary care only. Maybe stocked on Ward 16 only at SMH

BNF A5.2.4
In secondary care obtain from Pharmacy 
   
19.10.02  Expand sub section  Foam Dressings – Non-Adhesive
Biatain® Non-Adhesive
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice
Green
10cm x10cm (3410)
15cm x15cm (3413)
10cm x 20cm (3412)
In primary care available as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.2.5
In secondary care obtain from Pharmacy 
19.10.03  Expand sub section  Foam Dressings – Silicone
Biatain® Silicone
(adhesive foam dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
12.5cm x 12.5cm (3436)
15cm x 15cm (3437)(In primary care available on prescription only)
17.5cm x 17.5cm (3438)(In primary care available on prescription only)

12.5cm x 12.5cm available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.2.5
In secondary care to be ordered through Pharmacy 
   
Biatain® Silicone Lite
(adhesive foam dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
5cm x 5cm (3452)

In secondary care - restricted for use by Dermatology only or on Tissue Viability recommendation.

Available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.2.5
In secondary care to be ordered through Pharmacy 
   
19.10.04  Expand sub section  Foam Dressings – Silicone – high MVTR to top
Mepilex® Transfer
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber Initiation
7.5cm x 8.5cm (329-5755)
10cm x 12cm (329-5748)
15cm x 20cm (292-4157)

Restricted - for use on fungating wounds only on the advice of woundcare specialist.

BNF A5.2.3
In secondary care obtain from Pharmacy 
   
Mepilex® Border
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Restricted Drug Restricted
Red
NOTE: Biatain Silicone is an appropriate alternative.

7cm x 7.5cm (295260)
10cm x 12.5cm (295360)
15cm x 17.5cm (295460)
17cm x 20cm (295660)
Restricted - may only be prescribed for use by Burns, Plastics and Spinal wards.

BNF A5.2.3
In secondary care obtain from Pharmacy 
   
19.10.05  Expand sub section  Foam Dressings – Combination
19.11  Expand sub section  Hydrocolloid
Urgoclean® 10cm x 10cm
(protease-modulating matrix dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
Restricted - only to be used in accordance with the Leg Ulcer Treatment Pathway.

Available on ONPOS
In Secondary care restricted to prescribing by Tissue Viability only.


BNF A5.2
In secondary care if required phone Pharmacy to order. 
   
19.11.01  Expand sub section  Hydrocolloid – Standard
Comfeel® Plus Ulcer
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
15cm x 15cm (ulcer)(3115)
18cm x 29cm (ulcer, triangular)(3285)

Restricted for use in secondary care only

BNF A5.2.4
In secondary care obtain from Pharmacy 
   
Comfeel® Plus Contour
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
6cm x 8cm (contour)(3280)
9cm x 11cm (contour)(3283)
In primary care available as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.2.4
In secondary care obtain from Pharmacy 
   
DuoDERM® Signal
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
10cm x 10cm (S166)
In primary care available as stock through the On-line Non-Prescription Ordering System (ONPOS)

14cm x14cm (S167)
20cm x 20cm (S168)
In primary care on prescription only.

BNF A5.2.4
In secondary care obtain from Pharmacy 
   
Tegaderm® Hydrocolloid
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
10cm x 10cm
In primary care available as stock through the On-line Non-Prescription Ordering System (ONPOS)

15cm x 15cm
In primary care on prescription only

BNF A5.2.4
In secondary care obtain from Pharmacy 
   
19.11.02  Expand sub section  Hydrocolloid – Thin
Comfeel® Plus Transparent
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
5cm x 7cm
10cm x10cm


In primary care available as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.2.4
In secondary care obtain from Pharmacy 
   
DuoDERM® Extra Thin
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
5cm x 10cm (S163)
7.5cm x 7.5cm (S160)
10cm x 10cm (S161)
15cm x15cm (S162)

BNF A5.2.4
In secondary care obtain from Pharmacy 
   
19.12  Expand sub section  Hydrogels to top
19.12.01  Expand sub section  Hydrogels – Amorphous
Purilon® Gel
(hydrogel application)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
8g, 15g

Available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.2.1
In secondary care obtain from Pharmacy 
   
19.12.02  Expand sub section  Hydrogels – Sheet
ActiFormCool®
(hydrogel dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
5cm x 6.5cm
10cm x 10cm

Both available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.2.1
In secondary care obtain from Pharmacy
 
   
19.13  Expand sub section  Island Dressings
19.14  Expand sub section  Odour Control
CliniSorb® Odour Control Dressing
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
10cm x 10cm (2305)
Restricted - Wound to be assessed for reasons for odour before prescribing

BNF A5.2.3
In secondary care obtain from Pharmacy 
   
19.15  Expand sub section  Scar Dressings to top
Mepiform®
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber Recommended
5cm x 7cm (293250)
9cm x 18cm (293450)
4cm x 31cm (293150)

Restricted to use by Burns and when requested by Tissue Viability

BNF A5.4.2
In secondary care obtain from Pharmacy 
   
19.16  Expand sub section  Post Op Dressings
OpSite® Post-Op
(dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red
8.5cm x 9.5cm
8.5cm x 15.5cm
10cm x 12cm
10cm x 20cm
10cm x 25cm
10cm x 30cm
10cm x 35cm

BNF A5.2.2
In secondary care obtain from Supplies 
   
19.17  Expand sub section  Gauze Swabs
Gauze Swab
(non-sterile, non-woven)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Clinimed® non-woven non-sterile gauze swab - 10cm x 10cm (packs of 100)

Available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)


In secondary care obtain from Supplies 
   
Gauze Swab®
(sterile)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
7.5cm x 7.5cm 8-ply (packs of 5)

Available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

In secondary care obtain from Supplies
 
   
Gauze Swab®
(sterile)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
5cm x 5cm

Restricted in secondary care to use by Podiatry only

In secondary care obtain from Supplies 
   
19.18  Expand sub section  Dressing Packs
19.18.01  Expand sub section  Dressing Packs – Community
Nurse It® Dressing Pack (Small/Medium, Medium/Large dressing pack)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)
 
   
19.18.02  Expand sub section  Dressing Packs – General Wards to top
Premier® Wound Care Pack Option II Plus
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
For use in secondary care use only

NOTE: Across secondary care all dressing packs in process of review and rationalisation


 
   
Softdrape®
(Richardson Healthcare)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
For use in secondary care use only

NOTE: Across secondary care all dressing packs in process of review and rationalisation


 
   
19.18.03  Expand sub section  Dressing Packs – Burns
Robinson Healthcare Burns  (dressing pack)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
For use in secondary care by Burns Unit only

 
   
19.19  Expand sub section  Skin Protectives
19.19.01  Expand sub section  Skin Protectives - Creams
Medi Derma-S®
(barrier cream)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
2g sachet barrier cream
28g, 90g tube barrier cream

All above, except 90g tube, available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS).

Apply sparingly. For each buttock, only a pea-sized quantity required.

In secondary care obtain from Supplies 
   
19.19.02  Expand sub section  Skin Protectives – Film
Medi Derma-S®
(barrier film)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
1mL, 3mL foam applicator (sterile)
30mL non-sting pump spray

Available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

In secondary care obtain from Supplies
 
   
19.20  Expand sub section  Surgical Tapes to top
19.20.01  Expand sub section  Surgical Tapes – Standard
Mefix®
(tape)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
2.5cm x 5m (310276)
5cm x 5m (310576)

Available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.7.3
In secondary care obtain from Supplies 
   
Mefix®
(tape)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
10cm wide
15cm wide

Restricted - for use in secondary care only

BNF A5.7.3
In secondary care obtain from Supplies 
   
Scanpor®
(tape)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
2.5cm x 5m
5cm x 5m

Available in primary care as stock through the On-line Non-Prescription Ordering System (ONPOS)

BNF A5.7.3
In secondary care obtain from Supplies 
   
Micropore®
(tape)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
2.5cm x 5m
5cm x 5m

BNF A5.7.3
In secondary care obtain from Supplies 
   
Micropore® Tan
(tape)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
2.5cm x 9.1m
Restricted - for use on facial wounds only


BNF A5.7.3
In secondary care obtain from Supplies 
   
19.20.02  Expand sub section  Surgical Tapes – Silicone
Mepitac®
(silicone tape)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber Recommended
2cm x 3m (298300)
In secondary care restricted - for prescribing for holding dressings in place on very sensitive skin, taping eyelids in theatre, securing IV lines, covering small incision sites, under oxygen masks on bridges of the nose, securing fistula needles and protection from pressure damage.
Only to be stocked on ICU and Respiratory Wards

In primary care restricted to as recommended by Tissue Viability nurse, and where suitable to continue after hospital initiation.

BNF A5.7.3
In secondary care obtain from Supplies 
   
19.21  Expand sub section  Compression Hosiery
Actiglide®
(hosiery applicator)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
one size 
   
ActiLymph® Hosiery
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
For chronic oedema/lymphoedema.
In community, use European class RAL hosiery for patients with returning oedema. Other hosiery products can be sourced following advice from Lymphoedema or Tissue Viability.
BNF A5.9.1 
   
Activa® Hosiery
(Class 1/2/3)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
In primary care - use UK class hosiery 1st Line for leg ulcer management providing no returning oedema

BNF A5.9.1 
   
Activa® Liners
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
Only for use in leg ulcers and lymphoedema as appropriate

BNF A5.9.1 
   
19.22  Expand sub section  Hosiery Applicator
19.23  Expand sub section  Hosiery / Bandage Protector to top
19.24  Expand sub section  Miscellaneous / Specialist
Debrisoft®
(pad)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green
10cm x 10cm

Restricted - to be used for a maximum of 3 treatments only

In secondary care obtain from Pharmacy 
   
Larvae Therapy
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber Initiation

Restricted - use by Dermatology, Burns and Plastics, Podiatry and Tissue Viability only

In secondary care obtain from Pharmacy

 
   
Leech Therapy
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
Restricted - use in secondary care by Plastics team only

In secondary care obtain from Pharmacy 
   
Negative Pressure Wound Therapy (AVANCE SOLO®)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
Restricted - only available in secondary care for use by Podiatry only, for treatment for 7 days. 
   
Negative Pressure Wound Therapy 15cmx15cm, 10cmx20cm (PICO®)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
NOT TO BE USED IN SECONDARY CARE - ONLY FOR USE IN PRIMARY CARE

In primary care restricted to recommendation by TV only for short term use (not exceeding 4 weeks), on small, highly exuding wounds.
- Patients require regular TV specialist review. In community must be supplied through TV nurse who will organise supplies to go to the patient's nurse.
- Not to be prescribed on FP10.
- In primary care restricted to TV recommendation ONLY.

[Audit results to FMG after 20 patients have received treatment initiated in primary care using either Avance or PICO NPWT] 
   
Negative Pressure Wound Therapy (NPWT) (Avance®)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
Restricted -
1. In secondary care to be initiated by Tissue Viability, Spinal, Burns & Plastics, Orthopaedics and General Surgery.
2. In primary care, initiation by Tissue Viability ONLY with supply via ONPOS for patients who:
- have been, or need to be, discharged on NPWT from an out-of-area acute Trust and require continued NPWT or,
- need NPWT to help prevent admission or readmission to hospital.

NOTE: NOT to be prescribed on FP10

After initiation of treatment, patients should be reviewed weekly under the direction/supervision of the Tissue Viability Team. If no significant improvement is seen in 2 weeks therapy will be stopped. If improvement is confirmed then the usual length of treatment is 4 weeks although occasionally patients may require longer treatment (generally a maximum of 8 weeks)

[Audit results to FMG after 20 patients have received treatment initiated in primary care using either Avance® or PICO® NPWT] 
   
Option Wound Manager
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber Recommended
In secondary care restricted to use in ICU, Burns and Plastics and on recommendation of Tissue Viability.

In primary care restricted to Tissue Viability recommendation only  
   
19.24.01  Expand sub section  Tracheostomy
Kapitex ® Laryngeo Foam Tracheostomy
(dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Small
Large 
   
Lyofoam ® Tracheostomy
(dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
9cm x 6cm
 
   
19.24.02  Expand sub section  Specialist Burns
Biobrane®
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
12.5cm 38cm
25cm x 38cm
38cm x 50cm
Restricted - Burns and Plastics Consultant only prescribing for use in Paediatrics for burns over 5% total body surface area.

In secondary care obtain from Pharmacy 
   
E-Z Derm®
(meshed biosynthetic wound dressing)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
8cm x 122cm (131700 non-perforated) (131710 meshed)
8cm x 61cm (131701 non-perforated) (131711 meshed)
8cm x 30cm (131702 non-perforated) (131712 meshed)
8cm x 10cm (131703 non-perforated) (131713 meshed)
17cm x 46cm (131704 non-perforated) (131714 meshed)

Restricted - Burns and Plastics Consultant only prescribing. Generally the meshed product is preferred.

In secondary care obtain from Pharmacy 
   
Flammacerium®
(cream)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
Restricted - Burns and Plastics Consultant only prescribing

In secondary care obtain from Pharmacy 
   
Glucan Pro®
(topical cream)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
25g

Restricted - Burns and Plastics Consultant only prescribing

In secondary care obtain from Pharmacy 
   
Glucan3000®
(cream)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
99g

Restricted - Burns and Plastics Consultant only prescribing

In secondary care obtain from Pharmacy 
   
Integra® Dermal
(regeneration template bi-layer)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
10cm x 25cm

Restricted - Burns and Plastics Consultant only prescribing

In secondary care obtain from Pharmacy 
   
Matriderm®
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
52mm x 74mm x 1mm
105mm x 148mm x 1mm
210mm x 297mm x 1mm
210mm x 297mm x 2mm

Restricted - Burns and Plastics Consultant only prescribing

In secondary care obtain from Pharmacy 
   
NexoBrid® 2g and 5g powder and gel
(powder and gel, for gel)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red

Prescribing by or on the advice of Burns and Plastics consultants for treatment of deep, partial or full thickness thermal burns up to a maximum of 15% total body surface area (TBSA) who would normally be considered for surgical debridement.

 

 
   
Silicone  (Dermatix® Dermal)
(gel)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
15g and 60g

Restricted - Burns and Plastics Consultant only prescribing

In secondary care obtain from Pharmacy 
   
 ....
 Non Formulary Items
Acticoat 7

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary recommend Acticoat Flex 3
 
Acticoat®  (all sizes)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Acticoat® Flex 3 recommended for use

 
Activon®honey

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Medihoney Antibacterial Wound Gel now recommended
 
Adaptic®

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Mepitel now recommended
 
Advasoft®

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary K-Soft now recommended
 
Allevyn Adhesive and Non-Adhesive

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Replaced by Biatain Adhesive and Non-Adhesive and Biatain Silicone. See formulary entries above for availability of sizes.
 
Allevyn heel®

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Tegaderm foam adhesive heel recommended
 
Allevyn® Cavity tubular

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Aquacel ribbon now recommended
 
Allevyn® sacral  (adhesive)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Aquacel Foam sacral now recommended
 
Aquacel Ag Burn®

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Black
13cm x 10cm
17cm x 15cm
23cm x 30cm
54cm x 45cm

 
Aquacel® Foam  (non-adhesive)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Black
10cm x10cm (420633)
15cm x15cm (420635)

Suitable alternative - Biatain Non-adhesive (see above)

BNF A5.2.4
 
Aquaform® Gel
(hydrogel application)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Purilon Gel now recommended

 
Biatain Alginate Ag®  (all sizes)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Aquacel Ag Extra now recommended

BNF A5.3.3
 
Biatain Alginate®

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Aquacel Extra now recommended

BNF A5.2.6
 
Biatain Soft-Hold®

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Recommended to use Mepilex Border instead

BNF A5.2.3
 
Biatain® Adhesive

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Black
12.5cm x 12.5cm (3420)
18cm x 18cm (3423)

Biatain Silicone is an appropriate alternative.

BNF A5.2.5
 
Biatain® Ag Adhesive Heel and Sacral

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Heel and sacral - use of Aquacel Extra Ag is recommended
 
Carboflex®

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Use of Clinisorb recommended
 
Cavilon® Durable Barrier
(barrier cream)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Black
 
Cavilon® Durable Barrier Cream + Honey
(barrier cream)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
No longer available
 
Cavilon® No Sting Barrier
(barrier film)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Black
 
Cutimed Sorbact®  (gel)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary 7.5cm x 7.5cm (72611-00)
7.5cm x 15cm (72611-01)

To be reviewed and considered for formulary inclusion in the near future.

BNF A5.3.4
 
Cutimed Sorbact®  (ribbon)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary 2cm x 50cm

To be reviewed and considered for formulary inclusion in the near future.

BNF A5.3.4
 
Cutimed Sorbact® Dressing Pad

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary 7cm x 9cm

To be reviewed and considered for formulary inclusion in the near future.

BNF A5.3.4
 
C-View®

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Tegaderm Film dressings recommended
 
Dressit® pack  (Small/Medium, Medium/Large)
(Richardson Healthcare)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Nurse It is the recommended dressing pack

 
DryMax Extra®

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Black
NOTE: No longer to be used. Replaced by Kerramax

20cm x 20cm
20cm x 30cm


BNF A5.1.2
 
Flaminal Forte
(gel 15g)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary

BNF A5.3.4
 
Granugel® Gel
(hydrogel application)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Purilon Gel now recommended

 
Intrasite® Gel

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Purilon gel is now recommended
 
Kliniderm® Foam Silicone Border
(adhesive foam dressing)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Black
7.5cm x 7.5cm (40514828)
10cm x 10cm (40514829)
12.5cm x 12.5cm (40514830)
15cm x 15cm (40514831)
10cm x 20cm (40514832)
15cm x 20cm (40514834)
 
Mepilex® Border Lite

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Black
4cm x 5cm (281000)

Suitable alternative - Biatain Silicon

BNF A5.2.3
 
Mepilex® Lite

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Black
6cm x 8.5cm (284000)

Suitable alternative - Biatain Silicon

BNF A5.2.3
 
Mesitran® Antibacterial Wound Gel
(all sizes)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary BNF A5.3.1

Recommended to use Medihoney instead
 
Mesorb

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Use of Shermond dressing pack now recommended
 
Release

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Recommend use of Atrauman or N-A Ultra
 
Seal-Tight®
(woundcare protector)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Black
Adult wide and short leg

Patients to be given leaflet containing information and encouraged to purchase.
 
SeaSorb Ag®
(all sizes)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Aquacel Ag Extra now recommended


 
SeaSorb Soft®

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Aquacel Extra now recommended

BNF A5.2.6
 
Siltape®

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Use of Mepitac now recommended

 
Sorbsan® Plus

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Aquacel Extra now recommended
 
Sorbsan® Ribbon

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Use of Aquacel ribbon now recommended
 
Steripaste®

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary NOTE: No longer available
 
Suprasorb X + PHMB

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary 5cm x 5cm
9cm x 9cm
14cm x 20cm
2cm x 21cm (rope)

BNF A5.3.4
 
Tegaderm Hydrocolloid Thin®  (square - all sizes)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary recommended to use Comfeel Plus Transparent instead
 
Tegaderm® + PAD

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Use of Mepore now recommended
 
Tegaderm® contact dressing

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Use of Atrauman or N-A Ultra now recommended
 
Tegaderm® Foam Adhesive

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Black
6.9cm x 6.9cm (soft cloth border)(90615)
10cm x 11cm (90611)

Both the above are non-formulary. Biatain Silicone is an appropriate alternative.

BNF A5.2.5
 
Vacutex  (all sizes)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Recommended to use Advadraw Adsorbant (flat) instead

BNF A5.2.7
 
Versiva XC® Foam  (all sizes)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Suitable alternative - Biatain Non-adhesive (see above)
 
Viggo Veca-C® dressing

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Use of Tegaderm or Opsite IV dressing is recommended
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Black

Not recommended for use because of lack of evidence of clinical effectiveness, cost effectiveness or safety.
Drugs which have been evaluated and rejected by the Formulary Management Group (FMG)
Drugs defined as ‘Low Priority’ by the South Central Priorities Committee
New drugs which have not as yet been evaluated by the FMG
Any drug not listed in the Buckinghamshire Formulary  

Red

Drugs which should only be prescribed in secondary care by a specialist.
Require specialist knowledge and/or equipment for patient selection and initiation
Require long term on-going monitoring and dose adjustment to ensure efficacy and minimise toxicity by a specialist
Designated as “hospital only“ by product licence, NICE, DoH or BNF
May need further evaluation by a specialist
Are hospital initiated clinical trial materials  

Red Specialist Centre

As for ‘red’ (above) with the addition of the following:
Designated by NHS England to require initiation by or in prior agreement with a Specialist Centre. Continuation where appropriate by BHT (or other secondary care provider)
Detailed requirements for Specialist Centre initiation to be described in the wording of the formulary restriction  

Amber Protocol

Drugs which should be initiated in secondary care by the specialist with follow-on prescription and monitoring according to a drug specific Shared Care Protocol(SCP). Prescribing may be continued in primary care following the SCP
Require specialist knowledge and/or equipment for patient selection and initiation
Require short or medium term (eg. 3 to 6 months) specialist monitoring of efficacy or toxicity. The need for stabilisation will vary with different drugs and patients, but is usually a minimum of 2 months (see principles for shared care)
Require significant long term monitoring
Require ongoing communication between the GP and the specialist
Have clearly defined consultant, GP and patient responsibilities documented in a shared care protocol (see responsibilities for amber protocol drugs)  

Amber Initiation

Drugs suitable for primary care prescribing following specialist initiation
Require specialist knowledge and/or equipment for patient selection
Monitoring does not require specialist knowledge or equipment
If the drug is one with which the primary care prescriber is unfamiliar the specialist is expected to provide sufficient information on the drug indication, dose, duration , monitoring and any further necessary dose adjustments
Require the first prescription to be written by the specialist  

Amber Recommended

Drugs suitable for primary care prescribing following specialist recommendation
As for amber initiation except that:- The first prescription may be written by the GP after specialist recommendation.  

Green

Drugs for which primary care prescribers would normally take full responsibility for prescribing and monitoring
Drugs not included in the Traffic Light list but included on joint formulary.
New drugs classified as red or amber but as greater experience regarding their safety and efficacy is established may move to Green after re-consideration by the FMG and APC.  

netFormulary