NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Prescribing
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12 Ear, nose and oropharynx

12.2 Drugs acting on the nose

12.2.1 Drugs used in nasal allergy

Preferred list
BECLOMETASONE DIPROPRIONATE

Prescribing Notes:

Nasal spray, 50 micrograms/spray.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5642.htm

BUDESONIDE (Rhinocort Aqua) (64 microgram nasal spray)

Restrictions: Not approved for nasal polyps.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5648.htm

Total Formulary
FLUTICASONE FUROATE

Restrictions: Restricted to specialist initiation. Restricted to allergic rhinitis patients in whom beclomethasone and budesonide have been ineffective or not tolerated.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/202786.htm#_202786

AZELASTINE AND FLUTICASONE (nasal spray)

Restrictions: It is restricted to specialist initiation for use in patients who require both a nasal steroid and nasal antihistamine and where compliance is considered to be an issue.

BNF Link: https://www.medicinescomplete.com/mc/bnf/current/PHP33279-dymista.htm?q=dymista&t=search&ss=text&p=1#PHP33279-dymista

FLUTICASONE PROPIONATE

Restrictions: Restricted to specialist initiation where fluticasone nasal sprays should be reserved for patients in whom beclometasone and budesonide have been ineffective or not tolerated. Flixotide NasulesĀ® are not included in the GGC Formulary.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5651.htm

MOMETASONE FUROATE (Nasal spray)

Prescribing Notes:

Mometasone nasal sprays should be reserved for patients for whom preferred list options have been ineffective or not tolerated.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/60798.htm

12.2.2 Topical nasal decongestants

Preferred list
XYLOMETAZOLINE HYDROCHLORIDE

Prescribing Notes:

Available as 0.1% nasal drops and a 0.1% nasal spray. Maximum duration for treatment is 7 days as further use can cause rebound congestion.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5642.htm

Total Formulary

12.2.3 Nasal preparations for infection

Preferred list
MUPIROCIN (BACTROBAN NASAL)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5677.htm

NASEPTIN

Prescribing Notes:

Cream containing chlorhexidine and neomycin.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5678.htm