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

12.3 Drugs acting on the oropharynx

12.3.1 Drugs for oral ulceration and inflammation

Preferred list
BENZYDAMINE HYDROCHLORIDE

Prescribing Notes:

Used for painful inflammatory conditions of the mouth and throat.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5681.htm

Total Formulary
BETAMETHASONE SODIUM PHOSPHATE (BETNESOL) (Soluble tablets)

Restrictions: Restricted to use only for oral ulceration

Prescribing Notes:

This is an unlicensed use of betamethasone soluble tablets.  The tablets should be dissolved in around 20 ml of water to create a mouthwash, then rinsed around the mouth and not to be swallowed.  See BNF for further detail.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/200295.htm?q=betnesol&t=search&ss=text&p=9#_200295

12.3.2 Oropharyngeal anti-infective drugs

Preferred list
MICONAZOLE (Oral gel)

Restrictions: The muco-adhesive buccal tablets are non-Formulary.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5705.htm

Total Formulary

12.3.3 Lozenges and sprays

12.3.4 Mouthwashes, gargles, and dentifrices

Preferred list
Total Formulary

12.3.5 Treatment of dry mouth

Total Formulary
ARTIFICIAL SALIVA

Restrictions: Some artificial saliva products can only be prescribed by GPs in line with ACBS approval, i.e. for dry mouth associated only with radiotherapy or sicca syndrome. See BNF for further details.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/29680.htm