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Advice & Guidance for GPs
Advice & Guidance Services Advice and Guidance Best Practice RAS on e-Referral
Biochemistry
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Bowel Cancer Screening Breast Cancer Screening Cervical Cancer Screening Pancreatic Cancer Surveillance Programme
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Advice & Guidance Service Angina Arrhythmia Atrial Fibrillation and Flutter Cardiac Rehabilitation Cardiac Rhythm Analysis Dilated Ascending Aorta ECG - Open Access ECHO - requesting Heart Failure Hypertension Inherited Cardiac Conditions NT Pro BNP Testing Pacemakers Postural Orthostatic Tachycardia Syndrome (PoTS) Rapid Access Chest Pain Clinics Syncope and TLOC
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Active Ageing - South Glos Advice and guidance - Care of the Elderly Assistive Technology Service Falls & Balance Fracture Liaison Service Frailty Hearing Services Live Longer Better Movement Disorders NHS@home - Frailty pathway Rapid Assessment Clinic For Older People
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Community Therapy
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Diabetes
Community Diabetes Specialist Service Diabetes & Nutrition Diabetes Advice and Guidance Diabetes Foot Care Diabetes Mellitus - Guidelines Diabetes self-management Diabetes Structured Education Diabetic Eye Screening Monogenic Diabetes Neuropathic Pain (Diabetic) Non-diabetic Hyperglycaemia and the National Diabetes Prevention Program Pregnancy and diabetes Rapid Access Diabetes Clinic Type 2 diabetes management Type 2 Path to Remission Programme
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Advice & Guidance Service Local Services Malnutrition & Oral Nutritional Supplements Vitamin D Deficiency Weight management
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Alcohol Misuse Opiate Dependence Non-opiate drug dependence Bristol Drug and Alcohol Service North Somerset Drug & Alcohol Service South Gloucestershire Drug & Alcohol Service Bristol Shared Care Breaking Free (Bristol & South Glos)
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ENT
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Home > Formulary : Adult > Chapters > 12. Ear, Nose and Oropharynx >

BNSSG Adult Joint Formulary

12.1 Ear

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Last edited: 01-02-2024

12.1.1 Otitis externa

First line drugs Second line drugs Specialist drugs Secondary care drugs

 

Anti-infectives

Betamethasone 0.1% and Neomycin 0.5% (Betnesol-N®) (TLS Green)

Dexamethasone 0.1% / Neomycin 3250units/mL spray (Otomize®) (TLS Green)

Alternative:

Hydrocortisone 1% / Gentamicin 0.3% drops (Gentisone HC®) (TLS Blue)

Dexamethasone 0.05% / Framycetin 0.5% / Gramicidin 0.005% drops (Sofradex®) (TLS blue)

Flumetasone pivalate 0.02% / Clioquinol 1% drops (Locorten-Vioform®) (TLS Blue)

Clotrimazole 1% solution (TLS Blue)

Ciprofloxacin 0.3% / Dexamethasone 0.1% (TLS Blue)

  • Prescribe as per microbial sensitivities

Triamcinolone acetonide 0.1% / Gramicidin 0.025% / Neomycin sulphate 0.25% / Nystatin 100,000 units/g ointment (Otocomb Otic Ear®) (TLS Red)

  • To be prescribed after ear drops
  • For second line use in ENT clinic
  • Unlicensed

 

Astringents

Aluminium acetate 13% drops (TLS Red)

  • Unlicensed – special order only

Acetic acid 2% spray (TLS Green)

 

Corticosteroids

Betamethasone 0.1% drops (TLS Green)

Prednisolone 0.5% drops (TLS Green)

 

12.1.2 Removal of ear wax

Sodium bicarbonate 5% drops (TLS Green)

Olive oil (TLS Green)

 

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