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Advice & Guidance Services Advice and Guidance Best Practice Triage Service (RAS) on e-Referral
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Advice & Guidance Service Angina Arrhythmia Atrial Fibrillation and Flutter Cardiac Rehabilitation Cardiac Rhythm Analysis Coronary Artery Calcification 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 (non-traumatic) Thoracic Aorta Disease
Care of the Elderly
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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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
Drug and Alcohol Misuse
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)
DVT and PE
DVT and SVT Pathway Pulmonary Embolus (suspected) Secondary Care DVT Services Unprovoked DVT
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Bristol Centre for Enablement Wheelchair Services
End of Life Care and Hospice
Bereavement support Death Certification and Medical Examiner End of Life Care End of life care - community support ReSPECT Plus SR1 Form (formerly DS1500) St Peters Hospice Weston Hospice
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ENT
Advice & Guidance Service Anosmia Audiology (adult) Dizziness and Vertigo Ear wax and microsuction ENT HOT Clinic Epistaxis Hearing Problems Middle ear problems Moulded Ear Plugs Nasal Treatment Neck Lumps (including Goitre) Otitis Externa Rhinosinusitis & Nasal Polyps Snoring Speech & Language Tinnitus Tonsils Uvula
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Advice & Guidance Service Abnormal vaginal bleeding Cervical Conditions Dyspareunia Early Pregnancy Assessment Clinic Emergency Gynaecology Endometriosis Female Cosmetic Surgery Female Genital Mutilation Female Genitalia Surgery Female Urinary Incontinence Fibroids Hyperemesis Gravidarum Menopause Menstrual Disorders Mesh Complications Open Access Gynae Imaging Ovarian Conditions PCOS Pelvic Inflammatory Disease Pelvic Organ Prolapse Persistent Pelvic Pain (women) Premature Ovarian Insufficiency Recurrent Miscarriage Termination of Pregnancy Vaginal Discharge Vulval Skin Conditions
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Home > Formulary : Adult > Chapters > 13. Skin >

BNSSG Adult Joint Formulary

13.5 Photodamage

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Last edited: 11-01-2024

First line drugs Second line drugs Specialist drugs Secondary care drugs

 

Photodamage

Moisturisers should be used first line for mild cases of photodamage.

 

Antimetabolites

Fluorouracil cream (Efudix®) (TLS Green)

  • Superficial malignant and premalignant skin lesions

Alternatives: (TLS Blue)

Fluorouracil 0.5% and Salicylic acid 10% (Actikerall®)

  • Hyperkeratotic actinic keratosis

 

Other

Specific indications: (TLS Blue)

Tirbanibulin ointment 

  • Solar keratosis

Diclofenac 3% gel (Solaraze®)

  • Actinic keratosis

 

Photosensitising Agents

5-aminolaevulinic acid gel (Ameluz®) (TLS Red)

  • For treatment of Basal Cell Carcinoma and complex patients already under the secondary care dermatology team with recurrent malignant skin disease where actinic keratosis is a significant part of the disease presentation

Methyl aminolevulinate (Metvix®) (TLS Red) 

 

Sunscreen preparations

The following sunscreens can only be prescribed according to ACBS and are regarded as drugs when prescribed for skin protection against ultraviolet radiation in abnormal cutaneous photosensitivity resulting from genetic disorders or photodermatoses, including vitiligo and those resulting from radiotherapy and SLE; chronic or recurrent herpes simplex labialis. Anything outside of this is not permissible.

Recommended:(TLS Green)

Please refer to the Drug Tariff for approved ACBS products for prescribing and select the most cost-effective appropriate product that is available from local Community Pharmacies. If no products are available, patients will be required to purchase a high quality sunscreen.

 

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