227. Over the counter items 2.2



Items of low clinical effectivenessSelf-limiting conditionsPlease note the following information about the column headings: Medication - For further advice see product information leafletCommon brands - The lists are not exhaustive and other brands are available which a community pharmacist will be able to advise upon.OTC restrictions - For further advice on restrictions, see product information leafletClassification - P = pharmacy only GSL = general sales listConditionExceptionsMedicationCommon brands3. Acute sore throatRed flagsymptomsBenzydamine 0.15% mouthwash5 and oromucosal spray6Difflam?Spray7Difflam? Oral rinse8Throat lozengesStrepsils?9Throaties?10Tyrozets?11Throat sprays? Ultra Chloraseptic?124. Infrequent cold sores of the lipImmuno- compromised patientsRed flagsymptomsAciclovir cream 5%13Virasorb?14Zovirax?15Lypsyl?16ConditionExceptionsMedicationCommon brands5. Conjunct-ivitisRed flagsymptomsChloramphenicol 0.5% eye drops17Chloramphenicol 1% eye ointment18Brochlor?19Golden eye?20Optrex?216. Coughsand colds and nasal congestionRed flagsymptomsParacetamol 500mgtablets22 and capsules23Paracetamol 120mg/5ml suspension (from 3 months) sugar free24Paracetamol 250mg/5ml suspension (from 6 years old)25Anadin paracetamol?26Mandanol?27Panadol?28Hedex?29Calpol?30Ibuprofen 200mg, 400mg capsules/tablets31-34Ibuprofen 100mg/5ml oral suspension35Anadin Ibuprofen?36Nurofen?37Calprofen?38Cuprofen?39Anadin Joint pain?40ConditionExceptionsMedicationCommon brands6. Coughs and colds and nasal congestion continuedRed flagsymptomsPseudoephedrine or pseudoephedrine- containing preparationsSudafed?41Benadryl?Allergy Relief PlusDecongestantCapsules42Galpseud?43Paracetamol 1000mg/Pholcodine 10mg/Pseudoephedrine HCL 60mg in 30ml oral solution44Paracetamol 500mg/Pholcodine 5mg/Pseudoephedrine HCL30mg capsules45Day Nurse? Oral Solution44Day Nurse? Capsules457. Cradle cap (seborrhoeic dermatitis – infants)If causing distress to the infant and not improvingEmulsifying ointment and shampooCapasalTM Therapeutic Shampoo46Dentinox? Shampoo Cradle Cap47Boots Cradle Cap Cream?488. Haem-orrhoidsRed flagsymptomsZinc oxide preparationsAnusol? cream49 ointment50 and suppositories51Germoloids? cream52 ointment53 and suppositories54ConditionExceptionsMedicationCommon brands9. Infant colicRed flagsymptomsSimeticone 40mg/ml55? Infacol?55Dimeticone42mg/5ml56? Dentinox?5610. Mild cystitisRed flagsymptomsSodium citrate 4g sachet57Caneoasis cystitis relief granules?58Boots cystitis relief?59Potassium citrate 1.5g liquid603g sachet611.5g tablet(effervescent)62Cymaclear?60Cystopurin?61Effercitrate?62Minor illnesses suitable for self-careConditionExceptionsMedicationCommon brands11. Mild irritant dermatitisNo routine exceptions have been identifiedSee earlier for general exceptionsEmollientsCrotamitonSteroid-containing preparations such as hydrocortisoneEurax?63Eurax-Hc? Cream64Hc45 Hydrocortisone Cream?6512. DandruffNo routine exceptions have been identifiedSee earlier for general exceptionsKetoconazolecontaining shampoo? Nizoral? Anti-dandruff shampoo66Coal tar shampooPolytar? scalp shampoo67CapasalTM Therapeutic Shampoo68Alphosyl? ‘2in1’ shampoo69Selenium sulfide shampoo? Selsun? Shampoo70ConditionExceptionsMedicationCommon brands13. Diarrhoea(Adults only)No routine exceptions have been identifiedSee earlier for general exceptionsTHIS RECOMMENDATION DOESNOT APPLY TOCHILDRENOral rehydration solutions/sachetsDioralyte? Relief Sachets71Imodium? RehydrationSalts72Loperamide 2mg capsules73Imodium?74Dioraleze?75Entrocalm?75Diafix?7514. Dry eyes/sore (tired) eyesNo routine exceptions have been identifiedSee earlier for general exceptionsPre-existing eye conditionsHypromellose 0.3%76Tears Naturale? Eye Drops77Isopto? Plain78CarbomerViscotears? Liquid Gel79Gel Tears?80Liquivisc?81Yellow Soft Paraffin BP/ PhEurAnhydrous Lanolin(Wool Fat) BP/PhEurLiquid Paraffin BP/PhEur? Simple? EyeOintment82Distilled witchhazel? Optrex? Sore EyesDrops83ConditionExceptionsMedicationCommon brands15. EarwaxNo routine exceptions have been identifiedSee earlier for general exceptionsPerforated ear drumOlive oil dropsArachis oil/ chlorobutanol hemihydrate dropsDocusate sodium 0.5% dropsAcetic acid 2% (not licensed for wax removal, may help if ears itch after wax removal, however significant itching may indicate infection and this should be confirmed and treated by the GP)Cerumol?84Waxsol?85EarCalm?8616. Excessive sweating (hyperhidrosis)No routine exceptions have been identifiedSee earlier for general exceptionsAluminium chlorideDriclor?87Anhydrol Forte?8817. Head liceNo routine exceptions have been identifiedSee earlier for general exceptionsCurrent skin conditions of the scalpSide effects of a severe infestationDimeticone gel, lotion or spray 4%Hedrin?89Nyda?90Malathion Aqueous lotion 0.5%? Derbac-M?91ConditionerHeadlice combs? VariousConditionExceptionsMedicationCommon brands18. Indigestion and heartburnNo routine exceptions have been identifiedSee earlier for general exceptionsSodium alginateCalcium carbonateSodium bicarbonateGaviscon? tablets92Gaviscon Double action?93Acidex?94? Gaviscon Infant?95Esomeprazole 20mg tablets? Nexium Control?96Pantoprazole 20mg tablets? Pantoloc Control?97Ranitidine 75mg tablets98Zantac?99Gavilast?100Ranicalm?101ConditionExceptionsMedicationCommon brands19. Infrequent constipationNo routine exceptions have been identifiedSee earlier for general exceptionsLactulose102Duphalac?103Lactugal?104Bisacodyl tablets5mg105? Dulcolax?106Senna107? Senokot? Dual ReliefTablets108Ispaghula HuskGranulesFybogel?109Ispagel?110Manevac?111ConditionExceptionsMedicationCommon brands20. Infrequent migraineNo routine exceptions have been identifiedSee earlier for general exceptionsProchlorperazine maleate? Buccastem? M Tab3mg112Paracetamol 500mgtablets22 and capsules23Paracetamol 500mg/5ml oral solution113Paracetamol 500mg soluble tablets114Anadin paracetamol?26Mandanol?27Panadol?28Hedex?29Ibuprofen 200mg, 400mg capsules andtablets31-34Ibuprofen 100mg/5ml liquid/suspension sugar free35Anadin? Ibuprofen36Nurofen?37Calprofen?38Cuprofen?39ConditionExceptionsMedicationCommon brandsInfrequent migraine continuedNo routine exceptions have been identifiedSee earlier for general exceptionsCo-codamol 8/500mgtablets, capsules, effervescent tabletsMigraleve? Yellow tablets115Paracodol?11621. Insect bites and stingsNo routine exceptions have been identifiedSee earlier for general exceptionsMepyramine maleate2%? Anthisan? Bite & Sting cream 2%117Lidocaine hydrochloride/zinc sulphate/cetrimide? Savlon? Bites & StingsPain Relief Gel118Calamine/zinc oxide119? Calamine lotion119Chloroxylenol/ triclosan/edetic acid? Dettol? AntisepticCream12022. Mild acneNo routine exceptions have been identifiedSee earlier for general exceptionsBenzoyl peroxide- containing preparationsAcnecide? gel121Acnecide? wash122Quinoderm? cream12323. Mild dry skinSee earlier for general exceptionsEmollients, creams and ointmentsBalneum Plus?124Cetraben?125Dermol?126E45?127Oilatum?128ConditionExceptionsMedicationCommon brands24. Sunburn due to excessive sun exposureSee earlier for general exceptionsAfter sun products? Various including calamine lotion11925. Sun protectionACBS approved indication of photodermatoses(i.e. where skin protection should be prescribed)See earlier for general exceptionsSun protection cream/ sprays/gels? VariousConditionExceptionsMedicationCommon brands26. Mild to moderate hay fever/ allergic rhinitisNo routine exceptions have been identifiedSee earlier for general exceptionsChlorphenamine 4mgtablets129Chlorphenamine2mg/5ml solution130? Piriton?131Loratadine 10mg tablets132Loratadine 5mg/5ml syrup133? Clarityn Allergy?134Acrivastine 8mg capsules135? Benadryl AllergyRelief?135ConditionExceptionsMedicationCommon brandsMild to moderate hay fever/allergic rhinitis continuedNo routine exceptions have been identifiedSee earlier for general exceptionsCetirizine 10mg tablets136Cetirizine 1mg/ml solution137Zirtek Allergy Relief?138Piriteze Allergy?139Benadryl Allergy?140Beclomethasone0.05% nasal spray? Beconase Hayfever?141Sodium cromoglycate2% eye dropsAllercrom?142Optrex HayfeverRelief?143ConditionExceptionsMedicationCommon brands27. Minor burns and scaldsSee earlier for general exceptionsNo routine exceptions have been identifiedHowever more serious burns always require professional medical attention. Burns requiring hospital A&E treatment include but are not limited to:all chemical and electrical burns;large or deep burns;burns that cause white or charred skin;burns on the face, hands, arms, feet, legs, or genitals that cause blisters.Antiseptic burn creamCooling burn gel? Betadine? Dry PowderSpray144Germolene? Antiseptic Cream145Germolene? Antiseptic Ointment146Savlon? Antiseptic Cream147Sudocrem? Antiseptic Healing Cream148ConditionExceptionsMedicationCommon brands28. Minor conditions associated with pain, discomfort and fever, e.g. aches and sprains, headache, period pain, back painNo routine exceptions have been identifiedSee earlier for general exceptionsParacetamol 500mgtablets22 and capsules23Paracetamol 120mg/5ml suspension (from 3 months)/sugarfree24Paracetamol 250mg/5ml suspension (from 6 years old)/sugar free25Anadin paracetamol?26Mandanol?27Panadol?28Hedex?29Calpol?30Ibuprofen 200mg, 400mg tablets, capsules, liquid capsulesIbuprofen 100mg/5ml liquid/suspension sugar freeAnadin Ibuprofen?36Nurofen?37Calprofen?38Cuprofen?39Anadin Joint Pain?40Co-codamol 8/500mgtablets,149 capsules,150 effervescent tablets151Migraleve? Yellow tablets115Paracodol?116ConditionExceptionsMedicationCommon brands28. Minor conditions associated with pain, discomfort and fever, e.g. aches and sprains, headache, period pain, back painNo routine exceptions have been identifiedSee earlier for general exceptionsIbuprofen 5% gel152Fenbid?153Ibuleve?154Nurofen?15529. Mouth ulcersNo routine exceptions have been identifiedSee earlier for general exceptionsLidocaine hydrochloride/ chlorocresol/ cetylpyridinium chlorideCholine salicylate/ cetalkonium chlorideBenzocaineBonjela?156Anbesol?157Orajel?15830. Nappy rashNo routine exceptions have been identifiedSee earlier for general exceptionsTitanium dioxide/ titanium peroxide/ titanium salicylate? Metanium? NappyRash ointment159Zinc oxide/ benzyl alcohol/ benzylbenzoate/lanolin? Sudocrem? AntisepticHealing Cream149ConditionExceptionsMedicationCommon brands31. Oral thrushNo routine exceptions have been identifiedSee earlier for general exceptionsMiconazole 2% oral gel 15g160? Daktarin? Oral Gel16032. Prevention of dental caries (dental decay)No routine exceptions have been identifiedPrescription only medicines need to be re-directed to the dentist to prescribeSee earlier for general exceptionsMouthwashes such as chlorhexidine gluconateFluoride toothpaste? Corsodyl?16133. Ringworm/ Athletes footLymphoedema or history of lower limb cellulitisSee earlier for general exceptionsMiconazole 2% cream162Miconazole powder163Miconazole 0.16% spray powder164Daktarin?162Daktarin Powder163Daktarinaktiv?164Terbinafine hydrochloride 1%Lamisil? AT cream,165 gel,166 spray167Scholl? Athlete’s Foot powder,168 spray liquid169ConditionExceptionsMedicationCommon brands34. Teething/ mild toothacheNo routine exceptions have been identifiedSee earlier for general exceptionsParacetamol 500mg tablets, capsules, effervescent tabletsParacetamol 120mg/5ml suspension (from 3 months) sugar freeParacetamol 250mg/5ml suspension (from 6 years old) sugar freeAnadin Paracetamol?26Mandanol?27Panadol?28Hedex?29Calpol?30Ibuprofen 200mg, 400mg capsules andtablets31-34Ibuprofen 100mg/5ml liquid sugar free35Anadin Ibuprofen?36Nurofen?37Calprofen?38Cuprofen?39Anadin Joint Pain?40Teething gelBonjela?156Dentinox? TeethingGel170ConditionExceptionsMedicationCommon brands35. ThreadwormsNo routine exceptions have been identifiedSee earlier for general exceptionsMebendazole 100mg tablets? Ovex?17136. Travel sicknessNo routine exceptions have been identifiedSee earlier for general exceptionsCinnarizine tablets15mg? Stugeron? Tablets15mg172Hyoscinehydrobromide tablets150mcgJoy-Rides? TabletsChewable 150mcg173Kwells 300mcg tablets174Kwells Kids? Tablets150mcg175ConditionExceptionsMedicationCommon brands37. Warts and verrucaeNo routine exceptions have been identified See earlier for general exceptionsVerruca gel such as those containing salicylic acid and lactic acidBazuka? Extra strength gel176Bazuka? Gel177Bazuka? Treatment Gel178Bazuka ExtraStrength? TreatmentGel179Wart paint/ointment such as those containing salicyclic acid and lactic acidSalactol Collodion?180Occlusal?181Salatac?182Verrugon? ointment183Wart freeze treatments containing liquid freezing agents such as dimethyl ether, propane and isobutaneScholl? Freeze184Bazuka? Sub Zero185 ................
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