| Therapeutic Area | Formulary Choices | Cost for 28 (unless otherwise stated) | Rationale for decision / comments |
|---|---|---|---|
| Actinic keratosis First line | Fluorouracil as Efudix® | 5% cream £32.90 (40g) | |
| Diclofenac 3% gel as Solacutan® | 3% gel: £36.39 (50g) | Actinic keratoses with an Olsen severity grade of 1 or 2, particularly on the face or scalp | |
| Second line | Imiquimod as Aldara® | 5% cream £48.60 (12 single-use sachets) | |
| Tirbanibulin as Klisyri® | 10 mg per 1 gram ointment £59.00 (5 x 250mg sachet) | Actinic keratosis (Olsen grade 1) of the face or scalp in adults. | |
| 13.8 Sunscreens | "ACBS" Sunscreens should only be prescribed for skin protection against ultraviolet radiation and/or visible light in abnormal cutaneous photosensitivity causing severe cutaneous reactions in genetic disorders (including xeroderma pigmentosum and porphyrias), severe photodermatoses (both idiopathic and acquired) and in those with increased risk of ultraviolet radiation causing adverse effects due to chronic disease (such as haematological malignancies), medical therapies and/or procedures. |
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