BNF Chapter 12

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Ear, Nose & Oropharynx

DRUGS ACTING ON THE EAR
BNF CODE – 12.1.0
ANTI-INFLAMMATORY & ANTI-INFECTIVESNOTES
CHLORAMPHENICOL 5 % Ear DropsSteroid Based Ear Preparations with or withoutAnti-microbial Agents
OTOMIZE Ear Spray
Dexamethasone 0.1% + Neomycin Sulphate 3250units/mL
Steroid Based Ear Preparations with or withoutAnti-microbial Agents
SOFRADEX Eye/Ear Drops
Dexamethasone 0.05% + Framycetin Sulphate 0.5%
Steroid Based Ear Preparations with or withoutAnti-microbial Agents
LOCORTEN-VIOFORM Ear Drops
Flumetasone 0.02% + Cliquinol 1%
Steroid Based Ear Preparations with or withoutAnti-microbial Agents
GENTISONE HC Ear Drops
Hydrocortisone Acetate 1% + Gentamicin 0.3%
Steroid Based Ear Preparations with or withoutAnti-microbial Agents
OTOSPORIN Ear Drops
Hydrocortisone 1% + Neomycin 3400 units
Steroid Based Ear Preparations with or withoutAnti-microbial Agents
PREDSOL-N Eye/Ear Drops Prednisolone 0.5% + Neomycin Sulphate 0.5%Steroid Based Ear Preparations with or withoutAnti-microbial Agents
TRI-ADCORTYL OTIC Ear Ointment
Triamcinolone, Gramicidin, Neomycin & Nystatin
Steroid Based Ear Preparations with or withoutAnti-microbial Agents
BNF CODE – 12.1.3
REMOVAL OF EAR WAXNOTES
OLIVE Oil ear Drops
SODIUM BICARBONATE 5 % Ear Drops
CERUMOL (Chlorbutanol 5%) Ear Drops
EXTEROL (Urea-Hydrogen Peroxide 5%) Ear Drops
BNF CODE – 12.2.0
DRUGS USED IN NASAL ALLERGYNOTES
BECLOMETASONE DIPROPIONATE 50 microgram / Nasal SprayBECONASE
FLUTICASONE FUROATE 27.5 microgram / Nasal SprayAVAMYS

IN USE PRODUCT SAFETY ASSESSMENT REPORT FOR Relvar®▼ Ellipta® (fluticasone furoate/vilanterol inhalation powder)

FLUTICASONE PROPIONATE 400 microgram/unit dose
Nasal Drops (28 x 0.4ml units)
RESTRICTED
ENT Team only for Nasal Polyps (6 week course)
DYMISTA (fluticasone/azelastine)Nasal sprayENT consultant only

Indicated when fluticasone alone has demonstrated benefit and other corticosteroids are ineffective/not tolerated

TRIAMCINOLONE ACETONIDE 55microgram / Aqueous Nasal SprayNASACORT
MOMETASONE FUROATE 50 microgram / Aqueous Nasal SprayNASONEX
DRUGS ACTING ON THE EAR
BNF CODE – 12.2.0
TOPICAL NASAL DECONGESTANTSNOTES
SODIUM CHLORIDE 0.9 % Nasal Drops
EPHEDRINE 0.5 % Nasal Drops
EPHEDRINE 1 % Nasal Drops
XYLOMETAZOLINE 0.05 % Nasal DropsOTRIVINE CHILDRENS
XYLOMETAZOLINE 1 % Nasal Drops
XYLOMETAZOLINE 0.1 % Nasal Spray
OTRIVINE
ADULTS
IPRATROPIUM BROMIDE 0.3% Nasal Spray
21 microgram / dose
RINATEC
BNF CODE – 12.2.3
ANTI-INFECTIVE NASAL PREPARATIONSNOTES
MUPIROCIN 2 % Nasal OintmentBACTROBAN NASAL
CHLORHEXIDINE 0.1% Nasal  CreamNASEPTIN
BISMUTH SUBNITRATE & IODOFORM PASTE (BIPP) 2.5cm x 100cm GauzeA&E / Used for epistaxis
DRUGS ACTING ON THE NOSE
BNF CODE – 12.3.0
DRUGS FOR ORAL ULCERS & INFLAMMATIONNOTES
BENZYDAMINE 0.15 % Oral Rinse
BENZYDAMINE 0.15 % Oral Spray
DIFFLAM
ORABASE Paste (Carmellose Sodium 16.7%)
HYDROCORTISONE 2.5 mg buccal tablets / lozengesSteroid lozenge, allow to dissolve slowly in mouth
whilst  in contact with mouth ulcer
BONJELA Gel (Cetalkonium Chloride & Choline Salicylate)TEETHING GELMay be used children aged 4 months+
BNF CODE – 12.3.2
OROPHARYNGEAL ANTI-INFECTIVE DRUGSNOTES
AMPHOTERICIN 100mg / ml Oral Suspension
MICONAZOLE 2 % Oral Gel
NYSTATIN (Sugar-free) 100000 units in 1ml SuspensionTEETHING GELMay be used children aged 4 months+

Note change to dosing for Nystan brand. For oral fungal infection  4-6ml (400,000units to 600,000units) QDS is now recommended in adults and children >2 years. 1 mth to 2 years give 2ml (200000units) QDS

BNF CODE – 12.3.3
ANTISEPTIC LOZENGES AND SPRAYSNOTES
MEROCETS Lozenges
DEQUALINIUM CHLORIDE 250 microgram Lozenges
STREPSIL LozengesTEETHING GEL May be used children aged 4 months+
BNF CODE – 12.3.4
MOUTH-WASHES,GARGLES & DENTIFRICESNOTES
CORSODYL Mouthwash (Mint)
Chlorhexidine Gluconate 1%
 CORSODYL
CORSODYL Dental Gel
Chlorhexidine Gluconate 1%
 CORSODYL
ORALDENE 0.1 % Mouthwash
Hexetidine 0.1%
MOUTHWASH Soluble TabletsTELLODONT
BNF CODE – 12.3.5
TREATMENT OF DRY MOUTHNOTES
BIOTENE OralBalance Gel (12.4ml tube)RESTRICTED : Palliative Care Team Only
GLANDOSANE Spray PROPINE

1. Gastro-Intestinal System | 2. Cardiovascular System | 3. Respiratory System | 4. Central Nervous System | 5. Antimicrobials | 6. Endocrine System | 7. Obstetrics, Gynaecology & Urology | 8. Malignant Disease & Immunosuppression | 9. Nutrition & Blood | 10. Musculoskelatal & Joint Diseases | 11. Opthalmology | 12. Ear, Nose & Oropharynx | 13. Dermatology | 14. Immunology & Vaccines | 15. Anaesthetics |  GP Centre Home