North East and North Cumbria
ICS Formulary
 
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21 Palliative Care Formulary

NENC Palliative and End of Life Care Symptom Control Guidelines for cancer and non-cancer patients

NICE CG140: Palliative care for adults: strong opioids for pain relief

NICE CSG4: Improving supportive and palliative care for adults with cancer

21-07 Other

Sodium Fluoride
Formulary
  • Sodium fluoride 0.619% (75ml) toothpaste (Duraphat® 2800 ppm) prescription only medicine
  • Sodium fluoride 1.1% (51g) toothpaste (Duraphat® 5000 ppm) prescription only medicine
  • Sodium fluoride 0.05% mouthwash - approved for use within the dental hospital.
  • In line with NHS England’s guidance on conditions for which over the counter items should not be routinely prescribed, the ICB does not support the routine prescribing of medicines or preparations for dental conditions (including toothpastes such as Duraphat®, ulcer healing preparations, antibiotics and analgesics) on GP FP10 prescriptions except in the following circumstances:
    • After head and neck cancer treatment on the recommendation of a Head & Neck or Restorative Dental Consultant.
    • For patients receiving palliative care as part of ongoing symptom control.

Dentists must signpost patients to purchase products or issue prescriptions (NHS or private) for medicines to meet the identified dental needs of their patients. If a patient receives treatment as a private patient, they must always be given a private prescription.

 

 


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