Therapeutic AreaFormulary ChoicesCost for 28
(unless otherwise stated)
Rationale for decision / comments
13.8 Photodamage
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 lineImiquimod
as Aldara®
5% cream £48.60 (12 single-use sachets)
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.