Therapeutic AreaFormulary ChoicesCost for 28
(unless otherwise stated)
Rationale for decision / comments
13.10 Anti-infective skin preparations
Avoid widespread use of topical antibiotics, especially those agents also available as systemic preparations.
Refer to CCG Management of Infection guidelines for indications
AntibacterialsRetapamulin1% ointment: £7.89 (5g)Refer to CCG Management of Infection Guidance for indications
Mupirocin2% cream: £5.26 (15g)
Ointment £3.98 (15g)
Reserve for MRSA. For nasal use.
Terra-cortril ointmentOintment £5.01 (30g)Contains tetracycline and hydrocortisone. Approved to treat infected eczema instead of Fucidin/Fucibet which carries the risk of causing MRSA.
AntifungalsAmorolfine5% nail paint: £7.45 (5ml)Refer to CCG Management of Infection Guidance for indications

Available OTC. Systemic treatment is more effective than topical for nail infections BNF 13.10.2
Green crossClotrimazole - suitable for self-care1% cream: £1.04 (20g), £2.60 (50g)Refer to CCG Management of Infection Guidance for indications. Available OTC
Green crossMiconazole - suitable for self-care2% cream: £1.82 (30g)Refer to CCG Management of Infection Guidance for indications
Available OTC
Green crossTerbinafine - suitable for self-care1% cream: £1.31 (15g), £2.62 (30g)Refer to CCG Management of Infection Guidance for indications
Available OTC
AntiviralsGreen crossAciclovir - suitable for self-care5% cream: £1.05 (2g), £5.25 (10g)For treatment of labial herpes simplex (cold sores), most effective if applied at prodromal phase. Use 5x/day for 5 days. Available OTC