Therapeutic areaFormulary choicesCost (per pack size unless otherwise stated)Rationale for decision/comments
Local anaesthetics
First-line

Tetracaine
Ametop®
Tetracaine 4%
Cream 4%: £1.08 (5g)
Second-line

Lidocaine for surface anaesthesia
Lidocaine ointment BP 5%Ointment 5%: £6.18Note: Lidocaine 2% in an expensive extemporaneous preparation

Third-line

Lidocaine with prilocaine
Emla®
(Lidocaine 2.5%/Prilocaine 2.5%)
£2.25 (5g)
£11.70 (5x5g + 12 dressings)
Antipruritics
First-lineGreen crossCalamine - suitable for self-careLotion: £0.96 (200ml)
Oily lotion: £1.57 (200ml)
Calamine in Aqueous cream is non-formulary: may cause skin irritation, particularly in children with eczema, possibly due to sodium lauryl sulfate content. (MHRA DSU Mar-13)
Second-lineCare ViraSoothe® gel£3.34 (50g)
£4.86 (75g)
For symptomatic relief of chickenpox
Glycerin, PEG-8, caprylyl glycol, sodium polyacrylate, carbomer, sodium hydroxide and purified water
Preparations containing Menthol
First-lineArjun® cream0.5%: £15.50 (500g)
1%: £3.25 (100g)
£15.30 (500g)
2%: £15.50 (500g)
Consideration should be taken to the fact that all Levomenthol cream BP formulations (including Arjun®) contain Aqueous cream and may cause skin irritation.