13. Skin

First line drugs Second line drugs Specialist drugs Secondary care drugs
Recommended in both primary and secondary care Alternatives (often in specific conditions) in both primary and secondary care; Where a specialist input is needed (see introduction for definition) Prescribing principally within secondary care only

Traffic light status (TLS) explained:

  • Green: Routine prescribing within licensed indication
  • Amber 1: specialist recommendation followed by GP initiation and continuation
  • Amber 2: specialist or GP initiation in line with local guideline after 1st line failure followed by GP continuation
  • Amber 3: specialist initiation and stabilisation followed by GP continuation
  • Amber SCG: specialist initiation and stabilisation followed by GP continuation in line with an agreed shared care guideline
  • Red: Hospital or specialist prescribing only
  • Double Red: These medicines have been evaluated and rejected by MKPAG and are NOT approved for use within MK. They are not recommended for use because of lack of clinical effectiveness, cost effectiveness or safety.




In many cases generic, prescribing will be difficult because products contain a combination of active ingredients. In this chapter, brand names are used for products which should not be prescribed generically. 


Useful references:



Useful Resources / Websites



The British Association of Dermatologists (BAD) is a charity whose charitable objects are the practice, teaching, training and research of Dermatology. It works with the Department of Health, patient bodies and commissioners across the UK, advising on best practice and the provision of Dermatology services across all service settings.



Self Care forum fact sheet: Eczema -





The British Dermatological Nursing Group (BDNG) is an independent speciality group of nurses and healthcare professionals with an interest in dermatology.




Emollients and Eczema - What You Need to Know

By Professor Michael J. Cork and Nurse Specialist Julie Carr - two experts in the field of eczema management. It explains how emollients play a vital role in the everyday management of dry skin and eczema. (May 2012)


http://mapofmedicine.com/ (Subscription required)

Map of Medicine offers comprehensive, evidence-based local guidance and clinical decision support at the point of care.




DermNet New Zealand website presents authoritative facts about the skin for consumers and health professionals in New Zealand and throughout the world.




Last updated by: Dupe Fagbenro on 18-04-2018 15:17