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Bedfordshire and Luton Joint Formulary
Bedford Hospital NHS Trust
Bedfordshire CCG
Luton & Dunstable University Hospital NHS Foundation Trust
Luton CCG
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 Formulary Chapter 11: Eye - Full Chapter
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing

 Details...
11.01  Administration of drugs to the eye
11.02  Control of microbial contamination
11.03  Anti-infective eye preparations
11.03.01  Antibacterials
Chloramphenicol
(Eye drops / ointment)
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First Choice
Green
0.5% Eye Drops
1% Eye Ointment 
Cefuroxime
(Eye drops, preservative-free)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

unlicensedunlicensed. 5% eye drops, preservative-free.

14 day expiry once defrosted (takes about 30 mins).

 
   
Chlorhexidine
(Eye drops)
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Restricted Drug Restricted
Amber
unlicensedunlicensed 0.02% Eye Drops  
   
Ciprofloxacin
(Eye drops)
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Formulary
Green
0.3% Ophthalmic solution 
   
Fusidic Acid
(Eye drops)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Green
1% Viscous Eye Drops

Restricted to use where chloramphenicol unsuitable.
N.B cost increased to around £35 per tube(used to be about £2) 
   
Gentamicin
(Eye Drops)
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Formulary
Amber

0.3% Eye /ear Drops

 
   
Gentamicin single use 0.5% (Minims® Gentamicin Sulphate)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber
To be used for patients allergic to preservatives where drops needed. 
   
Levofloxacin
(Eye drops)
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Formulary
Amber
0.5% Eye drops
0.5% Preservative-free single dose eye drops (Minims)- only for patients allergic to preservative. 
   
Moxifloxacin 0.5% (Moxivig)
(Eye drops)
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Formulary
Amber

Prescribing by Ophthalmologists for bacterial keratitis.

N.B. These drops do not contain benzylkonium chloride (described as self-preserved).

 
   
Ofloxacin
(Eye drops)
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Formulary
Amber

0.3% Eye Drops

 
   
Polihexanide
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Restricted Drug Restricted
Red

For acanthamoeba keratitis

 
   
Povidone iodine 5%
(Minims)
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Formulary
Red
 
   
Propamidine Isetionate (Brolene®)
(Eye drops)
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Restricted Drug Restricted
Red

For acanthamoeba keratitis

 
   
11.03.02  Antifungals to top
11.03.03  Antivirals
Ganciclovir 0.15% ophthalmic gel (Virgan®)
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Restricted Drug Restricted
Amber
 
   
11.04  Corticosteroids and other anti-inflammatory preparations
11.04.01  Corticosteroids
Betamethasone eye drops 0.1%
(Drops / ointment)
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Formulary
Amber

Eye Ointment
Drops for eye, ear, nose

 
   
Betamethasone with Neomycin
(Eye drops)
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Restricted Drug Restricted
Amber

Betamethasone 0.1%/Neomycin 0.5% Eye Drops

 
   
Dexamethasone 0.1%  (Maxidex)
(Eye drops)
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Formulary
Amber
 
   
Dexamethasone 0.1% eye drops single use
(Minims)
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Restricted Drug Restricted
Amber

For patients allergic to preservatives

 
   
Dexamethasone 700micrograms (Ozurdex®)
(Intravitreal implant)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine
FOR ALL PRESCRIBING – Blueteq or High cost drug form required – see link from Formulary homepage.

Approved for prescribing by Consultant Ophthalmologist in accordance with NICE TA349, TA229 & TA460.  
Link  NICE TA229: Dexamethasone intravitreal implant for the treatment of macular oedema
Link  NICE TA349: Dexamethasone intravitreal implant for treating diabetic macular oedema
Link  NICE TA460: Adalimumab and dexamethasone for treating non-infectious uveitis
   
Dexamethasone with Neomycin and Polymyxin B sulphate (Maxitrol®)
(Eye drops / ointment)
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Formulary
Amber
 
   
Fluocinolone 190microgram  (Iluvien®)
(Intravitreal Implant )
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

FOR ALL PRESCRIBING – Blueteq or High cost drug form required – see link from Formulary homepage.

For prescribing by consultant Ophthalmologist in accordance with the following NICE TAs:

NB - NICE TA 613 is NEGATIVE - not recommended for treating chronic diabetic macular oedema in phakic eyes after an inadequate response to previous therapy.

 
Link  NICE TA 590 Fluocinolone acetonide intravitreal implant for treating recurrent non-infectious uvetitis
Link  NICE TA301: Fluocinolone acetonide intravitreal implant for treating chronic diabetic macular oedema after an inadequate response to prior therapy (rapid review of technology appraisal guidance 271)
Link  NICE TA613 Fluocinolone acetonide intravitreal implant for treating chronic diabetic macular oedema in phakic eyes after an inadequate response to previous therapy
   
Fluorometholone (FML®)
(Eye drops)
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Formulary
Amber

0.1% Eye Drops

 
   
Loteprednol 0.5% (Lotemax®)
(Eye drops)
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Formulary
Amber
 
   
Prednisolone
(Eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber

0.5% & 1% Eye Drops

 
   
Prednisolone preservative free eye drops
(Sigle use (Minims))
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

For patients who are allergic to preservatives
0.5% eye drops

 
   
11.04.01  Intravitreal corticosteroids
11.04.02  Other anti-inflammatory preparations to top
Adalimumab 40mg (Humira® )
(Ophthalmology)
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Restricted Drug Restricted
Red
High Cost Medicine

Not for new patients - use Imraldi.

FOR ALL PRESCRIBING – Blueteq or High cost drug form required – see link from Formulary homepage.
Approved in accordance with NICE TA460 for treating non-infectious uveitis.

 
Link   NICE TA460: Adalimumab and dexamethasone for treating non-infectious uveitis
   
Adalimumab 40mg (Imraldi® )
(Ophthalmology)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

New biosimilar brand for all new patients

FOR ALL PRESCRIBING – Blueteq or High cost drug form required – see link from Formulary homepage.
Approved in accordance with NICE TA460 for treating non-infectious uveitis.

 
Link  NICE TA460: Adalimumab and dexamethasone for treating non-infectious uveitis
   
Antazoline 0.5% with Xylometazoline 0.05% (Otrivine-Antistin®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
For primary care this can be purchased OTC 
   
Lodoxamide 0.1%
(Eye Drops )
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Formulary
Amber
 
   
Olopatadine 1mg/1mL
(Eye Drops )
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Formulary
Amber
 
   
11.05  Mydriatics and cycloplegics
11.05  Antimuscarinics
Atropine 1%
(Eye Drops)
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Formulary
Green
 
   
Atropine Sulphate 1% single use (Minims® Atropine Sulphate)
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Formulary
Green
Preservative-free 
   
Cyclopentolate
(Eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Green
0.5% & 1% Preservative free Eye Drops (Minims)
1% Eye Drops 
   
Tropicamide single use (Minims® Tropicamide)
(Eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Green
0.5% & 1% Single Dose Eye Drops - Preservative free  
   
11.05  Sympathomimetics
Phenylephrine & tropicamide (Mydriasert®)
(Ocular insert)
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Formulary
Red
To be used prior to cataract surgery. 
   
Phenylephrine / tropicamide/ lidocaine (Mydrane®)
(Intracameral injection)
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Formulary
Red
For cataract surgery where additional mydriasis is needed. 
   
Phenylephrine Hydrochloride
(Single use eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Green
2.5% & 10% Single Dose Eye Drops - Preservative free 
   
11.06  Treatment of glaucoma
11.06  Beta-blockers to top
Betaxolol (Betoptic®)
(Eye Drops)
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Formulary
Amber
0.5% Eye Drops  
   
Timolol
(Eye Drops)
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Formulary
Green
0.25% & 0.5% Eye Drops
 
   
Timolol
(Eye drops, unit dose, preservative-free)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted 0.25%, 0.5% Minims
Restricted to patients who are allergic to preservatives. 
   
11.06  Prostaglandin analogues
Latanoprost
(Eye drops)
View adult BNF View SPC online View childrens BNF
First Choice
Green
50microgram/1mL Eye Drops
1st Choice prostaglandin analogue eye drops
N.B. Must prescribe generically on FP10. 
Bimatoprost
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Second Choice
Amber
2nd Choice of prostaglandin analogue eye drops
100microgram/mL Eye Drops
 
   
Latanoprost with Timolol
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Formulary
Amber
Latanoprost 0.005%/Timolol 0.5% Eye Drops

N.B. Must prescribe generically on FP10. 
   
Tafluprost (Preservative Free) 15micrograms/ml (Saflutan®)
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Formulary
Amber
 
   
Travoprost 40mcg/mL
(Eye drops)
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Formulary
Amber
 
   
11.06  Sympathomimetics
11.06  Carbonic anhydrase inhibitors and systemic drugs
Acetazolamide
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Formulary
Amber
250mg Tablets
250mg Modified Release capsules  
   
Acetazolamide
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Formulary
Red
500mg Injection  
   
Brinzolamide
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Formulary
Amber
10mg/1mL Eye Drops  
   
Dorzolomide with Timolol
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Formulary
Amber
Dorzolomide 2%/Timolol 0.5% Eye Drops
N.B. Must prescribe generically on FP10. 
   
11.06  Miotics
Pilocarpine
(Eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Green
1%,2%,4% eye drops
2% single use preservative-free eye drops (Minims) 
   
11.07  Local anaesthetics to top
Fluorescein Sodium
View adult BNF View SPC online View childrens BNF
Formulary
Red
1% & 2% Single dose Eye Drops - Preservative Free
unlicensedunlicensed 20% Injection  
   
Lidocaine Hydrochloride 4% with Fluorescein 0.25% (Minims®)
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Formulary
Red
 
   
Oxybuprocaine Hydrochloride (Minims® )
(Eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Red
0.4% Single Dose - Preservative free  
   
Proxymetacaine Hydrochloride 0.5% (Minims®)
(Eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Red
Single use, preservative-free.  
   
Tetracaine Hydrochloride (Minims® Amethocaine Hydrochloride)
(Eye drops)
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Formulary
Red
1% Single Dose - Preservative free
 
   
11.08  Miscellaneous ophthalmic preparations
11.08.01  Tear deficiency, ocular lubricants, and astringents
Hypromellose 0.3%
(Eye Drops )
View adult BNF View SPC online View childrens BNF
First Choice
Green
First choice ocular lubricant 
Acetylcysteine 5%
(Eye Drops)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Carbomer 980
(0.2% Eye gel)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Carmellose Sodium
(Single use eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Green
0.5% & 1% Eye Drops single use, preservative-free 
   
Ciclosporin 1mg/mL (Ikervis ®)
(Eye drops, emulsion)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber
Restricted - prescribing by consultant ophthalmologists in the corneal clinic for the treatment of severe keratitis in adult patients with dry eye disease that has not improved despite treatment with tear substitutes in accordance with NICE TA369. 
Link  NICE TA369: Ciclosporin for treating dry eye disease that has not improved despite treatment with artificial tears
   
Hypromellose 0.3%
(Single use, preservative-free)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted Restricted to patients who are allergic to preservatives.

Single use, preservative-free (Minims) 
   
Liquid Paraffin eye ointment
View adult BNF View childrens BNF
Formulary
Green

Hospital: brand supplied will depend on availability.

Primary care: Most cost effective brand to be advised via ScriptSwitch/Optimise

 
   
Sodium Chloride 0.9% (Minims® Saline)
(Single use, preservative-free)
Formulary
Green
 
   
Sodium Chloride 5%
Formulary
Green
Preservative-free Eye Ointment
Preservative-free eye drops x 10ml
 
   
Sodium Hyaluronate 0.1% or 0.2%
(Eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
11.08.02  Ocular diagnostic and peri-operative preparations and photodynamic treatment
11.08.02  Ocular diagnostic preparations
11.08.02  Ocular peri-operative drugs to top
Acetylcholine Chloride / Mannitol 1%/3%
(Intra-ocular irrigation)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
   
Apraclonidine 0.5% (Iopidine®)
(Eye Drops)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
   
Apraclonidine 1% (Iopidine®)
(Ophthalmic solution, single use, preservative-free)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
   
Diclofenac Sodium (Voltarol® Ophtha multidose)
(Eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
   
Flurbiprofen Sodium 0.03%
(Single use, preservative free eye drops )
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
   
Ketorolac 5mg/mL (Acular®)
(Eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber

Safety Alert from Moorfield's Hospital (February 2016)

There have been recent cases in which patients have suffered severe corneal melting following the combined use of acular and maxitrol (dexamethasone and neomycin) after routine cataract surgery. This is a very rare but recognised complication of acular use but it appears that the combination of the two preparations together may significantly increase the risk of corneal melting.

  • Do not prescribe acular in combination with maxitrol for any patient
  • Do not use maxitrol routinely for post phaco medication. Follow cataract service guidelines using dexamethasone and chloramphenicol
  • Be aware that the use of acular is associated rarely with corneal melts and the risk is increased in diabetics and immunocompromised patients
  • Be vigilant for any corneal melts associated with maxitrol and acular and report them as an incident
 
   
11.08.02  Subfoveal choroidal neovascularisation
Aflibercept 40mg/1mL (Eylea®)
(Intravitreal Injection )
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine
FOR ALL PRESCRIBING – Blueteq or High cost drug form required – see link from Formulary homepage. Funded by NHS England.

Restricted - prescribing by consultant Ophthalmologists in-line with NICE TA's below.
 
Link  INTRAVITREAL INJECTIONS USED IN OPHTHALMOLOGY ALGORITHM
Link  NICE TA294: Macular degeneration (wet age-related) - aflibercept
Link  NICE TA305: Aflibercept for treating visual impairment caused by macular oedema secondary to central retinal vein occlusion
Link  NICE TA346: Aflibercept for treating diabetic macular oedema
Link  NICE TA486: Aflibercept for treating choroidal neovascularisation
   
Bevacizumab intravitreal 1.25mg in 0.05mL (Avastin®)
(Injection)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Approved for the treatment of retinopathy of prematurity.

 
   
Ranibizumab 0.5mg/0.5mL (Lucentis®)
(Intravitreal Injection )
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine
FOR ALL PRESCRIBING – Blueteq or High cost drug form required – see link from Formulary homepage.

Restricted - prescribing by consultant Ophthalmologists:

1. For the treatment of age related macular degeneration in accordance with NICE TA155.
2. For treating diabetic macular oedema in accordance with NICE TA274.

3. For Central Retinal Vein Occlusion in accordance with NICE TA283

4. For treatment of visual impairment due to choroidal neovascularisation (CNV) secondary to pathologic myopia in accordance with NICE TA 298.


 
Link  INTRAVITREAL INJECTIONS USED IN OPHTHALMOLOGY ALGORITHM
Link  NICE TA155: Macular degeneration (age-related) ranibizumab
Link  NICE TA274: Macular oedema (diabetic) - ranibizumab
Link  NICE TA283: Macular oedema (retinal vein occlusion) - ranibizumab: guidance
Link  NICE TA298: Choroidal neovascularisation (pathological myopia) - ranibizumab
   
Verteporfin (Visudyne®)
(Intravenous infusion)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine
FOR ALL PRESCRIBING – Blueteq or High cost drug form required – see link from Formulary homepage.

JPC Recommendations:
 To support the use of PDT with verteporfin for the treatment of Chronic Central Serous Retinopathy.
 Approval is subject to patient outcomes being provided (via Blueteq reauthorisation process).
 
Link  JPC Bulletin 254: Photodynamic therapy (PDT) with verteporfin (Visudyne®) for chronic central serous retinopathy
   
11.08.02  Vitreomacular traction
Ocriplasmin 0.5mg/0.2mL (Jetrea®)
(Intravitreal Injection )
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine
FOR ALL PRESCRIBING – Blueteq or High cost drug form required – see link from Formulary homepage.

Approved in accordance with NICE TA297 for the treatment of vitreomacular traction.  
Link  INTRAVITREAL INJECTIONS USED IN OPHTHALMOLOGY ALGORITHM
Link  NICE TA297: Ocriplasmin for treating vitreomacular traction
   
11.09  Contact lenses
11.99.99.99  Miscellaneous
11.99.99.99  Antifungals to top
11.99.99.99  Cytotoxics / wound healing modulators
11.99.99.99  Fibrinolytic drugs
11.99.99.99  Glues - ocular
11.99.99.99  Immunosuppressants
11.99.99.99  Treatment of burns to top
Potassium Ascorbate (Ascorbic acid) 10%
(Eye drops)
Restricted Drug Restricted
Red
Prescribing by Ophthalmologists for acid or alkali burns to the cornea.

N.B. stocked in the Emergency Drug Cupboard. 
   
11.99.99.99  Visco-elastics
11.99.99.99  Other
 ....
 Non Formulary Items
Acetylcysteine 10% eye drops

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Acetylcysteine 5% with Hypromellose 0.35%  (Ilube®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Aciclovir 3%  (Eye ointment)

View adult BNF View SPC online View childrens BNF
Non Formulary

PRODUCT DISCONTINUED

 
Alteplase intravitreal injection

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Amo Complete

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Amphotericin (eyedrops)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Amphotericin (intravitreal)

Non Formulary
 
Azelastine  (Optilast®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Azithromycin  (Azyter®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Bimatoprost with Timolol  (Ganfort®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Boston Advance Cleaner

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Boston Advance Conditioning Solution

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Brilliant Peel®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Brimonidine Tartrate  (Alphagan®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Brimonidine Tartrate 0.2% with Timolol 0.5%  (Combigan®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Brinzolamide 1% with Timolol 0.5%  (Azarga®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Brinzolamide 10mg/ml & brimonidine 2mg/ml  (Simbrinza®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Bromfenac  (Yellox®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Carteolol  (Teoptic®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dexamethasone with Antibacterials  (Tobradex®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Diclofenac  (Voltarol® Ophtha)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dipivefrine Hydrochloride  (Propine®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Disodium Edetate 0.37%

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dorzolomide  (Trusopt®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Econazole 1% eye drops

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Emedastine  (Emadine®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Epinastine  (Relestat®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Erythromycin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fluorescein  (Anatera®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fluorescein Sodium

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cytotoxic Drug  Fluorouracil

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Foscarnet intravitreal injection

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ganciclovir intravitreal injection

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glycerol (glycerin)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hyaluronidase  (Hyalase®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrocortisone Acetate with Neomycin  (Neo-Cortef®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydroxyethylcellulose  (Minims® Artificial Tears)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydroxypropyl Guar  (Systane®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hypromellose 0.3% with Dextran 70 0.1%  (Tears naturale®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Idebenone  (Raxone®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Indocyanine green

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ketotifen  (Zaditen®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Levobunolol

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Levobunolol  (Betagan®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Liquid Paraffin and Liquid Paraffin light eye drops

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Liquid Paraffin eye ointment  (Xailin Night®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Metipranolol  (Minims® Metipranolol)

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Non Formulary
 
Miconazole 1% eye drops

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Non Formulary
 
Cytotoxic Drug  Mitomycin

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Non Formulary
 
Nedocromil 2%
(Eye Drops )

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Non Formulary

PRODUCT DISCONTINUED

 
Neomycin Eye drops

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Non Formulary
 
Nepafenac  (Nevanac®)

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Non Formulary
 
Optive® Fusion

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Non Formulary
 
Oxysept 1 Step

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Non Formulary
 
Paraffin Yellow Soft

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Non Formulary
 
Pegaptanib Sodium  (Macugen®)

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Non Formulary
High Cost Medicine
Not recommended by NICE.
Link  NICE TA155: guidance on pegaptanib in AMD (August 2008)
 
Penicillin G

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Non Formulary
 
Phenylephrine & ketorolac  (Omidria®)

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Non Formulary
 
Pilocaprine long acting  (Pilogel®)

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Non Formulary
 
Polymyxin B Sulphate eye ointment  (Polyfax®)

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Non Formulary
 
Polyvinyl Alchohol 1.4%
(Eye Drops )

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Non Formulary
 
Prednisolone 0.5% with Neomycin 0.5%  (Predsol-N®)

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Non Formulary DISCONTINUED
 
Proxymetacaine Hydrochloride 0.5% with Fluorescein Sodium 0.25%  (Minims®)
(Eye drops)

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Non Formulary

N.B. This product has been discontinued

 
Rimexolone  (Vexol®)

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Non Formulary
 
Rose Bengal  (Minims® Rose Bengal)

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Non Formulary
 
Saline Solution

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Non Formulary
 
Sodium Chloride 0.9% Solutions

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Non Formulary
 
Sodium Chloride 5% eye products

Non Formulary
 
Sodium Citrate

Non Formulary
 
Sodium Cromoglicate

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Non Formulary
 
Sodium cromoglicate preservative free

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Non Formulary
 
Sodium Hyaluronate

Non Formulary
 
Sodium Hyaluronate  (Hylo-Forte®)

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Non Formulary
 
Sodium Hyaluronate  (Lubristil®)

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Non Formulary
 
Sodium Hyaluronate  (Vismed® Gel)

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Non Formulary
 
Sodium Hyaluronate  (Vismed® multi)

Non Formulary
 
Sodium Hyaluronate with Lidocaine

Non Formulary
 
Soybean oil unit dose eye drops  (Emustil®)

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Non Formulary
 
Tafluprost and Timolol  (Taptiqom®)

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Non Formulary
 
Timolol Once-daily

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Non Formulary
 
Timolol Once-daily  (Nyogel®)

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Non Formulary
 
Tissue Adhesive  (Histacryl®)

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Non Formulary
 
Total Care Daily Cleaner

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Non Formulary
 
Total Care Disinfecting and Wetting Solution

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Non Formulary
 
Travoprost with Timolol  (DuoTrav®)

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Non Formulary
 
Trifluorothymidine eye drops

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Non Formulary
 
Vancomycin

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Non Formulary
 
Viscoat Viscoelastic

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Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Red

RED - Hospital only – to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment  

Amber

Amber medicines are considered suitable for GP prescribing following specialist initiation.  

Green

These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations   

Amber SCG

Shared Care - these medicines require specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.   

Black

A decision has been made by either or both the local or national NHS not to routinely commission this preparation for its licensed indications. Do not prescribe.   

netFormulary