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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...
11.08.02  Expand sub section  Ocular diagnostic and peri-operative preparations and photodynamic treatment
11.08.02  Expand sub section  Ocular diagnostic preparations
11.08.02  Expand sub section  Ocular peri-operative drugs
Acetylcholine Chloride / Mannitol 1%/3%
(Intra-ocular irrigation)
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Formulary
Red
 
   
Apraclonidine 0.5% (Iopidine®)
(Eye Drops)
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Formulary
Red
 
   
Apraclonidine 1% (Iopidine®)
(Ophthalmic solution, single use, preservative-free)
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Formulary
Red
 
   
Diclofenac Sodium (Voltarol® Ophtha multidose)
(Eye drops)
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Formulary
Red
 
   
Flurbiprofen Sodium 0.03%
(Single use, preservative free eye drops )
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Formulary
Red
 
   
Ketorolac 5mg/mL (Acular®)
(Eye drops)
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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  Expand sub section  Subfoveal choroidal neovascularisation
11.08.02  Expand sub section  Vitreomacular traction to top
 ....
 Non Formulary Items
Bromfenac  (Yellox®)

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Non Formulary
 
Diclofenac  (Voltarol® Ophtha)

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Non Formulary
 
Nepafenac  (Nevanac®)

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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
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Link to adult BNF
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Link to children's BNF
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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.   

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