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Southampton Joint Formulary
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 Formulary Chapter 11: Eye - Full Chapter
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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
(0.5% eye drops/unit dose eye drops and 1% eye ointment)
View adult BNF View SPC online View childrens BNF
First Choice
Green
 
Fusidic acid
(viscous eye drops)
View adult BNF View SPC online View childrens BNF
Second Choice
Green
 
   
Azithromycin
(1.5% (15mg/g) eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

Restricted Item Ophthalmology only

 
   
Cefuroxime
(5% eye drops)
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Formulary
Amber Recommended

unlicensed unlicensed

Restricted Item Ophthalmology only

 
   
Chlorhexidine
(0.02% eye drops)
View adult BNF View childrens BNF
Formulary
Amber Initiation

unlicensed unlicensed

Restricted Item Ophthalmology only

 
   
Gentamicin
(0.3% eye/ear drops)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Levofloxacin 0.5%
(eye drops/unit dose eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Red

note Following corneal graft surgery.

Unit dose drops if installation ≥ 6 times daily 

 
   
Ofloxacin
(eye drops)
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Formulary
Amber Recommended

Restricted Item Ophthalmology only 

 
   
Penicillin G (Benzylpenicillin)
(0.3% eye drops)
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Formulary
Amber Initiation

unlicensed unlicensed 

Restricted Item Ophthalmology only

 
   
Polihexanide (Polyhexamethylene) (PHMB)
(0.02% and 0.06% eye drops)
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Formulary
Amber Initiation

unlicensed unlicensed

Restricted Item Ophthalmology only

 
   
Propamidine isetionate (Brolene® )
(0.1% eye drops)
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Formulary
Amber Recommended

'Off label' use for Acanthamoeba infections

 
   
11.03.02  Antifungals to top
Amphotericin
(0.15% eye drops)
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Formulary
Amber Recommended

unlicensed unlicensed

 
   
11.03.03  Antivirals
Aciclovir 3%
(eye ointment)
View adult BNF View SPC online View childrens BNF
First Choice
Green
 
Ganciclovir
(0.15% eye gel)
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Second Choice
Green

note for use when aciclovir is not available

 
   
11.04  Corticosteroids and other anti-inflammatory preparations
Adalimumab/ adalimumab biosimilar (Humira®, Imraldi®, Amgevita®) (Ophthalmology)
(inj)
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Formulary
Red Specialist Centre
High Cost Medicine

Specify brand.

NHS England Specialised Commissioning

 For uveitis

unlicensed Imraldi and Amgevita not licensed for paediatric uveitis. Use Humira brand for children.

Imraldi and Amgevita are black triangle

 
Link  NICE TA460: Non-infectious uveitis
   
11.04.01  Corticosteroids and corticosteroids with anti-infective
Betamethasone
(0.1% eye drops/eye ointment)
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Formulary
Amber Recommended
 
   
Betamethasone and neomycin  (Betnesol N®)
(eye drops)
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Formulary
Amber Recommended
 
   
Dexamethasone
(0.1% eye drops/preservative free eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
   
Dexamethasone intravitreal implant (Ozurdex®)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine
 
Link  NICE TA229: Macular oedema secondary to retinal vein occlusion
Link  NICE TA349: Diabetic Macular Oedema
Link  NICE TA460: Non-infectious uveitis
   
Dexamethasone, framycetin, gramicidin (Sofradex®)
(eye drops)
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Formulary
Amber Recommended

Green for otitis externa (see section 12.1.1)

 
   
Dexamethasone, neomycin and polymyxin B (Maxitrol®)
(eye drops/eye ointment)
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Formulary
Amber Recommended
 
   
Fluocinolone acetonide (Iluvien®)
(intravitreal implant)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine
 
Link  NICE TA301: Chronic diabetic macular oedema
Link  NICE TA590: Fluocinolone acetonide intravitreal implant for treating recurrent non-infectious uveitis
   
Fluorometholone  (FML®)
(eye drops)
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Formulary
Amber Recommended
 
   
Hydrocortisone sodium phosphate (Softacort®)
(preservative free eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
   
Loteprednol  (Lotemax®)
(0.5% eye drops)
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Formulary
Amber Initiation

unlicensed Note: use for >2 weeks and for indications other than inflammation following ocular surgery is unlicensed.

 
   
Prednisolone
(0.5% eye drops/preservative free eye drops)
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Formulary
Amber Recommended
 
   
Prednisolone acetate (Pred Forte®)
(1% eye drops)
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Formulary
Amber Recommended
 
   
Triamcinolone acetonide (Intracinol®)
(ophthalmic suspension for intravitreal administration)
Formulary
Red

Restricted Item  Specialist ophthalmology use only.

unlicensed Medical device.

Approved for opacification of the vitreous humour in eye surgery and treatment and prevention of macular oedema in inflammatory eye conditions (off-label).

 
   
11.04.02  Anti-allergy preparations
Sodium cromoglicate
(eye drops/unit dose eye drops)
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First Choice
Green

note First line for allergic conjunctivitis and seasonal keratoconjunctivitis

Unit dose formulation only for patients allergic to preservatives

 
Antazoline with xylometazoline (Otrivine-Antistin®)
(eye drops)
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Formulary
Green
 
   
Ciclosporin 0.1% (Verkazia®)
(unit dose eye drops)
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Formulary
Amber Initiation

1mg/ml.

Restricted Item Ophthalmology specialist initiation. Prescribe by brand name (different licensed indication to Ikervis® brand).

 
   
Lodoxamide (Alomide®)
(eye drops)
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Formulary
Amber Recommended

Restricted Item Ophthalmology only

 
   
Olopatadine (Opatanol®)
(eye drops)
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Formulary
Amber Recommended

Restricted Item Ophthalmology only

 
   
11.05  Mydriatics and cycloplegics to top
11.05  Antimuscarinics
Atropine (Minims® )
(1% unit dose eye drops)
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Formulary
Amber Recommended

Preferred formulation in primary care.

Preservative-free.

May also be used off-label by sublingual administration for hypersalivation.

 
   
Atropine (multi-dose bottle)
(1% eye drops)
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Formulary
Red

Restricted Item Hospital only. High cost in primary care - use Minims formulation.

 
   
Cyclopentolate
(0.5% and 1% eye drops/unit dose eye drops)
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Formulary
Amber Recommended

Unit dose drops preservative-free.

 
   
Tropicamide (Minims® )
(0.5% and 1% unit dose eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

Preservative-free.

 
   
11.05  Sympathomimetics
Phenylephrine  (Minims® )
(2.5% and 10% unit dose eye drops)
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Formulary
Amber Recommended

Preservative-free.

 
   
Phenylephrine and tropicamide ophthalmic insert (Mydriasert®)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
   
Mydricaine No. 2
(inj)
Formulary
Red

unlicensed Unlicensed

 
   
11.06  Treatment of glaucoma
11.06  Beta-blockers
Timolol
(0.25% and 0.5% eye drops/unit dose eye drops/0.1% unit dose eye gel)
View adult BNF View SPC online View childrens BNF
First Choice
Amber Recommended

First line beta-blocker.

Restricted Item Unit dose drops/gel only for patients allergic/intolerant of preservative, or high risk of developing allergy

 
Timolol preservative-free (Eysano®)
(0.25% and 0.5% eye drops)
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Alternatives
Blue

note Consider as a more cost effective alternative to timolol unit dose eye drops

Restricted Item Only for patients allergic/intolerant of preservative, or high risk of developing allergy

 
   
Timolol (Timoptol-LA®)
(0.25% and 0.5% eye gel)
View adult BNF View SPC online View childrens BNF
Alternatives
Blue

Restricted Item Only for patients with compliance problems with twice-daily formulations

 
   
Betaxolol
(0.25% and 0.5% eye drops/unit dose eye drops)
View adult BNF View SPC online View childrens BNF
Alternatives
Amber Recommended

Not a first line choice. 

Restricted Item Unit dose drops only for patients allergic/intolerant of preservative, or high risk of developing allergy

 
   
Levobunolol
(eye drops/unit dose eye drops)
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Alternatives
Amber Recommended

Not a first line choice.

Restricted Item Unit dose drops only for patients allergic/intolerant of preservative, or high risk of developing allergy

 
   
11.06  Prostaglandin analogues to top
Latanoprost
(eye drops/unit dose eye drops)
View adult BNF View SPC online View childrens BNF
First Choice
Amber Recommended

note Generic prescribing recommended.

First line prostaglandin analogue.

Restricted Item Unit dose drops only for patients allergic/intolerant of preservatives, or high risk of developing allergy

 
Latanoprost with timolol
(eye drops/unit dose eye drops)
View adult BNF View SPC online View childrens BNF
First Choice
Amber Recommended

note Generic prescribing recommended

First choice if a combination prostaglandin analogue/beta-blocker is required. 

Restricted Item Unit dose drops only for patients allergic/intolerant of preservatives, or high risk of developing allergy

 
Bimatoprost
(eye drops/unit dose eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

Not a first line choice

Restricted Item Unit dose drops only for patients allergic/intolerant of preservatives, or high risk of developing allergy

 
   
Bimatoprost with timolol (Ganfort®)
(eye drops/unit dose eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

Not a first line choice

Restricted Item Unit dose drops only for patients allergic/intolerant of preservatives, or high risk of developing allergy

 
   
Tafluprost
(unit dose eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

Not a first line choice.

Preservative-free.

Restricted Item Only for patients allergic/intolerant of preservatives, or high risk for developing allergy.

 
   
Tafluprost with timolol (Taptiqom®)
(unit dose eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

Not a first line choice.

Preservative-free.

Restricted Item Only for patients allergic/intolerant of preservatives, or high risk of developing allergy

 
   
Travoprost (Travatan®)
(eye drops)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber Recommended

Not a first-line choice.

Restricted Item Only for patients with allergy to benzalkonium chloride. Prescribe by brand name as other brands may contain benzalkonium chloride.

 
   
Travoprost with timolol (DuoTrav®)
(eye drops)
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Restricted Drug Restricted
Amber Recommended

Not a first-line choice.

Restricted Item Only for patients with allergy to benzalkonium chloride. Prescribe by brand name as other brands may contain benzalkonium chloride.

 
   
11.06  Sympathomimetics
Brimonidine
(eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
   
Brimonidine with timolol
(eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
   
11.06  Carbonic anhydrase inhibitors and systemic drugs
Dorzolamide
(eye drops)
View adult BNF View SPC online View childrens BNF
First Choice
Amber Recommended
 
Brinzolamide
(eye drops)
View adult BNF View SPC online View childrens BNF
Second Choice
Amber Recommended
 
   
Acetazolamide
(inj)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
   
Acetazolamide
(tab/MR cap)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
   
Brinzolamide with brimonidine (Simbrinza®)
(suspension eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

Not a first line option

 
   
Brinzolamide with timolol (Azarga®)
(suspension eye drops )
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

Not a first line option

 
   
Dorzolamide preservative-free (Eydelto®)
(eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Restricted Item In primary care as a more cost effective alternative to unit dose eye drops. Only for patients allergic/intolerant of preservatives, or high risk of developing allergy

 
   
Dorzolamide with timolol
(eye drops/unit dose eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

Restricted Item Unit dose drops only for patients allergic/intolerant of preservatives, or high risk of developing allergy

 
   
Dorzolamide with timolol preservative-free (Eylamdo®, Cosopt iMulti®)
(eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Restricted Item In primary care as a more cost effective alternative to unit dose eye drops. Only for patients allergic/intolerant of preservatives, or high risk of developing allergy.

 
   
11.06  Miotics
Pilocarpine
(1%, 2%, 4% eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
   
Pilocarpine 2%
(unit dose eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

Preservative-free.

Restricted Item Only for patients allergic/intolerant of preservatives, or high risk of developing allergy.

 
   
11.07  Local anaesthetics
Controlled Drug Cocaine
(4% eye drops)
View adult BNF
Formulary
Red

unlicensed unlicensed

 
   
Oxybuprocaine (Minims® )
(0.4% unit dose eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
   
Proxymetacaine (Minims®)
(0.5% unit dose eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
   
Tetracaine (amethocaine) (Minims® )
(1% unit dose eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
   
11.08  Miscellaneous ophthalmic preparations to top
Idebenone (Raxone®)
(tablet)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine

Restricted Item In line with NHS England commissioning criteria

 
   
Mercaptamine (cysteamine)
(aqueous eye drops )
View adult BNF View SPC online View childrens BNF
Formulary
Red Specialist Centre
High Cost Medicine

Restricted Item In line with NHSE specialist commissioning criteria

unlicensed Unlicensed

 
Link  NHS England Mercaptamine hydrochloride viscous eye drops for corneal cystine deposits are not for routine commissioning
   
11.08.01  Tear deficiency, ocular lubricants, and astringents
 note 

To be used in line with local dry eye guidelines

Hypromellose
(0.3% eye drops)
View adult BNF View SPC online View childrens BNF
First Choice
Green

note To be used in line with DPC dry eye guidelines (link below)

 
Acetylcysteine (with hypromellose) (Ilube®)
(5% eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
   
Carbomer  (polyacrylic acid)
(0.2% eye gel )
View adult BNF View SPC online View childrens BNF
Formulary
Green

note To be used in line with DPC dry eye guidelines (link below). 

Clinitas® Gel preferred at UHS

 
   
Carmellose  (Optive®/Optho-lique®)
(0.5% eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Green

note To be used in line with DPC dry eye guidelines (link below). 

Contains a gentle preservative so may be an option if patient is allergic to commonly-used preservatives

 
   
Carmellose sodium
(0.5% and 1% unit dose eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Green

note To be used in line with DPC dry eye guidelines (link below)

Preservative-free. Single use.

Restricted Item Only for patients allergic/intolerant of preservatives or at high risk of developing allergy

 
   
Ciclosporin 0.1% (Ikervis®)
(unit dose eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

1mg/ml

Prescribe by brand name (different licensed indication to Verkazia<sup>®</sup>brand)

 
Link  NICE TA369: Ciclosporin for treating dry eye disease that has not improved despite treatment with artificial tears
   
Ciclosporin 0.2%
(eye ointment)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

Restricted Item unlicensed Unlicensed formulation. Restricted use - only when licensed formulation not suitable or unavailable.

 
   
Hypromellose preservative-free  (multi use 10ml bottle )
(0.3% eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Green

note To be used in line with DPC dry eye guidelines (link below).

Restricted Item Only for patients allergic/intolerant of preservatives or high risk of developing allergy.

 
   
Lacri-lube®/Refresh Night Time®/Xailin Night®
(eye ointment)
View adult BNF View SPC online View childrens BNF
Formulary
Green

note To be used in line with DPC dry eye guidelines (link below)

Contains white soft paraffin, liquid paraffin, wool alcohols.

 
   
Polyvinyl alcohol 1.4% (Liquifilm Tears or Sno Tears®)
(eye drops/unit dose eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Green

note To be used in line with DPC dry eye guidelines (link below)

Restricted Item Unit dose drops only for patients allergic/intolerant of preservatives or high risk of developing allergy

 
   
Trehalose/sodium hyaluronate (Thealoz Duo®)
(eye drop)
View adult BNF View SPC online View childrens BNF
Formulary
Green

note To be used in line with DPC dry eye guidelines (link below).

 
   
Hylo Night ®
(eye ointment)
Formulary
Green

 note For use in line with DPC dry eye guidelines (link below)

Preservative-free

Contains retinol palmitate (vitamin A), liquid paraffin and wool fat.

Previously known as VitA-POS eye ointment.

 
   
Propylene glycol 0.3% and polyethylene glycol 0.4% (Systane® Preservative-free)
(unit dose eye drops)
Formulary
Green

note To be used in line with DPC dry eye guidelines (link below)

Restricted Item Only for patients requiring a preservative-free alternative to propylene glycol [Systane Balance] eye drops

 
   
Propylene glycol 0.6%  (Systane Balance®)
(eye drops)
Formulary
Green

note To be used in line with DPC dry eye guidelines (link below)

 
   
Sodium hyaluronate
(0.1%/ 0.2%/ 0.4% preservative-free eye drops)
View adult BNF View childrens BNF
Formulary
Green

note For use in line with DPC dry eye guidelines (link below)

 
   
11.08.02  Ocular diagnostic and peri-operative preparations and photodynamic treatment
11.08.02  Ocular diagnostic preparations
Fluorescein
(1%/ 2% unit dose eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Red

Minims®. Preservative-free.

 
   
Indocyanine green
(inj)
View adult BNF View childrens BNF
Unlicensed Drug Unlicensed
Red
 
   
11.08.02  Ocular peri-operative drugs
Acetylcholine chloride 1% (Miochol-E®)
(intraocular inj)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
   
Apraclonidine (Iopidine®)
(0.5% eye drops/ 1% unit dose eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Red

note Note: different licensed indications for different strengths (refer to SPCs).

1% unit dose eye drops are preservative-free.

 
   
Ketorolac trometamol  (Acular®)
(0.5% eye drops)
View adult BNF View SPC online View childrens BNF
Formulary
Red

note Note: licensed for use up to 3 weeks post-operatively

 
   
Perfluorodecalin (perflunafene)
(ophthalmic inj)
View adult BNF View childrens BNF
Formulary
Red

unlicensed unlicensed

 
   
Silicone fluid 5700 CS liq
Formulary
Red

unlicensed unlicensed

 
   
Sodium hyaluronate 1% (Provisc®)
(intraocular inj)
Formulary
Red

Restricted Item Ophthalmology only

note First line for routine cataract surgery cases.

 
   
Sodium hyaluronate 1.4% (Healonid GV)
(intraocular inj)
Formulary
Red

Restricted Item Ophthalmology only

note Second line for more complex cataract surgery cases

 
   
Sodium hyaluronate 1% (Healonid®)
(intraocular inj)
Formulary
Red

Restricted Item Ophthalmology only

note Corneal grafts or other corneal surgery

 
   
11.08.02  Subfoveal choroidal neovascularisation to top
Aflibercept
(intravitreal inj)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine
 
Link  NICE TA294: Wet age-related macular degeneration
Link  NICE TA305: Visual impairment caused by macular oedema secondary to central retinal vein occlusion
Link  NICE TA346: Diabetic macular oedema
Link  NICE TA409: Visual impairment caused by macular oedema after branch retinal vein occlusion
Link  NICE TA486:Aflibercept for treating choroidal neovascularisation
   
Interferon alfa 2a
(eye drops)
Formulary
Red

unlicensed Unlicensed

Restricted Item For specialist use only

 
   
Ranibizumab
(intravitreal inj)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine
 
Link  NICE TA155: Age-related macular degeneration
Link  NICE TA274: Diabetic macular oedema
Link  NICE TA283: Visual impairment caused by macular oedema secondary to retinal vein occlusion
Link  NICE TA298: Choroidal neovascularisation associated with pathological myopia
   
Verteporfin  (Visudyne®)
(inj)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine
 
Link  NICE TA68: Photodynamic therapy for age related macular degeneration
   
11.08.02  Vitreomacular traction
Ocriplasmin (Jetrea®)
(intravitreal inj)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine
 
Link  NICE TA297: Vitreomacular traction
   
11.99.99.99  Miscellaneous
11.99.99.99  Treatment of burns
Potassium ascorbate (ascorbic acid)
(10% eye drops)
Formulary
Amber Recommended

unlicensed Unlicensed special

note Preservative-free. For chemical burns.

 
   
 ....
 Non Formulary Items
Bevacizumab intravitreal inj

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
High Cost Medicine

unlicensed Unlicensed 

 
Bromfenac eye drops  (Yellox®)

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ciprofloxacin eye drops

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Mercaptamine (cysteamine)  (Cystadrops®)
(viscous eye drops)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
NHS England
Link  NHS England Mercaptamine hydrochloride viscous eye drops for corneal cystine deposits are not for routine commissioning
 
Nepafenac eye drops  (Nevanac®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
 
Pegaptanib intravitreal inj  (Macugen®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
High Cost Medicine
Link  NICE TA155: Age-related macular degeneration
 
Simple eye ointment BP
(yellow soft paraffin, liquid paraffin, wool fat)

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

This product is now listed as non-fomulary in agreement with local primary care and ophthalmology team. 

 
Trifluorothymidine (trifluridine) 1%
(eye drops)

View adult BNF View SPC online View childrens BNF
Non Formulary

unlicensed unlicensed

 
VisuXL®
(eye drops)

Non Formulary

Sodium hyaluronate, vitamin E and coenzyme Q10.

This product has not been evaluated for use locally and is not included in the current DPC Dry Eyes Guidelines.

 
  
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
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine

Traffic Light Status Information

Status Description

Green

Suitable for prescribing by all in both primary and secondary care.  

Amber Recommended

Specialist recommended but suitable for continuation in primary care.  

Amber Initiation

Specialist initiated but suitable for continuation in primary care.  

Amber SCG

Specialist initiated and for continuation in primary care under a locally approved shared care guideline.  

Red

Suitable for prescribing in specialist settings (secondary care) only.   

Red Specialist Centre

Secondary care medicines to be used under specialised commissioning arrangements only.  

Blue

For primary care, either via FP10 or supplied through specialist services. These products may be stocked by hospital pharmacies only for supply to primary care units/wards or for continuing supplies for patients admitted on therapy.  

Black

Not recommended for use.  

netFormulary