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 Formulary Chapter 11: Eye - Full Chapter
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11.04  Expand sub section  Corticosteroids and other anti-inflammatory preparations
Adalimumab/ adalimumab biosimilar (Humira®, Imraldi®, Amgevita®) (Ophthalmology)
(inj)
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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  Expand sub section  Corticosteroids and corticosteroids with anti-infective
Betamethasone
(0.1% eye drops/eye ointment)
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Amber Recommended
 
   
Betamethasone and neomycin  (Betnesol N®)
(eye drops)
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Amber Recommended
 
   
Dexamethasone
(0.1% eye drops/preservative free eye drops)
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Amber Recommended
 
   
Dexamethasone intravitreal implant (Ozurdex®)
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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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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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Amber Recommended
 
   
Fluocinolone acetonide (Iluvien®)
(intravitreal implant)
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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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Amber Recommended
 
   
Hydrocortisone sodium phosphate (Softacort®)
(preservative free eye drops)
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Amber Recommended
 
   
Loteprednol  (Lotemax®)
(0.5% eye drops)
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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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Amber Recommended
 
   
Prednisolone acetate (Pred Forte®)
(1% eye drops)
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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  Expand sub section  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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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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Amber Recommended

Restricted Item Ophthalmology only

 
   
Olopatadine (Opatanol®)
(eye drops)
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Amber Recommended

Restricted Item Ophthalmology only

 
   
 ....
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
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.  

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