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Southampton Joint Formulary
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 Formulary Chapter 11: Eye - Full Chapter
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11.08.01  Expand sub section  Tear deficiency, ocular lubricants, and astringents
 note 

To be used in line with local dry eye guidelines

Hypromellose
(0.3% eye drops)
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First Choice
Green

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

 
Acetylcysteine (with hypromellose) (Ilube)
(5% eye drops)
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Formulary
Amber Recommended
 
   
Carbomer  (polyacrylic acid)
(0.2% eye gel )
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Formulary
Green

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

Clinitas® Gel preferred at UHS

 
   
Carmellose sodium
(0.5% eye drops)
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Formulary
Green

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

Note: Optive®/Optho-lique® brands contain a gentle preservative so may be an option if patient is allergic to commonly-used preservatives

 
   
Carmellose sodium
(0.5% and 1% preservative-free eye drops)
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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 at high risk of developing allergy

May be prescribed as unit dose (single use) eye drops or multi-dose bottle (various brands available - refer to Drug Tariff for current prices in primary care).

 
   
Ciclosporin 0.1% (Ikervis)
(unit dose eye drops)
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Formulary
Amber Recommended

1mg/ml

Prescribe by brand name (different licensed indication to Verkazia® brand)

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

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

 
   
Hypromellose
(0.3% preservative-free eye drops)
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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.

May be prescribed as unit dose (single use) eye drops or multi-dose bottle (various brands available - refer to Drug Tariff Part IXA for current prices in primary care).

 
   
Lacri-lube/Refresh Night Time/Xailin Night
(eye ointment)
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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)
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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)
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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)
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Formulary
Green

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

Various brands available - refer to Drug Tariff for current prices in primary care.

 
   
 ....
 Non Formulary Items
Simple eye ointment BP
(yellow soft paraffin, liquid paraffin, wool fat)

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Non Formulary
Black

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

 
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
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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