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Lancashire Teaching Hospitals NHS Foundation Trust
Chorley and South Ribble CCG
Greater Preston CCG
 
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 Formulary Chapter 11: Eye - Full Chapter
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
(Ophthalmic)
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Purple

bacterial conjuctivitis

0.5% eye drops

1% eye ointment

Drug included within CCG low priority prescribing policy. EXEMPTIONS EXIST FOR CERTAIN INDICATIONS. Please consult attached policy for list of excepted indications for prescribing of this drug.

 
   
Gentamicin 0.3% eye drops
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Amber

bacterial conjuctivitis

Genticin®

 

 
   
Fusidic Acid 1% Modified Release eye drops
(Ophthalmic)
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Green

Blepharitis

eye drops

 
   
Chloramphenicol 1% eye ointment
(Ophthalmic)
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Green

Corneal abrasions

 
   
Levofloxacin 0.5% eye drops
(ophthalmic)
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Amber

Corneal ulcers

eye drops

single dose eye drops

 
   
Ofloxacin 0.3% Eye drops
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Amber

Corneal ulcers

Exocin®

 
   
Azithromycin
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Green

Chlamydia  conjuctivitis

Oral

 
   
Povidone iodine 5%
(ophthalmic)
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Red

Unit Dose Eye drops

 
   
Gentamicin 1.5% eye drops preservative free
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Unlicensed Drug Unlicensed
Red

Ophthalmology use only

 
   
Cefuroxime eye drops
(ophthalmic)
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Unlicensed Drug Unlicensed
Red

Unlicensed preparation 5% eye drops

 
   
Chlortetracycline 1%
(ophthalmic)
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Unlicensed Drug Unlicensed
Red

chlamydia conjunctivitis

eye ointment - unlicensed preparation - Ophthalmology use only

 
   
11.03.02  Antifungals to top
Amphotericin 0.15% eye drops
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Unlicensed Drug Unlicensed
Red

Ophthalmology Use Only

 
   
11.03.03  Antivirals
Aciclovir eye ointment 3%
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Amber

Herpes simplex corneal infections - Hospital supervision

Zovirax®

 
   
11.04  Corticosteroids and other anti-inflammatory preparations
11.04.01  Corticosteroids
Prednisolone eye drops
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Amber

0.5% eye drops; unit dose eye drops

1% eye drops Pred Forte®

 
   
Betamethasone eye drops
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Amber
 
   
Dexamethasone 0.1% eye drops
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Amber

Maxidex®

eye drops

single dose eye drops preservative free

 
   
Betamethasone 0.1% with Neomycin 0.5% eye drops
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Amber

Betnesol N®

 
   
Dexamethasone intravitreal implant (Ozurdex®)
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Red
High Cost Medicine
BlueTeq
 
Link  NICE TA349: Diabetic Macular Oedema
   
Fluorometholone 0.1%
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Amber

FML®

 
   
Loteprednol (Lotemax®)
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Red

Post-operative inflammation following occular surgeryin patients with steroid response.

0.5% eye drops

 
   
Prednisolone eye drops
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Unlicensed Drug Unlicensed
Red

0.1% Eye drops

 
   
11.04.02  Other anti-inflammatory preparations
Sodium Cromoglicate 2% eye drops
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First Choice
Purple

Allergic conjuctivitis - prophylaxis

Included in the CCG Low Priority for Prescribing Policy

 
Olopatadine eye drops
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Second Choice
Green

Not for children under 3 years of age

Opatanol®

 
   
Lodoxamide 0.1% eye drops
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Second Choice
Amber

Not for children under 4 years of age

Alomide®

 
   
11.05  Mydriatics and cycloplegics to top
11.05  Antimuscarinics
Atropine 0.01% eye drops
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Red

unlicensed

eye drops;

To be prescribed under the supervision of a Consultant Ophthalmologist only

To slow the progress of myopia in children

 
   
Atropine 1% eye drops
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Green

eye drops; unit dose eye drops

 
   
Cyclopentolate eye drops
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Green

0.5% eye drops; unit dose eye droops

1% eye drops; unit dose eye drops

 

 
   
Tropicamide eye drops
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Green

0.5% unit dose eye drops

1% eye drops; unit dose eye drops

 
   
11.05  Sympathomimetics
Phenylephrine Hydrochloride
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Red

2.5% unit dose eye drops

10% unit dose eye drops

 
   
Phenylephrine Hydrochloride 5.4mg tropicamide 0.28mg
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Red

Mydriasert®

 
   
11.06  Treatment of glaucoma
11.06  Beta-blockers
Levobunolol
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First Choice
Green

0.5% eye drops; unit dose eye drops

 
Timolol eye drops
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First Choice
Green

0.1% unit dose eye drops

0.25% eye drops, long acting eye drops; unit dose eye drops

0.5% eye drops, long acting eye drops; unit dose eye drops

 
11.06  Prostaglandin analogues to top
Bimatoprost
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First Choice
Green

100micrograms / ml eye drops

300 micrograms / ml eye drops; unit dose eye drops (amber)

 
Latanoprost
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First Choice
Green

eye drops; unit dose eye drops

 
Travoprost
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Green

Travatan®

40microgram/ml eye drops

 
Tafluprost (Preservative Free) 15micrograms/ml
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Second Choice
Amber

Saflutan®

 
   
Bimatoprost with Timolol
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Green

Ganfort®

 
   
Latanoprost with Timolol
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Green

Xalacom®

 
   
Travoprost with Timolol
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Green

DuoTrav®

 
   
11.06  Sympathomimetics
Brimonidine 0.2% Tartrate
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Green

Alphagan®

 
   
11.06  Carbonic anhydrase inhibitors and systemic drugs
Acetazolamide
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First Choice
Green

Diamox®

Injection Red 

 
Dorzolamide 2%
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First Choice
Green

Trusopt®

2% eye drops

2% single use eye drops preservative free

 
Brinzolamide
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Second Choice
Green

Azopt®

10mg/ml eye drops

 
   
Brinzolamide 1% with Timolol 0.5%
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Green

Azarga®

 
   
Brinzolamide 10mg/ml & brimonidine 2mg/ml
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Amber

Simbrinza®

 
   
Dorzolamide 2% with Timolol 0.5%
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Green

Cosopt ®

Eye Drops, unit dose 

 
   
11.06  Miotics
Pilocarpine eye drops
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Green

1% eye drops

2% eye drops; unit dose eye drops

 
11.07  Local anaesthetics
Lidocaine 4% with Fluorescein 0.25%
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First Choice
Red

Minims®

 
Oxybuprocaine
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First Choice
Red

Minims® 0.4% unit dose eye drops

 
Proxymetacaine 0.5%
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Second Choice
Red

Minims®

 
   
11.08  Miscellaneous ophthalmic preparations to top
11.08.01  Tear deficiency, ocular lubricants, and astringents
Hypromellose 0.3% eye drops
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First Choice
Purple

Included in the CCG Low Priority for Prescribing Policy.

 
Carbomers 0.2%
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First Choice
Green

Viscotears® GelTears®

 
Polyvinyl Alcohol 1.4%
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First Choice
Green

Liquifilm Tears® Sno Tears®

 
Carmellose unit dose eye drops
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Second Choice
Amber

0.5% & 1% Celluvisc®

 
   
Hydroxypropyl Guar
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Second Choice
Green

Systane®

 
   
Liquid Paraffin eye ointment
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Second Choice
Green

Lacri-lube®

 
   
Retinol palmitate eye ointment
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Second Choice
Green

Hylo Night®

 
   
Sodium Hyaluronate 0.1%, Carmellose 0.5% glycerol 0.9% eye drops
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Second Choice
Green

Optive Fusion®

 
   
Sodium Hyaluronate 0.1%
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Third Choice
Green

Hylo-Tear®

 
   
Sodium Hyaluronate 0.2%
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Third Choice
Green

Hylo-Forte®

 
   
Sodium Chloride
(Balanced salt solution)
 Track Changes
Formulary
Red
 
   
Sodium Chloride 0.9%
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Green

Minims - preservative free

 
   
11.08.02  Ocular diagnostic and peri-operative preparations and photodynamic treatment
11.08.02  Ocular diagnostic preparations
Fluorescein Sodium
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First Choice
Red
 
11.08.02  Ocular peri-operative drugs
Acetylcholine Chloride
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Formulary
Red

intra ocular irrigation 1% preservative free

Miochol E®

 
   
Amphotericin (intravitreal)
 Track Changes
Formulary
Red
 
   
Apraclonidine 0.5% eye drops
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Red

Iopidine®

 
   
Cefuroxime injection
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Red
 
   
Ketorolac 0.5% eye drops
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Formulary
Amber

Acular®

 
   
Nepafenac
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Red

Nevanac®

 
   
11.08.02  Subfoveal choroidal neovascularisation to top
Aflibercept 40mg/1ml
(for intravitreal use)
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Formulary
Red
High Cost Medicine
BlueTeq

Eyelea®

 
Link  NICE TA409: Aflibercept for treating visual impairment caused by macular oedema after branch retinal vein occlusion
   
Bevacizumab intravitreal injection
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Red

Avastin®

 
   
Ranibizumab 10mg/1ml
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Formulary
Red
High Cost Medicine
BlueTeq

Lucentis®

 
   
Verteporfin 15mg powder for solution
(intravenous infusion)
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Formulary
Red
High Cost Medicine
BlueTeq

Visudyne®

 
Link  NICE TA68: Photodynamic therapy for age related macular degeneration
   
11.08.02  Vitreomacular traction
11.09  Contact lenses
Chlorhexidine 0.02% eye drops
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Red
 
   
Polihexanide 0.02% eye drops
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Formulary
Red
 
   
Propamidine Isetionate 0.1% eye drops
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Red

Brolene®

 
   
11.99.99.99  Miscellaneous
11.99.99.99  Antifungals
11.99.99.99  Cytotoxics / wound healing modulators to top
Cytotoxic Drug Fluorouracil
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Formulary
Red
 
   
11.99.99.99  Fibrinolytic drugs
11.99.99.99  Glues - ocular
11.99.99.99  Immunosuppressants
Ciclosporin
(Eye)
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Formulary
Amber

Ikervis®

 
Link  NICE TA369 - Ciclosporin for treating eye disease that has not improved despite treatment with artificial tears
   
11.99.99.99  Treatment of burns
11.99.99.99  Visco-elastics to top
Sodium Hyaluronate
 Track Changes
Formulary
Red

Amvisc® 1.2% & 1.6% syringe

 
   
11.99.99.99  Other
Sodium Chloride 5% eye drops
(hypertonic saline)
 Track Changes
Formulary
Amber

Regular ophthalmology review required

 
   
 ....
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

Amber

Suitable for prescribing in primary care following recommendation or initiation by a specialist. Little or no specific monitoring required. Patient may need a regular review, but this would not exceed that required for other medicines routinely prescribed in primary care. Brief prescribing document or information sheet may be required.  

Amber 1

Suitable for prescribing in primary care following recommendation or initiation by a specialist. Minimal monitoring required. Patient may need a regular review, but this would not exceed that required for other medicines routinely prescribed in primary care. Full prior agreement about patient’s on-going care must be reached under the shared care agreement.  

Amber 2

Initiated by specialist and transferred to primary care following a successful initiation period. Significant monitoring required on an on-going basis. Full prior agreement about patient’s on-going care must be reached under the shared care agreement. Suitable for enhanced service.  

Black

NOT recommended for use by the NHS in Lancashire. Includes medicines that NICE has not recommended for use and terminated technology appraisals, unless there is a local need.  

Blue

Products shown as blue have different Traffic Light List classifications dependent on indication. See the accompanying text next to the product for further information  

Green

Appropriate for initiation and ongoing prescribing in both primary and secondary care. Generally, little or no routine drug monitoring is required.  

Purple

Low Priority for Prescribing - see Low Priority for Prescribing Policy  

Red

Medicine is supplied by the hospital for the duration of the treatment course. Primary care initiation or continuation of treatment is not recommended unless exceptional circumstances such as specialist GP.  

Red Specialist Centre

Prescribing restricted to Specialist Centres only  

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