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Airedale NHS Foundation Trust
Airedale, Wharfedale and Craven CCG
 
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 Formulary Chapter 11: Eye - Full Chapter
Notes:
Unless explicitly stated, any brand names included in brackets next to a drug's generic name are there solely to aid searching and identification, and should not be considered to limit use to that specific brand. 
 Details...
11.05  Expand sub section  Mydriatics and cycloplegics
11.05  Expand sub section  Antimuscarinics
 note 

Antimuscarinics dilate the pupil and paralyse the ciliary muscle; they vary in potency and duration of action.

  • Short-acting, relatively weak mydriatics, such as tropicamide 0.5% (action lasts for 4–6 hours), facilitate the examination of the fundus of the eye. Longer-acting options include cyclopentolate hydrochloride 1% (action up to 24 hours) or atropine sulfate (action up to 7 days).
  • Phenylepherine hydrochloride is used for mydriasis in diagnostic or therapeutic procedures; mydriasis occurs within 60–90 minutes and lasts up to 5–7 hours.
  • Mydriatics and cycloplegics are used in the treatment of anterior uveitis, usually as an adjunct to corticosteroids. Atropine sulfate is used in anterior uveitis mainly to prevent posterior synechiae and to relieve ciliary spasm; cyclopentolate hydrochloride can also be used and may be preferred because they have a shorter duration of action. (BNF April 2016)
  • Atropine Sulphate single use (Minims Atropine Sulphate)
    (Single Use Eye Drops)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    • Atropine 1% Minims (preservative free)
      For use in patients where a preservative free product is necessary or an individual dose is required
     
       
    Cyclopentolate Hydrochloride (Mydrilate)
    (Eye Drops)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    • Cyclopentolate 1% Eye Drops (with preservative)
    • Cyclopentolate 1% Minims (preservative free)
    • Cyclopentolate 0.5% Minims (preservative free)
      For use in patients where a preservative free product is necessary or an individual dose is required
     
       
    Tropicamide  (Mydriacyl)
    (Eye Drops)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    • Tropicamide 0.5% Eye Drops (with preservative)
    • Tropicamide 1% Eye Drops (with preservative)
    • Tropicamide 1% Minims (preservative free)
    • Tropicamide 0.5% Minims (preservative free)
      For use in patients where a preservative free product is necessary or an individual dose is required
     
       
    11.05  Expand sub section  Sympathomimetics
     ....
    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
    Cancer Drugs Fund
    Cancer Drugs Fund
    NHSE
    NHS England
    Homecare
    Homecare
    CCG
    CCG

    Traffic Light Status Information

    Status Description

    Green

    Green - Drugs suitable for generalised use in accordance with position summary. Inform primary care of need to prescribe using a TTO chart if in patient or Treatment Advice Note (TAN) if Outpatient.   

    Amber

    Amber - these drugs require specialist initiation or recommendation  

    Amber SCG

    Amber Share Care - Drugs suitable for generalist use, in accordance with position summary, normally following 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.  

    Red

    Red - Drugs for specialist use only, in accordance with position summary. GPs should not be asked to prescribe these products.  

    Red ULM

    Red ULM - Unlicensed medicines for specialist use only, in accordance with position summary. GPs should not be asked to prescribe these products.  

    Grey

    Grey drugs - No formal commissioning position. Check appropriate CCG /NHSE commissioning list or contact CCG/NHSE Medicines Management team for advice. Fill in individual funding request for appropriate CCG/NHSE. This will need to be signed by the Chief Pharmacist and a copy of the relevant DTC submission attached.   

    Black

    Black - Drugs not routinely commissioned so should not usually be prescribed  

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