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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...
11.06  Expand sub section  Treatment of glaucoma
 note 

Drugs that reduce intra-ocular pressure are used for managing glaucoma; they act by a variety of mechanisms. A topical beta-blocker or a prostaglandin analogue is commonly the drug of first choice. It may be necessary to combine these drugs or add others such as miotics, sympathomimetics and carbonic anhydrase inhibitors to control intra-ocular pressure.

11.06  Expand sub section  Beta-blockers
 note 

Topical application of a beta-blocker to the eye reduces intra-ocular pressure effectively in primary open-angle glaucoma, probably by reducing the rate of production of aqueous humour. Administration by mouth also reduces intra-ocular pressure but this route is not used since side-effects may be troublesome.

CAUTIONS, CONTRA-INDICATIONS AND SIDE-EFFECTS (See BNF).

INTERACTIONS, Since systemic absorption may follow topical application the possibility of interactions, in particular, with drugs such as verapamil should be borne in mind. See also BNF Appendix 1 (beta-blockers).

Timolol  (Timoptol, Tiopex)
(Eye Drops)
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Formulary
Amber
  • Timolol Eye Drops 0.25% (with preservative)
  • Timolol 0.25% Single Dose Eye Drops (preservative free)

    For use following consultant recommendation only
 
   
Betaxolol Hydrochloride (Betoptic)
(Eye Drops)
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Formulary
Amber
  • Betaxolol 0.5% and 0.25% Eye Drops (with preservative)
  • Betaxolol 0.25% Eye Drops Single dose M/R (preservative free)

    For use following consultant recommendation only
 
   
Levobunolol Hydrochloride (Betagan)
(Eye Drops)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Amber
  • Levobunolol 0.5% Eye Drops (with preservative)
  • Levobunolol 0.5% Single Dose Eye Drops (preservative free)

    For use following consultant recommendation only
 
   
11.06  Expand sub section  Prostaglandin analogues
11.06  Expand sub section  Sympathomimetics
11.06  Expand sub section  Carbonic anhydrase inhibitors and systemic drugs to top
11.06  Expand sub section  Miotics
 ....
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
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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