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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
11.06  Expand sub section  Prostaglandin analogues
 note 

Latanoprost, tafluprost and travoprost are prostaglandin analogues which increase uveoscleral outflow; bimatoprost is a related drug. They are used to reduce intra-ocular pressure in ocular hypertension or in open-angle glaucoma. Patients receiving prostaglandin analogues should be monitored for any changes to eye coloration since an increase in the brown pigment in the iris may occur; particular care is required in those with mixed coloured irides and those receiving treatment to one eye only.

Latanoprost  (Monopost, Xalatan)
(Eye Drops)
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First Choice
Amber
  • Latanoprost 50micrograms/ml Eye Drops (with preservative)
  • Latanoprost 50micrograms/ml Eye Drops (preservative free)

    For use following consultant recommendation only
 
Bimatoprost (Lumigan)
(Eye Drops)
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Formulary
Amber
  • Bimatoprost Eye Drops (300micrograms/ml) (with preservative
  • Bimatoprost Eye Drops (300micrograms/ml) (with preservative
  • Bimatoprost Single Use Eye Drops (300micrograms/ml) (preservative free)

    For use following consultant recommendation only
 
   
Tafluprost  (Saflutan)
(Single Use Eye Drops)
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Formulary
Amber
  • Tafluprost 15 microgram/mL Unit Dose Eye Drops (preservative free)

    For use following consultant recommendation only
 
   
Travoprost (Travatan)
(Eye Drops)
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Formulary
Amber
  • Travoprost Eye Drops (40micrograms/ml) (2.5ml) (with preservative)

    For use following consultant recommendation only
 
   
Bimatoprost with Timolol (Ganfort)
(Eye Drops)
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Formulary
Amber
  • Bimatoprost 300micrograms/ml, timolol maleate 5mg/ml (with preservative)
  • Bimatoprost 300micrograms/ml, timolol maleate 5mg/ml (preservative free)

    For use following consultant recommendation only
 
   
Travoprost with Timolol (DuoTrav)
(Eye Drops)
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Formulary
Amber
  • Duotrav Eye Drops (travoprost 40micrograms/ml and timolol 5mg/ml) (with preservative)

    For use following consultant recommendation only
 
   
Latanoprost with Timolol  (Xalacom)
(Eye Drops)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Amber
  • Latanoprost 50micrograms/ml, Timolol 5mg/ml (with preservative)

    For use following consultant recommendation only
 
   
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
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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