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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...
11.08.01  Expand sub section  Tear deficiency, ocular lubricants, and astringents
Hypromellose
(Eye Drops)
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First Choice
Green

Hypromellose is the first choice treatment for tear deficiency. It may need to be instilled frequently (e.g. hourly) for adequate relief.

  • Hypromellose 0.3% Eye Drops (with preservative)
  • Xailin Hydrate® hypromellose 0.3% Eye Drops (preservative free)
 
Carmellose Sodium
(Eye Drops)
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Second Choice
Green
  • Carmellose Sodium 0.5% Single Dose Eye Drops (preservative free) Xailin Fresh® 
  • Carmellose sodium  1% Single Dose Eye Drops (preservative free)
  • Carmellose Sodium 0.5% Eye Drops (with preservative).
 
   
Sodium Hyaluronate (Hyloforte, Hylotear)
(Eye Drops)
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Third Choice
Amber
  • Sodium Hyaluronate 0.2% Eye Drops (preservative free) (Hyloforte®)
  • Sodium Hyaluronate 0.1% Eye Drops (preservative free) (Hylotear®)

Hyloforte® and Hylotear® are the preferred preparation, and can be used for up to six months after opening. Contains 300 applications.

  • Sodium Hyaluronate 0.2% unit dose vials are available if required (Blink Intensive Tears)

Restricted Item Sodium hyaluronate 0.4% (preservative free) (Clinitas®)
Restricted Item Sodium Hyaluronate 0.1%, carmellose sodium 0.5%, glycerol 0.9% Eye Drops (Optive Fusion®)

Restricted to Consultant Ophthalmologist recommendation only.

 
   
Liquid Paraffin
(Eye Ointment)
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Fourth Choice
Green
  • Xailin Night® Eye Ointment (preservative free)
    (white soft paraffin 57.3%, liquid paraffin 42.5%, wool alcohols 0.2%)

    Eye ointments containing a paraffin may be used to lubricate the eye surface, especially in cases of recurrent corneal epithelial erosion. They may cause temporary vision disturbance and are best suited for application before sleep. Ointments should not be used during contact lens wear.
 
   
VITA POS
(Eye Ointment)
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Fourth Choice
Green
  • VITA POS ointment (250IU/g) retinol palmitate, liquid paraffin, light liquid paraffin, wool fat and white soft paraffin (preservative free)

    Eye ointments containing a paraffin may be used to lubricate the eye surface, especially in cases of recurrent corneal epithelial erosion. They may cause temporary vision disturbance and are best suited for application before sleep. Ointments should not be used during contact lens wear.
 
   
Polyvinyl Alchohol (SnoTears, Liquifilm tears )
(Eye Drops)
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Formulary
Green
  • Polyvinyl Alchohol (with preservative) SnoTears® 
  • Polyvinyl Alchohol (preservative free) Liquifilm tears® 

    Polyvinyl alcohol increases the persistence of the tear film and is useful when the ocular surface mucin is reduced.
 
   
Carbomer 980 (Clinitas Gel, Viscotears)
(Eye Gel)
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Formulary
Green
  • Carbomer 980 Eye Gel - Clinitas®    
  • Carbomer 980 Liquid Gel - Viscotears®
  • Liquid Gel  Single Dose Unit Eye Gel - Viscotears®)
 
   
Acetylcysteine 5% with Hypromellose 0.35% (Ilube)
(Eye Drops)
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Restricted Drug Restricted
Amber
  • Acetylcysteine 5% with Hypromellose 0.35% (with preservative)

    Consultant Ophthalmologist recommendation only - For existing patients only.
 
   
Hydroxyethylcellulose (Minims Artificial Tears)
(Single Use Eye Drops)
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Formulary
Amber
  • Hydroxyethylcellulose 0.44%, Sodium Chloride 0.35% Single Dose Eye Drops (Minims Artificial Tears) 

    For use following consultant recommendation only, in patients where a preservative free product is necessary
 
   
Hydroxypropyl Guar (Systane Balance, Systane Ultra )
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Restricted Drug Restricted
Amber
  • Hydroxypropyl (with preservative) GuarSystane Balance® 
  • Hydroxypropyl (with preservative) GuarSystane Ultra®

    For Consultant Ophthamologist Recommendation Only
 
   
Sodium Chloride
(Balanced Salt Solution)
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Restricted Drug Restricted
Red
  • Sodium Chloride Balanced Salt Solution
     
    For use in eye theatre only
 
   
Sodium Chloride
(Eye Drops)
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Formulary
Amber
  • Sodium Chloride 5% Eye Drops
  • Sodium Chloride 0.9% Eye Drops Minims (preservative free)
  • Sodium chloride 0.9% (Minims) Restricted to consultant ophthalmologist recommendation only.

 

 

 
   
Viscoat
(Solution)
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Restricted Drug Restricted
Red
  • Viscoat Solution (0.75ml)

    For use in eye theatre only
 
   
 ....
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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