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North East Essex CCG
East Suffolk and North East Essex NHS Foundation Trust
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 Formulary Chapter 11: Eye - Full Chapter
Notes:

Joint guidance

Number of drops per bottle

Bottle size Approximate number of drops contained
2.5ml 50 drops
5ml 100 drops
10ml 200 drops

Prescribing

Unless specifically stated on the fomrulary, all medicines should be prescribed generically irrespective of brands that may be avaiable.

Adminstration aids

If patient has difficulty administering eye drops, consider co-prescribing an Opticare eye drop dispenser

Supplements

Unlicensed food supplements such as I-Caps®; etc. for age related macular degeneration should not be prescribed on the NHS.

 Details...
11.03.01  Expand sub section  Antibacterials
Chloramphenicol
(Ophthalmic)
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First Choice
Blue

Can be bought OTC for patients 2+yrs old


Available as

  • 0.5% drops
  • 0.5% preservative free drops
  • 1% ointment
 
Fusidic Acid 1%
(Ophthalmic)
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Formulary
Blue
 
   
Gentamicin 0.3%
(ophthalmic)
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Formulary
Blue
 
   
Ciprofloxacin 0.3%
(ophthalmic)
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Formulary
Blue
 
   
Azithromycin 15mg/g
(ophthalmic)
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Restricted Drug Restricted

Ipswich Hospital

Azithromycin 15mg/g eye drops are a formulary medicine

Colchester Hospital

Azithromycin 15mg/g eye drops are non-formulary and are not held by the hospital

 
   
Cefuroxime 5%
(ophthalmic)
Restricted Drug Restricted

This is a specialist product prescribed only in specific circumstances.

The cefuroxime 5% drops product is an unlicensed "unlicensed special" medicine that would be dispensed by the hospital pharmacy only.

This product is stored at Ipswich Hospital Pharmacy only.  Colchester Pharmacy should obtain this from Ipswich Hospital Pharmacy.

 
   
Levofloxacin 0.5%
(ophthalmic)
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Formulary
Green

Available as

  • 0.5% drops
    • Use if administering less than 6x/day
    • If higher frequency is required then use preservative free
  • 0.5% preservative free drops
    • For use where 
      • Administering drops every 1 – 2 hours during the first few days of treatment where preservatives may cause further inflammation.
      • Who have known allergy to preservatives
 
   
Ofloxacin 0.3% (Ophthalmic)
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Formulary
Green

Suitable for milder infections

 
   
Povidone iodine 5% preservative free eye drops
(ophthalmic)
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Formulary
Red Hospital
 
   
 ....
 Non Formulary Items
Amikacin
(Ophthalmic)

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Non Formulary
 
Benzylpenicillin
(ophthalmic)

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Non Formulary
 
Chloramphenicol  (Chloromycetin)

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Non Formulary
 
Chlorhexidine
(ophthalmic)

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Non Formulary
 
Chlortetracycline
(ophthalmic)

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Non Formulary
 
Erythromycin
(ophthalmic)

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Non Formulary
 
Gentamicin single use  (Minims Gentamicin Sulphate)

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Non Formulary
 
Neomycin Eye drops

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Non Formulary
 
Polymyxin B Sulphate eye ointment  (Polyfax)

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Non Formulary
 
  
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

Blue

For routine prescribing in primary and secondary care.   

Green

Initiated (if clinically urgent) or advised (if non-urgent) by specialist in secondary care, prescribing can be continued in primary care.   

Amber

Shared care  

Red Hospital

Hospital only  

Double Red

There should be no prescribing of these drugs  

Mixed

The traffic light of the drug is dependant on the indication. Please see individual drug entry for details  

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