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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...
11.08.01  Expand sub section  Tear deficiency, ocular lubricants, and astringents
Acetylcysteine 5%
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Restricted Drug Restricted

Ipswich Hospital

Acetylcysteine drops are considered a formulary medicine choice and are available as:

  • drops (Ilube)
  • preservative free drop ( unlicensed unlicensed special)

Colchester Hospital

Acetylcysteine drops are considered a non-formulary medicine

 
   
Carbomer (Viscotears)
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Formulary
Blue

Can be bought OTC


Viscotears Preservative-free drops available for patients with preservative sensitivity.

 

Within NHS North East Essex CCG - Viscotears is non-formulary.

 
   
Carbomer 980 eye drops
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Formulary
Blue

Can be bought OTC


Prescribe generically - there are a number of differing products available (e.g. Clinitas carbomer eye gel, Artelac Nighttime eye gel, Viscotears liquid gel, etc)

 

Within NHS North East Essex CCG prescribe as Clinitas carbomer gel

 
   
Carmellose
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Formulary
Blue

Can be bought OTC


Available as

  • 0.5% drops
  • 0.5% preservative free drops multi-use bottle
  • 1% drops
  • 1% preservative free multi-use bottle                                      

Within NHS Ipswich and East Suffolk CCG, prescribe as Melopthal:

  • re-sealable and may be used for up to 12 hours
  • Usual supply one box per month. 

 

Within NHS North East Essex CCG, prescribe as:

  • PF Drops carmellose
    • Preservative free with a 60 day expiry. 
  • Carmellose 1% eye drops unit dose preservative free
  • Optive plus is also available for lid margin/meibomian gland disease or lipid deficiency.
 
   
Hydroxypropyl Guar (Systane)
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Restricted Drug Restricted

Ipswich Hospital

The Systane range of products are non-formulary medicines

Colchester Hospital & NEECCG

The Systane range of products (Systane, Systane Balance and Systane Ultra) are considered formulary medicine choices. Systane Ultra is to be initiated by a specilaist opthalmic practitioner.

 

 
   
Hypromellose 0.3%
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Restricted Drug Restricted
Blue

Can be bought OTC


Available as 

  • drops
  • preservative free drops

Ipswich Hospital

Hypromellose drops are considered a formulary medicines choice

Colchester Hospital & NEECCG

Hypromellose drops are considered a non-formulary medicine

 
   
Liquid Paraffin eye ointment
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Formulary
Blue

Can be bought OTC


Available as

  • Preservative-free drops
    • prescribe as Xalin Night
 
   
Liquid Paraffin eye ointment with retinol palmitate
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Formulary
Green

HYLO Night ® eye ointment (preservative free)

 
   
Polyvinyl Alcohol 1.4% (eye drops)
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Formulary
Blue

Can be bought OTC

 

NHS North East Essex CCG - Polyvinyl alcohol eye drops are considered a non-formualry medicine.

 
   
Sodium Chloride 5%
Formulary

Available as

  • eye ointment
  • preservative free drops
 
   
Sodium Hyaluronate
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Formulary
Green

Can be bought OTC


 Available as

  • 0.1% drops (e.g. Optive Fusion)
  • 0.15% preservative free drops (HyaBak)
  • 0.2% drops (e.g. Blink Intensive)
  • 0.3% preservative free gel (e.g. Vismed)
  • 0.4% preservative free drops (e.g. Clinitas Multi)
 
   
Sodium Hyaluronate and trehalose (Thealoz Duo)
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Formulary
Blue

Can be bought OTC

 
   
Soybean oil unit dose eye drops (Emustil)
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Restricted Drug Restricted

Ipswich Hospital

Emustil 7% preservative free drops are non-formulary

Colchester Hospital

Emustil 7% preservative free drops are considered a formulary medicines choice

 
   
 ....
 Non Formulary Items
Acetylcysteine 10% eye drops

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Non Formulary
 
Blepharitis wipes  (Blephaclean®, Blefarette®, Blefarette Med®, Envolve eyelid wipes®)

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Non Formulary

Blepharitis wipes are considered a non-formulary

Can be bought OTC

 

 
Hydroxyethylcellulose  (Minims Artificial Tears)

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Non Formulary
 
Hypromellose 0.3% with Dextran 70 0.1%  (Tears naturale)

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Non Formulary
 
Hypromellose single use

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Non Formulary
 
Optive Fusion

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Non Formulary
 
Paraffin Yellow Soft
(Simple eye ointment)

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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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