| Formulary Chapter 11: Eye - Full Chapter
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| 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.
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| Details... |
| 11.08.01 |
Tear deficiency, ocular lubricants, and astringents |
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Acetylcysteine 5%
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 Restricted
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Ipswich Hospital
Acetylcysteine drops are considered a formulary medicine choice and are available as:
- drops (Ilube)
- preservative free drop (
 unlicensed special)
Colchester Hospital
Acetylcysteine drops are considered a non-formulary medicine
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Carbomer (Viscotears®)
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Formulary
 
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Can be bought OTC
Viscotears Preservative-free drops available for patients with preservative sensitivity.
Within NHS North East Essex CCG - Viscotears is non-formulary.
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Carbomer 980 eye drops
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Formulary
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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
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Carmellose
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Formulary
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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.
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Hydroxypropyl Guar (Systane®)
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Restricted
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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.
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Hypromellose 0.3%
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Restricted
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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
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Liquid Paraffin eye ointment
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Formulary
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Can be bought OTC
Available as
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Liquid Paraffin eye ointment with retinol palmitate
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Formulary
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HYLO Night ® eye ointment (preservative free)
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Polyvinyl Alcohol 1.4% (eye drops)
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Formulary
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Can be bought OTC
NHS North East Essex CCG - Polyvinyl alcohol eye drops are considered a non-formualry medicine.
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Sodium Chloride 5%
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Formulary
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Available as
- eye ointment
- preservative free drops
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Sodium Hyaluronate
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Formulary
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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)
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Sodium Hyaluronate and trehalose (Thealoz Duo)
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Formulary
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Can be bought OTC
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Soybean oil unit dose eye drops (Emustil®)
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Restricted
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Ipswich Hospital
Emustil 7% preservative free drops are non-formulary
Colchester Hospital
Emustil 7% preservative free drops are considered a formulary medicines choice
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| .... |
| Non Formulary Items |
Acetylcysteine 10% eye drops
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Non Formulary
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Blepharitis wipes (Blephaclean®, Blefarette®, Blefarette Med®, Envolve eyelid wipes®)
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Non Formulary
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Blepharitis wipes are considered a non-formulary
Can be bought OTC
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Hydroxyethylcellulose (Minims® Artificial Tears)
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Non Formulary
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Hypromellose 0.3% with Dextran 70 0.1% (Tears naturale®)
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Non Formulary
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Hypromellose single use
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Non Formulary
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Optive ® Fusion
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Non Formulary
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Paraffin Yellow Soft
(Simple eye ointment)
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Non Formulary
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Key |
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Cytotoxic Drug
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Controlled Drug
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High Cost Medicine
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Cancer Drugs Fund
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NHS England |
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Homecare |
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CCG |
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Traffic Light Status Information
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