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 Formulary Chapter 11: Eye - Full Chapter
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11.03.01  Expand sub section  Antibacterials
Chloramphenicol
(Ophthalmic)
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First Choice
OTC

  • Eye drops 0.5%, Eye ointment 1%, Minims 0.5% (preservative free)

  • Chloramphenicol preparations are the 1st line formulary choice for treatment of bacterial eye infections.

  • Consider Self Care for children and adults over 2 years with acute bacterial conjunctivitis


      Star Drops should be stored in a fridge

 
Amikacin
(Ophthalmic)
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Restricted Drug Restricted
Red Hospital

  • Eye drops 400microgram (0.4mg) in 0.1ml.

  • Intravitreal monograph see link.

  • RPH - Specialist advice

 
Link  Intravitreal monographs
   
Ceftazidime
(ophthalmic)
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Restricted Drug Restricted
Red Hospital

  • CUHFT only

  • 2mg in 0.1ml.

  • Intravitreal monograph see link.

  • Non formulary at all other trusts

  • RPH - Specialist advice

 
Link  Intravitreal monographs
   
Ciprofloxacin
(Ophthalmic)
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Restricted Drug Restricted
Amber No SCG

  • Eye drops 0.3%, Eye ointment 0.3%

  • Ciprofloxacin 0.2% preservative free eye drops only when microbiology sensitivities show susceptibility to ciprofloxacin and resistance to levofloxacin.

  • RPH -  Specialist advice

 
   
Gentamicin (ophthalmic)
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Formulary
Green

  • Eye drops 0.3% (for ear or eye).

  • RPH - Specialist advice

 
   
Levofloxacin
(Ophthalmic)
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Restricted Drug Restricted
Amber No SCG

  • Preservative free eye, single use units only.

  • Consultant opthalmologist initiation for patients requiring intensive  treatment of severe keratitis ( i.e. > 6 x daily use) only,  to limit the risk of preservative toxicity. It may be initiated in inpatient or outpatient setting for this indication.

  • Ofloxacin is formulary choice for quinolone with preservative.

  • RPH -  Specialist advice

 
   
Ofloxacin Eye drops (Exocin®)
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Formulary
Green

  • Eye drops 0.3%

  • NWAFT - Formulary

  • CUHFT - Restricted use

  • RPH -  Specialist advice

 
   
Povidone iodine 5% (Ophthalmic)
(Minims)
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Formulary
Green

  • RPH -  Specialist advice

  • Formulary at all other trusts

 
   
Propamidine Isetionate (Brolene®)
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Restricted Drug Restricted
Amber No SCG

  • Eye drop 0.1%, Eye ointment 0.15% (dibrompropamidine isetionate 0.15%).

  • CUHFT and NWAFT - Ophthalmologists for Acanthamoeba eye infections.

  • RPH -  Specialist initiation

 
   
Vancomycin
(ophthalmic)
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Restricted Drug Restricted
Amber No SCG

  • 2mg in 0.2mL

  • Intravitreal monograph see link.

  • CUHFT and NWAFT - Restricted use 

  • RPH -  Specialist advice

 
Link  Intravitreal monographs
   
Fusidic Acid
(Ophthalmic)
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Formulary
Green
 
   
 ....
 Non Formulary Items
Azithromycin  (Azyter®)

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Non Formulary
Grey
 
Moxifloxacin  (Moxivig® )

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Non Formulary
Grey
Link  MHRA Drug Safety Update: Systemic and inhaled fluoroquinolones: small increased risk of aortic aneurysm and dissection; advice for prescribing in high-risk patients
 
Tobramycin  (Tobravisc® )

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Non Formulary
Grey
 
  
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
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Link to adult BNF
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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

OTC

Available Over the Counter. Consider Self Care   

Green

Formulary - Can be prescribed in both secondary and primary care.   

Advice

Formulary - Specialist Advice, secondary care advice provided for primary care initiation.  

Amber No SCG

Formulary - Specialist initiation without shared care guidance.  

Amber SCG

Formulary - Specialist initiation with shared care guidance.  

Red Hospital

Restricted - Hospital only, not to be prescribed in primary care.  

Switch

Not recommended for prescribing. Switch to alternative cost-effective option.   

Black

Not recommended for prescribing in primary or secondary care.  

Grey

Not recommended as no formal application made for addition to the formulary. Contact relevant pharmacy team for further information.   

Non Formulary

Non-Formulary (category under review).  

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