netFormulary NHS
Cambridgeshire and Peterborough
Formulary
 Search
 Formulary Chapter 11: Eye - Full Chapter
Chapter Links...
 Details...
11.08.01  Expand sub section  Tear deficiency, ocular lubricants, and astringents
 note 
  • Prescribe by BRAND where indicated
  • Treatment should be tried for 4-6 weeks before switching
  • Dry eye, with no other symptoms, is a condition suitable for self-management. Advise patient to discuss with a Community Pharmacist.
  • Only consider preservative free preparations where allergy is present, soft contact lens wearer, or more than 4-6 applications per day are required.
  • Preservative free preparations are more expensive than equivalent preservative containing alternatives.
Hypromellose
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice
OTC

  • Can be purchased from a Community Pharmacist. Recommend self-care where patient is willing and able

  • Trusts: Restricted to ophthalmologists, for dry eye syndrome (Brands may vary to those used in Primary Care due to contract prices)

  • 1st line formulary choice in Primary Care. Preferred brands are:


    • Hypromellose 0.5% [Prescribe generically] (excipients depend on manufacturer, check with pharmacist) Expires 28 days after opening.



    • Where a preservative free formulation is required (in-line with Primary Care guidance) Evolve® Hypromellose [Hypromellose 0.3%] Expires 90 days after opening.



 
Polyvinyl Alcohol
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice
OTC

  • Can be purchased from a Community Pharmacist. Recommend self-care where patient is willing and able

  • Trusts: Restricted to ophthalmologists, for dry eye syndrome (Brands may vary to those used in Primary Care due to contract prices)

  • 1st line formulary choice in Primary Care. Preferred brands are:


    • Sno Tears® [Polyvinyl alcohol drops 1.4%] (contains benzalkonium) Lasts 28 days from opening.



    • Where a preservative free formulation is required (in-line with Primary Care guidance) Refresh® Ophthalmic 1.4% eye drops [Polyvinyl alcohol drops 1.4%] 0.4mL Unit Dose Vials Discard each single dose vial after use.




 
Carbomers
View adult BNF View SPC online View childrens BNF  Track Changes
Second Choice
OTC

 

    • Can be purchased from a Community Pharmacist. Recommend self-care where patient is willing and able

 

    • Trusts: Restricted to ophthalmologists, for dry eye syndrome (Brands may vary to those used in Primary Care due to contract prices)

 

    • 2nd line formulary choice in Primary Care. Preferred brands are:

        • Clinitas® Carbomer 0.2% eye gel (contains cetrimide). Expires 28 days after opening

        • Viscotears® 2mg/g liquid gel (contains cetrimide). Expires 28 days after opening

        • Where a preservative free formulation is required (in-line with Primary Care guidance) Viscotears® 0.6ml Unit Dose Vials. Discard each single dose vial after use




 

 
   
Carmellose
View adult BNF View SPC online View childrens BNF  Track Changes
Third Choice
OTC

  • Can be purchased from a Community Pharmacist. Recommend self-care where patient is willing and able

  • Trusts: Restricted to ophthalmologists, for dry eye syndrome (Brands may vary to those used in Primary Care due to contract prices)

  • 3rd line formulary choice in Primary Care. Preferred brands are:

    • Optho-Lique 0.5% eye drops® (contains oxychloro complex, preservative which dissolves upon administration)Expires 28 days from opening

    • Cellusan Light 0.5% eye drops preservative free® Expires 90 days from opening OR Cellusan 1% eye drops preservative free® Expires 90 days from opening.




 


 

 
   
Sodium Hyaluronate
View adult BNF View SPC online View childrens BNF  Track Changes
Third Choice
OTC

  • Can be purchased from a Community Pharmacist. Recommend self-care where patient is willing and able

  • Trusts: Non-formulary

  • 3rd line formulary choice in Primary Care. Preferred brands are:

    • Blink Intensive Tears 0.2% eye drops ® [Sodium Hyaluronate] (PEG 400 and OcuPure preservative) Expires 45 days from opening

    • Hylo®- Tear [Sodium Hyaluronate 0.1%] (contains 300 drops). Expires 6 months from opening.



 
   
Liquid Paraffin eye ointment
View adult BNF View childrens BNF  Track Changes
Formulary
OTC

 

  • Can be purchased from a Community Pharmacist. Recommend self-care where patient is willing and able.
  • For use at night in addition to day time treatment.
  • Preferred brands in Primary Care are:
    • Xailin Night® preservative free ointment [Carbomer 0.2%] (Contains perborate which dissolves upon administration) Expires 28 days from opening.
    • Hylo Night preservative free ointment formerly Vita-POS® preservative free ointment (retinol palmitate 250 units/g, white soft paraffin, light liquid paraffin, liquid paraffin, wool fat) Expires 6 months from opening.

  • Trusts: Restricted to ophthalmologists, for dry eye syndrome (Brands may vary to those used in Primary Care due to contract prices).
 
   
Acetylcysteine 5% with Hypromellose 0.35% (Ilube)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Advice

  • Eye drops

 
   
Hydroxyethylcellulose (Minims Artificial Tears)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Advice

  • Preservative free eye drops

 
   
Sodium Chloride
 Track Changes
Formulary
Advice

 




    • Minims® Saline Eye drops 0.9% preservative free 0.5mL. Balanced Salt Solution PF Drops® Sodium Chloride 5% 10mL



 

 
   
 ....
 Non Formulary Items
Macrogols
(Polyethylene glycols)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Grey

  • Systane®

  • Systane® Balance

  • Systane® Gel Drops

  • Systane® Ultra

 
Paraffin Yellow Soft

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Switch
  • Simple eye ointment, current August 2020 Drug Tariff cost £55.14 for 4 grams.
  • Where an ocular lubricant is required for dry eyes, please consider alternative formulary options:
    • Xailin Night® preservative free ointment £2.54 for 5 grams (28 days’ supply). Expires 28 days from opening OR
    • Hylo Night® (formerly Vita POS®) preservative free ointment £2.75
      for 5 grams (28 days’ supply). Expires 6 months from  
      opening.

 

 
Sodium Hyaluronate

Track Changes
Non Formulary
Grey

•Artelac Rebalance®
•Hyabak®
•Hylo-Care®
•Hylo-Forte®
•Lumecare®
•Optive® Fusion
•Oxyal®
•Vismed® Gel Multi
•Vismed® Multi
•Xailin HA®

Single use
•Artelac® Splash
•Clinitas®
•Hyabak® UD
•Lubristil®
•Lubristil® Gel
•Ocusan®
•Vismed®
•Vismed® Gel

 
Soybean Oil unit dose eye drops  (Emustil)

View adult BNF View SPC online View childrens BNF Track Changes
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
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

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).  

netFormulary