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Joint Formulary
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 Formulary Chapter 11: Eye - Full Chapter
11.01  Administration of drugs to the eye
11.02  Control of microbial contamination
11.03  Anti-infective eye preparations
11.03.01  Antibacterials
Amikacin 0.4mg/0.1mL intravitreal pack
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for bacterial endophthalmitis (Ophthalmologist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Intravitreal use - this is an unlicensed special and restricted to Ophthalmology.
 
Amikacin 1.5% eye drops
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Restricted to ophthalmology
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to ophthalmology
 
Amikacin 2.5% eye drops
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for bacterial and mycobacterial keratitis (Ophthalmologist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Azithromycin 15 mg/g (1.5%) single-use eye drops
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for
      • Ocular chlamydia infections (Ophthalmologist use only)
      • Blepharitis (Ophthalmologist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary                                  
 
Cefuroxime intracameral injection
(Aprokam)
(Ophthalmic)
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Formulary
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Approved for prophylaxis post-cataract surgery (June 2013)

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for prophylaxis in ocular surgery (Ophthalmologist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Chloramphenicol 0.5% eye drops - Single use drops
(Ophthalmic)
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Formulary
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 Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Chloramphenicol 0.5% eye drops, 1% eye ointment
(Ophthalmic)
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Formulary
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 Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • Eye drops 0.5% preservative free 10mL (Moorfields special) also available
 
Chlorhexidine 0.02% eye drops
(Ophthalmic)
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Restricted Drug Restricted
GP - Red
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for
      • Acanthamoeba keratitis (Ophthalmologist use only)
      • Antiseptic in povidone-iodine allergy (Ophthalmologist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Dibromopropamidine 0.15% eye ointment
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for acanthamoeba keratitis (Ophthalmologist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Fusidic Acid 1% gel
(Ophthalmic)
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for Staph aureus eye infections
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to Paediatrics and Ophthalmology out-patients
 
Gentamicin 0.3% drops (Ophthalmic)
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NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for bacterial keratitis (with preservative & preservative-free)
    • Renal use - see PD antibiotic policies
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Hexamidine 0.1% eye drops
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for acanthamoeba keratitis (Ophthalmologist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Levofloxacin 5mg/ml (0.5%) eye drops - preservative free
(Ophthalmic)
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  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for
      • Bacterial conjunctivitis
      • Keratitis
      • Post-intravitreal injections
      • Corneal abrasions
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
Moxifloxacin 0.1% intravitreal pack
(Ophthalmic)
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Formulary
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 Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for endophthalmitis (Ophthalmologist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Moxifloxacin 0.5% eye drops
(Ophthalmic)
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Provider notes

  • NMUH:
    • To be prescribed by Ophthalmology ONLY for corneal ulcer associated with bacterial keratitis
  • RFL:
    • Approved for
      • Bacterial conjunctivitis
      • Keratitis
      • Ocular surgery
      • Post-intravitreal injections
      • Corneal abrasions
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Ofloxacin 0.3% eye drops
(Ophthalmic)
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 Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Restricted to Ophthalmologists ONLY for bacterial eye infections
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to Ophthalmologists
 
Polihexanide 0.02% eye drops
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for acanthamoeba keratitis (Ophthalmologist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Povidone iodine 5% eye drops - unit dose
(Ophthalmic)
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for antiseptic prior to surgical procedures
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted
 
Propamidine 0.1% eye drops
(Brolene)
(Ophthalmic)
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Formulary
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  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for acanthamoeba keratitis (Ophthalmologist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
Ciprofloxacin 0.3% eye drops/ointment
(Ophthalmic)
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 Provider notes

  • NMUH:
    • Restricted to Ophthalmology department use ONLY.
  • RFL:
    • Restricted to Opthalmology
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Ceftazidime 5% eye drops
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for Bacterial keratitis/ulcers (Ophthalmologist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to ophthalmology
 
Cefuroxime 5% eye drops
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for Bacterial keratitis/ulcers (Ophthalmologist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to ophthalmology
 
Erythromycin 0.5% eye ointment
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for
      • Chlamydial conjunctivits & trachomatis
      • Chlamydial rosacea
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • This is unlicensed special and restricted to Ophthalmology
 
Gentamicin Forte 1.5% eye drops
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for bacterial keratitis (Ophthalmologist use only; with preservative & preservative-free)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Gentamicin Forte 1.5 % Eye Drops 10 ml Bottle and Gentamicin Forte WITHOUT PRESERVATIVE available 
    • These are unlicensed specials and restricted to Ophthalmology.
 
Povidone iodine 5% ophthalmic solution
(Ophthalmic)
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Unlicensed Drug Unlicensed
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Provider notes

  • NMUH:
    • For sterilisation of the eye and occular area in preparation for surgery. Povidone-Iodine 5% Eye Drops, available from ‘special-order’ manufacturers or specialist importing companies
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Vancomycin 2mg/0.1mL intravitreal injection
(Ophthalmic)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Restricted for bacterial endophthalmitis (Ophthalmologist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Vancomycin 5% eye drops
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for
      • Bacterial keratitis (Ophthalmologist use only)
      • Gram-positive infections (Ophthalmologist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • This is an unlicensed special and restricted to Ophthalmology
 
11.03.02  Antifungals to top
Amphotericin 5mcg/0.1ml intravitreal injection
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for fungal endophthalmitis
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
Clotrimazole 1% eye drops
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for fungal infections
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Econazole 1% eye drops
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • This is an unlicensed special and restricted to Ophthalmology
 
Miconazole 1% eye drops
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for
      • Candida fungal infections
      • Keratitis
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Voriconazole 1% eye drops
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for fungal infections
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Amphotericin 0.15% eye drops
(Ophthalmic)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for
      • Candida fungal infections (Ophthalmologist use only)
      • Keratitis (Ophthalmologist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to ophthalmology
 
Chlorhexidine 0.2% eye drops
(Ophthalmic)
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for fungal keratitis (Ophthalmologist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Natamcyin 5% ophthalmic suspension
(Natacyn)
(Fungal keratitis)
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Unlicensed Drug Unlicensed
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Approved for fungal keratitis (JFC May 2013)

 
11.03.03  Antivirals
Aciclovir 3% eye ointment
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for herpes simplex keratitis & conjunctivitis (1st line)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Ganciclovir 0.15% ophthalmic gel
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Formulary
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  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for herpes simplex keratitis (2nd line, after aciclovir)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Trifluorothymidine 1% eye drops
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for
      • Herpes simplex keratitis & conjunctivitis
      • Stromal herpes keratitis 
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
Ganciclovir 4mg/0.08mL intravitreal injection
(Ophthalmic)
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 Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for CMV retinitis (Ophthalmologist use only; prepared in Pharmacy CIVAS)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • This is an unlicensed special and restricted to Ophthalmology
 
11.04  Corticosteroids and other anti-inflammatory preparations
11.04.01  Corticosteroids
Betamethasone sodium phosphate 0.1% + Neomycin 0.5% drops
(Ophthalmic)
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NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to Ophthalmology
 
Betamethasone sodium phosphate 0.1% drops/ointment
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Dexamethasone + Framycetin + Gramicidin drops
(Sofradex)
(Ophthalmic)
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Formulary
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NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Dexamethasone + Neomycin + Polymyxin B drops/ointment
(Maxitrol)
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Dexamethasone 0.1% eye drops
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Dexamethasone 0.1% eye drops - preservative free
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated (single-use drops & preservative-free bottles)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Dexamethasone eye drops 0.1% preservative-free (Moorfields)
 
Dexamethasone intravitreal implant
(Ozurdex)
(Ophthalmic)
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Restricted Drug Restricted
GP - Red
High Cost Medicine
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See NICE TA for eligibility criteria

Provider notes

  • NMUH:
    • This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines. 
    • To be prescribed by Consultant Ophthalmologists ONLY for the treatment of Macular Oedema Secondary to Retinal Vein Occlusion as per NICE guidance.
    • See links below
  • RFL:
    • Approved for macular oedema following RVO in line with NICE TA (Ophthalmologist use only) 
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NCL JFC: Branch Retinal Vein Occlusion (BRVO) Pathway
Link  NCL JFC: Central Retinal Vein Occlusion (CRVO) Pathway
Link  NICE TA229: Dexamethasone intravitreal implant for the treatment of macular oedema secondary to retinal vein occlusion
Link  NICE TA349: Dexamethasone intravitreal implant for treating diabetic macular oedema
Link  NICE TA460: Adalimumab and dexamethasone for treating non-infectious uveitis
Fluocinolone acetonide intravitreal implant
(Iluvien)
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Restricted Drug Restricted
GP - Red
High Cost Medicine
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See NICE TA for eligibility criteria

Provider notes

  • NMUH:
    • This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines. 
    • To be prescribed by Consultant Ophthalmologists ONLY for the treatment of Macular Oedema Secondary to Retinal Vein Occlusion as per NICE guidance.
    • See links below
  • RFL:
    • Approved for diabetic macular oedema in line with NICE TA (Ophthalmologist use only) 
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • For Diabetic macular oedema after an inadequate response to prior therapy (Nov 2013 TA301)
 
Link  NCL JFC: Diabetic Macular Oedema (DMO)
Link  NICE TA301: Fluocinolone acetonide intravitreal implant for treating chronic diabetic macular oedema after an inadequate response to prior therapy
Link  NICE TA590: Fluocinolone acetonide intravitreal implant for treating recurrent non-infectious uveitis
Link  NICE TA613: Fluocinolone acetonide intravitreal implant for treating chronic diabetic macular oedema in phakic eyes after an inadequate response to previous therapy
Fluorometholone 0.1% eye drops
(FML)
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • For mild inflammation
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Hydrocortisone sodium phosphate 3.35 mg/ml drops
(Softacort)
(Ophthalmic)
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Restricted Drug Restricted
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Approved for mild non-infectious allergic or inflammatory ocular surface diseases (JFC September 2019)

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • As above
 
Loteprednol 0.5% eye drops
(Ophthalmic)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Restricted to steroid-responder patients requiring topical steroids (2nd line)
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
Prednisolone eye drops (various strengths)
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated (0.5% and 1% available)
  • RFL:
    • No restriction stated (0.3% and 1% available)
  • RNOH:
    • No restriction stated (0.5% and 1% available)
  • UCLH:
  • WH:
    • No restriction stated (0.5% and 1% available as licensed products; 0.3% and 0.03% available as unlicensed specials)
 
Prednisolone eye drops (various strengths) - preservative free
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated (0.5%)
  • RFL:
    • No restriction stated (0.1% bottles, 0.3% bottles, 0.5% single-use)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated (0.5% available as licensed products; 0.1%, 0.3%, 0.03% 10mL bottles available as unlicensed specials)
 
Rimexolone 1% eye drops
(Ophthalmic)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for hypertensive uveitis 
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
Triamcinolone acetonide 40mg/1mL injection
(Kenalog)
(Ophthalmic)
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Unlicensed Drug Unlicensed
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Provider notes

  • NMUH:
    • Use of Triamcinolone (Kenalog®) injection intravitreally is unlicensed
    • See link below
  • RFL:
    • Approved for
      • Uveitic Macular oedema
      • Diabetic macular oedema
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Link  NCL JFC: Diabetic Macular Oedema (DMO)
11.04.02  Other anti-inflammatory preparations
Antazoline 0.5% with Xylometazoline 0.05%
(Otrivine-Antistin)
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Allergic conjunctivitis
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Azelastine 0.5 mg/ml eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Restricted to allergy clinic only
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
Ketotifen 250mcg/mL eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Non-formulary
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • Non-formulary
 
Ketotifen 250mcg/mL eye drops - preservative free
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Approved for seasonal allergic conjunctivitis who have an allergy to preservatives within either sodium cromoglicate or olopatadine (JFC July 2019)

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • As above
 
Lodoxamide 0.1% eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for allergic conjunctivitis
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to Ophthalmology
 
Nedocromil 2% eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for
      • Allergic conjunctivitis
      • Vernal keratoconjunctivitis
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Olopatadine 1mg/mL eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for seasonal allergic conjunctivitis (2nd line to sodium cromoglycate 2%)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Sodium cromoglicate 2% eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for seasonal allergic conjunctivitis (1st line)
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Sodium cromoglicate 2% eye drops - preservative free
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for seasonal allergic conjunctivitis 
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to Ophthalmology
 
11.05  Mydriatics and cycloplegics to top
11.05  Antimuscarinics
Atropine + Adrenaline + Procaine 0.3mL subconjunctival injection
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for rapid dilatation of pupil (atropine 0.5mg with adrenaline 1 in 1,000 0.06mL with procaine 3mg; atropine 1mg with adrenaline 1 in 1,000 0.12mL with procaine 6mg)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Atropine eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for mydriasis and cycloplegia (1% only)
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • Eye-drops 0.5% not available
 
Atropine eye drops - preservative free
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • No restriction stated (single-use drops)
  • RFL:
    • Approved for mydriasis and cycloplegia (single-use drops + bottle)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated (single-use drops)
 
Cyclopentolate eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for mydriasis and cycloplegia (0.5% & 1%)
  • RNOH:
  • UCLH:
  • WH:
    • No restriction stated
 
Cyclopentolate eye drops - preservative free
View adult BNF View SPC online View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • No restriction stated (single-use drops)
  • RFL:
    • Mydriasis and cycloplegia (0.5% + 1% single-use drops & 1% bottles)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated (single-use drops)
 
Homatropine 1% eye drops
View adult BNF View SPC online View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for mydriasis and cycloplegia
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Tropicamide eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for mydriasis and cycloplegia (1%)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Tropicamide eye drops - single use
View adult BNF View SPC online View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for mydriasis and cycloplegia (0.5% & 1%)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Homatropine 1% eye drops - preservative free
View adult BNF View SPC online View childrens BNF
Unlicensed Drug Unlicensed
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for mydriasis and cycloplegia
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Preservative free Eye-drops Eye-drops 1% (Moorfields’ special)
 
11.05  Sympathomimetics
Phenylephrine eye drops - single use
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Mydriasis for diagnostic and surgical procedures (2.5% & 10% single-use)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
11.06  Treatment of glaucoma
11.06  Beta-blockers
Betaxolol 0.25% & 0.5% eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • See link below
    • Check MHRA Drug Safety Update
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension (0.25% only)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated (0.5% only)
 
Link  NCL JFC: Glaucoma Prescribing Guideline
Betaxolol 0.25% eye drops - preservative free
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Link  NCL JFC: Glaucoma Prescribing Guideline
Levobunolol 0.5% eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • See link below
    • Check MHRA Drug Safety Update
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Levobunolol 0.5% eye drops - unit dose
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • See link below
    • Check MHRA Drug Safety Update
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to Ophthalmology
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Timolol 0.1% gel (once daily) - preservative free
(Tiopex)
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Restricted to patients with true preservative allergy and/or evidence of epithelial toxicity from preservatives and/or severe dry eyes. See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Timolol eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • See link below
  • RFL:
    • Approved for
      • Open-angle glaucoma and ocular hypertension (0.25% only)
      • Topical use for haemangiomas in paediatrics (dermatology)
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Timolol eye drops - preservative free
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • See link below
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension (bottles)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to Ophthalmology
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Timolol gel (once-daily)
(Timoptol-LA)
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • See link below (0.5% only)
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension (0.25% & 0.5%)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
11.06  Prostaglandin analogues to top
Latanoprost 0.005% eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • For ophthalmologists only
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Travoprost 0.004% eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • See link below
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension (1st line).
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Not to be used as first-line treatment - see link below
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Bimatoprost 0.01% eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • See link below
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Bimatoprost 0.03% + Timolol 0.5% eye drops
(Ganfort)
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Combination therapies to be used when compliance / cost issues arise. See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • See link below
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Bimatoprost 0.03% + Timolol 0.5% eye drops - preservative free
(Ganfort)
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Restricted to patients with true preservative allergy and/or evidence of epithelial toxicity from preservatives and/or severe dry eyes. See NCL guideline for place in therapy.

Combination therapies to be used when compliance/cost issues arise. See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Bimatoprost 0.03% eye drops- single use
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • Restricted to patients with true preservative allergy and/or evidence of epithelial toxicity from preservatives and/or severe dry eyes
    • See link below
  • RFL:
    • Approved for open angle glaucoma and ocular hypertension
  • RNOH:
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Latanoprost 0.005% + Timolol 0.5%
(Xalacom)
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Combination therapies to be used when compliance / cost issues arise. See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • Combination therapies to be used when compliance / cost issues arise
    • See link below
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Latanoprost 0.005% eye drops - preservative free
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Restricted to patients with true preservative allergy and/or evidence of epithelial toxicity from preservatives and/or severe dry eyes

Provider notes

  • NMUH:
    • Restricted to patients with true preservative allergy and/or evidence of epithelial toxicity from preservatives and/or severe dry eyes
    • See link below
  • RFL:
    • Restricted to second-line use only
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Travoprost 0.004% + Timolol 0.5% eye drops
(DuoTrav)
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Combination therapies to be used when compliance / cost issues arise. See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • Combination therapies to be used when compliance / cost issues arise
    • See link below
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension (2nd line to travoprost eye drops)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
11.06  Sympathomimetics
Brimonidine 0.2% + Timolol 0.5% eye drops
(Combigan)
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Combination therapies to be used when compliance / cost issues arise. See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • See link below
  • RFL:
    • Approved for open angle glaucoma and ocular hypertension
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • See link below
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Brimonidine 0.2% eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • See link below
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension (3rd line; after travoprost and travoprost+timolol or brinzolamide)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Not to be used for first-line treatment - see link below
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
11.06  Carbonic anhydrase inhibitors and systemic drugs
Acetazolamide
(Ophthalmology)
View adult BNF View SPC online View childrens BNF
Formulary
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NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

Adjunctive therapy for Open Angle Glaucoma And Ocular Hypertension

Provider notes

  • NMUH:
    • See link below
    • Immedidate release and modified release formulations are both available
  • RFL:
    • Immediate release only
  • RNOH: 
    • Immediate release only
  • UCLH:
  • WH:
    • As per NCL glaucoma guideline
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Brinzolamide 0.1% eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • See link below
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension (2nd line; after travoprost)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Use in line with NCL guideline below
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Brinzolamide 1% + Timolol 0.5% eye drops
(Azarga)
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Combination therapies to be used when compliance / cost issues arise. See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • See link below
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Dorzolamide 2% + Timolol 0.5% eye drops
(Cosopt)
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Combination therapies to be used when compliance / cost issues arise. See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • See link below
  • RFL:
    • Approved for ppen-angle glaucoma and ocular hypertension
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Dorzolamide 2% + Timolol 0.5% eye drops - unit dose
(Cosopt)
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Restricted to patients with true preservative allergy and/or evidence of epithelial toxicity from preservatives and/or severe dry eyes. Combination therapies to be used when compliance / cost issues arise. See NCL guideline for place in therapy. See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to Ophthalmology 
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Dorzolamide 2% eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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See NCL guideline for place in therapy.

Provider notes

  • NMUH:
    • See link below
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Not to be used as first-line treatment - see link below
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
Dorzolamide 2% eye drops - unit dose
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Restricted to patients with true preservative allergy and/or evidence of epithelial toxicity from preservatives and/or severe dry eyes. See NCL guideline for place in therapy.

Provider notes

  • NMUH:
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Link  NCL JFC: Glaucoma Prescribing Guidelines
11.06  Miotics
Pilocarpine eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • See link below
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension
    • 0.5%, 2% & 4% available
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Eye-drops 1%, 2%, 4%, 10 mL ONLY
 
Link  NCL JFC: Glaucoma Prescribing Guideline
Pilocarpine eye drops - preservative free
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Restricted to use as adjunct or monotherapy, where previous treatments have proven unsuccessful
    • Restricted to patients with true preservative allergy and/or evidence of epithelial toxicity from preservatives and/or severe dry eyes
    • See link below
  • RFL:
    • Approved for open-angle glaucoma and ocular hypertension
    • 2% & 4% preservative-free bottles available
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • Restricted to Ophthalmology
 
Link  NCL JFC: Glaucoma Prescribing Guideline
11.07  Local anaesthetics
Cocaine 10% eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Ophthalmology surgery only
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Cocaine 4% eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • This is an unlicensed special and restricted to Ophthalmology
    • This is a controlled drug
 
Lidocaine 4% + Fluorescein 0.25% eye drops - unit dose
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • For diagnostic or surgical use only. Not to be given for home use
 
Oxybuprocaine 0.4% eye drops - unit dose
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for surface anaesthesia
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • For diagnostic or surgical use only. Not to be given for home use.
 
Proxymetacaine 0.5% eye drops - unit dose
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Restricted to paediatric ophthalmology only
  • RFL:
    • Approved for surface anaesthesia
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • For diagnostic or surgical use only. Not to be given for home use.
 
Tetracaine eye drops - unit dose
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
11.08  Miscellaneous ophthalmic preparations to top
11.08.01  Tear deficiency, ocular lubricants, and astringents
Hypromellose eye drops
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • 0.3% and 1%
  • RFL:
    • Approved for tear deficiency (0.3%)
  • RNOH:
    • 0.3%
  • UCLH:
  • WH:
    • 0.3%
 
Link  NCL JFC: Prescribing Guidelines for Ocular Lubricants
Hypromellose eye drops - preservative free
(Ophthalmic)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for tear deficiency (bottle)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to ophthalmology (unit-dose drops)
 
Link  NCL JFC: Prescribing Guidelines for Ocular Lubricants
Carmellose eye drops - single use
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for dry eye conditions (1%)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to Ophthalmology
 
Link  NCL JFC: Prescribing Guidelines for Ocular Lubricants
Carbomer 0.2% eye gel
(Viscotears, GelTears and others)
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for dry eyes, unstable tear film
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NCL JFC: Prescribing Guidelines for Ocular Lubricants
Sodium hyaluronate eye drops
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • Lubristil eye drops and Lubistril gel
  • RFL:
    • Lubricate eye surface, recurrent corneal epithelia erosion (HyloTear, HyloForte & Lubristil available)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Hylo-Forte, Hylo-Tear on formulary.
    • Follow Moorfields eye hospital formulary. Product with lower acquisition cost is preferred (not brand specific).
 
Link  NCL JFC: Prescribing Guidelines for Ocular Lubricants
Sodium hyaluronate + Trehalose eye drops - preservative free
(Thealoz Duo)
(Ophthalmic)
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Restricted Drug Restricted
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Approved for severe dry-eye in line with NCL Occular Lubricant Pathway (JFC July 2019)

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • As above
 
Link  NCL JFC: Prescribing Guidelines for Ocular Lubricants
Liquid Paraffin and Liquid Paraffin light eye drops
(Lacrilube)
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for dry eye conditions
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NCL JFC: Prescribing Guidelines for Ocular Lubricants
Paraffin Yellow Soft
(Simple eye ointment)
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for lubricate eye surface, recurrent corneal epithelia erosion
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NCL JFC: Prescribing Guidelines for Ocular Lubricants
Acetylcysteine 5% + Hypromellose 0.35% eye drops
(Ilube)
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Carmellose + Glycerine eye drops
(Optive)
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for dry eye conditions for artificial eyes 
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Hypromellose 0.3% + Dextran 70 0.1% eye drops
(Tears naturale)
(Ophthalmic)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for tear deficiency
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Polyvinyl alchohol drops - preservative free
(Liquifilm Tears, Refresh Ophthalmic)
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for tear deficiency
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Polyvinyl alcohol drops
(Liquifilm Tears, Sno Tears)
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Formulary
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Provider notes

  • NMUH:
    • Liquifilm Tears only
  • RFL:
    • Approved for tear deficiency
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Liquifilm Tears only
 
Sodium chloride 0.9% eye drops
(Ophthalmic)
View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for irrigation, first-aid removal of harmful substances
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Sodium chloride 0.9% eye drops - unit dose
(Ophthalmic)
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Formulary
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 Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Sodium chloride 5% eye drops
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • Used for the treatment of corneal oedema and decompensation.
  • RFL:
    • Approved to reduce corneal oedema
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Sodium chloride 5% eye ointment
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for recurrent corneal erosions
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Sodium hyaluronate + Dexpanthenol eye drops
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Lubricate eye surface, recurrent corneal epithelia erosion (HyloCare)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Link  NCL JFC: Prescribing Guidelines for Ocular Lubricants
Systane lubricant eye drops
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for dry eye conditions for artificial eyes (2nd line)
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
Acetylcysteine eye drops
(Ophthalmic)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for tear deficiency and impaired/abnormal mucus production (restricted to Ophthalmology)
      • With preservative: 5% (1st line), 10% and 20%
      • Preservative-free bottles: 5%
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Acetylcysteine 5% preservative-free drops (10mL) is an unlicensed special and restricted to Ophthalmology.
 
11.08.02  Ocular diagnostic and peri-operative preparations and photodynamic treatment
11.08.02  Ocular diagnostic preparations
Fluorescein eye drops - unit dose
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Approved for diagnostic examinations (2% single-use drops)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • 2% only
 
Fluorescein paper strips 1mg
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Indocyanine green injection ICG
(Ophthalmic)
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Formulary
GP - Red
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for ophthalmic angiography of choroidal vasculature
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
Rose Bengal
(Minims Rose Bengal)
(Ophthalmic)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
11.08.02  Ocular peri-operative drugs
Acetylcholine intra-ocular irrigation
(Miochol-E, Miphtel)
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Apraclonidine eye drops (various strengths)
(Iopidine)
(Ophthalmic)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Apraclonidine 0.5% used short-term to delay laser treatment or surgery in patients with glaucoma not adequately controlled by another drug
    • See link below   
  • RFL:
    • 0.5% approved for
      • Short term reduction of elevated IOP (3rd line)
      • Horner’s syndrome test
    • 1% approved for
      • Post-laser
      • To low lower IOP in certain circumstances
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Apraclonidine 1% preservative-free is restricted to Ophthalmology
 
Link  NCL JFC: Open Angle Glaucoma And Ocular Hypertension Glaucoma Prescribing Guideline
Diclofenac sodium 0.1% eye drops - single use
(Ophthalmic)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for
      • Cataract surgery (Ophthalmologist use only) 
      • Post-op inflammation (Ophthalmologist use only) 
      • Ocular symptoms in allergic conjunctivitis (Ophthalmologist use only) 
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Ketorolac 0.5% eye drops
(Ophthalmic)
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Restricted Drug Restricted
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Approved for:

  • Treatment of inflammation post cataract surgery in patients unable to tolerate topical corticosteroids
  • Prophylaxis of cystoid macular oedema (CMO) in high-risk patients

Provider notes

  • NMUH:
    • Restricted to Consultant Ophthalmologist use only.
  • RFL:
    • Approved for inflammation in anterior segment (Consultant Ophthalmologist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to ophthalmology
 
11.08.02  Subfoveal choroidal neovascularisation to top
Aflibercept intraocular injection
(Eylea)
(Ophthalmology)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
GP - Red
High Cost Medicine
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Provider notes

  • NMUH:
    • This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
    • To be prescribed by Consultant Ophthalmologists ONLY
    • See links below
  • RFL:
    • Approved for (as per NICE TAs):
      • wAMD
      • BRVO
      • CRVO
      • DMO
      • CNV
    • To be prescribed by consultant ophthalmologists only
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NCL JFC: Central Retinal Vein Occlusion (CRVO) Pathway
Link  NCL JFC: Wet Aged-Related Macular Degeneration (wAMD) Pathway
Link  NICE TA294: Aflibercept solution for injection for treating wet age‑related macular degeneration
Link  NICE TA305: Aflibercept for treating visual impairment caused by macular oedema secondary to central retinal vein occlusion
Link  NICE TA346: Aflibercept for treating diabetic macular oedema
Link  NICE TA409: Aflibercept for treating visual impairment caused by macular oedema after branch retinal vein occlusion
Link  NICE TA486: Aflibercept for treating choroidal neovascularisation
Ranibizumab intravitrial injection
(Ophthalmology)
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Restricted Drug Restricted
GP - Red
High Cost Medicine
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Provider notes

  • NMUH:
    • This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
    • To be prescribed by Consultant Ophthalmologists ONLY
    • See links below
  • RFL:
    • Approved for (as per NICE TAs):
      • wAMD
      • BRVO
      • CRVO
      • DMO
    • To be prescribed by consultant ophthalmologists only
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to Opthalmology
 
Link  NCL JFC: Diabetic Macular Oedema (DMO)
Link  NCL JFC: Branch Retinal Vein Occlusion (BRVO)
Link  NCL JFC: Central Retinal Vein Occlusion (CRVO)
Link  NCL JFC: Wet Aged-Related Macular Degeneration (wAMD)
Link  NICE TA155: Ranibizumab and pegaptanib for the treatment of age-related macular degeneration (wAMD)
Link  NICE TA274: Ranibizumab for treating diabetic macular oedema
Link  NICE TA283: Ranibizumab for treating visual impairment caused by macular oedema secondary to retinal vein occlusion
Link  NICE TA298: Ranibizumab for treating choroidal neovascularisation associated with pathological myopia
Verteporfin (Visudyne)
(Ophthalmology)
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Restricted Drug Restricted
GP - Red
High Cost Medicine
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for PDT for wAMD as per NICE TA 
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NICE TA68: Photodynamic therapy for age related macular degeneration
Bevacizumab intravitreal injection
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Unlicensed Drug Unlicensed
GP - Red
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Approved for:

  • Neovascular glaucoma (single-dose intravitreal) as an adjunct to panretinal photocoagulation (January 2017)
  • Pre-operative adjunct to diabetic vitrectomy (MEH only; April 2017)
  • Coats' disease and Familial exudative vitreoretinopathy (FEVR) (November 2015)

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for use in neovascular glaucoma as an adjunct to panretinal photocoagulation
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
11.08.02  Vitreomacular traction
Ocriplasmin intravitreal injection
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Restricted Drug Restricted
High Cost Medicine
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Provider notes

  • NMUH:
    • This medicine has a positive NICE Technology Appraisal but is not listed in the Trust Medicines Formulary as the service is not offered at NMUH.
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NICE TA297: Ocriplasmin for treating vitreomacular traction
11.09  Contact lenses
11.99.99.99  Miscellaneous
11.99.99.99  Antifungals
11.99.99.99  Cytotoxics / wound healing modulators to top
Fluorouracil 10mg in 0.2mL injection
(Ophthalmic)
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Formulary
GP - Red
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for glaucoma surgery, post-trabeculectomy, reduce scarring post-op (specialist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
Mitomycin eye drops
(Ophthalmic)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • 0.02% eye drops
      • Restricted for laser surgery, minimize post-op haze and scar formation (specialist use only)
    • 0.04% eye drops
      • Restricted for conjunctival or corneal squamous cell carcinoma (specialist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
Tretinoin 0.05% eye drops
(Ophthalmic)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for squamous metaplasia and keratinisation of cornea (specialist use only)
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
11.99.99.99  Fibrinolytic drugs
11.99.99.99  Glues - ocular
11.99.99.99  Immunosuppressants
Adalimumab
(Uveitis)
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Restricted Drug Restricted
GP - Red
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NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Link  NICE TA460: Adalimumab and dexamethasone for treating non-infectious uveitis
Ciclosporin 0.1% eye drops
(Ikervis)
(Ophthalmic)
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Restricted Drug Restricted
GP - Amber
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Approved for ocular inflammatory conditions. See NCL fact sheet. 

Provider notes

  • NMUH:
    • This medicine has a positive NICE Technology Appraisal and is listed in the Trust Medicines Formulary when used in line with NICE recommendations and/or Local Trust Guidelines.
    • To be prescribed Consultant Ophthamologist ONLY
    • See links below
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
    • For initiation by corneal specialists only
  • WH:
    • Restricted to ophthalmology
 
Link  NCL JFC Fact sheet: Ciclosporin eye preparation fact sheet
Link  NICE TA369: Ciclosporin for treating eye disease that has not improved despite treatment with artificial tears
Ciclosporin 0.2% eye ointment
(Ophthalmic)
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Restricted Drug Restricted
GP - Amber
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Approved for ocular inflammatory conditions. See NCL fact sheet. 

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for severe allergic eyes disease, severe dry eyes, corneal erosions
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Link  NCL JFC Fact sheet: Ciclosporin eye preparation fact sheet
Ciclosporin 0.06% eye drops
(Ophthalmic)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for severe allergic eyes disease, severe dry eyes, corneal erosions
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Ciclosporin 2% eye drops
(Ophthalmic)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for severe allergic eyes disease, severe dry eyes, corneal erosions
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
11.99.99.99  Treatment of burns
Potassium Ascorbate 10% eye drops - preservative free
(Ascorbic acid)
(Ophthalmology)
View childrens BNF
Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Restricted for Acid and alkali burns to the cornea
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Moorfields’ special
 
Sodium citrate 10.11% eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Restricted for acid and alkali burns to the cornea
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
11.99.99.99  Visco-elastics to top
HPMC 2% in balanced salt solution injection
View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved to protect ocular structures and maintain anterior chamber depth during cataract and intraocular surgery
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Silicone oil 1,300 cps injections
(Ophthalmic)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for intraocular tamponade, VR surgery
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
Sodium hyaluronate intraocular injection
(Ophthalmic)
View childrens BNF
Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for:
      • Surgical procedures on the eye e.g. cataract extraction.
      • Protection of corneal endothelium in anterior or posterior chamber during ocular surgery
    • Available as 10mg in 1mL, 14mg in 1mL and 23mg in 1mL
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
11.99.99.99  Other
Adrenaline eye drop
(Ophthalmic)
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Formulary
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for diagnostic, testing for pupils, and to control bleeding during surgery, or prevent rapid loss of sub-conjunctival injections into systemic circulation (0.01% & 0.1%)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Alteplase 25mcg/0.1ml intravitreal injection
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Restricted for eye procedures
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
Botulinum toxin Type A
(Botox)
(Ophthalmology)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for ophthalmology procedures
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Disodium edetate 0.37% eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for collagenase inhibitor
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
Disodium edetate 0.37% solution
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved as chelating agent, aid to calcified corneal plaque removal  
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
FluorEscein injection
(Ocular dye for fluoroscopic angiography)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Provider notes

  • NMUH:
    • 20% available
  • RFL:
    • Approve for ophthalmic angiography, e.g. examination of fundus and iris vasculature, sclera and episclera (10% & 20% available)
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Glycerol eye drops
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for clearing corneal oedema (50% drops available)
  • RNOH: 
    • Non-formulary
  • UCLH:
  • WH:
    • This is unlicensed and restricted to Ophthalmology
 
Mydricaine
(Ophthalmic)
View childrens BNF
Unlicensed Drug Unlicensed
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Provider notes

  • NMUH:
    • For rapid mydriasis and prevention of synechiae in uveitis.
    • Mydricaine No.1 and No.2 Injection, available from ‘special-order’ manufacturers or specialist importing companies
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • MYDRICAINE NO. 2 This is an unlicensed special and restricted to Ophthalmology.
    • MYDRICAINE NO.1 This is an unlicensed special and restricted to Ophthalmology.
 
 ....
 Non Formulary Items
Amo Complete

View adult BNF View SPC online View childrens BNF
Non Formulary
Benzylpenicillin eye drops
(Ophthalmic)

View adult BNF View SPC online View childrens BNF
Non Formulary
Boston Advance Cleaner

View adult BNF View SPC online View childrens BNF
Non Formulary
Boston Advance Conditioning Solution

View adult BNF View SPC online View childrens BNF
Non Formulary
Brilliant Peel

View adult BNF View SPC online View childrens BNF
Non Formulary
Brinzolamide 1% + Brimonidine 0.2% eye drops
(Simbrinza)
(Ophthalmic)

View adult BNF View SPC online View childrens BNF
Non Formulary

Combination therapies to be used when compliance / cost issues arise. See NCL guideline for place in therapy.

Link  NCL JFC: Glaucoma Prescribing Guidelines
Bromfenac 900micrograms/ml eye drops

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not approved for post-cataract surgery (JFC April 2013)

Not approved for prophylaxis of cystoid macular oedema (CMO) in high-risk patients (JFC April 2013)

Carbomers eye gel - single use
(Viscotears)
(Ophthalmic)

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  NCL JFC: Prescribing Guidelines for Ocular Lubricants
Carmellose eye drops
(Ophthalmic)

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  NCL JFC: Prescribing Guidelines for Ocular Lubricants
Carteolol (Teoptic)

View adult BNF View SPC online View childrens BNF
Non Formulary
Cenegermin 20micrograms/ml eye drops
(recombinant human nerve growth factor)

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  NICE TA532 (not recommended): Cenegermin for treating neurotrophic keratitis
Chlortetracycline eye drops
(Ophthalmic)

View adult BNF View SPC online View childrens BNF
Non Formulary
Ciclosporin 0.1% eye drops
(Verkazia)
(Ophthalmic)

View adult BNF View SPC online View childrens BNF
Non Formulary
GP - Amber

Approved for ocular inflammatory conditions. See NCL fact sheet. 

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
Link  NCL JFC Fact sheet: Ciclosporin eye preparation fact sheet
Cyclopentolate eye spray
(Ophthalmic)

View adult BNF View SPC online View childrens BNF
Unlicensed Drug Unlicensed

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Non-formulary
  • RNOH:
  • UCLH:
  • WH:
    • Non-formulary
Dexamethasone + Tobramycin eye drops
(Tobradex)
(Ophthalmic)

View adult BNF View SPC online View childrens BNF
Non Formulary
Diclofenac Sodium 0.1% eye drops
(Voltarol Ophtha multidose)
(Ophthalmic)

View adult BNF View SPC online View childrens BNF
Non Formulary
Dipivefrine Hydrochloride
(Propine)

View adult BNF View SPC online View childrens BNF
Non Formulary
Emedastine 0.05% eye drops
(Ophthalmic)

View adult BNF View SPC online View childrens BNF
Non Formulary
Epinastine 500mcg/mL eye drops
(Ophthalmic)

View adult BNF View SPC online View childrens BNF
Non Formulary
Flurbiprofen 0.03% eye drops
(Ocufen)

View adult BNF View SPC online View childrens BNF
Non Formulary
Foscarnet intravitreal injection

View adult BNF View SPC online View childrens BNF
Non Formulary
Hydroxyethylcellulose 0.44% eye drops
(Minims Artificial Tears)
(Ophthalmic)

View adult BNF View SPC online View childrens BNF
Non Formulary
Idebenone (Raxone)
(Ophthalmology)

View adult BNF View SPC online View childrens BNF
Non Formulary

NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

Methotrexate
(Uveitis)

View adult BNF View SPC online View childrens BNF
Non Formulary
Metipranolol
(Minims Metipranolol)

View adult BNF View SPC online View childrens BNF
Non Formulary
Neomycin eye drops
(Ophthalmic)

View adult BNF View SPC online View childrens BNF
Non Formulary
Nepafenac eye drops
(Nevanac)
(Ophthalmic)

View adult BNF View SPC online View childrens BNF
Non Formulary
Oxysept 1 Step

View adult BNF View SPC online View childrens BNF
Non Formulary
Pegaptanib Sodium
(Macugen)
(Ophthalmology)

View adult BNF View SPC online View childrens BNF
Non Formulary
GP - Red
High Cost Medicine
Phenylephrine 5.4mg/mL + Tropicamide 280mcg/mL eye drops
(Mydriasert)
(Ophthalmic)

View adult BNF View SPC online View childrens BNF
Non Formulary
Pilocaprine long acting
(Pilogel)

View adult BNF View SPC online View childrens BNF
Non Formulary
Prednisolone 0.5% + Neomycin 0.5%
(Predsol-N)

View adult BNF View SPC online View childrens BNF
Non Formulary
Proxymetacaine 0.5% + Fluorescein 0.25% eye drops - unit dose

View adult BNF View SPC online View childrens BNF
Non Formulary
Saline Solution

View adult BNF View SPC online View childrens BNF
Non Formulary
Sodium Hyaluronate with Lidocaine

View childrens BNF
Non Formulary
Soybean oil eye drops - unit dose
(Emustil)

View adult BNF View SPC online View childrens BNF
Non Formulary
Tafluprost 15mcg/mL + Timolol 5% eye drops
(Taptiqom)

View adult BNF View SPC online View childrens BNF
Non Formulary
Tafluprost 15mcg/mL eye drops - unit dose

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not approved for open angle glaucoma and raised IOP (April 2013)

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
Tissue Adhesive
(Histacryl)

View adult BNF View SPC online View childrens BNF
Non Formulary
Total Care Daily Cleaner

View adult BNF View SPC online View childrens BNF
Non Formulary
Total Care Disinfecting and Wetting Solution

View adult BNF View SPC online View childrens BNF
Non Formulary
Viscoat Viscoelastic

View adult BNF View SPC online View childrens BNF
Non Formulary
Voretigene neparvovec subretinal injection

View adult BNF View SPC online View childrens BNF
Non Formulary

See NICE HST for eligibility criteria

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
Link  NICE HST11: Voretigene neparvovec for treating inherited retinal dystrophies caused by RPE65 gene mutations
  
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
Homecare
Homecare

Traffic Light Status Information

Status Description

GP - 1st

Medicines suitable for first-line use within primary care.

Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.

  

GP - 2nd

Medicines suitable for second-line use within primary care.

Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.

  

GP - Amber

Medicines that should be initiated by a specialist. Prescribing can be transferred to primary care once the patient has been stabilised.

Shared care: For drugs with regular, ongoing need for monitoring and/or assessment of efficacy or toxicity. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the North Central London JFC.

Fact sheet: For drugs with some concerns surrounding safety or efficacy but do not require regular monitoring and/or monitoring of effectiveness/toxicity.

  

GP - Red

Medicines which should normally be prescribed by specialists only (hospital only).

For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care.

See link for the complete NCL Red List https://www.ncl-mon.nhs.uk/wp-content/uploads/2017/08/ncl_red_list.pdf

  

GP - Grey

Medicines on hospital formularies which have not been reviewed for suitability in primary care.  

Black

Medicines not recommended for routine use in primary or secondary care.

Medicines, which the North Central London JFC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data.

  

netFormulary