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 Formulary Chapter 11: Eye - Full Chapter
11.08.01  Expand sub section  Tear deficiency, ocular lubricants, and astringents
Hypromellose eye drops
(Ophthalmic)
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Formulary

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

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

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

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

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

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

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

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

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

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

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

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

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

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

 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

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

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

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

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

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.
 
   
 ....
 Non Formulary Items
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)

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Non Formulary
Link  NCL JFC: Prescribing Guidelines for Ocular Lubricants
 
Hydroxyethylcellulose 0.44% eye drops  (Minims Artificial Tears)
(Ophthalmic)

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

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Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
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

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.

  

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