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 Formulary Chapter 11: Eye - Full Chapter
11.08.01  Expand sub section  Tear deficiency, ocular lubricants, and astringents
Acetylcysteine 5% + Hypromellose 0.35% eye drops (Ilube)
(Ophthalmic)
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Nil
  • RFL approvals:
    • Nil
  • RNOH approvals
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Nil
 
   
Carbomers eye gel (Viscotears, GelTears and others)
(Ophthalmic)
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Nil
  • RFL approvals:
    • Nil
  • RNOH approval
    • Nil
  • UCLH approvals:
  • WH approvals:
    • Nil
 
   
Carmellose eye drops - single use
(Ophthalmic)
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Not applicable
  • RFL approvals:
    • Nil
  • RNOH approvals
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Restricted to Ophthalmology
 
   
Hypromellose 0.3% + Dextran 70 0.1% eye drops (Tears naturale)
(Ophthalmic)
View adult BNF View SPC online View childrens BNF
Formulary
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Secondary care notes

  • NMUH approvals:
    • Not Applicable
  • RFL approvals:
    • Not applicable
  • RNOH approvals:
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Nil
 
   
Hypromellose eye drops
(Ophthalmic)
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Formulary
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Secondary care notes

  • NMUH approvals:
    • 0.3% and 1%
  • RFL approvals:
    • 0.3% only
  • RNOH approvals
    • 0.3%
  • UCLH approvals:
  • WH approvals:
    • 0.3%
 
   
Hypromellose eye drops - unit dose
(Ophthalmic)
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Restricted Drug Restricted
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Secondary care notes

  • NMUH approvals:
    • Not applicable
  • RFL approvals:
    • Not applicable
  • RNOH approvals:
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Restricted to ophthalmology
 
   
Liquid Paraffin and Liquid Paraffin light eye drops (Lacrilube)
(Ophthalmic)
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Nil
  • RFL approvals:
    • Not applicable
  • RNOH approvals
    • Nil
  • UCLH approvals:
  • WH approvals:
    • Nil
 
   
Paraffin Yellow Soft (Simple eye ointment)
(Ophthalmic)
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Nil
  • RFL approvals:
    • Nil
  • RNOH approvals
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Nil
 
   
Polyvinyl Alcohol drops (Liquifilm Tears, Sno Tears)
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Liquifilm Tears only
  • RFL approvals:
    • Nil
  • RNOH approvals
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Liquifilm Tears only
 
   
Sodium Chloride 0.9% eye drops - unit dose (Minims Saline)
(Ophthalmic)
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Formulary
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 Secondary care notes

  • NMUH approvals:
    • Nil
  • RFL approvals:
    • Nil
  • RNOH approvals:
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Nil
 
   
Sodium chloride 5% eye drops
(Ophthalmic)
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Used for the treatment of corneal oedema and decompensation.
  • RFL approvals:
    • Not applicable
  • RNOH approvals:
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Not applicable
 
   
Sodium Chloride eye drops (Balanced salt solution)
(Ophthalmic)
View childrens BNF
Formulary
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Secondary care notes

  • NMUH approvals:
    • Nil
  • RFL approvals:
    • Nil
  • RNOH approvals:
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Nil
 
   
Sodium Hyaluronate eye drops
(Ophthalmic)
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Lubristil eye drops and Lubistril gel
  • RFL approvals:
    • Not applicable
  • RNOH approvals
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Hylo-Forte, Hylo-Tear on formulary.
    • Follow Moorfields eye hospital formulary. Product with lower acquisition cost is preferred (not brand specific).
 
Link  NCL JFC: Ocular lubricants guideline
   
Acetylcysteine eye drops - preservative free
(Ophthalmic)
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Restricted Drug Restricted
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Secondary care notes

  • NMUH approvals:
    • Not applicable
  • RFL approvals:
    • Not applicable
  • RNOH approvals
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • 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
 
Carmellose eye drops
(Ophthalmic)

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

Secondary care notes

  • NMUH approvals:
    • Not Applicable
  • RFL approvals:
    • Not applicable
  • RNOH approvals:
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Not applicable
 
Liquid Paraffin and Liquid Paraffin light eye drops  (VitA-POS)
(Ophthalmic)

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Polyvinyl Alchohol  (SnoTears)

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

View adult BNF View SPC online View childrens BNF
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.

  

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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