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Sunderland Joint Formulary
NHS Sunderland Clinical Commissioning Group
South Tyneside and Sunderland NHS Foundation Trust
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 Formulary Chapter 11: Eye - Full Chapter
11.08  Expand sub section  Miscellaneous ophthalmic preparations
11.08.01  Expand sub section  Tear deficiency, ocular lubricants, and astringents
Acetylcysteine
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Green +

Eye drops: acetylcysteine 5%, hypromellose 0.35% (Ilube®)
unlicensed unlicensed Eye drops (preservative-free): 5%,

 
   
Carbomer 980
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Eye drops (liquid gel): 0.2%
Also available as single dose units (preservative-free)

 
   
Carmellose
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Eye drops: 0.5%,
Single dose units (preservative-free): 0.5%, 1% (Celluvisc®)

 
   
Hylo Night Ointment
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Eye ointment (containing retinol palmitate (vitamin A) 250iu/g, white soft paraffin, light liquid paraffin, liquid paraffin and wool fat)

 

N.B. This product was previously branded 'VitA-POS'

 
   
Hypromellose
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Eye drops: 0.3%, 0.5%, 1%
Eye drops (preservative-free): 0.3%
unlicensed unlicensed Eye drops (preservative-free): 0.5%, 1%, 2%

 
   
Liquid Paraffin
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Eye ointment:  white soft paraffin 57.3%, liquid paraffin 42.5%, wool alcohols 0.2%. (Lacri-Lube®)

 
   
Paraffin Yellow Soft
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Ointment: liquid paraffin 10%, wool fat 10% in yellow soft paraffin (Simple Eye Ointment)

 
   
Povidone
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unlicensed unlicensed Single dose units (preservative-free): 5%

 
   
Sodium Hyaluronate
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Eye drops (preservative-free): 0.1% (Hylo-Tear®)
Eye drops (preservative-free): 0.2% (Hylo-Forte®)


Brands in primary care may vary

 
   
Systane (Contains hydroxypropyl guar, polyethylene glycol 400, propylene glycol (and other ingredients)
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Eye drops: 10ml Multidose bottles
Eye drops: 0.8ml Preservative free vials

 
   
Polyvinyl Alcohol
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Eye drops: 1.4% (Liquifilm Tears® and Sno Tears®)

 
   
11.08.02  Expand sub section  Ocular diagnostic and peri-operative preparations and photodynamic treatment
11.08.02  Expand sub section  Ocular diagnostic preparations
Fluorescein Sodium
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Red

Minims® (preservative free): 1%, 2%

 
   
11.08.02  Expand sub section  Ocular peri-operative drugs to top
Apraclonidine
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Red

Eye drops: 0.5%
Unit dose eye drops: 1%

 
   
Diclofenac
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Red

Eye drops: 0.1%
Unit dose eye drops (preservative-free): 0.1%

 
   
Ketorolac
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Red

Eye drops: 0.5%

 
   
Nepafenac
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Red

Eye drops: 1 mg/1 mL

 
   
11.08.02  Expand sub section  Subfoveal choroidal neovascularisation
 note 

*Avastin is available as a treatment option for wet AMD in situations where ophthalmologists feel, in discussion with their patients, that the licensed options are unsuitable. See chapter 8 for product details.

Aflibercept
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Red
High Cost Medicine

Intravitreal injection: 4 mg/ 0.1mL (dose 2mg/0.05ml)

 
Link  NICE TA 409: Aflibercept for treating visual impairment caused by macular oedema after branch retinal vein occlusion
Link  NICE TA 486: Aflibercept for treating choroidal neovascularisation
Link  NICE TA294: Macular degeneration (wet age-related) - aflibercept
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
   
Brolucuzumab
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Red
High Cost Medicine

Intravitreal injection: 120mg/1mL (dose 6mg/0.05ml)

 
Link  NICE TA 672: Brolucizumab for treating wet age-related macular degeneration
   
Ranibizumab
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Red
High Cost Medicine

Intravitreal injection: 10mg in 1ml as a 0.23ml vial (dose 0.5mg/0.05ml)

 
Link  NICE TA274: Macular oedema (diabetic) - ranibizumab
Link  NICE TA283: Macular oedema (retinal vein occlusion) - ranibizumab: guidance
Link  NICE TA298: Choroidal neovascularisation (pathological myopia) - ranibizumab
   
Verteporfin
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Red
High Cost Medicine

Injection: 15 mg

 
   
11.08.02  Expand sub section  Vitreomacular traction
Ocriplasmin
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Red
High Cost Medicine

Concentration for solution for intravitreal injection: 2.5mg/ml

 
Link  NICE TA297: Ocriplasmin for treating vitreomacular traction
   
 ....
 Non Formulary Items
Acetylcholine Chloride  (Miochol-E)

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Non Formulary
 
Acetylcysteine

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Non Formulary
 
Brilliant Peel

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Non Formulary
 
Bromfenac  (Yellox)

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Non Formulary
 
Flurbiprofen Sodium  (Ocufen®)

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Non Formulary
 
Hydroxyethylcellulose  (Minims Artificial Tears)

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Non Formulary
 
Idebenone  (Raxone)

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Non Formulary
 
Indocyanine green

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Non Formulary
 
Pegaptanib Sodium  (Macugen)

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Non Formulary
High Cost Medicine
Link  NICE TA155: guidance on pegaptanib in AMD (August 2008)
 
Rose Bengal  (Minims® Rose Bengal)

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Non Formulary
 
Soybean oil unit dose eye drops  (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
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Link to SPCs
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Red

Drugs for hospital use or use by a specialist within specialist centre only. Initiation and monitoring of treatment should remain under the total responsibility of the appropriate hospital clinician or specialist. These drugs should only be prescribed under the direct supervision of that clinician or specialist and are not suitable for shared care arrangements. The drug should be supplied via the hospital or specialist centre for the duration of treatment.   

Amber

These are specialist drugs which must be initiated by secondary care specialist prescribers, but with the potential to transfer prescribing to primary care within written and agreed shared care protocols and according to the agreed process for transfer of care. For these drugs, in order to ensure patient safety, some aspects of care must remain with the specialist due to their complexity e.g. monitoring of disease or drug response. Other more routine aspects can be transferred to the GP e.g. monitoring of adverse effects and supply of the medicine. The specific responsibilities of the specialist and GP are defined in the shared care agreement for each drug. Shared care agreements are still under development for some amber drugs. Until these are available, it would be expected that any shared care request from secondary care to a GP would be accompanied by written information which defines prescribing and monitoring responsibilities. The hospital specialist should also provide the GP with enough information and support to allow the safe transfer and ongoing management of prescribing into primary care.   

Green +

Drugs which should usually be initiated in secondary care, or by a specialist clinician, but can be safely maintained in primary care with very little or no monitoring required. In some cases there may be a further restriction for use outlined - these will be defined in each case.  

Green

These are defined as new and established drugs, which may be prescribed, initiated, changed or maintained on FP10 by the GP and, if appropriate, discontinued without recourse to secondary care. N.B. DRUGS NOT IDENTIFIED IN THE FORMULARY BY A RED, AMBER OR GREEN+ SYMBOL ARE CLASSIFIED AS GREEN.   

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