netFormulary South East London Joint Medicines Formulary NHS
Guy's and St Thomas' NHS Foundation Trust
Kings College Hospital NHS Foundation Trust
Lewisham and Greenwich NHS Trust
 
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 Formulary Chapter 11: Eye - Full Chapter
11.08.02  Expand sub section  Ocular diagnostic and peri-operative preparations and photodynamic treatment
11.08.02  Expand sub section  Ocular diagnostic preparations
11.08.02  Expand sub section  Ocular peri-operative drugs
Acetylcholine intra-ocular irrigation 1%

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Apraclonidine eye drops 0.5% (chronic glaucoma)

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Amber 2
Suitable for GP prescribing if prolonged treatment greater than 3 months is required. Initial 3 month supply from hospital
   
Apraclonidine eye drops 1%

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Red
   
Diclofenac 0.1% unit dose eye drops

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Red
Inhibition of peroperative miosis in cataract surgery only
   
Cytotoxic Drug  Fluorouracil 5mg intravitreal injection

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Red
For swelling reduction post trabeculectomy
   
Flurbiprofen sodium eye drops 0.03%

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Ketorolac eye drops 0.5%

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Nepafenac 1mg/ml eye drops

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Restricted Drug Restricted
Red
Restricted to the following indication only:
Reduction in the risk of postoperative macular oedema associated with cataract surgery in diabetic patients
Full supply to come from hospital on discharge
   
Povidone-iodine eye drops 5%

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Histoacryl skin adhesive

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Red
Approved off-label indication:
Management of corneal perforations
   
Alteplase intravitreal injection

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Restricted Drug Unlicensed
Red
Treatment of submacular haemorrhage
   
11.08.02  Expand sub section  Subfoveal choroidal neovascularisation
11.08.02  Expand sub section  Vitreomacular traction to top
 ....
Key
note Notes First Choice Item First Choice item
Section Title Section Title (top level) Non Formulary Item Non Formulary section
Section Title Section Title (sub level)
Cytotoxic Drug
Cytotoxic Drug
Restricted Drug
Restricted Drug
CD
Controlled Drug
Unlicensed Drug
Unlicensed
High Cost Medicine
High Cost Medicine
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Link to SPCs
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Link to adult BNF
Track Changes
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Cancer Drugs Fund
Cancer Drugs Fund
   

 

Traffic Light Status Information

Status Description
  Red   Specialist Prescribing only. The responsibility for prescribing, monitoring, dose adjustment and review should remain with the specialist. In very exceptional circumstances a specialist may discuss individual patient need for a RED drug to be prescribed by a GP and the GP should consider informing the Medicines Management team before a decision is made to prescribe for individual patients.   
  Amber 1   Treatment can be initiated in primary care after a recommendation from an appropriate specialist  
  Amber 2   Specialist initiation followed by maintenance prescribing in primary care  
  Amber 3   Specialist initiation with ongoing monitoring required. After dose stabilisation GPs can be requested to take over prescribing responsibilities using the approved APC shared care documentation  
  Green   Specialist and non-specialist initiation  
  Grey   Not recommended for prescribing  

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