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
Notes:

Where a formulary entry does not detail a medicine’s indications for use, the medicine can be assumed to be approved for all licensed indications.

Formulary approved "off-label" use is detailed separately.

 Details...
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%
View adult BNF View SPC online
Formulary  
   
Apraclonidine eye drops 0.5% (chronic glaucoma)
View adult BNF View SPC online
Formulary
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%
View adult BNF View SPC online
Formulary
Red
 
   
Diclofenac 0.1% unit dose eye drops
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Formulary
Red

Inhibition of perioperative miosis in cataract surgery only

 
   
Cytotoxic Drug Fluorouracil 5mg intravitreal injection
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Formulary
Red
For swelling reduction post trabeculectomy 
   
Flurbiprofen sodium eye drops 0.03%
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Formulary  
   
Ketorolac eye drops 0.5%
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Formulary  
   
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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Formulary  
   
Histoacryl skin adhesive
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Formulary
Red
Approved off-label indication:
Management of corneal perforations 
   
Alteplase intravitreal injection (unlicensed product - submacular haemorrhage)
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Unlicensed 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
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
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Link to adult BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
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

Specialist or hospital prescribing only. The responsibility for prescribing, monitoring, dose adjustment and review should remain with the specialist or hospital. 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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