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The Dorset Formulary has been developed in associations with
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Dorset Healthcare University NHS Foundation Trust
Poole Hospital NHS Foundation Trust
Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
 
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 Formulary Chapter 11: Eye - Full Chapter
Notes:

Chapter review date:

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11.03.01  Expand sub section  Antibacterials
 note  Treatment of minor eye infections in primary care should be restricted to chloramphenicol +/- Fucithalmic®. If not resolving after 48 hours contact Acute Referral Clinic (GP line: 01202 726039)
For all infected eyes: if patient is experiencing +/- visual disturbances refer the same day
Chloramphenicol drops 0.5%
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First Choice
Green
 
Chloramphenicol ointment 1%
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First Choice
Green
 
MinimsChloramphenicol drops 0.5%
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First Choice
Green
Preservative free 
Fusidic Acid m/r drops 1%
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Second Choice
Green
 
   
Ofloxacin drops 0.3%
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Formulary
Amber
DCHFT: Consultant use only. 
   
Propamidine Isetionate drops 0.1% (Brolene)
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Formulary
Amber

Acanthamoeba keratitis (unlicensed indication)



DCHFT: Consultant use only. Not routinely stocked.

 
   
Ciprofloxacin ointment 0.3%
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Formulary
Amber
DCHFT: Consultant use only.
 
   
Dibrompropamidine Isetionate ointment 0.15% (Brolene)
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Amber
Acanthamoeba keratitis (unlicensed indication)

DCHFT: Consultant use only. Not routinely stocked. 
   
Gentamicin drops 0.3%
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Formulary
Amber
 
   
Levofloxacin 5mg/ml Eye Drops
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Amber

Unit dose vials are preservative-free. Preserved formulations contain benzalkonium chloride 0.05 mg in 1 ml

RBCH only: Acute microbial keratitis and corneal conditions where benzlkonium chloride is contra-indicated. Where avoidance of preservative is not necessary (e.g. in patients without pre-existing corneal epitheliopathy or small corneal ulcers [<1mm]) preserved G.ofloxacin / G.levofloxacin will be the agent of choice.

For patients who might require treatment up to 6 months. Hospital consultant should advise GP of course length and stopping date. 

 
   
Moxifloxacin 0.5% Eye Drops
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Formulary
Amber

Contans boric acid as a preservative

RBCH only: Acute microbial keratitis and corneal conditions where benzlkonium chloride is contra-indicated. Based on clinical review of eye this may be more cost effective than preservative free G.levofloxacin. Boric acid is less toxic to the cornea than benzalkonium chloride, and is more suitable for short- to medium-term use.

For patients who might require treatment up to 6 months. Hospital consultant should advise GP of course length and stopping date.

 
   
Azithromycin dihydrate drops 1.5%
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Formulary
Red
 
   
Benzylpenicillin intravitreal injection
 Track Changes
Formulary
Red
unlicensedUnlicensed

DCHFT: Not routinely stocked. 
   
Ceftazidime 5% drops
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Formulary
Red
Preservative-free
unlicensedunlicensed

Not DCHFT. 
   
Cefuroxime drops 5%
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Formulary
Red
Preservative-free
unlicensedunlicensed

RBCH: Store in freezer until required for use.
DCHFT: Consultant use only. Unlicensed cefuroxime 5% kits available. Unlicensed frozen storage product not routinely stocked. 
   
Chlorhexidine Digluconate 0.03% drops
 Track Changes
Formulary
Red
unlicensedUnlicensed

Not DCHFT. 
   
Gentamicin drops 1.5%
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Formulary
Red
Preservative free
unlicensedunlicensed: Available as a manufactured special

DCHFT: Both preservative free and with preservative available. 
   
Polihexanide Eye Drops
 Track Changes
Formulary
Red
unlicensedUnlicensed
Preservative free

RBCH: 0.02%

Not DCHFT. 
   
Amikacin Intravitreal injection
 Track Changes
Formulary
Red
unlicensedUnlicensed

DCHFT: Not routinely stocked. 
   
Vancomycin for Intravitreal Injection
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Formulary
Red
unlicensedUnlicensed

DCHFT: Not routinely stocked. 
   
 ....
 Non Formulary Items
Chlortetracycline

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Non Formulary
 
Erythromycin

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Non Formulary
 
Gentamicin single use  (Minims Gentamicin Sulphate)

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Non Formulary
 
Levofloxacin (inhaled)

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Non Formulary
Black
High Cost Medicine
Not routinely commissioned by NHS England (for Cystic Fibrosis). As per IFR approval.
 
Neomycin Sulphate

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Non Formulary
 
Neomycin Sulphate with antibacterials  (Neosporin)

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Non Formulary
 
Polymyxin B Sulphate eye ointment  (Polyfax)

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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 children's BNF
click to search medicines.org.uk
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

Green

May be initiated, stabilised and maintained in primary, secondary or tertiary care  

Amber

Amber drug - without shared care  

Amber SCG

Amber drug - with shared care guideline  

Red

For secondary or tertiary care initiation and long-term maintenance of prescribing  

Black

Not recommended  

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