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Dorset
The Dorset Formulary has been developed in associations with
NHS Dorset Clinical Commissioning Group
Dorset County Hospital NHS Foundation Trust
Dorset Healthcare University NHS Foundation Trust
University Hospitals Dorset NHS Foundation Trust
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 Formulary Chapter 11: Eye - Full Chapter
Notes:

Chapter review date:

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11.08.01  Expand sub section  Tear deficiency, ocular lubricants, and astringents
Hypromellose drops 0.3%
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First Choice
Green

Preserved or Preservative-free.

Preservative-free - NOT RBCH- if admitted on this convert to alternative lubricant

Other strengths of Hypromellose are considered non-formulary


Self Care Self Care Medicine for primary care.


 

 
Carbomer 980 Gel
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First Choice
Green

RBCH: Viscotears®


Self Care Self Care Medicine for primary care.

 
Liquid Paraffin ointment
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First Choice
Green

VitA-POS®/Hylo Night® or Xailin Night®


31/3/20 - VitA-POS is being re-branded as Hylo Night (product is identical)


For night time use.


Self Care Self Care Medicine for primary care.

 
Sodium Hyaluronate 0.2%
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First Choice
Green

Preservative-free


 


RBCH: Hyloforte stocked as most cost-effective brand for the hospital ( this may not be the case in primary care).

 
Sodium Hyaluronate 0.4%
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First Choice Clinitas Multi 10ml Preservative-free 
Propylene Glycol and Polyethylene Glycol Drops (Systane)
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First Choice
Green

Preserved or Preservative-Free


Self Care Self Care Medicine for primary care.

 
Propylene Glycol 0.6% and Hydroxypropyl Guar (Systane Balance)
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First Choice
Green

Licensed for MGD only


 


Self Care Self Care Medicine for primary care.

 
Sodium Hyaluronate 0.1%
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Second Choice
Green
Preservative-Free

NOT RBCH if admitted convert to 0.15% 
 
Sodium Hyaluronate 0.15%
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Second Choice
Green
Preservative-Free

 
 
Carmellose drops 0.5% or 1% (Celluvisc)
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Second Choice
Green

Preservative free

NOT RBCH - if admitted and patient supply not available convert to sodium hyaluronate 0.15% preservative-free whilst in-patient.


Self Care Self Care Medicine for primary care.

 
 
Acetylcysteine drops 5% (Ilube)
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Second Choice
Amber
Preserved 
 
Ciclosporin 0.1% eye drops (Ikervis)
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Third Choice
Amber

In accordance with NICE TA369 and Dorset Dry Eye Pathway for severe keratitis in adult patients with dry eye disease that has not improved despite treatment with tear substitutes.

Preservative-free

RBCH: Consultant initiation

 
Link  Comissioning statement for Ciclosporin in dry eye
Link  NICE TA 369 Ciclosporin for treating dry eye disease that has not improved despite treatment with artificial tears
 
Sodium Chloride 5% drops / ointment
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Formulary
Amber

Self Care Self Care Medicine for primary care.

 
 
Sodium hyaluronate 0.15% & Trehalose 3% (Thealoz Duo)
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Formulary
Amber

Preservative free.


Self Care Self Care Medicine for primary care.

 
 
Sodium hyaluronate 0.15%, Trehalose 3% & Carbomer 0.25% (Thealoz Duo Gel )
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Amber

Preservative-free gel unit dose vials.


Drops (Thealoz Duo drops) are significantly more cost-effective (see above)


Self Care Self Care Medicine for primary care.

 
 
 ....
 Non Formulary Items
Acetylcysteine 5% eye drops
(Preservative free)

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Non Formulary unlicensedunlicensed
Autologous Serum Eye Drops

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Non Formulary
High Cost Medicine

Not routinely commissioned - Individual Funding Request Application should be made.

Hypromellose (0.32%,0.5%, 1%)
(1%)

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Non Formulary
Black

Dorset Ophthalmology Working Group and DMAG have identified preferred agents - see Dry Eye Prescribing Guidelines Sept 16


 


Self Care Self Care Medicine for primary care

Minims Artificial Tears

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Non Formulary
Black

Preservative-free
Hydroxyethylcellulose 0.44% and sodium chloride 0.35% unit dose drops

Dorset Ophthalmology Working Group and DMAG have identified preferred agents - see Dry Eye Prescribing Guidelines Sept 16


Self Care Self Care Medicine for primary care.

Minims Saline

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Black

Sodium Chloride unit dose drops 0.9%
Preservative free

Dorset Ophthalmology Working Group and DMAG have identified preferred agents - see Dry Eye Prescribing Guidelines Sept 16


Self Care Self Care Medicine for primary care.

Paraffin Yellow Soft

View adult BNF View childrens BNF Track Changes
Non Formulary
Black
Dorset Ophthalmology Working Group and DMAG have identified preferred agents - see Dry Eye Prescribing Guidelines Sept 16
Polyvinyl Alcohol drops 1.4%

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Black

Dorset Ophthalmology Working Group and DMAG have identified preferred agents - see Dry Eye Prescribing Guidelines Sept 16


 


Self Care Self Care Medicine for primary care.

Simple eye ointment

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Non Formulary
Black

Dorset Ophthalmology Working Group and DMAG have identified preferred agents - see Dry Eye Prescribing Guidelines Sept 16


Self Care Self Care Medicine for primary care.

Soybean oil unit dose eye drops  (Emustil)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Black

Dorset Ophthalmology Working Group and DMAG have identified preferred agents - see Dry Eye Prescribing Guidelines Sept 16


Self Care Self Care Medicine for primary care.

  
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
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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