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The Dorset Formulary has been developed in associations with
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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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11.08.01  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 
Carbomer 980 Gel
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First Choice
Green
RBCH: Viscotears 
Liquid Paraffin ointment
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First Choice
Green
VitA-POS or Xailin

For night time use. 
Sodium Hyaluronate 0.2%
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First Choice
Green

Preservative-free

 
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 
Propylene Glycol 0.6% and Hydroxypropyl Guar (Systane Balance)
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First Choice
Green
Licensed for MGD only 
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%
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Second Choice
Green
Preservative free

NOT RBCH - if admitted on this convert to alternative lubricant. 
   
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 prescription only  
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
 
   
Sodium hyaluronate 0.15% & Trehalose 3% (Thealoz Duo)
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Formulary
Amber

Preservative free.

 
   
Sodium hyaluronate 0.15%, Trehalose 3% & Carbomer 0.25% (Thealoz Duo Gel )
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Formulary
Amber

Preservative-free gel unit dose vials.

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

 
   
 ....
 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 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
 
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
 
Minims Saline

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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
 
Paraffin Yellow Soft

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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%

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Non Formulary
Black
Dorset Ophthalmology Working Group and DMAG have identified preferred agents - see Dry Eye Prescribing Guidelines Sept 16
 
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
 
Soybean oil unit dose eye drops  (Emustil)

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