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 Formulary Chapter 11: Eye - Full Chapter
Notes:

 Criteria for Preservative Free (PF) and Single Dose Unit (SDU) presentations:

These are restricted to patients with
• true preservative allergy
and/or
• evidence of epithelial toxicity from preservatives
and/or
• severe dry eyes
and/or
• require/ may require surgery in the near future
and/or
• neonates

 Details...
11.00  Expand sub section  Antioxidants and Multivitamins for Age Related Macular Degeneration
11.01  Expand sub section  Administration of drugs to the eye
11.02  Expand sub section  Control of microbial contamination
11.03  Expand sub section  Anti-infective eye preparations
11.03.01  Expand sub section  Antibacterials to top
Levofloxacin (Oftaquix)
View adult BNF View SPC online View childrens BNF
Second Choice
Amber
  • Amber £££ 2nd line
  • Use SDU if using 1or 2 hourly or if significant OSD/toxicity. 
  •    
    Azithromycin (Azyter®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • First line for ophthalmic chlamydia 
  •    
    Chloramphenicol
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
  • 0.5% eye drops First line
  • 0.5% Minims (SDU)
  • 1% eye ointment 
  • Link  UKMI Q&A: Chloramphenicol and breastfeeding?
       
    Cefuroxime
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
  • Hospital only 
  •    
    Ciprofloxacin 0.3%
    (Eye drops )
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist recommendation(Corneal consultant)  
  •    
    Fusidic Acid 1%
    (M/R Eye Drops)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
  • NICU Use as per guideline -1st Line
  • Bacterial Conjunctivitis infection 2nd line as per Antimicrobial Guidelines
    £££ 
  •    
    Gentamicin 0.3% eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Possible 2nd Line after chloramphenicol- specialist opthalmologist recommendation. 
  •    
    Ofloxacin Eye drops 0.3%
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
     
       
    Penicillin 500o units in 1 ml eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
  • Unlicensed
  • Hospital use only- Ophthalmologists 
  •    
    11.03.02  Expand sub section  Antifungals
    Amphotericin (eye)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
     
       
    Econazole 1% eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
     
       
    Miconazole 1% eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
     
       
    11.03.03  Expand sub section  Antivirals
    Aciclovir 3% eye ointment
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
     
       
    Ganciclovir 0.15% ophthalmic gel (Virgan®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation. 
  •    
    Trifluorothymidine eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
     
       
    11.04  Expand sub section  Corticosteroids and other anti-inflammatory preparations
    11.04.01  Expand sub section  Corticosteroids
    Betamethasone 0.1% eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
     
       
    Betamethasone 0.1% eye ointment
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
     
       
    Betamethasone 0.1% with Neomycin 0.5% eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Short term use only 
  •    
    Dexamethasone 0.1% eye drops (Maxidex®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
     
       
    Dexamethasone 0.1% eye drops (Single dose units)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • for post corneal implants or OSD
  • Use the agent with the lowest acquisition cost 
  •    
    Dexamethasone with Antibacterials (Tobradex®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
     
       
    Dexamethasone with Neomycin and Polymyxin B sulphate (Maxitrol®)
    (Eye Drops/Eye Ointment)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation. 
  •    
    Fluorometholone 0.1% (FML®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation. 
  •    
    Loteprednol Etabonate 0.5% (Lotemax®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
     
       
    Prednisolone 0.5% eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation .
     
  •    
    Prednisolone 1% eye drops (Pred Forte®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation.
  • For Anterior Uveitis in A&E-prednisolone acetate 1% as the drug of choice unless the patient has a preference for dexamethasone 0.1% 
  •    
    Prednisolone preservative free eye drops 0.5%
    (Minims SDU)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber

  • Specialist Ophthalmologist recommendation
  • Use in patients with severe Chronic Allergic Eye Disease who present to A&E with a flare up. 
  •    
    11.04.01  Expand sub section  Intravitreal corticosteroids to top
    Dexamethasone 700mcg intravitreal implant (Ozurdex®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    High Cost Medicine
  • For macular oedema secondary to retinal vein occlusion -use in line with NICE
  • For diabetic macular oedema- use in line with NICE 
  • Link  NICE TA229: Dexamethasone intravitreal implant for the treatment of macular oedema
    Link  NICE TA349: Dexamethasone intravitreal implant for treatment of diabetic macular oedema
       
    Fluocinolone intravitreal implant (Iluvien®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
     
    Link  NICE TA301: Fluocinolone acetonide intravitreal implant for treating chronic diabetic macular oedema after an inadequate response to prior therapy (rapid review of technology appraisal guidance 271)
       
    11.04.02  Expand sub section  Other anti-inflammatory preparations
    Sodium Cromoglicate 2% eye drops
    View adult BNF View SPC online View childrens BNF
    First Choice
    Green
     
    Olopatadine (Opatanol®)
    View adult BNF View SPC online View childrens BNF
    Second Choice
    Green
  • 2nd line £££ 
  •    
    Azelastine (Optilast®)
    View adult BNF View SPC online View childrens BNF
    Third Choice
    Green
     
       
    Neodocromil 2% eye drps (Rapitil®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
     
       
    Sodium Cromoglicate 2% eye drops  (preservative free)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist recommendation as Catacrom 
  •    
    11.05  Expand sub section  Mydriatics and cycloplegics
    11.05  Expand sub section  Antimuscarinics
    Atropine Sulphate 0.5% drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
     
       
    Atropine Sulphate 1% drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
     
       
    Atropine Sulphate single use (Minims® )
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation -used by glaucoma surgeons for neovascular glaucoma. 
  •    
    Cyclopentolate Hydrochloride 0.5% eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
     
       
    Cyclopentolate Hydrochloride 1% eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
     
       
    Cyclopentolate Hydrochloride single use (Minims® )
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation. 
  •    
    Tropicamide 0.5% and 1%  (Mydriacyl®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
  • Hospital only 
  •    
    Tropicamide single use (Minims® Tropicamide)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    Hospital only 
       
    11.05  Expand sub section  Sympathomimetics
    Phenylephrine Hydrochloride (Minims® Phenylephrine Hydrochloride )
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
     
       
    11.06  Expand sub section  Treatment of glaucoma to top
    11.06  Expand sub section  Beta-blockers
    Betaxolol 0.25% eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation
     
  •    
    Betaxolol 0.5% eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation
     
  •    
    Betaxolol 0.5% Unit Dose Eye Drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation
     
  •    
    Timolol 0.1% unit dose eye gel (Tiopex ®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation
  • Once daily preparation 
  •    
    Timolol 0.25% eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation
     
  •    
    Timolol LA 0.25% Eye Drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation
  • Once daily preparation 
  •    
    11.06  Expand sub section  Prostaglandin analogues
    Latanoprost eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation
  • 1st Line  
  •    
    Bimatoprost 0.01% eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation.
  • 2nd line  
  •    
    Bimatoprost with Timolol (Ganfort®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation  
  •    
    Latanoprost 0.005% with Timolol 0.5%
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation
     
  •    
    Latanoprost PF Eye Drops (Monopost)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation
  • 1st Line PF option 
  •    
    Tafluprost (Preservative Free) 15micrograms/ml
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation
  • 2nd line PF option 
  •    
    11.06  Expand sub section  Sympathomimetics
    Brimonidine Tartrate
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation 
  •    
    Brimonidine Tartrate 0.2% with Timolol 0.5% (Combigan®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation 
  •    
    11.06  Expand sub section  Carbonic anhydrase inhibitors and systemic drugs
    Acetazolamide
    (Tablets)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation 
  •    
    Acetazolamide
    (Injection)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
    Hospital Only 
       
    Acetazolamide M/R
    (capsules)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation 
  •    
    Brinzolamide 10mg/ml
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation 
  •    
    Brinzolamide 10mg/ml with Timolol 5mg/ml
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation
  • 2nd/3rd line 
  •    
    Dorzolamide 2%
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation 
  •    
    Dorzolamide 2% eye drops (SDU) (Trusopt®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation 
  •    
    Brinzolamide 10mg/ml with Brimonidine 2mg/ml (Simbrinza® )
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation
  • Third line option, after prostaglandin analogues (1st line) and beta-blocker/ prostaglandin analogue plus beta-blocker (2nd line)
  • For patients in whom monotherapy provides insufficient IOP reduction.  
  •    
    Dorzolamide 2% with Timolol 0.5%
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation 
  •    
    Dorzolamide 2% with Timolol 0.5% SDU Eye Drops (Cosopt®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation 
  •    
    11.06  Expand sub section  Miotics to top
    Pilocarpine 1%,2% and 4% eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation 
  •    
    Pilocarpine preservative free
    (Single dose units)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
  • Hospital only 
  •    
    11.07  Expand sub section  Local anaesthetics
    11.08  Expand sub section  Miscellaneous ophthalmic preparations
    11.08.01  Expand sub section  Tear deficiency, ocular lubricants, and astringents
    Xailin Night
    View adult BNF View SPC online View childrens BNF
    First Choice
    Green
     
    VitA POS eye ointment
    View adult BNF View SPC online View childrens BNF
    Second Choice
    Green
     
       
    Acetylcysteine 5% with Hypromellose 0.35% (Ilube®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
     
       
    Acetylcysteine 10% eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
     
       
    Carbomers (Clinitas Gel®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
  • Clinitas Gel does not have benzalkonium chloride (BAK) as a preservative. It is preserved with cetrimide. 
  •    
    Carmellose 0.5% SDU (Xailin Fresh ®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
     
       
    Carmellose1% multi (Moorfields)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
     
       
    Hypromellose 0.5% eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
  • All other strengths are non formulary 
  •    
    Sodium Chloride (Minims® Saline)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
  • Hospital only. Diluent for impregnated dye strips 
  •    
    Sodium Chloride 0.9% Solutions
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
  • Hospital only- Theatre use 
  •    
    Sodium Chloride 5% eye ointment
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation 
  •    
    Sodium Chloride 5% PF drops (Moorfields)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation 
  •    
    Sodium Hyaluronate 0.15% Multi (Hyabak®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation 
  •    
    Sodium Hyaluronate 0.2% PF Multi (Hylo-Forte®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation 
  •    
    Sodium Hyaluronate 0.4% SDU  (Clinitas®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation
  • Each preservative-free unit is resealable and may be used for up to 12 hours. 
  •    
    Viscotears eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
     
       
    Viscotears Liquid gel single dose units
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
     
       
    Xailin gel
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
     
       
    11.08.02  Expand sub section  Ocular diagnostic and peri-operative preparations and photodynamic treatment
    11.08.02  Expand sub section  Ocular diagnostic preparations to top
    11.08.02  Expand sub section  Ocular peri-operative drugs
    Apraclonidine 1% SDU eye drops
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • only PF sympathomimetic 
  •    
    Apraclonidine 0.5%
    (eye drops)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
     
       
    Diclofenac (Voltarol® Ophtha SDU)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
     
       
    Diclofenac Sodium (Voltarol® Ophtha multidose)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
     
       
    Ketorolac (Acular®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
     
       
    11.08.02  Expand sub section  Subfoveal choroidal neovascularisation
    Aflibercept (Eylea®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    High Cost Medicine
  • Use in line with NICE 
  • Link  NICE TA 486: Aflibercept for treating choroidal neovascularisation
    Link  NICE TA409: Visual impairment caused by macular oedema after branch retinal vein occlusion- aflibercept.
    Link  NICE TA346: Macular oedema (diabetic)- aflibercept
    Link  NICE TA305: Macular oedema (retinal vein occlusion)- aflibercept
    Link  NICE TA294: Macular degeneration (wet age-related) - aflibercept
       
    Bevacizumab intravitreal injection (Avastin®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
     
       
    Ranibizumab (Lucentis®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    High Cost Medicine
  • Use in line with NICE 
  • Link  NICE TA155: Age-related Macular Degeneration- ranibizumab
    Link  NICE TA274: Macular oedema (diabetic) - ranibizumab
    Link  NICE TA283: Macular oedema (retinal vein occlusion) - ranibizumab: guidance
    Link  NICE TA298: Choroidal neovascularisation (pathological myopia) - ranibizumab
       
    Verteporfin (Visudyne®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
     
    Link  NICE TA68: photodynamic therapy (PDT) to treat age-related macular degeneration (ARMD).
       
    11.08.02  Expand sub section  Vitreomacular traction
    Ocriplasmin (Jetrea®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
     
    Link  NICE TA297: Ocriplasmin for treating vitreomacular traction
       
    11.09  Expand sub section  Contact lenses
    11.99.99.99  Expand sub section  Miscellaneous to top
    11.99.99.99  Expand sub section  Eyelid wipes
    11.99.99.99  Expand sub section  Cytotoxics / wound healing modulators
    Fluorouracil
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
  • hospital only 
  •    
    Mitomycin C
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
  • Hospital only 
  •    
    11.99.99.99  Expand sub section  Fibrinolytic drugs
    11.99.99.99  Expand sub section  Glues - ocular
    11.99.99.99  Expand sub section  Immunosuppressants to top
    Ciclosporin 1 mg/mL eye drops, emulsion (Ikervis®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber
  • Specialist initiation.
  • In line with NICE 
  • Link  NICE TA369: Ciclosporin for treating dry eye disease (Dec 2015)
       
    Adalimumab (Humira®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
    High Cost Medicine
    In line with NICE 
    Link  NICE TA460: Adalimumab and dexamethasone for treating non-infectious uveitis
       
    Ciclosporin 2mg/g eye ointment (Optimmune®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
     
       
    11.99.99.99  Expand sub section  Treatment of burns
    11.99.99.99  Expand sub section  Visco-elastics
    11.99.99.99  Expand sub section  Other
    Hyaluronidase (Hyalase®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
  • Hospital only 
  •    
     ....
     Non Formulary Items
    Acetylcholine Chloride  (Miochol-E®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Alteplase intravitreal injection

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Amikacin

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Amo Complete

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Antazoline 0.5% with Xylometazoline 0.05%  (Otrivine-Antistin®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Boston Advance Cleaner

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Boston Advance Conditioning Solution

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Brilliant Peel®

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Bromfenac  (Yellox®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Carbomers  (GelTears®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Carbomers  (Liposic®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Carbomers  (liquivisc®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Carmellose Sodium  (Carmize®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Carmellose1% SDU  (Celluvisc®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Carteolol  (Teoptic®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Ceftazidime

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Chlorhexidine

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Chlortetracycline

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Ciprofloxacin 0.3%
    (eye ointment)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
  • Discontinued May 2017
  •  
    Controlled Drug  Cocaine

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Dexamethasone with Antibacterials  (Sofradex®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Dipivefrine Hydrochloride  (Propine®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Disodium Edetate 0.37%

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Emedastine  (Emadine®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Epinastine  (Relestat®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Erythromycin

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Eyelid wipes for blepharitis

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
  • Blephaclean Sterile Eyelid wipes
  • Supranettes Sterile Eye-cleansing wipes
  •  
    Fluorescein  (Anatera®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Fluorescein Sodium

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Flurbiprofen Sodium  (Ocufen®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Foscarnet intravitreal injection

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Ganciclovir intravitreal injection

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Gentamicin single use  (Minims® Gentamicin Sulphate)

    View adult BNF View SPC online View childrens BNF
    Non Formulary Discontinued
     
    Glycerol (glycerin)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Homatropine Hydrobromide

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Hydrocortisone Acetate with Neomycin  (Neo-Cortef®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Hydrocortisone eye ointment

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Hydroxyethylcellulose  (Minims® Artificial Tears)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Hydroxypropyl Guar  (Systane®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
  • Except for existing patients
  •  
    Hypromellose 0.3% eye drops

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Hypromellose 0.3% with Dextran 70 0.1%  (Tears naturale®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Hypromellose 1% eye drops

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Hypromellose preservative free  ( SDU)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Indocyanine green

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Ketotifen  (Zaditen®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Levobunolol

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Lidocaine Hydrochloride 4% with Fluorescein 0.25%  (Minims®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Liquid Paraffin  (Lacri-Lube®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Lodoxamide  (Alomide®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Lubristil ®gel

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Metipranolol  (Minims® Metipranolol)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Multivitamins and antioxidants

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
    e.g. Icaps,Vitalux Plus, Macushield, Ocuvite All non formulary


    Please refer to section 9.06.07

     
    Neomycin Sulphate with antibacterials  (Neosporin®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Nepafenac  (Nevanac®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Oxybuprocaine Hydrochloride  (Minims® )

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Oxysept 1 Step

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Paraffin Yellow Soft  (Simple Eye Ointment)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
  • Replaced by Xailin Night or VitA-POS
  •  
    Pegaptanib Sodium  (Macugen®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Link  NICE TA155: guidance on pegaptanib in AMD (August 2008)
     
    Phenylephrine Hydrochloride  (Mydriasert®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Pilocaprine long acting  (Pilogel®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Polihexanide

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Polymyxin B Sulphate eye ointment  (Polyfax®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Polyvinyl Alchohol Single Dose Units  (Liquifilm Tears®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Polyvinyl Alcohol  (Sno Tears or Liquifilm Tears ®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Potassium Ascorbate

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Povidone  (Oculotect®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Prednisolone 0.5% with Neomycin 0.5%  (Predsol-N®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Propamidine Isetionate  (Brolene®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Proxymetacaine Hydrochloride  (Minims®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Rimexolone  (Vexol®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Rose Bengal  (Minims® Rose Bengal)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Saline Solution

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Sodium Citrate

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Sodium Hyaluronate

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Sodium Hyaluronate  (Hylo-Tear®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Sodium Hyaluronate  (Vismed® Gel and SDU)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Sodium Hyaluronate  (Vismed® multi)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Sodium Hyaluronate with Lidocaine

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Soybean oil unit dose eye drops  (Emustil®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Tear flow test strips

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Tetracaine Hydrochloride  (Minims® Amethocaine Hydrochloride)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Timolol 0.25% single dose units

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Timolol 0.5% eye drops

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
  • Not for new patients, existing patients to remain on treatment.
  •  
    Timolol 0.5% single dose units

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

     
    Timolol LA 0.5% Eye Drops

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
  • Not for new patients

  • Existing patients to remain on treatment
  •  
    Timolol Once-daily  (Nyogel®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Tissue Adhesive  (Histacryl®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Total Care Daily Cleaner

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Total Care Disinfecting and Wetting Solution

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Travoprost  (Travatan®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Travoprost with Timolol  (DuoTrav®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Vancomycin

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Viscoat Viscoelastic

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Zinc Sulphate

    View adult BNF View SPC online View childrens BNF
    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
    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

    Medicines which are suitable for initiation and maintenance prescribing by primary and secondary care clinicians. These medicines should be initiated and prescribed within their licensed indications.  

    Amber

    Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate, or initiation and maintenance of prescribing in Primary Care following recommendation from a Specialist.

    Some amber medicines require agreement with the local (internal) medicines committee prior to initiation; others may require a framework to support safe transfer and maintenance of care such as a RICaD or ESCA. The Formulary will be annotated to reflect these requirements.   

    Red

    Medicines for initiation and maintenance prescribing by Specialists only  

    Black

    Non-formulary medicines- medicines not recommended for routine primary care prescribing.  

    Grey

    Positive NICE TA and /or awaiting local clarification on place in therapy ; Please contact your Medicines Optimisation team for more information.  

    netFormulary