NHS Bath and North East Somerset, Swindon and Wiltshire CCG Royal United Hospitals Bath NHS Foundation Trust Great Western Hospitals NHS Foundation Trust Salisbury NHS Foundation Trust
0.5% minims available for patients allergic to preservatives, administering more than 6 times a day, undergoing eye surgery
Eye drops available OTC for adults and children over 2 years
Chloramphenicol (Ointment)
First Choice
1% eye ointment
Eye ointment available OTC for adults and children over 2 years
Amikacin (Injection)
Formulary
500mg/2ml solution for injection
GWH only. For treatment of Acanthamoeba keratitis.
Non formulary at RUH and SFT
Cefuroxime (Drops)
Formulary
5% eye drops
5% preservative-free eyedrops (GWH only)
Chlortetracycline (Ointment)
Formulary
1% eye ointment
RUH only. Non formulary at GWH and SFT
Ciprofloxacin (Drops)
Formulary
0.3% eye drops
Salisbury
RUH and GWH - For corneal crystallisation and endophthalmitis
Erythromycin (Ointment)
Formulary
0.5% eye ointment
GWH only for suspected chlamydia in neonates on the advice of paediatrician
Non formulary at RUH and SFT
Fusidic Acid (Drops)
Formulary
1% eye drops
Fusidic acid eye drops are no longer included in primary care guidance for the management of bacterial conjunctivitis due to high cost (£29.06 per 5g May 2019) and poor activity for a self-limiting condition.
Use should be restricted to people who: - Are pregnant - Have a personal or family history of blood dyscrasias, such as aplastic anaemia - Are intolerant of chloramphenicol - Need a twice-a-day treatment for infective conjunctivitis See CKS topic for more information
Gentamicin (Drops)
Formulary
0.3% eye drops
Gentamicin (Drops)
Formulary
- GWH.
Non-formulary - SFT & RUH.
1.5 % preservative-free eye drops.
Levofloxacin (Drops)
Formulary
5mg/ml eye drops
Salisbury
BaNES and Swindon
Moxifloxacin (Tablets)
Formulary
400mg tablets
GWH only - For the treatment of endophthalmitis, 400mg OD for 10 days.
Non formulary at RUH and SFT
Ofloxacin (Drops)
Formulary
0.3% eye drops
in BaNES and Swindon
in Salisbury
Penicillin (Injection)
Formulary
5000 units in 1ml eye drops
GWH only. Non formulary at RUH and SFT
Polihexanide (Drops)
Formulary
0.02% eye drops
GWH and RUH only. Non formulary at SFT
Propamidine Isetionate (Drops and ointment)
Formulary
0.1% eye drops
0.15% ointment
GWH only. Non formulary at RUH and SFT
Vancomycin (Injection)
Formulary
GWH only. For intravitreal injection
Non formulary at RUH and SFT
....
Non Formulary Items
Azithromycin
(Azyter®)
(ophthalmic)
Non Formulary
Benzylpenicillin (ophthalmic)
Non Formulary
Ceftazidime (ophthalmic)
Non Formulary
Neomycin Eye drops
Non Formulary
Polymyxin B Sulphate eye ointment
(Polyfax®)
Non Formulary
Povidone iodine 5% (ophthalmic)
Non Formulary
Key
Notes
Section Title (top level)
Section Title (sub level)
First Choice item
Non Formulary section
Restricted Drug
Unlicensed
Display tracking information
Link to adult BNF
Link to SPCs
Scottish Medicines Consortium
Cytotoxic Drug
Controlled Drug
High Cost Medicine
Cancer Drugs Fund
NHS England
Homecare
CCG
High Cost Drug Approval System
Traffic Light Status Information
Status
Description
RED - Hospital only – to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment.
Amber medicines are considered suitable for GP prescribing following specialist initiation or recommendation.
Shared Care - these medicines require specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.
These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations.
Suitable for patient to be directed to buy themselves
Not currently used. We intend to include this TLS in future to highlight where a decision to use this medicine is under review.
(In use from Oct 2020) Used where a decision has been made by the BSW APC not to routinely commission this preparation for its licensed indications. Do not prescribe.
Not currently used. We intend to include this TLS in future to highlight where this medicine and indication is ONLY available through a Specialist Centre according to a NICE Highly Specialised Technology or NHSE Specialised Commission Circular / Policy.
