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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
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 Formulary Chapter 11: Eye - Full Chapter
Notes:

Ophthalmology-related Prescribing Guidance

Please see our Prescribing Guidelines page for all prescribing guidance relating to this chapter.

There are no shared care agreements (SCAs) relating to this chapter.

Self-care: Many of the products in this chapter are available for purchase over-the-counter, and patients are encouraged to self-care, with the support of their community pharmacist, in the first instance. For further information on self-care & the NHS, please refer to https://www.england.nhs.uk/medicines/conditions-for-which-over-the-counter-items-should-not-routinely-be-prescribed/

 Details...
11.04.02  Expand sub section  Other anti-inflammatory preparations
Sodium Cromoglicate
(Drops)
View adult BNF View SPC online
Formulary
traffic lightSelf
  • 2% ophthalmic drops
  • If issuing FP10, ensure that prescriptions are written for 13.5ml, not 10ml or ‘1op’ as these preparations are ‘over-the-counter’ products and are more expensive.
 
 
Olopatadine
(Drops)
View adult BNF View SPC online
Formulary
traffic lightGreen
  • 1mg/1ml ophthalmic drops.
 
 
Ketotifen (Ketofall)
(Drops)
View adult BNF
Formulary
  • Amber - Salisbury & Swindon - 2nd-line after Olopatidine.
  • Non formulary - Bath.
  • 0.25mg/ml single dose unit drops SPC here.
 
 
 ....
 Non Formulary Items
Adalimumab
(ImraldiAmgevita Humira) Black Triangle
(Ophthalmology)

View adult BNF View SPC online
Restricted Drug Restricted
High Cost Medicine
NHS England
  • Non-Formulary EXCEPT when used for Uveitis in accordance with NICE TA 460 from Specialist Centres 
  • Check Trust contracting arrangements.
 
Antazoline 0.5% with Xylometazoline 0.05%
(Drops)

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Non Formulary

Self care only, available OTC

 
Azelastine (Optilast)

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Non Formulary
 
Emedastine (Emadine)

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Non Formulary
 
Epinastine (Relestat)

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Non Formulary
 
Lodoxamide (Alomide)

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Non Formulary
 
Nedocromil
(Drops)

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Non Formulary

Discontinued by manufacturer 2018

 
Sodium cromoglicate preservative free

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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
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
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
Blueteq
High Cost Drug Approval System

Traffic Light Status Information

Status Description

Traffic LightRed

RED - Hospital only to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment.  

Traffic LightAmber

Amber medicines are considered suitable for GP prescribing following specialist initiation or recommendation.  

Traffic LightAmber with Shared Care

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.  

Traffic LightGreen

These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations.  

Traffic LightSelf

Suitable for patient to be directed to buy themselves  

Traffic LightGrey

Not currently used. We intend to include this TLS in future to highlight where a decision to use this medicine is under review.   

Traffic LightBlack

(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.   

Traffic LightRed Specialist Centre

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.  

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