Systemic absorption may occur with eye drops containing beta-blockers so these are contra-indicated in patients with bradycardia, heart block and uncontrolled heart failure and should be used with extreme care in patients with asthma.
Timolol (Ophthalmic drops)
0.25% and 0.5% drops
0.5% ophthalmic drops and 0.25% ophthalmic solution
Timolol (Preservative Free drops)
BaNES and Swindon
Non formulary in Salisbury
2.5mg/ml and 5mg/ml preservative free ophthalmic drops
Timolol (Ophthalmic gel)
Non formulary- Bath & Salisbury
0.1 % ophthalmic gel
50microgram/ml ophthalmic drops
Preservative free available if indicated as per BSW glaucoma guidance
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.
Not currently used. We intend to include this TLS in future to highlight where a decision has been made by either or both the local or national NHS 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.