Kettering General Hospital Formulary

	Kettering General Hospital
	NHS Foundation Trust

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Formulary Chapter 11: Eye - Full Chapter

11.06

Treatment of glaucoma

NICE CG85: Glaucoma

11.06

Beta-blockers

Timolol Maleate drops

First Choice

Eye drops 0.25% and 0.5%

Levobunolol Hydrochloride

Second Choice

Eye drops 0.5%

Timolol 0.1% UDV eye gel (Tiopex^®)

Formulary

First line preservative free beta blocker

Levobunolol Hydrochloride 0.5% unit dose vials

Formulary

Preservative free

11.06

Prostaglandin analogues

Latanoprost 0.005% eye drops

First Choice

First line prostaglandin analogue

Bimatoprost (Lumigan^®)

Second Choice

Eye drops 100micrograms/ml

(NOTE 300microgram/ml drops discontinued June 2015)

Travoprost (Travatan^®)

Third Choice

Eye drops 40micrograms/ml

Bimatoprost with Timolol (Ganfort^®)

Formulary

Bimatoprost 300micrograms/ml & timolol 5mg/ml drops

Latanoprost 0.005% single use eye drops (Monoprost ^®)

Formulary

First line preservative free prostaglandin analogue

Bimatoprost single use eye drops 0.03% (Lumigan)
(^®)

Formulary

2nd line preservative free prostaglandin analogue

Latanoprost 0.005% with Timolol 0.5% eye drops

Formulary

Travoprost with Timolol (DuoTrav^®)

Formulary

Eye drops travoprost 40micrograms/ml & timolol 5mg/ml

11.06

Sympathomimetics

Brimonidine Tartrate (Alphagan^®)

First Choice

Eye drops 0.2%

Brimonidine Tartrate 0.2% with Timolol 0.5% (Combigan^®)

Formulary

11.06

Carbonic anhydrase inhibitors and systemic drugs

Brinzolamide (Azopt^®)

First Choice

Eye drops 10mg/ml

Brinzolamide 1% with Timolol 0.5% (Azarga^®)

Formulary

Brinzolomide 1% with brimonidine 0.2% eye drops (Simbrinza^®)

Restricted

Initiation by ophthalmologists only in patients resistant to standard tratments

Dorzolomide (Trusopt^®)

Restricted

For continuation only
Eye drops 2%

Dorzolomide 2% with Timolol 0.5% (Cosopt^®)

Formulary

Eye drops (5ml)

Dorzolomide 2% with Timolol 0.5% unit dose eye drops (Cosopt^®)

Formulary

1st line preservative free carbonic anhydrase inhibitor

Acetazolamide (Diamox^®)

Formulary

Tablets 250mg
Injection 500mg

Acetazolamide (Diamox^® SR)

Formulary

Capsules 250mg M/R

11.06

Miotics

Pilocarpine

Formulary

Eye drops 1%, 2%, and 4%
Eye drops MINIMS 2% (20 x 0.5ml)

....

Non Formulary Items

Betaxolol Hydrochloride (Betoptic^®)

Non Formulary

Removed Dec 15

Ophthalmic solution 0.5%
Ophthalmic suspension 0.25%

Carteolol Hydrochloride (Teoptic^®)

Non Formulary

Removed Dec 15
Eye drops 1% and 2%

Dipivefrine Hydrochloride (Propine^®)

Non Formulary

Latanoprost (Xalatan^®)

Non Formulary

See generic product

Latanoprost 0.005% with Timolol 0.5% (Xalacom^®)

Non Formulary

See generic equivalent

Levobunolol Hydrochloride (Betagan^®)

Non Formulary

Pilocaprine long acting (Pilogel^®)

Non Formulary

Pilocarpine

Non Formulary

Tafluprost (Preservative Free) 15micrograms/ml (Saflutan^®)

Non Formulary

Timolol 0.1% Single Use LA Eye Drops (Tiopex®)

Non Formulary

Timolol Maleate (timoptol^®)

Non Formulary

Timolol Maleate Once-daily (Timoptol^®-LA)

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 children's BNF
	Link to SPCs

	Cytotoxic Drug
	Controlled Drug
	High Cost Medicine
	Cancer Drugs Fund
	NHS England
	Homecare
	CCG

Traffic Light Status Information

Status	Description
	"Amber 1" - These are medicines that require significant monitoring and the decision to treat with an AMBER medicine should be made by specialists only
	"Amber 2" - These are medicines that require little or no monitoring by the GP, but should only be prescribed in general practice after they have been recommended following specialist referral.
	"Red" - Secondary care only
	"Double Red" - NOT recommended for prescribing in either primary or secondary care
	Traffic light status to be confirmed
	May be prescribed in primary and secondary care