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 Formulary Chapter 11: Eye - Full Chapter
11.08.01  Expand sub section  Tear deficiency, ocular lubricants, and astringents
Hypromellose eye drops 0.3%
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First Choice Hypromellose is on the CCG's formulary as one of the first line ocular lubricants.  
Carbomer 980 0.2% eye gel  (Viscotears®)
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First Choice

CURRENTLY UNAVAILABLE DUE TO MANUFACTURING PROBLEM - for alternative see Clinitas Gel


Liquid gel 0.2%

Viscotears is on the CCG's formulary as one of the first line ocular lubricants.

 
Hypromellose 1% (Isopto Alkaline®)
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First Choice Eye drops 1% (10ml)
Hypromellose is on the CCG's formulary as one of the first line ocular lubricants.  
Polyvinyl alcohol 1.4%, povidone 0.6% Single Dose Units (Liquifilm Tears®)
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First Choice PRESERVATIVE FREE 
Hypromellose 0.3% (Lumecare® Preservative Free Tear Drops )
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First Choice PRESERVATIVE FREE

Not routinely stocked in pharmacy but will be ordered on demand for patients in whom the standard first-line preservative free preparation is not suitable. 
Liquid Paraffin (Lacri-Lube®)
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Second Choice CURRENTLY UNAVAILABLE DUE TO MANUFACTURING PROBLEM - for alternative see Xailin Night

Eye ointment (3.5g)
Lacri-lube is on the CCG's formulary as one of the second line ocular lubricants.  
   
Carmellose Sodium (Celluvisc®)
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Second Choice PRESERVATIVE FREE

Single use: 0.5% and 1% drops 
   
Sodium hyaluronidate 0.1% eye drops (Hylo-Tear®)
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Third Choice PRESERVATIVE FREE
Not routinely stocked in pharmacy. Ordered on demand when requested by Ophthalmology. 
   
Sodium hyaluronidate 0.15% eye drops (Artelac Rebalance®)
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Third Choice Not routinely stocked in pharmacy. Ordered on demand when requested by Ophthalmology. 
   
Sodium hyaluronidate 0.2% eye drops (Hylo-Forte®)
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Third Choice PRESERVATIVE FREE
Not routinely stocked in pharmacy. Ordered on demand when requested by Ophthalmology. 
   
Carbomer 980 0.2% eye gel  (Clinitas gel®)
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Formulary

Temporary replacement for Viscotears due to manufacturing problems.

 
   
Liquid Paraffin (Xailin Night Eye Ointment (5g)®)
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Formulary

Temporary replacement for Lacri-Lube due to manufacturing problems.
Eye ointment, white soft paraffin 57.3%, liquid paraffin 42.5%, wool alcohols 0.2%

 
   
Sodium Chloride (Balanced Salt Solution)
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Formulary Solution (36 x 15ml) 
   
Sodium Chloride (Minims® Saline)
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Formulary Eye drops 0.9% (20 x 0.5ml) 
   
Ciclosporin 0.1% eye drops (Ikervis®)
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Restricted Drug Restricted
Amber 2
For initiation by ophthalmologists only 
Link  NICE TA369: Ciclosporin for treating dry eye disease that has not improved despite treatment with artificial tears
   
 ....
 Non Formulary Items
Acetylcysteine

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Non Formulary
 
Acetylcysteine 5% with Hypromellose 0.35%  (Ilube®)

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Non Formulary Eye drops (10ml)
 
Carbomers  (GelTears®)

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Non Formulary
 
Carbomers  (Liposic®)

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Non Formulary
 
Carbomers  (liquivisc®)

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Non Formulary
 
Carmellose Sodium 0.5% Single Use Eye Drops  (Carmize® )

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Non Formulary
RedRed
 
Hydroxyethylcellulose  (Minims® Artificial Tears)

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Non Formulary
 
Hydroxypropyl Guar  (Systane®)

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Non Formulary
 
Hydroxypropyl Guar and Sorbitol Eye Drops  (Systane® Ultra )

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Non Formulary
 
Hypromellose  (Isopto Plain®)

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Non Formulary
 
Hypromellose 0.3% with Dextran 70 0.1%  (Tears naturale®)

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Non Formulary
 
Hypromellose single use  (Artelac® SDU)

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Non Formulary
RedRed
 
Liquid Paraffin  (Lubi-Tears®)

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Non Formulary
 
Liquid Paraffin Eye Ointment  (VitA-POS®)

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Non Formulary
 
Paraffin Yellow Soft  (Simple Eye Ointment)

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Non Formulary
RedRed
Ointment (4g)
 
Polyvinyl Alchohol  (SnoTears®)

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Non Formulary
 
Polyvinyl Alcohol  (Liquifilm Tears®)

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Non Formulary
 
Providone  (Oculotect®)

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Non Formulary
 
Sodium Chloride 0.9% Solutions

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Non Formulary
 
Sodium Hyaluronate  (Hylo-Forte®)

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Non Formulary
 
Sodium Hyaluronate  (Hylo-Tear®)

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Non Formulary
 
Sodium Hyaluronate 0.15% Eye Drops  (Lubristil®)

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Non Formulary
 
Sodium Hyaluronate 0.3% Single Use Eye Drops  (Vismed® Gel )

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Non Formulary
 
Zinc Sulphate

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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 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

Amber 1

"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

"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

"Red" - Secondary care only  

RedRed

"Double Red" - NOT recommended for prescribing in either primary or secondary care  

Grey

Traffic light status to be confirmed  

Green

May be prescribed in primary and secondary care  

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