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 Formulary Chapter 11: Eye - Full Chapter
11.04.01  Expand sub section  Corticosteroids
Dexamethasone
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First Choice Eye drops
Single use eye drops (Minims®)

 
Prednisolone
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First Choice Eye drops (0.5% and 1%)
Single use eye drops 0.5% (Minims®)


 
Fluorometholone (FML®)
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Formulary Eye drops

Intra-ocular penetration is poor. It may be considered useful in a few patients with chronic low grade uveitis where raised intra-ocular pressure has been problematic.  
   
Rimexolone (Vexol®)
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Formulary Eye drops 
   
Betamethasone
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Formulary Eye/ear/nose drops
Eye ointment 
   
Betamethasone with Neomycin
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Formulary Eye/ear/nose drops 
   
Dexamethasone with Antibacterials (Sofradex®)
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Formulary Eye/ear drops 
   
Dexamethasone with Neomycin and Polymyxin B sulphate (Maxitrol®)
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Formulary Eye drops
Eye ointment
 
   
Hydrocortisone sodium phosphate (Softacort®)
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Formulary

Unit-dose eye drops (3.35mg/mL)

Preservative free

 
   
Dexamethasone intravitreal implant (Ozurdex®)
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Formulary Intravitreal injection

Restricted Item Specialist use only 
Link  NICE TA229: Dexamethasone intravitreal implant for the treatment of macular oedema
   
Fluocinolone intravitreal implant (Iluvien®)
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Formulary Intravitreal implant

Restricted Item Specialist use only 
Link  NICE TA301: Diabetic macular oedema - fluocinolone acetonide intravitreal implant (TA271)
   
 ....
 Non Formulary Items
Dexamethasone with Antibacterials  (Tobradex®)

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Non Formulary
 
Hydrocortisone Acetate with Neomycin  (Neo-Cortef®)

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Non Formulary DISCONTINUED
 
Hydrocortisone eye ointment

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Non Formulary DISCONTINUED
 
Loteprednol  (Lotemax®)

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Non Formulary
 
Prednisolone 0.5% with Neomycin 0.5%  (Predsol-N®)

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Non Formulary DISCONTINUED
 
  
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
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Link to adult BNF
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Link to children's BNF
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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

Traffic Light Status Information

Status Description

Amber

Drugs designated amber are suitable for shared care arrangements under a shared care protocol. Prescribing may be transferred from secondary to primary care once the patient is stabilised and agreed shared care arrangements have been established. Alternatively primary care may initiate under the supervision of secondary care if this option is given in the shared care document. It is recommended that shared care arrangements should be drawn up following local discussion and agreement by prescribing parties.   

Black

These products have been reviewed by the GM Joint Formulary Group and have been deemed not suitable for prescribing for adults in primary or secondary care within Greater Manchester. These decisions have been made on the basis of safety, efficacy and cost-effectiveness of the products.  

Green

Not used   

Green 1

Drugs designated green1 are suitable for initiation and ongoing prescribing within primary care.   

Green 2

Drugs designated green2 can be initiated by primary care following written or verbal advice from a specialist and then be subsequently safely prescribed in primary care with little or no monitoring required.  

Green 3

Drugs designated green3 are suitable for on-going prescribing within primary care after specialist initiation and an initial review (unless specified) in secondary care. Little or no monitoring is required.  

Grey

Not suitable for routine prescribing but may be suitable for a defined patient population. Whilst prescribers should think very carefully before prescribing or recommending any of the products on the grey list, there may be exceptional instances when the use of one of these products is necessary for a particular patient.   

Red

Drugs designated red are considered to be specialist medicines and prescribing responsibility for these medicines should normally remain with the consultant or specialist clinician. These drugs should not be initiated or prescribed in primary care. It is recommended that the supply of these specialist medicines should be organised via the hospital pharmacy, this may include arranging for supply via a home care company.   

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