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 Formulary Chapter 11: Eye - Full Chapter
11.03.01  Expand sub section  Antibacterials
Chloramphenicol
(Ophthalmic)
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First Choice
Green 1

0.5% eye drops, 0.5% single use minims, 1% eye ointment

First line for superficial eye infections 

 
Fusidic Acid
(Ophthalmic)
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Second Choice
Green 2

Fucithalmic® Useful for staphylococcal infections

 
   
Gentamicin (ophthalmic)
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Second Choice
Green 2

Gentamicin Sulphate 0.3% & 1.5% eye drops Preservative free eye drops 1.5%

 Effective for infections caused by Pseudomonas aeruginosa

 
   
Gentamicin single use (Minims Gentamicin Sulphate)
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Second Choice
Green 2

Effective for infections caused by Pseudomonas aeruginosa

 
   
Amikacin
(Ophthalmic)
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Restricted Drug Restricted
Red

Consultant ophthalmologist only. See endophthalmitis protocol

 
   
Ceftazidime
(ophthalmic)
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Restricted Drug Restricted
Red

Consultant ophthalmologist only. See endophthalmitis protocol

 
   
Cefuroxime
(ophthalmic)
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Restricted Drug Restricted
Red

Unlicensed use. (Aprokan) Ophthalmology theatre consultant use only. For prophylaxis of post-operative endophthalmitis in cataract surgery 

 
   
Ciprofloxacin
(Ophthalmic)
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Restricted Drug Restricted
Advice

Restricted: Consultant use only. Effective in infections caused by Pseudomonas aeruginosa. Licensed for corneal ulcers.

 Used off-label for otitis externa

 
   
Moxifloxacin (Moxivig)
(0.5% PF drops)
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Formulary
Amber

Bacterial keratitis if PF preparation required e.g. frequency more than QDS

 
   
Ofloxacin Eye drops (Exocin)
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Restricted Drug Restricted
Amber

Restricted: Consultant use only. Effective in infections caused by Pseudomonas aeruginosa. Licensed for corneal ulcers.

 
   
Polymyxin B Sulphate eye ointment (Polyfax)
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Restricted Drug Restricted
Amber

Effective for infections caused by Pseudomonas aeruginosa

 
   
Propamidine Isetionate (Brolene eye drops)
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Restricted Drug Restricted
Amber

Specific for acanthamoeba keratitis

 
   
Vancomycin
(ophthalmic)
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Restricted Drug Restricted
Red

Consultant ophthalmologist only. See endophthalmitis protocol

 
   
 ....
 Non Formulary Items
Azithromycin  (Azyter)
(ophthalmic)

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Non Formulary
 
Benzylpenicillin
(ophthalmic)

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Non Formulary
 
Chloramphenicol  (Chloromycetin)

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Non Formulary
 
Chlorhexidine
(ophthalmic)

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Non Formulary
 
Chlortetracycline
(ophthalmic)

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Non Formulary
 
Erythromycin
(ophthalmic)

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Non Formulary
 
Gentamicin  (Genticin)

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Non Formulary
 
Levofloxacin
(ophthalmic)

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Non Formulary
 
Neomycin Eye drops

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Non Formulary
 
Polihexanide
(eye drops)

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Non Formulary
 
Povidone iodine 5%
(ophthalmic)

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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
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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

Green

Suitable for use in primary care  

Amber

Specialist initiation. Shared care in place  

Red

Red do not use..  

Advice

Some formulations restricted  

Black

NICE "Do not do"  

Green 1

1st line option  

Green 2

2nd line option  

Green 3

3rd line option only  

Not Recomended / Black

Low Value Medicine not recommended for use - see NHSE guidelines  

OTC

This preparation should be bought over the counter for self-care  

Red Amber

Check product description for traffic light status  

Red Black

Low Value Medicine  

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