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 Formulary Chapter 11: Eye - Full Chapter
11.08.01  Expand sub section  Tear deficiency, ocular lubricants, and astringents
Acetylcysteine 5% eye drops
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Restricted Drug Restricted
Red

Mucolytic or filamentary keratitis. Initiation limited to consultant based on slit lamp findings of adherent mucin. Repeat prescription should only be determined by this examination.

 
   
Acetylcysteine 5% with Hypromellose 0.35% (Ilube)
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Restricted Drug Restricted
Amber

Mucolytic or filamentary keratitis. Initiation limited to consultant based on slit lamp findings of adherent mucin. Repeat prescription should only be determined by this examination.

 
   
Carbomers
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Formulary
Green 2

First line alternative to hypromellose.

Clinitas Gel (Carbomer 180 10g). Prescribe by brand in primary care / FP10 

 

 
   
Carbomers (Viscotears)
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Formulary
Advice

Preservative free single use 30x0.6ml

First line alternative to hypromellose where preservative free required

Prescribe by brand in primary care / FP10

Gel - Diagnostic aid in ophthalmology (contact lens coupling agent) 

 
   
Carmellose
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Formulary
Green 2

Evolve Carmellose 0.5% PF 10ml or Celluvisc® 1% carmellose 1% single dose UDV

Second line alternative if hypromellose & carbomer ineffective. Prescribe by brand in primary care / FP10

Evolve carmellose PF have a 90 day expiry from first opening and are preservative free.

Reserve single use unit dose preparations for patients who do not experience relief with Evolve carmellose 0.5 PF%

 
   
Hypromellose
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Formulary
Green 1

First line eye lubricant. Compliance is an important factor in successful treatment outcome.

Hypromellose 0.3% preserved & preservative free: prescribe as Evolve Hypromellose 0.3% PF 10ml.

Evolve hypromellose PF have a 90 day expiry from first opening and are preservative free 

 
   
Liquid Paraffin eye ointment (Xailin Night)
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Formulary
Green

For night time use.

Contains no preservative.

Prescribe by brand in primary care / FP10 

 
   
Polyvinyl Alchohol (SnoTears)
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Formulary
Green 2

First line alternative to hypromellose

Safe for contact lens wearers

 
   
Polyvinyl Alcohol (Liquifilm Tears or Sno Tears)
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Formulary
Green 2

Liquifilm Tears UDV first line alternative to hypromellose where preservative free required

Safe for contact lens wearers 

 
   
Sodium Chloride
(Balanced salt solution)
Restricted Drug Restricted
Amber
 
   
Sodium Chloride (Minims Saline)
Restricted Drug Restricted
Amber
 
   
Sodium Chloride 0.9% Solutions
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Restricted Drug Restricted
Amber
 
   
 ....
 Non Formulary Items
Acetylcysteine

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Non Formulary
 
Acetylcysteine 10% eye drops

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Non Formulary
 
Carbomer 980 eye drops

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Non Formulary
 
Carbomers  (Liposic)

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Non Formulary
 
Carbomers  (liquivisc)

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Non Formulary
 
Carboxymethylcellulose, glycerine & castor oil eye drops  (Optive Plus)

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Non Formulary
 
Carmellose Sodium  (Carmize®)

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Non Formulary
 
Hydroxyethylcellulose  (Minims Artificial Tears)

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Non Formulary
 
Hydroxypropyl Guar  (Systane®)

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Non Formulary
 
Hypromellose  (Isopto Alkaline)

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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

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Non Formulary
 
Liquid Paraffin and Liquid Paraffin light eye drops

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Non Formulary
 
Liquid Paraffin eye ointment

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Non Formulary
 
Liquid Paraffin eye ointment

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Non Formulary
 
Optive Fusion

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Non Formulary
 
Paraffin Yellow Soft
(Simple eye ointment)

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Non Formulary
 
Retinol palmitate with soft paraffins  (VitA-POS)

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Non Formulary
 
Sodium Hyaluronate  (Hylo-Forte)

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Non Formulary

Prescribe Evolve HA in Primary Care / on FP10

Evolve HA PF have a 90 day expiry from first opening and are preservative free

Third line alternative if first and second line treatments fail

 
Sodium Hyaluronate  (Hylo-Tear)

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Non Formulary

Prescribe Evolve HA in Primary Care / on FP10

Evolve HA PF have a 90 day expiry from first opening and are preservative free

Third line alternative if first and second line treatments fail

 
Sodium Hyaluronate  (Lubristil)

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Non Formulary

Prescribe Evolve HA in Primary Care / on FP10

Evolve HA PF have a 90 day expiry from first opening and are preservative free

Third line alternative if first and second line treatments fail

 
Sodium Hyaluronate  (Vismed Gel)

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Non Formulary

Prescribe Evolve HA in Primary Care / on FP10

Evolve HA PF have a 90 day expiry from first opening and are preservative free

Third line alternative if first and second line treatments fail

 
Sodium Hyaluronate  (Vismed multi)

Non Formulary

Prescribe Evolve HA in Primary Care / on FP10

Evolve HA PF have a 90 day expiry from first opening and are preservative free

Third line alternative if first and second line treatments fail

 
Soybean oil unit dose eye drops  (Emustil)

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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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