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 Formulary Chapter 11: Eye - Full Chapter
11.08.01  Expand sub section  Tear deficiency, ocular lubricants, and astringents
Hypromellose 0.3% Eye drops
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First Choice
Green

Prescribe generically.

First line treatment for dry eye syndrome, in line with Ocular lubricant prescribing guidelines. 

Also available to purchase over the counter in line with Clinical Commissioning Policy 88D

APCO July 2018.

 
Polyvinyl Alchohol 1.4% (SnoTears®)
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First Choice
Green

First line treatment for dry eye syndrome, in line with Ocular lubricant prescribing guidelines. 

Also available to purchase over the counter in line with Clinical Commissioning Policy 88D

APCO July 2018.

 
Carbomer 980 (Clinitas® gel or Geltears®)
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Second Choice
Green

Second line treatment for dry eye syndrome, in line with Ocular lubricant prescribing guidelines. 

Also available to purchase over the counter in line with Clinical Commissioning Policy 88D

APCO July 2018.

 
   
Carmellose 0.5% eye drops (Optive®)
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Third Choice
Green

 Third line treatment for dry eye syndrome, in line with Ocular lubricant prescribing guidelines. 

Also available to purchase over the counter in line with Clinical Commissioning Policy 88D

APCO July 2018.

 
   
Hydroxypropyl Guar (Systane®)
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Third Choice
Green

Third line treatment for dry eye syndrome, in line with Ocular lubricant prescribing guidelines. 

Also available to purchase over the counter in line with Clinical Commissioning Policy 88D

APCO July 2018.

NB. This product lasts 6 months from opening.

 
   
Artelac® night time gel
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Formulary
Green

Treatment for dry eye syndrome, in line with Ocular lubricant prescribing guidelines. 

Also available to purchase over the counter in line with Clinical Commissioning Policy 88D

APCO July 2018.

NB. Lasts 6 weeks from opening.

 
   
Carbomers 980 (Viscotears® Unit dose)
(Preservative Free Eye drops)
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Formulary
Green

Restricted for patients who require a preservative formulation, in line with Ocular lubricant prescribing guidelines.

Also available to purchase over the counter in line with Clinical Commissioning Policy 88D

APCO July 2018. 

 
   
Carmellose preservative-free (Celluvisc® 1.0% unit doses eye drops)
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Formulary
Green

Restricted for patients who require a preservative formulation, in line with Ocular lubricant prescribing guidelines.

Also available to purchase over the counter in line with Clinical Commissioning Policy 88D

APCO July 2018. 

 
   
Hydroxypropyl guar (Systane®)
(Single use eye drops)
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Formulary
Green

Restricted for patients who require a preservative formulation, in line with Ocular lubricant prescribing guidelines.

Also available to purchase over the counter in line with Clinical Commissioning Policy 88D

APCO July 2018. 

 
   
Hypromellose 0.3% Eye drops (Tear-Lac®)
(Preservative free eye drops)
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Formulary
Green

Restricted for patients who require a preservative formulation, in line with Ocular lubricant prescribing guidelines.

Also available to purchase over the counter in line with Clinical Commissioning Policy 88D

APCO July 2018. 

 
   
Polyvinyl Alcohol  (Liquifilm Tears®)
(Preservative Free Eye drops)
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Formulary
Green

Restricted for patients who require a preservative formulation, in line with Ocular lubricant prescribing guidelines.

Also available to purchase over the counter in line with Clinical Commissioning Policy 88D

APCO July 2018. 

 
   
Sodium Chloride 0.9% (Minims® Saline)
Formulary
Green
 
   
Sodium Hyaluronate 0.1% (Hylo-Tear® eye drops)
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Formulary
Green

Restricted for patients who require a preservative formulation, in line with Ocular lubricant prescribing guidelines.

Also available to purchase over the counter in line with Clinical Commissioning Policy 88D

APCO July 2018. 

 NB. Preservative-free eye drops. This product remains sterile for 6 months after opening and a 10ml bottle should last approximately 2 months, based on average usage of 4 drops per day. 

 
   
Sodium Hyaluronate 0.2% (Hylo-Forte® eye drops)
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Formulary
Green

Restricted for patients who require a preservative formulation, in line with Ocular lubricant prescribing guidelines.

Also available to purchase over the counter in line with Clinical Commissioning Policy 88D

APCO July 2018. 

 NB. Preservative-free eye drops. This product remains sterile for 6 months after opening and a 10ml bottle should last approximately 2 months, based on average usage of 4 drops per day. 

 
   
Sodium Hyaluronate 0.4% (Clinitas®)
(Single Use Eye drops)
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Formulary
Green

Restricted for patients who require a preservative formulation, in line with Ocular lubricant prescribing guidelines.

Also available to purchase over the counter in line with Clinical Commissioning Policy 88D

APCO July 2018. 

NB. Each unit dose vial (8 -10 drops) is resealable and suitable for use for up to 12 hrs 

 
   
Liquid Paraffin eye ointment (Xailin Night®)
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Formulary
Green

Treatment for dry eye syndrome, in line with Ocular lubricant prescribing guidelines. 

Also available to purchase over the counter in line with Clinical Commissioning Policy 88D

APCO July 2018.

Warning: Paraffin-based eye ointments are flammable, keep them away from heat, lights and naked flames

 
   
Sodium Chloride
(Balanced salt solution)
Formulary
Red

Secondary care use only for intra-ocular or topical irrigation during surgical procedures.

 
   
Sodium Chloride 5%
(Preservative Free Eye drops)
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Formulary
Amber Continuation

Suitable for prescribing in primary care following specialist recommendation.

 
   
Sodium Chloride 5% (Hypersal® eye drops)
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Formulary
Amber Continuation

Suitable for prescribing in primary care following specialist recommendation.

 
   
 ....
 Non Formulary Items
Acetylcysteine 10% eye drops

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Non Formulary
 
Acetylcysteine 5% eye drops

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

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Non Formulary
 
Hydroxyethylcellulose  (Minims® Artificial Tears)

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Non Formulary
 
Hylo-Care® Eye drops

Non Formulary

Contains sodium hyaluronate 0.1%, dexpanthenol 2%.

 
Hypromellose 0.3% with Dextran 70 0.1% Eye drops  (Tears naturale®)

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Non Formulary
 
Hypromellose 0.5% Eye drops  (Isopto Plain®)

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Non Formulary
 
Hypromellose 1% Eye drops  (Isopto Alkaline®)

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Non Formulary
 
Hypromellose single use

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Non Formulary

Brands include:

  • Artelac® SDU
  • Hydromoor®
  • Lumecare®
  • Tears Naturale® (includes dextran '70')
  • SoftDrops®

 
Liquid Paraffin and Liquid Paraffin light eye drops

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Non Formulary
 
Liquid Paraffin Eye ointment  (Lacri-lube®)

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Non Formulary

 

Discontinued in 2018.

 

 
Optive® Fusion

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Non Formulary

Contains sodium hyaluronate 0.1%, carmellose sodium 0.5%, glycerol 0.9%.

 
Paraffin Yellow Soft
(Simple eye ointment)

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Non Formulary

Contains Lanolin.

 
Retinol Palmitate with Soft Paraffins  (VitA-POS®)

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Non Formulary
 
Sodium Chloride 0.9% eye drops

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Non Formulary

Multidose preparation is an unlicensed special and non-formulary.

 
Sodium Hyaluronate
(Eye drops)

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Non Formulary

 

    • Brands containing 0.18% Sodium Hyaluronate eye drops include: Vismed® Multi
    • Brands containing 0.15% Sodium Hyaluronate eye drops include: Artelac Rebalance®, Hyabak®, Lumecare® and Oxyal®
    • Brands containing 0.2% Sodium Hyaluronate eye drops include: Xailin HA®
    • Brands containing 0.3% Sodium Hyaluronate eye drops include: Vismed® Gel Multi

Sodium Hyaluronate 0.1% (Hylo-Tear® eye drops) and Sodium Hyaluronate 0.2% (Hylo-Tear Forte® eye drops) are third line preservative free choices in Oxfordshire, in line with Ocular lubricant prescribing guidelines. 

 
Sodium Hyaluronate 0.18%  (Vismed®)
(Single use eye drops)

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Non Formulary
 
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
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
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

Red

Red: Medicines which should only be prescribed in secondary care by a specialist.  

Amber Continuation

Amber Continuation: Medicines which should be initiated or recommended by a specialist for continuation in primary care. The specialist must notify the GP that the prescribing responsibility has been transferred.   

Amber Shared Care Protocol

Amber Shared Care Protocol: Medicines which are appropriate to be initiated and stabilised by a specialist, once stabilised the medicine may be appropriate for responsibility to be transferred from secondary to primary care with the agreement of a GP and a formal ‘shared care’ agreement. The shared care protocol must be approved by the Area Prescribing Committee Oxfordshire (APCO).   

Green

Green: Medicines which are suitable for initiation and ongoing prescribing within primary care.   

Brown

Brown: Medicines which should only be prescribed in restricted circumstances.  

Black

Black: Medicines which are not recommended for use because of lack of evidence of clinical effectiveness, cost effectiveness or safety.  

OCCG Green

not used  

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