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Notes for: Eye
Last edited [13/11/2023 16:03:01]

Administration of drugs to the eye

1. Eye drops and eye ointments are instilled into the pocket formed by gently pulling down the lower eyelid. For eye drops, one drop is all that is needed as long as instillation is successful. For eye ointments, a small amount is applied similarly; the ointment melts rapidly and blinking helps to spread it.

2. When two or more different drops are required at the same time of day, the patient should leave an interval of 5 minutes between drops to avoid dilution and overflow. Also to use ointment preparations 5 minutes after drops.

3. Certain preparations included within this chapter of the formulary are unlicensed and marked with *. These products will be ordered specially and are not stocked; therefore a delay in obtaining stocks may be incurred. These 'specials' may be supplied when clinical need for the individual patient demands, given no commercial alternative is available. Specials are often very costly.

Administration aids: Eye drop dispensers are available to aid the instillation of eye drops especially amongst the elderly, visually impaired, arthritic, or otherwise physically limited patients. They can be purchased from most community pharmacies or prescribed on FP10 prescription. Please refer to the Drug Tariff for details - Appliances: Eye Drops Dispensers.

Preservatives and sensitisers:

1. Long-term administration of preservative containing eye drops may cause ocular irritation.

2. RCHT Eye Unit offer the following recommendations for when to use preservative free treatments:

    the patient has a proven allergy to the preservative
    frequent use of the drops - six or more time a day (long-term use)
    the patient is wearing a soft contact lens or bandage lens at the time of instillation, on specialist advice
    after a corneal transplant in selected cases, depending on indication, and in cases where the cornea is compromised, on specialist advice

    Prescribing Guidelines for Dry Eye Management

     

    Cornwall Joint Formulary Recommended Choices     (...Top)
    Displaying 12 Drugs

    Key:
    First Line Drugs First Line Drugs
    Second Line Drugs Second Line Drugs
    Specialist Initiated Drugs Specialist Initiated Drugs
    Hospital Only Drugs Hospital Only Drugs
    Discouraged Discouraged
    No comment available No comment available
    Antibiotics Antibiotics

    NameTariffBNF Sub Paragraph
    Tropicamide 0.5% single use eye drops (Minims)
    0.5 % eye drops Pack of 20
    £11.74PCT FORMULARY STATUS: First Line Drugs Mydriatics And CycloplegicsView BNF Article on 'Tropicamide 0.5% single use eye drops'View SPC on 'Tropicamide 0.5% single use eye drops'View PIL on 'Tropicamide 0.5% single use eye drops'
    Tropicamide 1% single use eye drops (Minims)
    1 % eye drops Pack of 20
    £11.88PCT FORMULARY STATUS: First Line Drugs Mydriatics And CycloplegicsView BNF Article on 'Tropicamide 1% single use eye drops'View SPC on 'Tropicamide 1% single use eye drops'View PIL on 'Tropicamide 1% single use eye drops'
    Cyclopentolate 0.5% eye drops (Mydrilate)
    0.5 % eye drops 5ml Pack of 5
    £8.08PCT FORMULARY STATUS: Specialist Initiated Drugs Mydriatics And CycloplegicsView BNF Article on 'Cyclopentolate 0.5% eye drops'View SPC on 'Cyclopentolate 0.5% eye drops'View PIL on 'Cyclopentolate 0.5% eye drops'
    Cyclopentolate 1% eye drops (Mydrilate)
    1 % eye drops Pack of 5
    £8.08PCT FORMULARY STATUS: Specialist Initiated Drugs Mydriatics And CycloplegicsView BNF Article on 'Cyclopentolate 1% eye drops'View SPC on 'Cyclopentolate 1% eye drops'View PIL on 'Cyclopentolate 1% eye drops'
    Cyclopentolate Eye Drops (Mydrilate)
    1 % eye drops 5ml Pack of 5
    £8.08PCT FORMULARY STATUS: Specialist Initiated Drugs Mydriatics And CycloplegicsView BNF Article on 'Cyclopentolate Eye Drops'View SPC on 'Cyclopentolate Eye Drops'View PIL on 'Cyclopentolate Eye Drops'
    Cyclopentolate 0.5% single use eye drops (Minims)
    0.5 % single use eye drops Pack of 20
    £11.41PCT FORMULARY STATUS: Specialist Initiated Drugs Mydriatics And CycloplegicsView BNF Article on 'Cyclopentolate 0.5% single use eye drops'View SPC on 'Cyclopentolate 0.5% single use eye drops'View PIL on 'Cyclopentolate 0.5% single use eye drops'
    Cyclopentolate 1% single use eye drops (Minims)
    1 % single use eye drops Pack of 20
    £11.68PCT FORMULARY STATUS: Specialist Initiated Drugs Mydriatics And CycloplegicsView BNF Article on 'Cyclopentolate 1% single use eye drops'View SPC on 'Cyclopentolate 1% single use eye drops'View PIL on 'Cyclopentolate 1% single use eye drops'
    Phenylephrine 2.5% single use eye drops (Minims)
    2.5 % single use eye drops Pack of 20
    £13.08PCT FORMULARY STATUS: Specialist Initiated Drugs Mydriatics And CycloplegicsView BNF Article on 'Phenylephrine 2.5% single use eye drops'View SPC on 'Phenylephrine 2.5% single use eye drops'View PIL on 'Phenylephrine 2.5% single use eye drops'
    Phenylephrine 10% single use eye drops (Minims)
    10 % single use eye drops Pack of 20
    £13.46PCT FORMULARY STATUS: Specialist Initiated Drugs Mydriatics And CycloplegicsView BNF Article on 'Phenylephrine 10% single use eye drops'View SPC on 'Phenylephrine 10% single use eye drops'View PIL on 'Phenylephrine 10% single use eye drops'
    Atropine 1% single use eye drops (Minims)
    1 % eye drops Pack of 20
    £15.10PCT FORMULARY STATUS: Specialist Initiated Drugs Mydriatics And CycloplegicsView BNF Article on 'Atropine 1% single use eye drops'View SPC on 'Atropine 1% single use eye drops'View PIL on 'Atropine 1% single use eye drops'
    Atropine Sulphate Eye Drops
    1 % 10ml bottle Pack of 10
    £240.99PCT FORMULARY STATUS: Specialist Initiated Drugs Mydriatics And CycloplegicsView BNF Article on 'Atropine Sulphate Eye Drops'View SPC on 'Atropine Sulphate Eye Drops'View PIL on 'Atropine Sulphate Eye Drops'
    Homatropine 2% single use eye drops
    2 % single use eye drops Pack of 1
    - PCT FORMULARY STATUS: Hospital Only Drugs Mydriatics And CycloplegicsView BNF Article on 'Homatropine 2% single use eye drops'View SPC on 'Homatropine 2% single use eye drops'View PIL on 'Homatropine 2% single use eye drops'

     
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