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Other - Cost: £666,418,230.39 Trimbow - Cost: £10,172,611.00 Atorvastatin - Cost: £11,064,539.20 Empagliflozin (Jardiance) - Cost: £12,771,927.20 Beclometasone / Formoterol MDI (Fostair) - Cost: £14,092,775.28 Rivaroxaban - Cost: £18,290,736.00 FreeStyle Libre 2 Sensor  - Cost: £18,939,025.00 Edoxaban (Lixiana) - Cost: £19,891,604.25 Dapagliflozin (Forxiga) - Cost: £22,821,013.30
Formulary Notes (BNF Chapter)
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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 7 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
    Chloramphenicol Eye Preps
    0.5 % eye drops (10ml dose) Pack of 1
    £1.80PCT FORMULARY STATUS: First Line Drugs AntibacterialsView BNF Article on 'Chloramphenicol Eye Preps'View SPC on 'Chloramphenicol Eye Preps'View PIL on 'Chloramphenicol Eye Preps'
    Chloramphenicol Eye Preps
    1 % eye ointment Pack of 4
    £5.22PCT FORMULARY STATUS: First Line Drugs AntibacterialsView BNF Article on 'Chloramphenicol Eye Preps'View SPC on 'Chloramphenicol Eye Preps'View PIL on 'Chloramphenicol Eye Preps'
    Chloramphenicol Eye Drops (Minims)
    0.5 % eye drops 0.5ml UD p/f Pack of 20
    £11.43PCT FORMULARY STATUS: First Line Drugs AntibacterialsView BNF Article on 'Chloramphenicol Eye Drops'View SPC on 'Chloramphenicol Eye Drops'View PIL on 'Chloramphenicol Eye Drops'
    Fusidic acid
    1 % modified-release eye drops 5 gram Pack of 5
    £28.80PCT FORMULARY STATUS: Second Line Drugs AntibacterialsView BNF Article on 'Fusidic acid'View SPC on 'Fusidic acid'View PIL on 'Fusidic acid'
    Ofloxacin Eye Drops (Exocin)
    0.3 % Solution (5ml Unit) Pack of 5
    £2.17PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Apply every 2-4 hours for the first 2 days, then reduce frequency to 4 times daily (maximum of 10 days treatment). AntibacterialsView BNF Article on 'Ofloxacin Eye Drops'View SPC on 'Ofloxacin Eye Drops'View PIL on 'Ofloxacin Eye Drops'
    Apply every 2-4 hours for the first 2 days, then reduce frequency to 4 times daily (maximum of 10 days treatment).
    Cefuroxime 5% preservative free eye drops
    5 % preservative free eye drops Pack of 1
    - PCT FORMULARY STATUS: Hospital Only Drugs AntibacterialsView BNF Article on 'Cefuroxime 5% preservative free eye drops'View SPC on 'Cefuroxime 5% preservative free eye drops'View PIL on 'Cefuroxime 5% preservative free eye drops'
    Ciprofloxacin Eye Drops (Ciloxan)
    0.3 % eye drops 5ml unit Pack of 1
    - PCT FORMULARY STATUS: Hospital Only Drugs AntibacterialsView BNF Article on 'Ciprofloxacin Eye Drops'View SPC on 'Ciprofloxacin Eye Drops'View PIL on 'Ciprofloxacin Eye Drops'

     
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