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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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Important Local Documents (2)
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 29 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
    Hypromellose (AaproMel)
    0.3 eye drops (10ml Unit) Pack of 1
    £0.69PCT FORMULARY STATUS: First Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Hypromellose'View SPC on 'Hypromellose'View PIL on 'Hypromellose'
    Hypromellose (AacuLose)
    0.3 % eye drops (10ml dose) Pack of 1
    £0.71PCT FORMULARY STATUS: First Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Hypromellose'View SPC on 'Hypromellose'View PIL on 'Hypromellose'
    Hypromellose ( Sai-Meds) (Teardew )
    0.3 eye drops Pack of 10
    £0.99PCT FORMULARY STATUS: First Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Hypromellose   ( Sai-Meds) 'View SPC on 'Hypromellose   ( Sai-Meds) 'View PIL on 'Hypromellose   ( Sai-Meds) '
    Carbomer 980 Liquid Gel (Clinitas Carbomer)
    0.2 % in 10g unit Pack of 1
    £1.49PCT FORMULARY STATUS: First Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Carbomer 980 Liquid Gel'View SPC on 'Carbomer 980 Liquid Gel'View PIL on 'Carbomer 980 Liquid Gel'
    Carbomer 980 Liquid Gel (Lumecare)
    0.2 % in 10g unit Pack of 1
    £1.53PCT FORMULARY STATUS: First Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Carbomer 980 Liquid Gel'View SPC on 'Carbomer 980 Liquid Gel'View PIL on 'Carbomer 980 Liquid Gel'
    Hypromellose (Evolve Hypromellose)
    0.3 % eye drops p/f (10 ml unit) Pack of 1
    £1.98PCT FORMULARY STATUS: First Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Hypromellose'View SPC on 'Hypromellose'View PIL on 'Hypromellose'
    Xailin Night eye ointment
    5 gram Generic Xailin preservative free Pack of 1
    £2.49PCT FORMULARY STATUS: First Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Xailin Night eye ointment 'View SPC on 'Xailin Night eye ointment 'View PIL on 'Xailin Night eye ointment '
    Eye Ointment (Hylo Night)
    5 g unit Pack of 1
    £2.75PCT FORMULARY STATUS: First Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Eye Ointment'View SPC on 'Eye Ointment'View PIL on 'Eye Ointment'
    Carbomer 980 eye gel pf (Evolve Carbomer)
    0.2 % eye drops pf 10g Pack of 1
    £2.80PCT FORMULARY STATUS: First Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Carbomer 980 eye gel pf'View SPC on 'Carbomer 980 eye gel pf'View PIL on 'Carbomer 980 eye gel pf'
    Sodium Chloride Eye Drops
    0.9 % eye drops 10ml unit Pack of 1
    £2.96PCT FORMULARY STATUS: First Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Sodium Chloride Eye Drops'View SPC on 'Sodium Chloride Eye Drops'View PIL on 'Sodium Chloride Eye Drops'
    Liquid Paraffin Eye Ointment (Lacri-Lube)
    3.5 g Ointment (3.5g unit) Pack of 1
    £3.01PCT FORMULARY STATUS: First Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Liquid Paraffin Eye Ointment'View SPC on 'Liquid Paraffin Eye Ointment'View PIL on 'Liquid Paraffin Eye Ointment'
    Sodium hyaluronate (Xailin Tears)
    0.1 % eye drops p/f Pack of 1
    £4.15PCT FORMULARY STATUS: First Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Sodium hyaluronate'View SPC on 'Sodium hyaluronate'View PIL on 'Sodium hyaluronate'
    Sodium hyaluronate (Xailin Plus HA)
    0.2 % eye drops p/f (10ml) Pack of 1
    £4.15PCT FORMULARY STATUS: First Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Sodium hyaluronate'View SPC on 'Sodium hyaluronate'View PIL on 'Sodium hyaluronate'
    Sodium hyaluronate eye drops (ClinOptic)
    0.21 % eye drops p/f (10ml) Pack of 1
    £4.15PCT FORMULARY STATUS: First Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Sodium hyaluronate eye drops'View SPC on 'Sodium hyaluronate eye drops'View PIL on 'Sodium hyaluronate eye drops'
    Carmellose (Lumecare Evolve Carmellose)
    0.5 % eye drops p/f (10 ml unit) Pack of 1
    £4.99PCT FORMULARY STATUS: First Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Carmellose'View SPC on 'Carmellose'View PIL on 'Carmellose'
    Sodium hyaluronate eye drops pf (Clinitas)
    0.4 % 0.5 ml Pack of 30
    £5.70PCT FORMULARY STATUS: First Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Sodium hyaluronate eye drops pf'View SPC on 'Sodium hyaluronate eye drops pf'View PIL on 'Sodium hyaluronate eye drops pf'
    Sodium Chloride Eye Drops (Minims)
    0.9 % in 0.5ml single dose Units Pack of 20
    £7.43PCT FORMULARY STATUS: First Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Sodium Chloride Eye Drops'View SPC on 'Sodium Chloride Eye Drops'View PIL on 'Sodium Chloride Eye Drops'
    Polyvinyl Alcohol Eye Drops (Liquifilm Tears)
    1.4 % Eye Drops (15ml Unit) Pack of 1
    £1.93PCT FORMULARY STATUS: Second Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Polyvinyl Alcohol Eye Drops'View SPC on 'Polyvinyl Alcohol Eye Drops'View PIL on 'Polyvinyl Alcohol Eye Drops'
    Carmellose Eye Drops (Celluvisc)
    1 % (0.4ml single dose units) Pack of 30
    £3.00PCT FORMULARY STATUS: Second Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Carmellose Eye Drops'View SPC on 'Carmellose Eye Drops'View PIL on 'Carmellose Eye Drops'
    Hydroxypropyl Guar Eye Drops (Systane)
    0.8 ml vial (preservative free) Pack of 28
    £4.66PCT FORMULARY STATUS: Second Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Hydroxypropyl Guar Eye Drops'View SPC on 'Hydroxypropyl Guar Eye Drops'View PIL on 'Hydroxypropyl Guar Eye Drops'
    Sodium hyaluronate 0.1% eye drops preservative free 10 ml (Hylo-Tear)
    0.1 % eye drops Pack of 1
    £8.50PCT FORMULARY STATUS: Second Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Sodium hyaluronate 0.1% eye drops preservative free 10 ml'View SPC on 'Sodium hyaluronate 0.1% eye drops preservative free 10 ml'View PIL on 'Sodium hyaluronate 0.1% eye drops preservative free 10 ml'
    Sodium hyaluronate 0.2% eye drops preservative free (Hylo-Forte)
    0.2 % eye drops (10 ml unit) Pack of 1
    £9.50PCT FORMULARY STATUS: Second Line Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Sodium hyaluronate 0.2% eye drops preservative free'View SPC on 'Sodium hyaluronate 0.2% eye drops preservative free'View PIL on 'Sodium hyaluronate 0.2% eye drops preservative free'
    Acetylcysteine 5% preservative free eye drops
    5 % preservative free eye drops Pack of 1
    - PCT FORMULARY STATUS: Specialist Initiated Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Acetylcysteine 5% preservative free eye drops'View SPC on 'Acetylcysteine 5% preservative free eye drops'View PIL on 'Acetylcysteine 5% preservative free eye drops'
    Systane Balance eye drops
    10 ml unit Pack of 1
    £7.49PCT FORMULARY STATUS: Specialist Initiated Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Systane Balance eye drops'View SPC on 'Systane Balance eye drops'View PIL on 'Systane Balance eye drops'
    Ciclosporin (Ikervis)
    0.1 % eye drops 0.3ml unit dose Pack of 30
    £72.00PCT FORMULARY STATUS: Specialist Initiated Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Ciclosporin'View SPC on 'Ciclosporin'View PIL on 'Ciclosporin'
    Acetylcysteine Eye Drops (Ilube)
    5 % (10ml Unit) Pack of 1
    £80.95PCT FORMULARY STATUS: Specialist Initiated Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Acetylcysteine Eye Drops'View SPC on 'Acetylcysteine Eye Drops'View PIL on 'Acetylcysteine Eye Drops'
    Balanced Salt Solution (BBS)
    1 eye irrigation solution Pack of 500
    - PCT FORMULARY STATUS: Hospital Only Drugs Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Balanced Salt Solution (BBS)'View SPC on 'Balanced Salt Solution (BBS)'View PIL on 'Balanced Salt Solution (BBS)'
    Hypromellose (Artelac Eye Drops)
    0.5 ml * 30 single dose units Pack of 30
    £16.95PCT FORMULARY STATUS: Discouraged Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Hypromellose'View SPC on 'Hypromellose'View PIL on 'Hypromellose'
    Simple Eye Ointment
    4 g tube Pack of 4
    £75.30PCT FORMULARY STATUS: Discouraged [Notes:] Do not prescribe Tear Deficiency,Eye Lubricant/AstringentView BNF Article on 'Simple Eye Ointment'View SPC on 'Simple Eye Ointment'View PIL on 'Simple Eye Ointment'
    Do not prescribe

     
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