Lancashire and South Cumbria
Formulary
 
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11 Eye
11-03-01 Antibacterials

A course length should always be indicated on the prescription.


Chloramphenicol
Formulary

Green Eye drops 0.5%
Eye ointment 1%
Eye drops 0.5% preservative-free 10ml (only for use in patients with a documented allergy to preservatives)

Chloramphenicol 0.5% eye drops (in max. pack size 10 mL) and 1% eye ointment (in max. pack size 4 g) can be sold to the public for treatment of acute bacterial conjunctivitis in adults and children over 2 years; max. duration of treatment 5 days.

Red single unit dose 0.5%

 

First line.

Link  LSCMMG: Over the Counter Items that Should not be Routinely Prescribed in Primary Care Policy
Link  MHRA: Chloramphenicol eye drops containing borax or boric acid buffers: use in children younger than 2 years

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Fusidic Acid
Formulary

Eye drops 1% in gel basis (liquefies on contact with eye)
 
Second line


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Ciprofloxacin
Formulary

Eye drops 0.3%


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Gentamicin
Formulary

Green Eye/ear drops 0.3% (Second line ocular antibacterial)

Red Preservative free eye drops 1.5% (Unlicensed - consultant ophthalmologist use only)


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Levofloxacin
Formulary

Eye drops 0.5% (5mg/ml)

preservative-free eye drops 0.5% - reserved for patients with a documented allergy to preservatives or for intensive use. 


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Ofloxacin
Formulary

Eye drops 0.3%


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Propamidine Isetionate Brolene®
Formulary

Eye drops 0.1%

Specialist use only for treatment of acanthamoeba keratitis


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Cefuroxime
Formulary

Eye drops 5%

Consultant ophthalmologist only.


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Chlorhexidine 0.02%
Formulary

Eye drops 0.02%

Consultant ophthalmologist only.

Link  MHRA: All medical devices and medicinal products containing chlorhexidine - Risk of anaphylactic reaction due to chlorhexidine allergy

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Polihexanide
Formulary

Eye drops 0.02%

Specialist use only for treatment of fusarium keratitis

Also known as polyhexamethylene biguanide (PHMB)


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