Lancashire and South Cumbria
Formulary
 
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11 Eye

This chapter of the formulary is under continual development, please let the team know if you have any comments about the contents: mlcsu.lscformulary@nhs.net

For more information about the formulary development process, please see: https://www.lancsmmg.nhs.uk/lancashire-and-south-cumbria-icb-formulary-development/

11-03-01 Antibacterials

Chloramphenicol
First Choice

Eye drops 0.5%

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

East Lancashire only - use as by ophthalmology when more than 5 days treatment required post op


Eye ointment 1%

Chloramphenicol eye drops 0.5% can be sold by a community pharmacy to the public  (for people over 2 years of age) for the treatment of acute bacterial conjunctivitis.

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

Green View adult BNF  View SPC online  View childrens BNF
Gentamicin
Second Choice

Eye/ear drops 0.3%


Green View adult BNF  View SPC online  View childrens BNF
Chloramphenicol Minims®
Formulary

Minims® 0.5% 

Follow local ophthalmology policies

Link  MHRA: Chloramphenicol eye drops containing borax or boric acid buffers: use in children younger than 2 years

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Ciprofloxacin
Formulary

Eye drops 0.3%

*under review*


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Fusidic Acid
Formulary

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


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Levofloxacin
Formulary

eye drops 0.5%

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

 *under review*

 


Amber 0 View adult BNF  View SPC online  View childrens BNF
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%

Unlicensed - consultant ophthalmologist only

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Chlorhexidine 0.02% eye drops
Formulary

Eye drops 0.02%

Unlicensed - Consultant ophthalmologist only. Morecambe bay only

* under review*

Link  MHRA: Medical Device Alert

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Gentamicin Forte
Formulary

Preservative free eye drops 1.5%

Unlicensed - consultant ophthalmologist only


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Polihexanide
Restricted

Eye drops 0.02%

Specialist use only for treatment of fusarium keratitis

Also known as polyhexamethylene biguanide (PHMB)


Restricted Drug Red View adult BNF  View SPC online  View childrens BNF