netFormulary Coventry and Warwickshire Area Prescribing Committee NHS
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 Formulary Chapter 11: Eye - Full Chapter
11.08.02  Expand sub section  Ocular diagnostic and peri-operative preparations and photodynamic treatment
11.08.02  Expand sub section  Ocular diagnostic preparations
11.08.02  Expand sub section  Ocular peri-operative drugs
Acetylcholine Chloride (Miochol-E®)
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Red SO
To obtain rapid complete miosis in cataract surgery, penetrating keratoplasty, iridectomy, and anterior segment surgery  
   
Apraclonidine (Iopidine®)
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Red SO
0.5% for control of intra-ocular pressure

1% for peri-operative use only 
   
Bromfenac eye drops
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Red SO
Treatment of postoperative ocular inflammation following cataract extraction
 
   
Cefuroxime intracameral injection (Aprokam®)
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Red SO
Prophylaxis after cataract surgery 
   
Diclofenac 0.1% eye drops
(Preservative free)
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Red SO
Inhibition of peroperative miosis , treatment of post-operative ocular inflammation and control of ocular pain after surgery or accidental non-penetrating trauma
 
   
Ketorolac 0.5% eye drops
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Red SO
Prophylaxis and reduction of inflammation and associated symptoms following ocular surgery
 
   
Nepafenac eye drops
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Red SO
Prevention and treatment of postoperative pain and inflammation and reduction of risk of postoperative macular oedema associated with cataract surgery

 
   
Povidone iodine 5% eye drops
(Preservative free)
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Red SO
Cutaneous peri-ocular and conjunctival antisepsis prior to ocular surgery
 
   
Sodium chondroitin & sodium hyaluronate prefilled syringe (Viscoat®)
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Red SO
For peri-operative use 
   
Sodium hyaluronate prefiled syringe (Provisc®)
Formulary
Red SO
for peri-operative use 
   
Tropicamide/phenylephrine/lidocaine
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Red SO
For mydriasis and intraocular anaesthesia during cataract surgery
 
   
11.08.02  Expand sub section  Subfoveal choroidal neovascularisation
11.08.02  Expand sub section  Vitreomacular traction to top
 ....
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Blueteq
High Cost Drug Approval System

Traffic Light Status Information

Status Description

Preferred

Clinicians are free to prescribe these drugs. They are regarded as cost effective choices which have evidence to support their use.  

Second Line

These drugs should only be prescribed in the scenarios described in the formulary after preferred drug(s) have been ruled out.  

Non Formulary

Non-formulary choice - the vast majority of a patient’s needs should be met by use of formulary preferred choices and second line options when appropriate. Therefore the Clinician should only use a non-formularly drug if this can be justified and it is recommended that all such instances are recorded in the patient record.  

Green SA

Specialist Advised – Specialists may simply advise a patient’s GP to initiate these drugs themselves after they have made an initial assessment. Note: SA drugs can be initiated by the specialist according to patient need and also depending on local commissioning arrangements which may mandate, through the contract between provider and commissioner, that all SA drugs are treated as SI.  

Green SI

Specialist Initiation - These drugs must be initiated, i.e. the first dose prescribed, by the specialist and then may be continued when appropriate by the patient’s GP following communication from the specialist.  

Amber SC

Shared Care - Responsibility for prescribing may be transferred from secondary to primary care with the agreement of an individual GP and when agreed shared care arrangements have been established. The specialist MUST stabilize the patient before asking for care to be transferred. Only specialists should initiate these drugs. Prescribing should be transferred to GPs according to an Shared Care Agreement [SCA]   

Red SO

Specialist Only - These drugs are deemed to be not appropriate for prescribing by GPs. Specialists should not ask GPs to prescribe these drugs.   

Black BL

Black Listed Medicines - These drugs are considered inappropriate for prescribing in Coventry & Warwickshire as they are either not cost-effective or of proven benefit or both.   

Not Recommended

Not Recommended - These are specialist drugs that are not recommended for use.  

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