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Birmingham, Sandwell, Solihull and environs APC Formulary
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 Formulary Chapter 11: Eye - Full Chapter
Notes:

 Criteria for Preservative Free (PF) and Single Dose Unit (SDU) presentations:

These are restricted to patients with
 true preservative allergy
and/or
 evidence of epithelial toxicity from preservatives
and/or
 severe dry eyes
and/or
 require/ may require surgery in the near future
and/or
 neonates

 Details...
11.05  Expand sub section  Mydriatics and cycloplegics
11.05  Expand sub section  Antimuscarinics
Atropine Sulphate 0.5% drops
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Amber
 
   
Atropine Sulphate 1% drops
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Formulary
Amber
 
   
Atropine Sulphate single use (Minims )
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Formulary
Amber
  • Specialist Ophthalmologist Recommendation -used by glaucoma surgeons for neovascular glaucoma. 
  •    
    Cyclopentolate Hydrochloride 0.5% eye drops
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    Amber
     
       
    Cyclopentolate Hydrochloride 1% eye drops
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    Formulary
    Amber
     
       
    Cyclopentolate Hydrochloride single use (Minims )
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    Formulary
    Amber
  • Specialist Ophthalmologist Recommendation. 
  •    
    Tropicamide 0.5% and 1%  (Mydriacyl)
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    Restricted Drug Restricted
    Red
  • Hospital only 
  •    
    Tropicamide single use (Minims Tropicamide)
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    Restricted Drug Restricted
    Red
    Hospital only 
       
    11.05  Expand sub section  Sympathomimetics
     ....
     Non Formulary Items
    Homatropine Hydrobromide

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    Non Formulary
     
      
    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
    Cytotoxic Drug
    Cytotoxic Drug
    CD
    Controlled Drug
    High Cost Medicine
    High Cost Medicine
    Cancer Drugs Fund
    Cancer Drugs Fund
    NHSE
    NHS England
    Homecare
    Homecare
    CCG
    CCG

    Traffic Light Status Information

    Status Description

    Green

    Medicines which are suitable for initiation and maintenance prescribing by primary and secondary care clinicians. These medicines should be initiated and prescribed within their licensed indications.  

    Amber

    Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate, or initiation and maintenance of prescribing in Primary Care following recommendation from a Specialist.

    Some amber medicines require agreement with the local (internal) medicines committee prior to initiation; others may require a framework to support safe transfer and maintenance of care such as a RICaD or ESCA. The Formulary will be annotated to reflect these requirements.   

    Red

    Medicines for initiation and maintenance prescribing by Specialists only  

    Black

    Non-formulary medicines- medicines not recommended for routine primary care prescribing.  

    Grey

    Positive NICE TA and /or awaiting local clarification on place in therapy ; Please contact your Medicines Optimisation team for more information.  

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