netFormulary NHS
Birmingham, Sandwell, Solihull and environs APC Formulary
Maintained by Midlands and Lancashire Commissioning Support Unit
 Search
 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...
11.06  Expand sub section  Treatment of glaucoma
11.06  Expand sub section  Beta-blockers
11.06  Expand sub section  Prostaglandin analogues
11.06  Expand sub section  Sympathomimetics
11.06  Expand sub section  Carbonic anhydrase inhibitors and systemic drugs to top
Acetazolamide
(Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
  • Specialist Ophthalmologist Recommendation
 
   
Acetazolamide
(Injection)
View adult BNF View SPC online View childrens BNF
Formulary
Red
Hospital Only 
   
Acetazolamide M/R
(capsules)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
  • Specialist Ophthalmologist Recommendation
 
   
Brinzolamide 10mg/ml
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
  • Specialist Ophthalmologist Recommendation
 
   
Brinzolamide 10mg/ml with Timolol 5mg/ml
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
  • Specialist Ophthalmologist Recommendation
  • 2nd/3rd line
 
   
Dorzolamide 2%
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
  • Specialist Ophthalmologist Recommendation
 
   
Dorzolamide 2% eye drops (SDU) (Trusopt®)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
  • Specialist Ophthalmologist Recommendation
 
   
Brinzolamide 10mg/ml with Brimonidine 2mg/ml (Simbrinza® )
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
  • Specialist Ophthalmologist Recommendation
  • Third line option, after prostaglandin analogues (1st line) and beta-blocker/ prostaglandin analogue plus beta-blocker (2nd line)
  • For patients in whom monotherapy provides insufficient IOP reduction.
 
   
Dorzolamide 2% with Timolol 0.5%
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
  • Specialist Ophthalmologist Recommendation
 
   
Dorzolamide 2% with Timolol 0.5% SDU Eye Drops (Cosopt®)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
  • Specialist Ophthalmologist Recommendation
 
   
11.06  Expand sub section  Miotics
 ....
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
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
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

Prescribing in children

The APC notes that the informed use of unlicensed medicines or of licensed medicines for unlicensed applications (‘off-label’ use) is often necessary in paediatric practice.

The APC advises GPs to consider specialist prescribing recommendations for Green and Amber medicines that are not subject to ESCAs or RICaDs in combination with the information provided in the BNFC which goes beyond that of marketing authorisations. The BNFC has been designed for rapid reference and the information presented has been carefully selected to aid decisions on prescribing.
  

Green

Medicines suitable for routine use within primary care. Initiation and maintenance of prescribing by Specialists, GPs and other qualified clinicians.   

Amber Initiation

Amber Specialist Initiation: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate. This may be supported by a RICaD, annotated within the formulary entry.  

Amber Recommended

Amber Specialist Recommendation: Initiation and maintenance of prescribing in Primary Care following recommendation from a Specialist.  

Amber SC

Amber Shared Care: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing, in accordance with an ESCA, annotated within the formulary entry.  

Red

Medicines for initiation and maintenance prescribing by Specialists only.  

Black

Non-formulary Medicines which APC/Trust DTC has actively reviewed and do not recommend for use.  

Grey

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

The term 'Specialist' refers to Consultants, General Practitioners and Independant Prescribers with a Specialist Interest.  

netFormulary