University Hospitals Birmingham NHS Foundation Trust

Chapters

StatusDrug nameNICE TAsComments
Status: AmberAciclovir 3% eye ointment
Status: AmberAzithromycin dihydrate drops

First line for ophthalmic chylamydia

Status: RedCefuroxime 5% eye drops (preserv-free)

Unlicensed. Ophthalmologist only.

Status: RedCefuroxime 5% powder

Unlicensed. Ophthalmologist only.

Status: GreenChloramphenicol 0.5% eye drops
Status: GreenChloramphenicol 0.5% minims (preserv-free)
Status: GreenChloramphenicol 1% eye ointment
Status: AmberCiprofloxacin 0.3% eye drops

Specialist opthalmologist recommendation (corneal consultants)

Status: GreenFusidic acid 1% M/R eye drops

NICU use as per guidelines - first line. Primary care antibiotic guidance - bacterial conjunctivitis - second line, high relative cost.

Status: AmberGanciclovir gel 0.5%
Status: AmberGentamicin 0.3% drops (ophthalmic)

Second line after chloramphenicol - specialist ophthalmologist recommendation.

Status: AmberLevofloxacin

Eye drops - high relative cost - second line. Use SDU if using one or two hourly, or if significant OSD/toxicity.

Status: AmberLevofloxacin (SDU)
Status: AmberOfloxacin 0.3% eye drops
Status: RedPenicillin 5000 units in 1ml eye drops

Unlicensed. Hospital use only, ophthalmologists.

Status: RedTrifluorothymidine 1% drops

Drug status key

Formulary drugs are allocated a traffic light status. This provides guidance on where clinical and prescribing responsibilities lie in regard to the initiation and maintenance of prescribing.

Grey

Grey

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

Red

Red

Initiation and maintenance of prescribing by specialists only.

Amber

Amber

Initiation and maintenance of prescribing by specialists and transfer to primary care prescribing when appropriate, or in primary care following a specialists recommendation. Prior to initiation some medicines may require committee agreement or a framework to support safe transfer and maintenance.

Green

Green

Initiation and maintenance of prescribing by specialists, GPs and other qualified clinicians.

Blue

Blue

Under review at University Hospitals Birmingham NHS Foundation Trust.

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