University Hospitals Birmingham NHS Foundation Trust

Chapters

StatusDrug nameNICE TAsComments
Status: GreenAzelastine hydrochloride 0.05%
Status: AmberBetamethasone 0.1% eye drops
Status: AmberBetamethasone 0.1% eye ointment
Status: AmberBetamethasone 0.1%, neomycin 0.5% eye drops

Short term use only

Status: RedDexamethasone (Ozurdex®) 700mcg intravitreal implant
Status: AmberDexamethasone 0.1% eye drops

Eye drops. Single dose unit drops - for post corneal transplant or OSD - use the agent with the lowest acquisition cost.

Status: AmberDexamethasone 0.1% single dose unit drops

For post corneal transplants or OSD - use the agents with the lowest acquisition cost

Status: RedFluocinolone acetonide intravitreal implant (Illuvien®)
Status: AmberFluorometholone 0.1% eye drops (5ml)

Specialist ophthalmologist recommendation

Status: RedLoteprednol etabonate 0.5% eye drops
Status: AmberMaxitrol eye drops

Specialist ophthalmologist recommendation

Status: AmberMaxitrol eye ointment

Specialist ophthalmologist recommendation

Status: GreenNeodocromil sodium 2% eye drops
Status: GreenOlopatadine (Opatanol®)

Second line - high relative cost.

Status: AmberPrednisolone 0.5% eye/ear drops

Specialist ophthalmologist recommendation

Status: AmberPrednisolone 0.5% minims (preserv-free)

Specialist ophthalmologist recommendation. Used in patients with severe chronic allergic eye disease who present to A&E with a flare up.

Status: AmberPrednisolone 1% eye drops

Specialist ophthalmologist recommendation. Drug of choice for anterior uveitis in A&E - unless the patient has a preference for dexamethasone 0.1%.

Status: GreenSodium cromoglicate 2% eye drops
Status: AmberSodium cromoglicate 2% eye drops preservative free

Speciaslist ophthalmologist recommendation as catacrom

Status: AmberSodium hyaluronate 0.2% PF multi (HyloForte®)

Specialist ophthalmologist recommendation

Status: RedTobradex eye 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.

Building healthier lives
Back to top