nhs forth valley formulary 11 - Community Pharmacy

Forth Valley Formulary Eleventh Edition 2012/13Chapter/Section/Drug Primary Care AcuteCHPsMentalHealthServicesSpecialties11.8 Miscellaneous ophthalmic preparations11.8.1 Tear deficiency, ocular lubricants and astringentsAcetylcysteine Carbomer 980 (polyacrylic acid) 0.2% (Viscotears® including preservative free)(1 st Line)Carmellose sodium 0.5% (drops & preservative free)Hydroxyethylcellulose Comment Preservative free for use in patients with allergy to preservatives or patients receivingmore than 4 doses of preservative per day.Hydroxypropyl guar (drops & preservative free)Hypromellose 0.3% (drops & preservative free)Liquid paraffin (Lacri-Lube®) Sodium hyaluronate (0.1% & 0.2% drops and 0.2% preservative free)Clerz® Eye drops11.8.2 Ocular diagnostic and peri-operative preparations and photodynamic treatmentCommentCommentFluorescein sodium (Minims®) Fluorescein sodium (Strips) AcetylcholineApraclonidine (0.5% drops & 1% preservative free)Diclofenac Sodium 0.1%Flurbiprofen 0.3%Ketorolac 0.5%Severe corneal infection (keratitis) should be managed with ofloxacin initially pendingmicrobiology sensitivities.Cefuroxime 5% eye drops (severe keratitis)Penicillin 0.3% eye drops (severe keratitis)Gentamicin 1.5% eye drops (severe keratitis)Natamycin (fungal keratitis)Severe intraocular infection (endophthalmitis) should be managed as per Royal College ofOphthalmologist guidelines and following discussion with the local Vitreoretinal unit.http://www.reophth.ac.uk/docs/scientific/IVTRevisionfinal2009.pdfhttp://www.mrcophth.com/focus1/endophthalmitis.htmlVancomycin (endophthalmitis)Amikacin (endophthalmitis)Ceftazidime (endophthalmitis)Amphoteracin B (endophthalmitis)Ranibizumab (Specialist Use Only according to SMC Restriction)OthersCiclosporin 2% eye dropsDexamethasone sodium injection preservative freeDisodium edetate (EDTA) 0.37% eye drops(corneal burns)Fluorescein IV 20%Hyaluronidase 1500 unitsHydroxyamphetamine eye drops (for pupil testing)Potassium ascorbate (ascorbic acid 10%)Povidone-iodine 5%Trifluorothimidine eye drops (2 nd line after Aciclovir)Page 40