KCC Referral
Management System
Shared Care
Guidelines
Care Home
Resources
Local Resource
Packs
Chronic Pain
in Cornwall
Diabetes Resources
Respiratory Resources
Flu Resource Pack
Patient Group Direction (PGD)
Palliative Care Resources
Search   
        Click to View ALL BNF
 >>  >> 
   (Click to View Drug List)


Cost
Packs
Items
Other - Cost: £652,109,405.62 Empagliflozin (Jardiance) - Cost: £7,788,101.39 Edoxaban (Lixiana) - Cost: £8,056,980.75 Influenza vaccine (Fluad) - Cost: £13,930,057.90 Beclometasone / Formoterol MDI (Fostair) - Cost: £17,160,087.08 Rivaroxaban (Xarelto) - Cost: £20,491,468.20 Apixaban (Eliquis) - Cost: £33,811,997.20
Formulary Notes (BNF Chapter)
Formulary Notes (BNF Sub Paragraph)
NICE Guidance (3)
Other Links (1)
Important Local Documents (2)
Notes for: Eye
Last edited [12/08/2013 14:18:17]

Administration of drugs to the eye

1. Eye drops and eye ointments are instilled into the pocket formed by gently pulling down the lower eyelid. For eye drops, one drop is all that is needed as long as instillation is successful. For eye ointments, a small amount is applied similarly; the ointment melts rapidly and blinking helps to spread it.

2. When two or more different drops are required at the same time of day, the patient should leave an interval of 5 minutes between drops to avoid dilution and overflow. Also to use ointment preparations 5 minutes after drops.

3. Certain preparations included within this chapter of the formulary are unlicensed and marked with *. These products will be ordered specially and are not stocked; therefore a delay in obtaining stocks may be incurred. These 'specials' may be supplied when clinical need for the individual patient demands, given no commercial alternative is available. Specials are often very costly.

Administration aids: Eye drop dispensers are available to aid the instillation of eye drops especially amongst the elderly, visually impaired, arthritic, or otherwise physically limited patients. They can be purchased from most community pharmacies or prescribed on FP10 prescription. Please refer to the Drug Tariff for details - Appliances: Eye Drops Dispensers.

Preservatives and sensitisers:

1. Long-term administration of preservative containing eye drops may cause ocular irritation.

2. RCHT Eye Unit offer the following recommendations for when to use preservative free treatments:

  • the patient has a proven allergy to the preservative
  • frequent use of the drops - six or more time a day (long-term use)
  • the patient is wearing a soft contact lens or bandage lens at the time of instillation, on specialist advice
  • after a corneal transplant in selected cases, depending on indication, and in cases where the cornea is compromised, on specialist advice

3. All Minims® and other single use products are preservative free.

 

Last edited [29/09/2020 16:25:47]


 

Cornwall Joint Formulary Recommended Choices     (...Top)
Displaying 13 Drugs

Key:
First Line Drugs First Line Drugs
Second Line Drugs Second Line Drugs
Specialist Initiated Drugs Specialist Initiated Drugs
Hospital Only Drugs Hospital Only Drugs
Discouraged Discouraged
No comment available No comment available
Antibiotics Antibiotics

NameTariffBNF Sub Paragraph
Betamethasone Eye Ointment (Betnesol Eye Ointment)
0.1 % oint (3ml unit) Pack of 1
£1.41PCT FORMULARY STATUS: Specialist Initiated Drugs CorticosteroidsView BNF Article on 'Betamethasone Eye Ointment'View SPC on 'Betamethasone Eye Ointment'View PIL on 'Betamethasone Eye Ointment'
Dexamethasone/ Polymyxin/ Neomycin Eye Drop (Maxitrol)
3 .5g ointment Pack of 3
£1.44PCT FORMULARY STATUS: Specialist Initiated Drugs CorticosteroidsView BNF Article on 'Dexamethasone/ Polymyxin/ Neomycin Eye Drop'View SPC on 'Dexamethasone/ Polymyxin/ Neomycin Eye Drop'View PIL on 'Dexamethasone/ Polymyxin/ Neomycin Eye Drop'
Dexamethasone/ Polymyxin/ Neomycin Eye Drop (Maxitrol)
5 ml unit (eye drops) Pack of 5
£1.68PCT FORMULARY STATUS: Specialist Initiated Drugs CorticosteroidsView BNF Article on 'Dexamethasone/ Polymyxin/ Neomycin Eye Drop'View SPC on 'Dexamethasone/ Polymyxin/ Neomycin Eye Drop'View PIL on 'Dexamethasone/ Polymyxin/ Neomycin Eye Drop'
Fluorometholone Eye Drops (FML)
0.1 % Suspension (5ml Unit) Pack of 5
£1.71PCT FORMULARY STATUS: Specialist Initiated Drugs CorticosteroidsView BNF Article on 'Fluorometholone Eye Drops'View SPC on 'Fluorometholone Eye Drops'View PIL on 'Fluorometholone Eye Drops'
Prednisolone Eye Drops (Pred Forte)
1 % Drops (5ml Unit) Pack of 5
£1.82PCT FORMULARY STATUS: Specialist Initiated Drugs CorticosteroidsView BNF Article on 'Prednisolone Eye Drops'View SPC on 'Prednisolone Eye Drops'View PIL on 'Prednisolone Eye Drops'
Betamethasone ear/eye/nose drops (Betnesol)
0.1 % drops (10 mil unit) Pack of 1
£2.32PCT FORMULARY STATUS: Specialist Initiated Drugs Corticosteroids
View BNF Article on 'Betamethasone ear/eye/nose drops'View SPC on 'Betamethasone ear/eye/nose drops'View PIL on 'Betamethasone ear/eye/nose drops'
Hydrocortisone acetate eye ointment
0.5 0.5% eye ointment Pack of 3
£2.88PCT FORMULARY STATUS: Specialist Initiated Drugs CorticosteroidsView BNF Article on 'Hydrocortisone acetate eye ointment'View SPC on 'Hydrocortisone acetate eye ointment'View PIL on 'Hydrocortisone acetate eye ointment'
Dexamethasone / Tobramycin Eye Drops (Tobradex)
5 ml Unit Pack of 1
£5.37PCT FORMULARY STATUS: Specialist Initiated Drugs CorticosteroidsView BNF Article on 'Dexamethasone / Tobramycin Eye Drops'View SPC on 'Dexamethasone / Tobramycin Eye Drops'View PIL on 'Dexamethasone / Tobramycin Eye Drops'
Hydrocortisone acetate 1% eye ointment
1 % eye ointment Pack of 3
£6.71PCT FORMULARY STATUS: Specialist Initiated Drugs CorticosteroidsView BNF Article on 'Hydrocortisone acetate 1% eye ointment'View SPC on 'Hydrocortisone acetate 1% eye ointment'View PIL on 'Hydrocortisone acetate 1% eye ointment'
Dexamethasone Eye Drops (Minims Dexamethasone)
0.1 % in 0.5ml Single Dose Units Pack of 20
£11.46PCT FORMULARY STATUS: Specialist Initiated Drugs CorticosteroidsView BNF Article on 'Dexamethasone Eye Drops'View SPC on 'Dexamethasone Eye Drops'View PIL on 'Dexamethasone Eye Drops'
Prednisolone Sodium Phosphate Eye Drops (Minims)
0.5 % in 0.5ml single dose Units Pack of 20
£12.25PCT FORMULARY STATUS: Specialist Initiated Drugs CorticosteroidsView BNF Article on 'Prednisolone Sodium Phosphate Eye Drops'View SPC on 'Prednisolone Sodium Phosphate Eye Drops'View PIL on 'Prednisolone Sodium Phosphate Eye Drops'
Dexamethasone (Ozurdex)
700 micrograms intravitreal implant Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs CorticosteroidsView BNF Article on 'Dexamethasone'View SPC on 'Dexamethasone'View PIL on 'Dexamethasone'
Fluocinolone Acetonide (Iluvien)
190 micrograms Intravitreal implant Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs CorticosteroidsView BNF Article on 'Fluocinolone Acetonide'View SPC on 'Fluocinolone Acetonide'View PIL on 'Fluocinolone Acetonide'

 
© Kernow Clinical Commissioning Group 2021 - All Rights Reserved
The Sedgemoor Centre, Priory Road, St Austell, Cornwall, PL25 5AS