Restricted - initiation by consultant ophthalmologists in the corneal clinic for the treatment of severe keratitis in adult patients with dry eye disease that has not improved despite treatment with tear substitutes in accordance with NICE TA369.
Restricted to patients who are allergic to preservatives.
Single use, preservative-free (Minims)
Liquid Paraffin eye ointment
Primary care: Most cost effective brand to be advised via ScriptSwitch/Optimise
Hospital: brand supplied will depend on availability.
L&D: Lacri-Lube is still unavailable. We are purchasing VitA-POS ointment as a substitute but note this has changed its name to Hylo Night. Prescribe generically on ePMA as 'liquid paraffin eye ointment'.
Acetylcysteine 5% with Hypromellose 0.35% (Ilube®)
Hydroxyethylcellulose (Minims® Artificial Tears)
Hydroxypropyl Guar (Systane®)
Hypromellose 0.3% with Dextran 70 0.1% (Tears naturale®)
Liquid Paraffin and Liquid Paraffin light eye drops
Liquid Paraffin eye ointment (Xailin Night®)
Paraffin Yellow Soft
Polyvinyl Alchohol 1.4% (Eye Drops )
Sodium Chloride 0.9% Solutions
Sodium Hyaluronate (Hylo-Forte®)
Sodium Hyaluronate (Lubristil®)
Sodium Hyaluronate (Vismed® Gel)
Sodium Hyaluronate (Vismed® multi)
Soybean oil unit dose eye drops (Emustil®)
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RED - Hospital only – to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment
Amber medicines are considered suitable for GP prescribing following specialist initiation.
These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations
Shared Care - these medicines require specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.
A decision has been made by either or both the local or national NHS not to routinely commission this preparation for its licensed indications. Do not prescribe.