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Nottinghamshire Area Prescribing Committee
Joint Formulary
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 Formulary Chapter 11: Eye - Full Chapter
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11.08.02  Expand sub section  Ocular diagnostic and peri-operative preparations and photodynamic treatment
11.08.02  Expand sub section  Ocular diagnostic preparations
Brilliant Peel®
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Restricted Drug Restricted
Red
Dye (Unlicensed product)- NUH only
For use as a dye in the intraoperative staining of internal membrane during macular hole surgey 
   
Fluorescein (Anatera®)
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Restricted Drug Restricted
Red
Specialist use only
Injection 10%:
- for fluorescein angiography of the ocular fundus
- for use as a contrast media for confocal laser endomicroscopy (CLE)(Unlicensed indication)
Injection 20% (Unlicensed Product)
 
   
Fluorescein Sodium
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Formulary
Green
Eye drops 2% (preservative free Minims®)
  • Diagnostic use only
  • Bio Glo 1mg ophthalmic strips have been discontinued

     
  •    
    Indocyanine green
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    Restricted Drug Restricted
    Red

    Injection 25mg

    Available at NUH:

    • Ophthalmology use for angiography.
    • Neurosurgery use for angiography.
    • Gynaecological surgery by intracervical injection for detection of sentinel lymph nodes.


    N.B. AKORN brand injection no longer used at NUH for intravitreal use

     
    Link  Verdye SPC
       
    11.08.02  Expand sub section  Ocular peri-operative drugs
    11.08.02  Expand sub section  Subfoveal choroidal neovascularisation
    11.08.02  Expand sub section  Vitreomacular traction to top
     ....
     Non Formulary Items
    Rose Bengal  (Minims® Rose Bengal)

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    Non Formulary
    Grey
     
      
    Key
    note Notes
    Section Title Section Title (top level)
    Section Title Section Title (sub level)
    First Choice Item First Choice item
    Non Formulary Item Non Formulary section
    Restricted Drug
    Restricted Drug
    Unlicensed Drug
    Unlicensed
    Track Changes
    Display tracking information
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    Link to adult BNF
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    Link to children's BNF
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    Link to SPCs
    SMC
    Scottish Medicines Consortium
    Cytotoxic Drug
    Cytotoxic Drug
    CD
    Controlled Drug
    High Cost Medicine
    High Cost Medicine
    Cancer Drugs Fund
    Cancer Drugs Fund
    NHSE
    NHS England
    Homecare
    Homecare
    CCG
    CCG

    Traffic Light Status Information

    Status Description

    Grey

    Grey / Non-Formulary: Medicines, which the Nottinghamshire APC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data.
    Grey / Non-Formulary (undergoing assessment): Work is ongoing and will be reviewed at a future APC meeting.
    Grey / Non-Formulary (no formal assessment): APC has not formally reviewed this medicine or indication because it had never been requested for formulary inclusion. Often used for drugs new to market.
      

    Red

    Medicines which should normally be prescribed by specialists only. eg hospital only.
    For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care.
      

    Amber 1

    Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised.
    Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the Nottinghamshire APC.
      

    Amber 2

    Medicines suitable to be prescribed in primary care / general practice after specialist* recommendation or initiation.
    A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust DTCs and approved by the Nottinghamshire APC.
    *Specialist is defined by the APC as a clinician who has undertaken an appropriate formal qualification or recognised training programme within the described area of practice
      

    Amber 3

    Primary care/ non specialist may initiate as per APC guideline.
    The supporting prescribing guideline must have been agreed by the relevant secondary care trust D&TC(s) and approved by the Nottinghamshire APC.
      

    Green

    Medicines suitable for routine use within primary care.
    Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.   

    OTC

      

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