Table 1. Formulary Products P Medicines

Table 1. Formulary products – P medicines

(Note that these tables are provided as a list of products included in the formulary for EECS and do not replace the BNF/ SPC / MEP as reference sources.)

Drug Products Legal Additional notes status Lubricants Hypromellose ISOPTO PLAIN® P Note: - Optometrist to indicate clearly intended strength. RPSGB has stated that where it is not Eye drops 0.5% (10ml) ® P possible to ascertain the strength prescribed, the ISOPTO ALKALINE prescriber should be contacted to clarify strength Eye drops 1.0% (10ml) Excipients: intended Benzalkonium chloride PRESERVATIVE: Benzalkonium chloride Liquid paraffin LACRILUBE® P White soft paraffin 57.3%, liquid Eye ointment (5g) paraffin 42.5%, wool alcohols 0.2% PRESERVATIVE: None listed in SPC Sodium Hyaluronate Artelac Rebalance® MD PRESERVATIVE: Eye drops 0.15% (10ml) (Medical SPC – unavailable (please refer to package device) leaflet) Sodium Hyaluronate Eye Artelac Splash® MD Drops (30 x 0.5ml) Preservative free options 0.15% - Artelac Splash Clinitas® ** MD 0.40% - Clinitas

Polyethylene glycol 400Eye SYSTANE® MD Preservative free option drops 0.4% Single dose units (28 x 0.8ml) Carbomer 980 VISCOTEARS® P PRESERVATIVE: Cetrimide Gel = Eye drops 0.2% LIQUID GEL (10g) OTHER EXCIPIENTS INCLUDE:Sorbitol, sodium hydroxide and water Carmellose sodium CELLUVISC® P Preservative free option

Eye drops 1% OTHER EXCIPIENTS (30 x 0.4ml) INCLUDE:Sodium chloride, Sodium lactate, Potassium chloride, Calcium chloride Purified Water

Mast cell stabilisers and anti - allergy preparations Sodium cromoglicate NON-PROPRIETARY P For the treatment of acute

Eye drops 2% Excipients seasonal and perennial allergic (10ml) May vary depending on brand. conjunctivitis only

Several brands available PRESERVATIVE: as Pmedicines on sale to the May vary according to brand used, e.g. public. For Opticrom Allergy -Benzalkonium Chloride Lodoxomide ALOMIDE P For the treatment of seasonal Eye drops 0.1% ALLERGY® and perennial allergic (5ml) Excipients include: conjunctivitis in adults and Benzalkonium chloride, Disodium edetate, children over 4 years. PRESERVATIVE: Benzalkonium chloride ** Clinitas and Artelac Splash are both listed in the drug tariff. Only Clinitas is listed in the Chemist+Druggist

Antihistamines There is no suitable antihistamine product available as a P medicine Under the Medicines Act 1968. Optometrists are not allowed to supply POM antihistamine products, therefore Azelastine Optilast® had been removed from the formulary.

Table 2. Formulary products – POM medicines. (The following products may only be supplied by the optometrists ‘in an emergency’)

Drug Products Legal Notes status Antimicrobials Chloramphenicol Non-proprietary P / POM Patients aged over 2 years and Eye drops 0.5% (10ml) *see note maximum 5 days use. below Excipients: May vary according to PRESERVATIVE: Eye ointment 1% (4g) manufacturer’s product used May vary according to manufacturer’s product used, e.g. Benzalkonium Chloride

* NB. It is recommended that a POM products of chloramphenicol is supplied against the signed order (and labelled appropriately) as this will maintain uniformity for the antimicrobial products. Fusidic acid FUCITHALMIC® POM Apply twice daily Eye drops 1% (5g) Excipients include: PRESERVATIVE: in gel basis Benzalkonium chloride, Benzalkonium chloride disodium edetate, mannitol, carbomer, sodium hydroxide, water for injections.