Milton Keynes Formulary
Milton Keynes University Hospital NHS Foundation Trust
Milton Keynes Clinical Commissioning Group
Milton Keynes Community Health Services

 
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11 Eye
11-04-01 Corticosteroids

Betamethasone Betnesol
Formulary

Eye ointment: betamethasone 0.1%  

Notes:

  • Inflammation in anterior segment; post-operatively to reduce inflammation following Trabeculectomy

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Betamethasone 0.1% with Neomycin 0.5% eye drops Betnesol N®
Formulary
  • Eye drops: betamethasone sodium phosphate 0.1%, neomycin sulphate 0.5% 
  • Eye ointment: betamethasone sodium phosphate 0.1%, neomycin sulphate 0.5% 

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Dexamethasone Maxidex ®
Formulary
  • Eye drops 0.1%, hypromellose 0.5%
  • Single use eye drop 0.1%

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Dexamethasone with (Hypromellose), Neomycin and Polymyxin B Sulfate Maxitrol®
Formulary
  • Eye drops: dexamethasone 0.1%, hypromellose 0.5%, neomycin 0.35%, polymixin B sulfate 6000 units/ml
  • Eye ointment: dexamethasone 0.1%, neomycin 0.35%, polymixin B sulfate 6000 units/ml

Notes:

  • Use of a combination product containing a steroid plus antibiotic is rarely justified and should not be routinely used, except post intraocular surgery e.g. cataract  

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Fluorometholone FML®
Formulary

Ophthalmic suspension 0.1% 


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Loteprednol Lotemax®
Formulary

Eye drops: Loteprednol etabonate 0.5%

Notes:

  • (Apart from postoperative situation) for steroid responder patients requiring topical steroids

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Prednisolone
Formulary
  • Eye drops 0.5% 
  • Single use eye drop 0.5% Minims® Prednisolone Sodium Phosphate
  • Single use eye drops 0.1% U
  • Pred Forte® 1%  Eye Drops Suspension (for prevention of an ocular toxic reaction presenting as conjunctivitis or keratitis in patients who are treated with high-dose cytarabine treatment)

 

Notes:

  • Topical steroids should not be used for undiagnosed red eye.
  • If red eye is due to herpes simplex, corticosteroids will aggravate this condition possibly leading to loss of vision or even loss of the eye.
  • Steroid eye drops can raise intra-ocular pressure (IOP) and therefore precipitate glaucoma in patients pre-disposed to chronic simple glaucoma.
  • Evidence suggests that fluorometholone is less likely to raise IOP though this may be due to reduced penetration of the cornea.
  • A steroid cataract may follow prolonged use of topical steroid

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Dexamethasone intravitreal implant Ozurdex®
Restricted

Ozurdex® Intravitreal implant containing dexamethasone 700 micrograms in disposable applicator

Link  Use as per NICE TA229: Dexamethasone intravitreal implant for the treatment of macular oedema secondary to retinal vein occlusion
Link  Use as per NICE TA349: Dexamethasone intravitreal implant for treating diabetic macular oedema
Link  Use as per NICE TA460: Adalimumab and dexamethasone for treating non-infectious uveitis
 

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Fluocinolone acetonide intravitreal implant Iluvien®
Restricted

Iluvien® Intravitreal implant containing fluocinolone acetonide 190 micrograms in a disposable applicator

Link  NICE TA301: Fluocinolone acetonide intravitreal implant for treating chronic diabetic macular oedema after an inadequate response to prior therapy
Link  NICE TA590: Fluocinolone acetonide intravitreal implant for treating recurrent non-infectious uveitis
Link  NICE TA613: Fluocinolone acetonide intravitreal implant for treating chronic diabetic macular oedema in phakic eyes after an inadequate response to previous therapy
 

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Bethamethasone with Neomycin Vista-Methasone-N®
Non Formulary

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Dexamethasone with Antibacterials Tobradex®
Non Formulary

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Dexamethasone with Antibacterials (eye) Sofradex®
Non Formulary

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Hydrocortisone Acetate with Neomycin Neo-Cortef®
Non Formulary

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Hydrocortisone eye ointment
Non Formulary

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Hydrocortisone sodium phosphate 0.3% eye drops Softacort®
Non Formulary

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Prednisolone 0.5% with Neomycin 0.5% Predsol-N®
Non Formulary

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Rimexolone Vexol®
Non Formulary

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