NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Medicines
Medicines Update

Formulary Update - Dry Eyes

Key messages:

  • The Tear deficiency, ocular lubricants, and astringents section of the NHSGGC Adult Medicines Formulary has been updated. Please refer to the Formulary for active ingredients, preservatives and prescribing restrictions. Please also consider ScriptSwitch messages when prescribing.
  • Patients with chronic dry eye conditions should be educated that long-term and regular use of eye lubricants is recommended to achieve maximum benefit.

The changes were the outcome of a formulary section review performed by a multidisciplinary team of ophthalmologists, optometrists and pharmacists and were ratified by NHSGGC Area Drug and Therapeutics Committee (ADTC).

 

Preferred List

Preferred Formulary choices

No change

Newly added

Rationale

Clinitas® carbomer

eye gel

(1st choice)

 

Remains first choice

Hylo-Night® eye ointment preservative free

(Previously known as VitA-POS®)

 

Preservative free option

Lumecare®

 

Similar to Viscotears® at lower acquisition cost

Xailin Night®

 

Alternative preservative free preparation

 

Total Formulary

Restricted Formulary choices

No change

Newly added

Rationale

Blink Intensive Tears®

(1st choice)

 

Remains first choice

Celluvisc®

 

No change

Ciclosporin (Ikervis®)

 

Hylo-Forte®

 

Ilube®

 

Systane Balance®

 

Hypromellose

 

No longer preferred list

Specialists’ concern over type of preservative used

Evolve carmellose®

 

Alternative to Celluvisc®

Evolve HA®

 

Alternative for patients intolerant of Blink Intensive Tears®

 

Removed from Formulary

 

Non-Formulary

 

 

Rationale

Lacri-lube® 

Persistent supply issues 

Viscotears® 

 

Higher acquisition costs compared to similar preparations 

Optive Fusion® 

Optive Plus® 

Oxyal® 

 

For further information on restrictions and prescribing notes (including active ingredients and preservatives) see 

http://www.ggcprescribing.org.uk/formulary/eye/miscellaneous-ophthalmic-preparations/

 

Prescribability

Many of the preparations for dry eye are considered to be medical devices rather than medicines. Preparations listed in the Formulary are all included in Part 3 of the Scottish Drug Tariff (Appliances) and are able to be prescribed on a GP10 prescription.

 

Published 15/05/2020. Medicines Update blogs are correct at the time of publication.