NHS Logo
Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 11 - Eye 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing
11.04.02 Other anti-inflammatory preparations

Sodium Cromoglicate

SELF
Formulary

2% eye drops

Notes:

  • Sodium cromoglicate is a cheap, effective (particularly as a prophylactic) mast cell stabiliser.
  • It should be instilled four times a day and may take a couple of days for maximal effect.

Entry reviewed July 2025

BNF BNFc SPC

Adalimumab (Amgevita®)
(Ophthalmology)

RED
Restricted Drug Restricted

Choice:

Amgevita (biosimilar brand) preferred brand for new patients.

Imraldi & Idacio for existing patients only

Humira for existing patients only (originator brand)

 

FOR ALL PRESCRIBING – Blueteq or High cost drug form required – see link from Formulary homepage.


Approved in accordance with NICE TA460 for treating non-infectious uveitis.

BNF BNFc SPC BlueTeq
NICE TA460: Adalimumab and dexamethasone for treating non-infectious uveitis

Antazoline 0.5% with Xylometazoline 0.05% (Otrivine-Antistin®)

GREEN
Formulary

For primary care this can be purchased OTC

Discontinuation of Antazoline 0.5% / Xylometazoline 0.05% eye drops

To be discontinued on 7.5.2025

BNF BNFc SPC

Lodoxamide 0.1%
(Eye Drops )

Amber SPA
Formulary
BNF BNFc SPC

Olopatadine 1mg/1mL
(Eye Drops )

 
Formulary

Self In adults in the treatment of ocular signs and symptoms of seasonal allergic conjunctivitis.

Green In children and adolescents under the age of 18 years for the treatment of ocular signs and symptoms of seasonal allergic conjunctivitis where treatment with sodium cromoglicate has been unsuccessful. Treatment should be limited to a maximum of 4 months.

Entry reviewed July 2025

BNF BNFc SPC
Non formulary items

Azelastine (Optilast®)

 
Non Formulary
BNF BNFc SPC

Emedastine (Emadine®)

 
Non Formulary
BNF BNFc SPC

Epinastine (Relestat®)

 
Non Formulary
BNF BNFc SPC

Ketotifen (Zaditen®)

 
Non Formulary
BNF BNFc SPC

Nedocromil 2% (Eye Drops )

 
Non Formulary

PRODUCT DISCONTINUED

BNF BNFc SPC
Classifications
GREEN
May be initiated in any care setting
Amber SPA
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Amber SPIS
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
SCG
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
RED
Red medicines are designated as specialist only medicines which should only be prescribed by a specialist, usually within secondary care (either due to the requirement for specialist knowledge, long-term monitoring requirements, or restrictions that mean medicine supplies are only available to hospitals).
DNP
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
SELF
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.