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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
11.06 Treatment of glaucoma
NICE NG81: Glaucoma: diagnosis and managment
11.06 Beta-blockers
NICE NG81: Glaucoma: diagnosis and managment

Betaxolol eye drops (Betoptic®)

Amber SPA
Formulary

0.25% and 0.5% 

Offer preservative-free eye drops if there is evidence that the person is allergic to the preservative or has clinically significant and symptomatic ocular surface disease.

0.25% eye drops 0.25ml unit dose preservative free

Entry reviewed: December 2024

BNF BNFc SPC

Timolol

Amber SPA
Formulary

1st choice: 0.25% & 0.5% eye drops

2nd choices:

Offer preservative-free eye drops if there is evidence that the person is allergic to the preservative or has clinically significant and symptomatic ocular surface disease.

Preservative free, 2.5mg/ml, 5mg/ml eye drops. Current brand: Eysano®

Once daily, 0.25%. 0.5%, eye gel.

Preservative free, once daily, 1mg/g, gel eye drops 0.4g unit dose most cost effective once daily preparation.

Entry reviewed: December 2024

BNF BNFc SPC
Non formulary items

Carteolol (Teoptic®)

 
Non Formulary
BNF BNFc SPC

Levobunolol (Betagan®)

 
Non Formulary
BNF BNFc SPC

Metipranolol (Minims® Metipranolol)

 
Non Formulary
BNF BNFc SPC
11.06 Prostaglandin analogues
11.06 Sympathomimetics
11.06 Carbonic anhydrase inhibitors and systemic drugs
11.06 Miotics
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.