Greater Glasgow and Clyde Medicines
Key to symbols The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP The medicine should only be used and prescribed by a specialist Indicates the preferred choice within a class or group of medicines
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
11. Eye

11.4. Corticosteroids and other anti-inflammatory preparations

11.4.1. Eye-corticosteroids

Total Formulary
Specialist Only
FLUOCINOLONE ACETONIDE (intravitreal implant)

Restrictions: Restricted to specialist use only in patients in whom the affected eye is pseudophakic (has an artificial lens after cataract surgery) and retreatment would take place only if the patient had previously responded to treatment with fluocinolone acetonide and subsequently best corrected visual acuity had deteriorated to less than 20/32.

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Specialist Only
DEXAMETHASONE (Intravitreal implant)

Restrictions:

Macular Oedema: Restricted to specialist use in adult patients with macular oedema following central retinal vein occlusion (CRVO) and in patients with branch retinal vein occlusion (BRVO) who are not clinically suitable for laser treatment including patients with dense macular haemorrhage or patients who have received and failed on previous laser treatment in accordance with local protocol.

Diabetic Macular Oedema: Use in the treatment of adults with visual impairment due to diabetic macular oedema who are pseudophakic or who are considered insufficiently responsive to, or unsuitable for non-corticosteroid therapy, is restricted to specialist use only.

Non-infectious Uveitis: Use  for the treatment of non-infectious uveitis is restricted to specialist use in accordance with NICE TA460.

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Specialist and GP
PREDNISOLONE ACETATE

Restrictions: Restricted to specialist initiation.

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Specialist and GP
FLUOROMETHOLONE

Restrictions: Restricted to specialist initiation.

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Specialist and GP
BETNESOL-N

Restrictions: Restricted to specialist initiation.

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Specialist and GP
PREDNISOLONE SODIUM PHOSPHATE

Restrictions: Restricted to specialist initiation.

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Specialist and GP
MAXIDEX

Restrictions: Restricted to specialist initiation.

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Specialist and GP
BETAMETASONE

Restrictions: Restricted to specialist initiation.

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11.4.2. Other anti-inflammatory preparations

Preferred List
Preferred List First Line
SODIUM CROMOGLICATE (2%) (EYE DROPS)

Prescribing Notes:

The 2% eye drops are the first-line anti-inflammatory preparation.

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OLOPATADINE (EYE DROPS)
Total Formulary
EMEDASTINE