Do not use Evolve Hypromellose if you are allergic to hypromellose or any of the other ingredients listed lower in the product information tab. Ask your doctor for advice. This medicine is available without a prescription. However, you still need to use Evolve Hypromellose carefully to get the best results from it. Side Effects No new patients to receive prescriptions in primary care. Patients already receiving Red Medicines in primary care should be handled on a case by case basis with the support of the Medicines Optimisation team. Optive Plus ®(carboxymethylcellulose 0.5%, glycerine 1%, castor oil 0.25%) is also non-formulary - see above. The equivalent formulary product containing mineral oil is Systane Balance. Evolve Hypromelloseis both preservative free and phosphate free, ideal for sensitive eyes and frequent users No evidence of additional benefit compared to using a clean flannel and warm water as an eye compress.

MHRA: Drug safety Update (January 2022): Brolucizumab (Beovu¥): risk of intraocular inflammation and retinal vascular occlusion increased with short dosing intervals These medicines are considered suitable for GP prescribing following specialist initiation, including titration of dose and assessment of efficacy. Approved in accordance with NHS Engand Clinical Commissioning Policy for the treatment of retinopathy of premiturity in neonates.NUH only - Visual impairment in adults caused by macular oedema after branch retinal vein occlusion (BRVO) NICE TA409 For hospital specialist initiation in dry eye conditions assoiciated with mucus production and filamentary keratitiswherethe 5% acetylcysteine eye drop is not effective.

line in patients who have had either laser treatment or cross-linking and have not responded to 1st line treatment. Also, in patients with corneal damage in neurotrophic keratitis, refractory corneal ulceration and post-surgery where 1st line treatment has proved ineffective Dry eye sensations are a common problem and are rarely serious. They occur when our eyes don’t produce enough moisture and can cause discomfort as well as other symptoms including: NUH neonatal guideline available, vial presentation (not syringe) to be supplied alongside Vissisure kit for administration. Not commissioned( Clinical Commissioning Policy: 200401P) for treating patients over 12 years of age, with Leber’s Hereditary Optic Neuropathy (LHON).

Grey / Non-Formulary: Medicines, which the Nottinghamshire APC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data.

Have a condition such as blepharitis (causes red, swollen eyelids), Sjögren’s syndrome (causes dry eyes and mouth)

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Shake the bottle once downwards to remove any excess before replacing the cap on the container, do not touch the applicator tip with anything, including your eye or fingers Eye drops - allnon-formulary GREY, no formal assessment.See Eye lubricant guidelinesand Eye lubricants table of productsfor alternatives. The supporting prescribing guideline must have been agreed by the relevant secondary care trust D&TC(s) and approved by the Nottinghamshire APC. Hypromellose 0.25% eye drops are not recommended for prescribing within Leeds Health Economy. The licenced 0.3% drops are available for a much lower cost.