Grey / Non-Formulary (no formal assessment): APC has not formally reviewed this medicine or indication because it had never been requested for formulary inclusion. Often used for drugs new to market.

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. A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust DTCs and approved by the Nottinghamshire APC. No evidence of additional benefit compared to using a clean flannel and warm water as an eye compress. Replace the outer cap on the container, trying not to touch the applicator tip with anything, including the eye or your fingers The Evolve system has been designed to combine the benefits of unit dose preservative free eye drops with the convenience of a standard eye drop bottle.Hypromellose Eye Drops are used to treat conditions where not enough tears are made to keep the eye lubricated and clean. Hypromellose Eye Drops lubricate the surface of the eye (including artificial eyes) in the same way as natural tears. It can therefore be used to relieve the dryness and pain associated with reduced or abnormal tear production. How To Use Evolve Hypromellose Eye Drops Approved in accordance with the Clinical Commissioning Policy Statement for the treatment of severe ocular surface disease (all ages)

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 ineffectiveOptive Fusion ® - Hyaluronate 0.1%, carmellose 0.5%, glycerol 0.9% (preserved and preservative free) 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 May cause transient mild stinging or temporary blurred vision. If irritation persists or worsens, or headache, eye pain, vision changes or continuous redness occur, patients should discontinue use and consult a physician or pharmacist (see section 4.8). Asthma Our Asthma service is ideal in emergencies when you are unable to visit your own doctor and need your inhaler urgently. It is designed for emergencies and not regular use and requires you to have add a recent asthma review. Like all medicines, Evolve® eye drops can cause side effects, although not everyone will experience them. Note that this product can cause a temporary mild burning sensation and/or blurring of vision after application, but this should shortly subside after application.