Preservative-free tear substitutes (Formulary)

For further advice on preservative-free tear substitutes, refer to Guidelines for dry eye syndrome.

CARBOMERS

Important: Therapy notes

Important: Formulation and dosage details

Formulation:

Preservative-free eye gel 0·2% (Xailin® Gel multidose unit)

Dosage:

Apply 3 to 4 times daily or as required. The sodium perborate preservative is converted to water and oxygen on contact with tear film.

CARMELLOSE

Important: Therapy notes

Important: Formulation and dosage details

Formulation:

Preservative-free eye drops 0·5%, 1% (Celluvisc® single use units)

Dosage:

Apply 1 drop 4 times daily, increasing to every hour if required.

HYDROXYPROPYL GUAR WITH POLYETHYLENE GLYCOL AND PROPYLENE GLYCOL

Important: Therapy notes

Important: Formulation and dosage details

Formulation:

Preservative free eye drops, single use units (polyethylene glycol 400 0·4%, propylene glycol 0·3%, hydroxypropyl guar, sorbitol)  (Systane® Ultra)

Dosage:

Apply as required.

LIQUID PARAFFIN WITH WHITE SOFT PARAFFIN AND WOOL ALCOHOLS

Important: Therapy notes

Important: Formulation and dosage details

Formulation:

Eye ointment (Xailin Night®)

Dosage:

Apply at night or if required up to 4 times daily throughout the day.

POLYVINYL ALCOHOL

Important: Therapy notes

Important: Formulation and dosage details

Formulation:

Preservative-free eye drops 1·4% (Liquifilm Tears® single use units)

Dosage:

Apply 1 drop 4 times daily, increasing to every hour if required.

RETINOL PALMITATE WITH WHITE SOFT PARAFFIN, LIGHT LIQUID PARAFFIN, LIQUID PARAFFIN AND WOOL FAT

Important: Therapy notes

Important: Formulation and dosage details

Formulation:

Eye ointment, preservative free (Hylo Night® [previously Vita-POS®])

Dosage:

Apply at night or if required up to 4 times daily throughout the day.

SODIUM CHLORIDE

Important: Therapy notes

Important: Formulation and dosage details

Formulation:

Preservative-free eye drops 0·9%

SODIUM HYALURONATE

Important: Therapy notes

Important: Formulation and dosage details

Formulation:

Preservative-free eye drops 0·1% (Hylo-Tear® multidose unit), 0·18% (Vismed® Multi multidose unit), 0·2% (Hylo-Forte® multidose unit), 0·4% (Clinitas® 30 resealable vials, re-use for 12 hours)

Dosage:

Apply as required. Usually initiate therapy with 0·1% to 0·2% and consider higher strength if unsatisfactory response.