Therapeutic AreaFormulary ChoicesCost for 28
(unless otherwise stated)
Rationale for decision / comments
11.6 Treatment of glaucoma
Glaucoma
As advised by secondary care
Where a prostaglandin analogue is indicated for reducing IOP, Latanoprost is the recommended first line agent on grounds of cost (generic form available) and ocular tolerability.
Patients currently using other forms of prostaglandin analogues may be reviewed when seen routinely by secondary care.
First line:Latanoprost50mcg/ml: £1.48 (2.5ml)Xalatan is an expensive brand and comes with the following warning
MHRA/CHM advice
Latanoprost (Xalatan®): increased reporting of eye irritation since reformulation (July 2015)
Following reformulation of Xalatan®, to allow for long-term storage at room temperature, there has been an increase in the number of reports of eye irritation from across the EU.
Preservative-free single use
as Monoprost®
50mcg/ml: £8.49 (30x0.2ml)
For the reduction of elevated intra-ocular pressure in patients with open-angle glaucoma and ocular hypertension who have proven sensitivity to benzalkonium chloride
Timolol maleate
as Eysano®
2.5mg/ml £8.45 (5ml)
5mg/ml £9.65 (5ml)
Ocular hypertension, chronic open-angle glaucoma
Dorzolomide 2% P/F eye drops
as Eydelto®
5ml: £12.09
Dorzolomide 2% and timolol 5mg/ml P/F eye drops
as Eylamdo®
5ml: £14.29
For patients who find administration of eye drops difficult we recommend prescription of these devices
Opticare (for 2.5, 5, 10, 15 & 20ml bottles) £4.95
Opticare Arthro 5 (for 2.5 & 5ml bottles) £4.95
Opticare Arthro 10 (for 10, 15, 20ml bottles) £4.95