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Morecambe Bay Community Eyecare Scheme (MECS) Formulary This policy assumes that the practitioner is a community Optometrist without additional prescribing or therapeutic supply qualifications. Consequently the MECS formulary is confined to the therapeutic agents that such a practitioner can either supply, for which they can write a Signed Order, or which the patient can purchase Over The Counter from their Pharmacist. The Optometrist may also request these products on prescription for eligible patients by producing a prescription request using Optomanager and sending this to the patient’s GP. However you should also consider that this process is likely to take longer, especially at weekends or bank holidays, and so may result in an inappropriate delay in the patient starting treatment (e.g. where infection is present). Category Drug Chloramphenicol Formulation 0.5% Eye Drops (10ml) Chloramphenicol 1% Eye Ointment (4g) Hypromellose 0.3% Eye Drops (10ml) 1% Eye Drops (10ml) 0.2% Gel (10g) Antibacterial Lubricant Hypromellose Carbomer 980 VitA-POS (Liquid paraffin / Retinal palmitate) Sodium Cromoglicate Antiallergy Antazoline Xylometazoline Formulary This revision: 8th Feb 2017 Eye Ointment 2% Eye Drops (13.5ml) 0.5%/0.05% Eye Drops Usual Dose 1 drop every 2 hours for 48 hours then 1 drop four times daily for a further 3 days Apply 3-4 times a day for 5 days Apply as required Apply as required Apply 3-4 times a day, or as required Apply once daily at night Apply 4 times a day Apply 2-3 times a day for max. 7 days