Surrey Heartlands

Joint Formulary & PAD

Atropine sulfate - Painful Ciliary Spasm

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Status 1

Blue
Formulations :
  • Eye drops (preservative free
  • unit dose)
Formulary Status :
Primary Care
ASPH
RSFT
SASH
SABP
Associated Icons :
BNF SPC
Restrictions / Comments :
Important
Preferred
Unit dose Minims is the preferred formulation. Initiation by specialist. Transfer to primary care may be suitable after a minimum of 2 months supply from the specialist.
 

Status 2

Blue
Formulations :
  • Eye drops
Formulary Status :
Primary Care
ASPH
RSFT
SASH
SABP
Associated Icons :
BNF SPC
Restrictions / Comments :
Important
Reserve the 1% eye drops in bottles for patients with poor dexterity and are unable to use unit dose Minims drops. The bottles are disproportionately expensive in Primary Care. Transfer to primary care may be suitable after a minimum of 2 months supply from the specialist.

Documentation

Evidence Review
Atropine colour change application Sep-18

PAD Profile

ChemicalSubstance :
Atropine sulfate
Indication :
Painful Ciliary Spasm
Group Name :
Keywords :
Brand Names Include :
Minims
Important Information :
Latest Additions Date From :
Latest Additions Date To :
Guidelines :
Supporting Documents :
1
Traffic Light Entries :
2

Other Indications

Below are listed other indications that Atropine sulfate is used to treat.

Other Drugs

Below are listed other drugs that are used to treat Painful Ciliary Spasm.

Committee Recommendations (1)

05 Sep 18 - Surrey & North West Sussex Area Prescribing Committee (formerly Prescribing Clinical Network)

The Prescribing Clinical Network recommends the use of Atropine for the treatment of painful ciliary spasm in blind eyes

Atropine will be considered to be BLUE (no information sheet) on the traffic light system.

Initiation will be by consultant ophthalmologists and transfer of care can be considered after a minimum of 2 months prescribing by the consultant and once the patient has shown to be benefiting from treatment.

New patients:

·         Should be initiated on Atropine 1% minims® by their consultant ophthalmologist 

·         Patients with manual dexterity issues can be initiated on Atropine 1% eye drop (bottles)

Switching patients from Atropine 1% eye drops:

Patients currently using Atropine 1% eye drops for this indication who do not have manual dexterity issues, should be switched to Atropine 1% minims® at their next medication review.