Therapeutic AreaFormulary ChoicesCost for 28
(unless otherwise stated)
Rationale for decision / comments
11.6 Treatment of 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: £7.34 (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 Monopost®
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
Bimatoprost300mcg/ml: £10.30 (3ml)Where Bimatoprost is used, generic is more cost effective than Lumigan brand
Bimatoprost preservative-free
as Eyreida®
300mcg/ml: £11.71 (3ml)Where preservative-free Bimatoprost is required, Eyreida is a cost effective alternative to Lumigan P/F
Timolol2.5mg/ml: £1.11 (5ml)
5mg/ml: £1.20 (5ml)
Ocular hypertension, chronic open-angle glaucoma
Timolol maleate preservative-free
as Eysano®

as Tiopex®
2.5mg/ml: £8.45 (5ml)
5mg/ml: £9.65 (5ml)

1mg/g eye gel in single-dose container: £7.49 (30)
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
Dorzolomide 2% and timolol 5mg/ml P/F eye drops
as Cosopt iMulti®
10ml: £28.00
(10ml bottle contains two months' supply)
NB. Cosopt iMulti provides two months’ preservative-free treatment in a 10ml bottle.
Latanoprost 50mcg/Timolol maleate 5mg per ml eye drops2.5ml: £3.75
Latanoprost 50mcg/Timolol maleate 5mg per ml P/F eye drops
as Fixapost®
30x0.2ml: £13.49
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