If you are pregnant, trying to become pregnant, or breastfeeding, speak to your doctor or our pharmacist before taking this product. If you suffer from any allergies, ask your doctor or our pharmacist if this medicine is right for you.

The supporting prescribing guideline must have been agreed by the relevant secondary care trust D&TC(s) and approved by the Nottinghamshire APC. Short-term adjunctive therapy of chronic glaucoma in patients on maximally tolerated medical therapy who require additional intraocular pressure (IOP) reduction to delay laser treatment or glaucoma surgery. On advice from ophthalmology only with clear instruction on duration of treatment and plan for follow upSodium Hyaluronate(e.g. Hyabak, Hylo-tear, Hylo-Forte, Hy-Opti, Oxyal, Clinitas, Vizulize, Evolve HA, VisuXL)

Specialist is defined by the APC as a clinician who has undertaken an appropriate formal qualification or recognised training programme within the described area of practice and has a working experience and knowledge within a speciality area Guidance on the responsibilities for Red Drugs can be found here. Red Drugs would usually by prescribed by the hospital for the duration of the course. Primary care prescriber initiation or continuation of treatment not recommended except by Specialist GP and community paediatric prescribing.

Active Ingredients

Approved for use in accordance with NICE TA800 for treating wet age-realted macular degeneration in adults.

line in patients who have had either laser treatment or cross-linking and have not responded to 1st line treatment. Also, in patients with corneal damage in neurotrophic keratitis, refractory corneal ulceration and post-surgery where 1st line treatment has proved ineffective For use in patients with evaporative dry eye associated with moderate to severe meibomian gland disease. There is no requirement for full Amber Drug Guidance. Generic Amber Level 1 Drug Guidance detailing responsibilities and information sources is available here

Side Effects

Evolve Hypromellosecan be used for up to 3 months once opened. The long lasting feature means Evolve Hypromelloseis ideal for occassional users.

May cause transient mild stinging or temporary blurred vision. If irritation persists or worsens, or headache, eye pain, vision changes or continued redness occur, patients should discontinue use and consult a physician or pharmacist (see section 4.8). Do not use Evolve Hypromellose if you are allergic to hypromellose or any of the other ingredients listed lower in the product information tab. Ask your doctor for advice. This medicine is available without a prescription. However, you still need to use Evolve Hypromellose carefully to get the best results from it. Side Effects To be used in patients where sodium hyaluronate alone no longerprovides adequate control in moderate to severe dry eye, in accordance with the Dry Eye Treatment guidance. Evolve is an innovative technology that delivers a preservative-free, sterile eye drop from a multi-dose container. It is generally agreed that the elimination of preservatives in eye care products provides patients better therapy. A warm compress can be applied using a flannel soaked in warm water. The flannel requires resoaking in warm water periodically to prevent it from becoming cold.

Evolve Hypromellose is an eye drop containing 0.3% Hypromellose in a 10ml preservative-free multi dose bottle. The Evolve® system has been designed to combine the benefits of unit dose preservative-free eye drops with the convenience of a standard eye drop bottle.