Blepharitis
Antimicrobial prescribing: NHS Forth Valley
First Line: Lid hygiene for symptom control including: warm compresses, lid massage and scrubs, gentle washing and avoiding cosmetics.
Second Line: Topical antibiotics if hygiene measures are ineffective after 2 weeks.
Signs of Meibomeian gland dysfunction or acne rosacea: Consider oral antibiotics
Drug details
First Line: Self Care
Second Line: Chloramphenicol
1% Ointment BD
6 week trial
Third Line:
Oral oxytetracycline
500mg BD for 4 weeks then 250mg BD for 8 weeks as maintenance
or
Oral doxycycline
100mg OD for 4 weeks then 50mg OD for 8 weeks as maintenance