Isopto Carpine (Pilocarpine)

Description

Indications

Pilocarpine ophthalmic is employed in the management of glaucoma, a condition characterized by heightened intraocular pressure leading to gradual vision loss, and ocular hypertension, which involves increased pressure within the eye. It is additionally utilized to prevent or alleviate elevated intraocular pressure during and after specific types of laser eye surgery. Belonging to a category of medications known as miotics, pilocarpine ophthalmic facilitates the drainage of excess fluid from the eye.

Uses and Dosage

Pilocarpine ophthalmic is available in 1%, 2%, and 4% liquid solutions for eye instillation. For glaucoma or ocular hypertension, administer one drop of the 1%, 2%, or 4% solution up to four times daily in the affected eye(s). In the context of laser eye surgery, apply one or two drops of the 1%, 2%, or 4% solution into the affected eye(s) 15 to 60 minutes before the procedure.

Adhere to the prescribed dosage and frequency; do not exceed or reduce the amount, and avoid more frequent use than recommended.

While pilocarpine eye drops manage your condition, it does not provide a cure. Continue using them as directed, even if you feel well, and refrain from discontinuing usage without consulting your doctor.

If you are using another topical eye medication, ensure a minimum 5-minute interval between instilling it and pilocarpine eye drops.

Exercise caution to prevent the bottle’s tip from contacting your eye, fingers, face, or any surface. Avoid such contact, as it may introduce bacteria into the eye drops.

To administer the eye drops, the following steps should be followed:

1. Thoroughly wash hands with soap and water.
2. Do not allow the dropper tip to touch the eye or any other surface, and ensure that it is kept clean.
3. Tilt the head back and pull down the lower lid of the eye using the index finger to form a pocket.
4. Hold the dropper as close to the eye as possible without making contact, and brace the remaining fingers against the face.
5. Squeeze the dropper gently to instill a single drop in the pocket created by the lower eyelid while looking upwards.
6. Remove the index finger from the lower eyelid and keep the eye closed for 2-3 minutes while tilting the head down.
7. Apply gentle pressure to the tear duct using a finger.
8. Use a tissue to wipe off any excess liquid from the face.
9. Wash hands to remove any residual medication.

Side Effects

Some side effects may occur that usually do not need medical attention:

• blurred or dim vision
• stinging, burning, or discomfort in the eye
• itching or redness of the eye
• tearing or swelling of the eye
• headache

Inform your healthcare provider immediately if you experience any serious side effects:

• sudden onset of flashing lights, floaters or loss of vision
• sweating
• nausea
• vomiting
• diarrhea

Caution

• Prior to using pilocarpine, inform your doctor or pharmacist about any allergies you may have, including allergies to pilocarpine itself, preservatives like benzalkonium chloride, or any other substances. This product may contain inactive ingredients that could trigger allergic reactions or other complications.
• Before initiating this medication, disclose your medical history to your doctor or pharmacist, particularly if you have other eye issues such as iritis or a detached retina.
• After applying this medication, your vision may experience temporary blurring, especially in dim light conditions. Avoid activities that require clear vision, such as driving (especially at night) or operating machinery, until your vision has fully recovered.
• During pregnancy, use this drug only if absolutely necessary. Discuss the potential risks and benefits with your doctor.
• It is unclear whether this medication passes into breast milk. Consult your doctor before breastfeeding to ensure the safety of both you and your baby.

Form and Strength

Isopto Carpine is available in the following forms and strengths:

• Isopto Carpine eyedrops:
  • 1 %
  • 2 %
  • 4 %

FAQ

Can I wear contact lenses with Isopto Carpine?

There’s a preservative in Isopto Carpine that can damage your lenses. Make sure to remove your contacts before putting in Isopto Carpine drops, and wait 10 minutes before putting them back in your eyes.

Can I drive after using Isopto Carpine drops?

Isopto Carpine can make it harder to see at night. It can also make it more difficult for your eyes to adjust and focus on things. Be careful driving or doing dangerous activities in poorly lit areas after using this medication.

Resources

1. https://www.goodrx.com/isopto-carpine/what-is#faqs
2. https://www.medbroadcast.com/drug/getdrug/isopto-carpine#google_vignette
3. https://medlineplus.gov/druginfo/meds/a682874.html
4. https://www.webmd.com/drugs/2/drug-6848/isopto-carpine-ophthalmic-eye/details
5. https://www.drugs.com/pro/isopto-carpine-ophthalmic-solution.html