Composition
Eye Drop 1%/2%/3%/4%: Pilocarpine 1 %/2%/3%/4%. Eye Oint3%: Pilocarpine 3%.
Indications & Dosage
Emergency treatment of glaucoma: Adults & Children: 1 drop every five min, until miosis achieved. As a miotic to reverse weaker mydriatics: Adults & Children: 1 or 2 drops.
Contraindications
Acute iritis, anterior uveitis, some forms of secondary glaucoma, acute inflammatory disease of the anterior segment, soft contact lenses.
Precautions
Renal and hepatic impairment, diabetes, thyrotoxicosis, inflammatory, neovascular, angle closure or congenital glaucoma, pigmentary glaucoma, open angle glaucoma in pseudophakia patients, history of retinal detachment, pre-existing renal disease, fundus examination recommended prior to initiation of treatment, night driving. Cardiac disease, asthma, hypertension, peptic ulceration, urinary tract obstruction, Parkinsons disease, corneal abrasions
Interactions
Corticosteroids, systemic anticholinergics, antihistamines, pethidine, sympathomimetics, TCADs.
Pregnancy
Avoid
Lactation
Not recommended, avoid
Side Effects
Ocular irritation, bitter taste, blurred vision, conjunctivitis, eyelid inflammation, darkening of mixed coloured irides; inform patient, darker, longer or thicker lashes, conjunctival hyperaemia, headache, dizziness, systemic beta- blocking effects.