Eye drops "Pilocarpine": manual counterparts, and reviews

Sight is the highest value that should be protected. Eye drops "Pilocarpine" more often prescribed to elderly people with glaucoma. The drug stimulates muscarinic receptors of smooth muscles, causing muscle contraction. Drops should be prescribed only by a doctor, as they have serious contraindications and side effects.

Description

Eye drops "Pilocarpine" is a drug for alkaloidal basis. It is actively used in ophthalmology to reduce intraocular pressure, narrow the pupil in glaucoma and after surgery. Drops known, you can buy them at any pharmacy, are inexpensive (37 rubles). The drug is rapidly absorbed.

If angle-closure glaucoma, the pupil is narrowed, after the drops the iris is offset from the anterior chamber angle, contributing to the discovery of sclera sinus channel. Active substance increases the tone of the eye muscles. If open-angle glaucoma and ocular hypertension there is only a single instillation causes a decrease in pressure in the eyes by 25%. The tool is available in the form of eye drops 1%, 10 ml.

Who prescribed?

Eye drops "Pilocarpine" is prescribed in the following cases:

• In open-angle glaucoma;
• Angle-closure glaucoma;
• After surgery
• Survey to narrow the pupil;
• To eliminate the symptoms of an overdose from drugs which widen the pupil.

Released in pharmacies without a prescription drops, but to use them better after the consultation with an expert.

Structure and pharmacology

Drop the "Pilocarpine" contain active substance - one percent pilocarpine hydrochloride 10 mg/ml, and additional components:

• Polyvinyl alcohol;
• Citric acid;
• Sodium citrate;
• Water;
• Benzalkonium chloride.

Active substance is an alkaloid contained in the leaves of plants of the genus pilocarpus. It is used in oftalmologii for pupil constriction and improve outflow of fluid within the eye. Due to this reduced pressure. Drops facilitate the outflow of water, increase its quantity. The remedy is rapidly absorbed through the cornea, associated with tissues, acts from four to fourteen hours.

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What is glaucoma? "Pilocarpine":

Eye drops "Pilocarpine" - an effective tool, but the dosage is determined by the doctor individually. If the primary glaucoma, the fluid in one eye one drop of solution two to six times per day. If glaucoma angle-closure, then for two hours instill 1 drop once in fifteen minutes for three to four hours - every half hour.

Drops effective for glaucoma. This oftolmologicheskaja disease can lead without treatment to the death of optic nerve fibers, its destruction. All this leads to a complete loss of vision. The peculiarity and danger of glaucoma is that there are no any symptoms of the disease. Patients seek help with when to gradually start to lose vision, and the nerve is already badly damaged. Most manage to help with drops correct treatment but in some cases need surgery.

To Understand if there's glaucoma, the presence of blind spots at the edges of the field of view. Gradually they become more, they increase. The main reason for late diagnosis of glaucoma - the absence of pain. When zakrytougolnoy form (rare) the patient feels pain in the eyes, the head, is also mucous blush. In time to prevent the disease will help prevention. Drops are sometimes prescribed to reduce pressure in the eyes, if the disease has not had time to progress.

Diagnosis of glaucoma occurs in the office of the ophthalmologist. It includes measurement of intraocular pressure, slit lamp examination, measurement of the visual field, as well as additional tests. Despite the seriousness of the disease, glaucoma responds well to early treatment eye drops. To antiglaucomatous assets include prostaglandins and alpha-antagonists. These two groups quickly reduce pressure in the eyes. Often for the treatment of glaucoma using the carbonic anhydrase inhibitors that not only reduce pressure, but also improve the blood supply of the eyeball. Even if the disease is in the advanced stage, first reduce the intraocular pressure drops, and then take drastic methods.

Contraindications

Eye drops "Pilocarpine" cannot be used in diseases that forbid the contraction of the pupil artificially (iridocyclitis, iritis). Drops also not prescribed after surgery, if the narrowing of the pupil, will cause problems. You can't use them if the patient has hypersensitivity to any of components and active substances. With caution the drug is prescribed for myopia high degree (of myopia), as well as the patients that can occur with detachment of the retina.

Side effects

In the instructions for use to the eye drops "Pilocarpine" it is said that immediately after instillation, the eyes may turn red, appear burning, pain, there will be blurred vision, particularly at night. Sometimes there is tearing, conjunctivitis, develop cramps, inflammation of the eyelid skin. Rarely, patients are observed bronchospasm, bradycardia, increased salivation, strong secretion from the nose. Long-term treatment drops causes cataract, the defeat of the cornea, sometimes the formation of cysts, and retinal detachment.

In General, "Pilocarpine," in the form of drops safe, but relatively. All these side effects are very rare. The active substance is excreted from the bloodstream quickly. Even if you put twenty drops in the next hour, it will not cause serious side effects. Signs of overdose include: nausea, reduced heart rate. The effect of drops will be reduced if they are simultaneously used with antidepressants. Increases if polycapran interacts with anticholinesterase, drugs that contain this substance.

During the course of treatment, it is important to exercise caution while driving, especially at night. With care prescribe the drops for pregnant and lactating women. After opening the bottle, the drug retains its properties during the month.

Equivalent of "Pilocarpine"

Eye drops have a few analogs. These include: "Adopt", "Cosopt", "Betoptic", "drops fotil". Info about them:

• "Asopt". Eye drops that is prescribed to reduce elevated intraocular pressure in open angle glaucoma, ocular hypertension. Consists of suspension ophthalmic 1% and brinzolamide. Drops cost 870 rubles.
• "Cosopt". Drug is effective in pseudoexfoliation glaucoma. Drops of a colourless, slightly viscous. Contain Darkholme, hydrochloride, timolol maleate and excipients. Price pharmacies - 940 rubles for 20 mg.
• "Betoptic". Drops reduce the intraocular pressure in open-angle glaucoma. The drug is a beta-blocker. It reduces the production of intraocular fluid. Is 390 rubles.
• "drops fotil". Protivoglaucomnoe a tool that blocks beta-adrenergic receptors, reduces the amount of intraocular fluid, but improves its outflow. Prescribed for angle closure, open angle glaucoma, in the absence of the lens. Recommended in patients with severe intraocular pressure. Price - 285 rubles.

The good eye drops "Pilocarpine"? A prescription for medication is not needed, but treatment drops appoints only ophthalmologist. The medicine not just eliminates the symptoms but treats the cause of intraocular pressure. It is often prescribed in combination with other drugs.

Reviews

Eye drops "Pilocarpine", judging by the reviews really help. According to users, they reduce the pressure in the eyes a few hours after application. Drops relieve pain, and cheap. Of the minuses: adverse reactions and contraindications. After instillation, the eyes begin to tear, may at some time disappear vision, headache, eyes strongly narrowed. Use a drop of it is allowed only under the supervision of an ophthalmologist.