Pilocar 2% Drops 5ml

Glaucoma Rx required
OUT OF STOCK

Best Price*  ₹ 42.54
MRP ₹53.18
(Inclusive of all taxes) * Mkt: FDC Limited * Country of Origin: India * Delivery charges if applicable will be applied at checkout



INTRODUCTION

PILOCAR 2% DROPS contains pilocarpine which belongs to the group of medicines called miotic agents. It is used to produce miosis (constriction or shrinkage of the pupil) and to counteract the effects of certain drugs that cause mydriasis (enlargement of the pupil) following surgery or ophthalmoscopic examination. It is also indicated in the treatment of certain forms of glaucoma (an increased pressure within the eye).

Pilocarpine works by reducing the size of your pupil. It induces miosis by promoting contraction of the iris and pupillary sphincter muscles and reduces the pressure within the eyeball by decreasing the production of aqueous humour (fluid in the eye), thereby lowering the increased eye pressure. Your doctor will regularly check your eyes before and during treatment with pilocarpine, particularly if you have had any eye disorders. Avoid wearing soft contact lenses while using this medicine. Remove your lenses before applying this medicine.

This medicine is meant only for ophthalmic use. Do not swallow. Patients using PILOCAR 2% DROPS are advised to avoid alcohol consumption during this therapy. The most common side effects of this medicine are eye irritation, burning or redness, blurred vision, headache, swelling of the eyes and difficulty to focus in the dark. These are usually temporary and disappears as treatment continuous. Contact your doctor if any of these symptoms worsens.

Do not use this medicine if you are suffering from certain eye conditions where the constriction of the pupil should be avoided (such as inflammation of the iris, anterior uveitis, narrow angle glaucoma or secondary glaucoma). Before using this medicine, inform your doctor if you are pregnant or breast feeding as a precaution. This medicine should be used with caution in patients having lung or heart disease and in children under 18 years of age. Proper dose titration and careful monitoring are required in such patients.

USES OF PILOCAR 2% DROPS

  • Induce miosis following surgery or ophthalmoscopic examination
  • Treats certain forms of glaucoma (an increased pressure within the eye)

HOW PILOCAR 2% DROPS WORKS

Pilocarpine is a muscarinic receptor agonist. Ophthalmic administration of pilocarpine produces miosis by inducing the contraction of the ciliary muscles and pupillary sphincter muscles of the eyes. In addition to that, it also reduces the pressure within the eyeball by decreasing the production of aqueous humour (fluid in the eye), thereby lowering the increased eye pressure.

DIRECTIONS FOR USE

Apply this medicine as directed by your physician. It is for ophthalmic use only. Wash your hands thoroughly and pat dry. Gently pull your lower eyelid and instill one or two drops of this medicine inside the lower eyelid. Close your eyelid and gently press on the inner corner of your eyelid for one minute to prevent the drainage of the solution into your nose and throat. If required, repeat the same for the other eye.

Do not touch the tip of the applicator with your eyelids or fingers. Your doctor or eye specialist will decide the correct dose and duration of therapy for you depending upon your age, body weight and health condition. Continue to use this medicine, as long as your doctor tells you to do so, to obtain better results.

SIDE EFFECTS OF PILOCAR 2% DROPS

COMMON

  • sensation of burning, itching and stinging in and around the eyes
  • eye discomfort or redness
  • blurred vision
  • swelling of the conjunctiva (front part of the eye)
  • detachment of the retina (the inner surface of the eye)
  • temporary short sightedness
  • difficulty to focus in the dark
  • bleeding in within the front of the eye
  • skin rash
  • headache or brow ache

RARE

  • nausea or vomiting
  • diarrhea
  • low blood pressure
  • abnormally slow heartbeat
  • shortness of breath
  • excessive salivation
  • excessive tear secretion
  • watering of the eye

HOW TO MANAGE SIDE EFFECTS

Eye itching, burning or stinging:

Close your eyes and relax. Place an ice pack on top of your eyes for few minutes. Avoid watching mobile phone, system, laptops or any other light sources which might irritate your eyes. If the symptom still persists or worsens, contact your doctor.

Diarrhea:

Drink lots of fluids, such as water or juice, to avoid dehydration. Do not take any medicines without speaking to a doctor.

Headache:  

Rest and drink plenty of fluids. Do not drink too much alcohol.

Blurred vision:

This happens immediately after putting the medicine and is usually temporary. Wait until your vision becomes clear before driving or using machines.

WARNING & PRECAUTIONS

PREGNANCY

PILOCAR 2% DROPS should be used with caution in pregnant women. Consult your doctor before taking.

BREASTFEEDING

PILOCAR 2% DROPS should be used with caution in breastfeeding women. Consult your doctor before taking.

DRIVING AND USING MACHINES

Do not drive or operate any tools or machines, if you experience blurred vision or difficulty in seeing in the dark.

ALCOHOL

Avoid consumption of alcohol while using this medicine.

ALLERGY

Do not use this medicine if you are allergic to pilocarpine or other mitotic agents.

LUNGS

PILOCAR 2% DROPS should be used with caution in patients having bronchial asthma. Consult your doctor for advice.

HEART DISEASE

PILOCAR 2% DROPS should be used with caution in patients having heart disease (e.g. heart failure or high blood pressure). Consult your doctor for advice.

INTERACTIONS

Talk to your doctor, if you are taking,

  • antihistamines (used to treat allergies) such as naphazoline, olopatadine
  • anticholinergics (medicines used to inhibit muscle contractions) such as neostigmine, physostigmine
  • mydriatics (medicines used to enlarge your pupil) e.g. atropine
  • medicines used to dry up the saliva in your mouth (such as atropine and phenylephrine)
  • medicines used to treat Parkinson’s disease (e.g. procyclidine and trihexyphenidyl)
  • pethidine (used to treat pain)
  • orphenadrine (used to relieve pain from sprains, strains or muscle injury)
  • medicines used to treat depression (e.g. amitriptyline, fluoxetine, sertraline)
  • phenothiazines (used to treat mental illness) such as chlorpromazine
  • medicines used to treat high blood pressure (e.g. guanethidine)
  • other miotic agents (e.g. phospholine iodide, carbachol)
  • corticosteroids (used to treat pain or inflammation) creams or pills e.g. prednisolone

SYNOPSIS

Drug :   Pilocarpine
Pharmacological Category :   Miotic agent, Muscarinic receptor agonist
Therapeutic Indication :   Miosis induction, Glaucoma
Dosage Forms :   Tablet, Eye drops, Ophthalmic solution (Injection)

MORE INFORMATION

Store below 20-25°C and keep out of reach of children.

FAQs ABOUT PILOCAR 2% DROPS

Can I drink alcohol while using PILOCAR 2% DROPS?

No. Avoid consumption of alcohol while taking this medicine, as it may result in unwanted side effects.

What happens when I take too much of PILOCAR 2% DROPS?

Always apply this medicine only as directed by your physician. If you or anyone else accidently took too much of this medicine, contact your doctor immediately. An overdose is very unlikely to occur. But, if you suddenly feel unwell, tell your doctor or eye specialist immediately.

Can I stop using PILOCAR 2% DROPS without consulting a doctor?

No. Do not abruptly stop taking this medicine without consulting a doctor. Continue to use this medicine, as long as your doctor tells you to do so, to obtain better results.

REFERENCES

1. KD. Tripathi. Cholinergic System and Drugs. Essentials of medical pharmacology. Seventh edition. 2013. Page – 104-105.

2. Joan Heller Brown and Nora Laiken. Muscarinic receptor agonist and antagonists. Goodman & Gilman’s: The Pharmacological basics of Therapeutics. 12th Edition. New York McGraw Hill Medical 2011. Page – 224.

3. Gerald G. Briggs and Roger K. Freeman. P. A reference guide to fetal and neonatal risk: Drugs in Pregnancy and Lactation. Tenth Edition. 2015. Page – 3142-3143.

4. W P Boger 3rd, R F Steinert, C A Puliafito, D Pavan-Langston. Clinical trial comparing timolol ophthalmic solution to pilocarpine in open-angle glaucoma. NIH National Library of Medicine, National center for biotechnology information. Pubmed.gov. July 1978. [Accessed 2nd January 2020] https://pubmed.ncbi.nlm.nih.gov/354397/

5. Victoria Panarese, Majid Moshirfar. Pilocarpine. NCBI; PMC US National Library of Medicine, National Institute of Health. March 2020. [Accessed 2nd January 2020] https://www.ncbi.nlm.nih.gov/books/NBK556128/

6. Laboratoire Chauvin. Electronic Medicines Compendium (EMC); [Revised on March 2019] [Accessed 2nd January 2021] https://www.medicines.org.uk/emc/files/pil.1375.pdf

7. Martindale Pharmaceuticals Ltd. Electronic Medicines Compendium (EMC); [Revised on April 2016] [Accessed 2nd January 2021] https://www.medicines.org.uk/emc/files/pil.3398.pdf

USEFUL DIAGNOSTIC TESTS

  • Tonometry
  • Ophthalmoscopy
  • Perimetry
  • Gonioscopy
  • Pachymetry

PRODUCT DETAILS

    Net Qty
    1 N
    Item Weight
    15 g
    Ingredient
    PILOCARPINE 2 %
    Hsn Code
    30044090
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