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All about: epinephrine ophthalmic

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Generic Name: epinephrine ophthalmic (ep ih NEF rin)
Brand Names: Epifrin, Epinal, Eppy/N, Glaucon

What is epinephrine ophthalmic?

Epinephrine ophthalmic causes decongestion in the eye by constricting blood vessels in the eye. It also enlarges the pupil, and it reduces the amount of fluid in the eye in two ways: It reduces the production of fluid inside the eye, and it increases the amount of fluid that drains from the eye.

Epinephrine ophthalmic is used to treat open-angle glaucoma.

Epinephrine ophthalmic may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about epinephrine ophthalmic?

Do not touch the dropper to any surface, including the eyes or hands. The dropper is sterile. If it becomes contaminated, it could cause an infection in the eye.

Apply light pressure to the inside corner of the eye (near the nose) after each drop to prevent the fluid from draining down the tear duct.

Use caution when driving, operating machinery, or performing other hazardous activities. Epinephrine ophthalmic may cause blurred vision. If you experience blurred vision, avoid these activities.

What should I discuss with my healthcare provider before using epinephrine ophthalmic?

Epinephrine ophthalmic should not be used to treat narrow- or shallow-angle glaucoma.

Before using this medication, tell your doctor if you

  • have high blood pressure;

  • take medicines to treat a heart condition;

  • have asthma;

  • have diabetes; or

  • have thyroid problems.

You may not be able to use epinephrine ophthalmic, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

If you wear contact lenses, remove them before applying epinephrine ophthalmic. Ask your doctor if contact lenses can be reinserted after application of the medication. Epinephrine ophthalmic may contain a preservative (benzalkonium chloride), which may cause discoloration of contact lenses.

Epinephrine ophthalmic is in the FDA pregnancy category C. This means that it is not known whether epinephrine ophthalmic will be harmful to an unborn baby. Do not use this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether epinephrine passes into breast milk. Do not use epinephrine ophthalmic without first talking to your doctor if you are breast-feeding a baby.

How should I use epinephrine ophthalmic?

Use epinephrine ophthalmic eye drops exactly as directed by your doctor. If you do not understand these instructions, ask your doctor, pharmacist, or nurse to explain them to you.

Wash your hands before using the eye drops.

If you wear contact lenses, remove them before applying epinephrine ophthalmic. Ask your doctor if contact lenses can be reinserted after application of the medication. Epinephrine ophthalmic may contain a preservative (benzalkonium chloride), which may cause discoloration of contact lenses.

To apply the eye drops:

  • Tilt the head back slightly and pull down on the lower eyelid. Position the dropper above the eye. Look up and away from the dropper. Squeeze out a drop and close the eye. Apply gentle pressure to the inside corner of the eye (near the nose) for about 1 minute to prevent the liquid from draining down the tear duct. If you are using more than 1 drop in the same eye, repeat the process with about 5 minutes between drops. Repeat the process in the other eye if needed.

Epinephrine ophthalmic is usually used once or twice a day. Follow your doctor's instructions.

Do not touch the dropper to any surface, including the eyes or hands. The dropper is sterile. If it becomes contaminated, it could cause an infection in the eye. Do not use any eye drop that is discolored or has particles in it. Store the drops at room temperature or in the refrigerator away from heat and moisture. If you store the drops in the refrigerator, do not let them freeze. Keep the bottle properly capped.

What happens if I miss a dose?

Apply the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and apply the next one as directed. Do not use a double dose of this medication.

What happens if I overdose?

If you suspect an overdose of this medication, or if the drops have been ingested (taken by mouth), contact an emergency room or poison control center for advice.

What should I avoid while using epinephrine ophthalmic?

Use caution when driving, operating machinery, or performing other hazardous activities. Epinephrine ophthalmic may cause blurred vision. If you experience blurred vision, avoid these activities. Do not touch the dropper to any surface, including the eyes or hands. The dropper is sterile. If it becomes contaminated, it could cause an infection in the eye.

If you wear contact lenses, remove them before applying epinephrine ophthalmic. Ask your doctor if contact lenses can be reinserted after application of the medication. Epinephrine ophthalmic may contain a preservative (benzalkonium chloride), which may cause discoloration of contact lenses.

Do not use other eye medications during treatment with epinephrine ophthalmic except under the direction of your doctor.

Epinephrine ophthalmic side effects

If you experience any of the following serious side effects, stop using epinephrine ophthalmic and seek emergency medical attention or contact your doctor immediately:

  • an allergic reaction (swelling of the lips, tongue, or face; difficulty breathing; closing of the throat; or hives);

  • an irregular or fast heart rate; or

  • high blood pressure (severe headache, blurred vision, or flushed skin).

Other, less serious side effects may be more likely to occur. Continue to use epinephrine ophthalmic and talk to your doctor if you experience

  • burning, stinging, or pain in the eye;

  • blurred vision; or

  • headache or brow ache.

Colored deposits (spots) on the inner lining of the eyelid or on the surface of the eye may develop during chronic treatment with epinephrine ophthalmic. These deposits are harmless.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect epinephrine ophthalmic?

Do not use other eye medications during treatment with epinephrine ophthalmic except under the direction of your doctor.

Drugs other than those listed here may also interact with epinephrine ophthalmic. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Where can I get more information?

  • Your pharmacist has additional information about epinephrine ophthalmic written for health professionals that you may read.

What does my medication look like?

Epinephrine ophthalmic is available with a prescription generically and under several brand names. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

  • Epinephrine ophthalmic HCl 0.1% solution

  • Epifrin 0.5% solution

  • Epifrin1% solution

  • Epifrin 2% solution

  • Glaucon 1%solution

  • Glaucon 2% solution

  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 1996-2006 Cerner Multum, Inc. Version: 3.02. Revision Date: 1/11/06 10:30:12 AM.

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