Isopto Carpine (Pilocarpine)

Indications

Isopto Carpine is a medication used in ophthalmology to treat high pressure inside the eye, known as intraocular pressure. It contains the active ingredient pilocarpine, which is a cholinergic agonist that works by reducing the amount of fluid in the eye.

Pilocarpine is most often used as an eye drop to treat glaucoma but is also sometimes used to treat other eye conditions. It typically comes in solution form with various concentrations of pilocarpine hydrochloride, such as 1%, 2% and 4%.

Use and Dosage

Before applying Isopto Carpine eye drops, wash your hands first to prevent contamination. For those wearing contact lenses, remove them prior to using the eye drops. Wait at least 15 minutes before putting your contact lenses back.

For application, tilt your head back, look upward, and pull down your lower eyelid to create a small pocket. Take the dropper and place one drop into the pocket. Once the drop is applied, release your eyelid, and close your eyes gently. Place your finger at the corner of your eye near your nose and gently apply pressure for around 1-2 minutes to prevent the medication from draining out. Avoid rubbing or blinking your eye while doing this process.

Repeat the process for the other eye if necessary or if the prescribed dose is more than one drop. Use a tissue to remove excess solution around your eye and wash your hands after application. Do not rinse the dropper but instead replace the cap after use.

Wait at least 5 minutes before using any other eye medication, such as drops or ointments. Eye drops should be used prior to applying ointments to allow eye drops to enter the eye.

If your doctor has prescribed Isopto Carpine eye drops to treat glaucoma or high pressure in the eyes, use it regularly to obtain maximum benefits. Most people with this condition do not have any symptoms, follow the treatment plan prescribed by their doctor, and use the medication at the same time(s) each day.

Side Effects

Common Side Effects of Isopto Carpine (Pilocarpine):

• Brow ache
• Headache
• Poor vision in dim light
• Temporary blurred vision
• Temporary irritation/burning/stinging of the eye

Serious Side Effects of Isopto Carpine (Pilocarpine):

• Diarrhea
• Eye pain
• Flushing
• Increased saliva
• Nausea
• Stomach/abdominal pain or cramps
• Unusual sweating
• Vision changes

Forms and Strength

Isopto Carpine (Pilocarpine) is available in the following forms and strength:

Isopto Carpine: Eyedrops

• 1 %
• 2 %
• 4 %

Cautions

• Caution is advised in patients with a history of asthma, chronic bronchitis, or other respiratory disorders, as pilocarpine may cause bronchial constriction.
• Caution is advised in patients with acute cardiac failure, coronary insufficiency, or other cardiovascular disorders, as pilocarpine can cause a decrease in heart rate and cardiac output.
• Pilocarpine may increase the effect of other medications used to treat glaucoma, so caution is advised when using other eye medications.
• Pilocarpine may cause blurred vision, so caution is advised when driving or operating machinery.
• Be aware of the proper technique for applying the eye drops, as incorrect use can lead to decreased effectiveness or increased side effects.
• Isopto Carpine may cause eye irritation or redness, which can be a sign of an allergic reaction. Seek medical attention immediately if you experience any signs of an allergic reaction, such as hives, difficulty breathing, or swelling of the face, lips, tongue, or throat.
• Pilocarpine may cause an increase in the production of tears and sweat, so caution is advised in patients with excessive tearing or sweating.
• Pilocarpine may cause increased sensitivity to light, so caution is advised in patients with a history of light sensitivity or photophobia.
• Use caution when driving or operating machinery, especially in low light conditions, as Isopto Carpine can cause temporary vision disturbances.
• Pilocarpine may cause changes in the shape of the pupil, which may affect night vision, so caution is advised when driving at night.
• Pilocarpine may increase the risk of retinal detachment in patients with certain underlying eye conditions, so caution is advised in patients with a history of retinal detachment or other eye disorders.
• The medication may interfere with the accuracy of certain eye tests, inform your ophthalmologist that you are using Isopto Carpine eye drops before undergoing any eye exams or procedures.

Frequently Asked Questions (FAQ)

How should I store Isopto Carpine eye drops?

The eye drops should be stored at room temperature (15-30 degrees Celsius) and kept out of reach of children. Do not use the eye drops after the expiration date printed on the bottle.

Can Isopto Carpine be used for conditions other than glaucoma?

Isopto Carpine is primarily used to treat glaucoma, but it may also be used to treat other eye conditions as determined by your doctor.

Can I use Isopto Carpine eye drops if I wear contact lenses?

It is not recommended to put the eye drops into your eye(s) while you are wearing soft contact lenses. Remove your contact lenses before using the eye drops and wait at least 15 minutes before reinserting them.

Can Isopto Carpine eye drops be used by children?

Yes, Isopto Carpine eye drops can be used by children, but consult a doctor before using them.

Resources

• https://www.medbroadcast.com/drug/getdrug/isopto-carpine
• https://www.news-medical.net/drugs/Isopto-Carpine.aspx
• https://www.accessdata.fda.gov/drugsatfda_docs/label/2010/200890s001lbl.pdf
• https://www.goodrx.com/isopto-carpine/what-is
• https://www.rxlist.com/isopto-carpine-drug.htm
• https://www.webmd.com/drugs/2/drug-6848/isopto-carpine-ophthalmic-eye/details