Drops fotil eye drops: manual, price, reviews, analogs
Drops fotil protivoglaucomny is a tool used to reduce pressure inside the eye.
The tool has the effect of effects of 2 substances: pilocarpine and timolol. Pilocarpine related to m-holinomimetiki, contributes to the constriction of the pupil and decreases pressure inside the eye due to the fact that the reduced ciliary muscle and improves the flow of watery fluid. To influence the substance after treatment instillation starting 30 minutes later, and holds the therapeutic effect of from 4 to 14 hours. This substance is not absorbed into the bloodstream and excreted along with watery moisture.
Timolol, which is a β-blocker, reduces the production of watery fluid and thereby reduces pressure inside the eye. Basically, the substance affects the ciliary body and slows the excretion of pilocarpine. Its effect begins in 20 minutes after instillation, and the effect continues for 24 hours. With the combined effect of these substances caused the effect of lowering the pressure inside the eye.
The composition and form of issue
The tool is available in the form of drops to the eye, a solution which is transparent and comes in a bottle with a volume of 5 ml. the Main components of the drops are pilocarpine and timolol. Subsidiary are benzalkonium chloride, citric acid, sodium citrate, hypromellose, water.
Indications for use
The tool is intended for the treatment of glaucoma:
- open angle;
It is also used when required in the treatment of the combined effects of pilocarpine and timolol, and at high pressure inside the eyes then carried on their operations.
Method of application
Use this tool locally buried on 1 drop twice a day. Some people when using these drops a stable effect of reducing the pressure inside the eye can be observed only after several weeks of therapy, so we assess the effectiveness of therapy after 4 weeks from the start of use.
If used in a standard dosage does not lead to the expected effect, the doctor may prescribe drops fotil Forte the same at 1 drop twice a day.
You cannot use these drops if the patient:
- hypersensitivity to any component;
- bronchial asthma;
- sinus bradycardia;
- heart failure;
- obstructive pulmonary disease;
- anterior uveitis;
- the age of 18 years.
Caution should be used when:
- retinal detachment;
- disorders of brain blood circulation;
- the diseases that narrow the pupil undesirable;
- cerebrovascular disorders.
Caution should be used before operations to be carried out under General anesthesia.
When using this tool may cause side effects, local and system-wide. Local concern:
- burning and pain in the body;
- conjunctival redness;
- increased secretion of tears;
- dry eyes;
- the decrease in corneal sensitivity;
- blurred vision;
- point keratitis;
- blindness (especially in low light);
- allergic blepharoconjunctivitis.
- the decrease in blood pressure;
- heart failure;
- the aggravation of bronchial asthma;
- pain in the head;
- allergic manifestations.
Prolonged use of pilocarpine may cause clouding of the lens. And timolol has a negative impact on the functioning of the CNS.
When the dose can:
- decrease in blood pressure;
- to slow down the rhythm of the heart;
- to appear bronchospasm;
- occur heart failure.
Therapy is symptomatic. As an antidote to atropine pilocarpine is applied. With bradycardia and bronchospasm assigned isoprenaline intravenously, and when reduced AD used dobutamine.
Interaction with other drugs
Use with calcium channel blockers and β-blockers may lead to disturbances in cardiac conduction and decrease AD. In combination with reserpine these drops may cause dizziness, the development of bradycardia and decrease in blood pressure. Cimetidine and quinidine can increase the level of timolol in the blood.
Treatment by this means is held at a constant measuring pressure inside the eye. Before the instillation of the drug need to remove the lenses and put them back 15 minutes later. Pregnancy and breast-feeding can be applied if the effect is expected to be greater than the risk for the development of the fetus.
The preparation is used only as monotherapy. If he is appointed instead of other protivoglaucomnykh funds, should stop to use them, and these droplets to apply the next day. Before performing any operation that will take place under General anesthesia, drops fotil cancelled 48 hours prior to surgery.
Because the drug causes such side effects as blindness in low light, you should be careful driving a car at night. Opened vial should be used within 1 month.
Elena, 23 years
«My grandma has glaucoma, the doctor prescribed these drops. What can I say? After two weeks of treatment, no effect was come, there was only irritation of the cornea. Given that medicine has many side effects and contraindications, it is unclear why it generally prescribed».
Anna, 37 years
«Very confused by the huge number of possible adverse reactions to this drug. Called back a familiar pharmacist, but she calmed me down, assured that the drops are of very high quality, passed all required testing and validation. At your own risk started dripping effect surprised. The intraocular pressure returned to normal, very happy!».
Similar to the data drops are:
- Drops fotil Forte.
- Philotimo mini;
To prescribe a similar drug can only ophthalmologist. Doing it yourself is not recommended.
The cost of these drops in Russian pharmacies is from 140 to 230 rubles.