Philotimo eye drops: manual, price, reviews, analogs
Philotimo is protivoglaucomny tool that is designed to reduce pressure inside the eye.
The therapeutic effect of this tool have 2 components: pilocarpine and timolol. Pilocarpine is a cholinergic agent which when injected into the body causes constriction of the pupil and false myopia. Pilocarpine also reduces the pressure inside the eye, as it facilitates the outflow of a watery liquid. When used topically pilocarpine absorbed into the blood. The action starts after 40 minutes after instillation and the therapeutic effect lasts from 4 to 14 hours.
Timolol is a β-blocker that reduces pressure inside the eye by suppressing generation of a watery liquid. Timolol penetrates into the bloodstream in small quantities that can cause side effects. Effect after instillation of timolol starts in 20 minutes and the effect lasts the day.
The composition and form of issue
Available in drops for the eyes, which represent colourless solution in a vial with a volume of 5 ml Active ingredients of drops are pilocarpine and timolol. Auxiliary – benzalkonium chloride, sodium citrate, citric acid, hydroxypropyl methylcellulose, water.
Indications for use
Assigned to drops if:
- open-angle glaucoma (primary, secondary, uveal, aphakic);
- angle-closure glaucoma;
- elevated pressure within the eye after eye surgery.
Important! Apply Pilotka should be only on doctor’s recommendation, which establishes an accurate diagnosis of the disease and determines the dose and duration of treatment.
Method of application
Buried the product twice a day 1 drop. When is a stable effect on its application, is assigned to the supporting dose of 1 drop per day. Typically, such dosage is applied after 4 weeks of therapy.
You cannot use Philotimo at:
- hypersensitivity to its components;
- bronchial asthma;
- heart failure;
- sinus bradycardia;
- the age of 18 years.
Drops are used cautiously in patients with:
- retinal detachment;
- of hypoglycemia;
- cerebrovascular disorders.
Also they need to be carefully applied to the inside of β-blockers before surgery to be carried out under General anesthesia, and during pregnancy.
Side effects, which can be when using Protomol, are divided into local and system-wide. Local concern:
- the occurrence of burning and itching in the body;
- redness of the conjunctiva and eyelids;
- increased secretion of tears;
- blindness (especially when not enough light);
- fear of light;
- retinal detachment;
- the occurrence of cyst of the iris;
- the emergence of blepharitis or conjunctivitis.
System-wide include the following side effects:
- bleeding from the nose.
- pain in the head;
- bradycardia and bradiaritmia;
- sleepiness and weakness;
- the bronchospasm;
- the decrease in blood pressure;
- pulmonary insufficiency;
- allergic manifestations.
If the drug is used for a long time, you have these symptoms: clouding of the lens, reducing the sensitivity of the cornea, dryness in the eyes, confusion, appearance of hallucinations, increased sweating, the development of asthenia.
When exceeding the set dose can:
- decrease in blood pressure;
- to slow down the rhythm of the heart;
- to receive the heart failure;
- be bronchospasm.
Therapy is symptomatic in nature. The antidote is atropine pilocarpine. For reducing the appearance of bradycardia used izoprenalin, and with reduced AD need to use dobutamine.
Interaction with other drugs
It is impossible to prevent the sharing of this tool with the calcium channel blockers and cardiac glycosides, as it may cause decrease in blood pressure, acute left ventricular failure or to disrupt AV conduction. Nor should these drops be used in conjunction with reserpine as possible slowing of heart rate, decreased blood pressure and the occurrence of dizziness. But the use of this tool with β-adrenoblokatorami systemic exposure leads to enhance their therapeutic effect.
Before burying you must remove the lenses and wear them 15 minutes later. In the treatment of the tool continuously measure the pressure inside the eye, as prolonged use can cause immunity to its components. Before you use these drops, on the eve of the canceled all other protivoglaucomny drugs.
Because the drop may cause reduced vision in low light conditions, patients in the treatment period this tool need to be careful while driving. Philotimo must be cancelled before the operations to be carried out under General anesthesia, within 48 hours.
If the drops are assigned to a woman during lactation, breastfeeding should be discontinued during treatment.
Positive. Buyers noted the effect of the drug is glaucoma. Philotimo drops lowers intraocular pressure in this disease. Their therapeutic effect lasts throughout the day.
Negative. Patients highlighted a number of shortcomings of the tools. After instillation there is itching, burning, redness and watery eyes hanged. Some complained of shortness of breath and headache.
Similar to the data drops are:
- Drops fotil;
To assign the same protivoglaucomny this means the drug can only ophthalmologist. Doing it yourself is not recommended.
The cost of these drops in Russian pharmacies is from 60 to 75 rubles.