If patient becomes intolerant to this VisuXL ® eye gel (CMC formulation), the VisuXL ® eye drop formulation may be tried instead. This study involved a review of the literature analyzing artificial tear treatments of DTS. The resources utilized were the electronic databases Medline (PubMed; http://www.ncbi.nlm.nih.gov), National Institutes of Health (NIH) clinical trials ( http://clinicaltrials.gov), Google Scholar, and the Cochrane Library. Keywords used in the search included dry eye, dysfunctional tear syndrome, Actimist, Advance Eye Relief, Akorn, Akwa, Blink, Clarymist, Clear Eyes, Freshkote, GenTeal, Hylogel, Isopto, Just Tears, Lacril, Lacrisert, Liposic, Lubrifresh, Murine Tears, Natural Balance, Nature’s Tears, Nutratear, Oasis Tears, Paralube, Refresh, Rohto Hydra, Systane, Soothe, Tearisol, Tears Again, Tears Natural, Thera Tears, Ultra Tears, Visco Tears, and Vizulize Dry Eye Mist. Both published articles and data from clinical trials (including multicenter, blinded studies as well as open label, industry-funded studies) were included in this study. Studies were excluded if the brand and specific type of artificial tear could not be identified. Data from unpublished clinical trials and articles from artificial tears that are no longer being produced were excluded. No other exclusion criteria were applied. Thông báo cho Bác sĩ những tác dụng không mong muốn gặp phải khi sử dụng thuốc. 4.7 Hướng dẫn cách xử trí ADR:

The frequency of adverse reactions documented during clinical trials is given. The frequency is defined as follows: Very Common (≥ 1/10); Common (≥1/100, <1/10); Uncommon (≥1/1,000, <1/100); Rare (≥1/10,000, <1/1,000); Very Rare (<1/10,000), not known (cannot be estimated from the available data). No new patients to receive prescriptions in primary care. Patients already receiving Red Medicines in primary care should be handled on a case by case basis with the support of the Medicines Optimisation team. Grey / Non-Formulary (no formal assessment): APC has not formally reviewed this medicine or indication because it had never been requested for formulary inclusion. Often used for drugs new to market. Preservative free eye drop preparations can be recommended by ophthalmology specialists when a patient is on multiple different eye drops to minimise ocular exposure to preservative.

1. About carmellose sodium

If you forget to use your eye drops, use them when you need them next or when it’s time for your next dose. What if I use too much? A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust DTCs and approved by the Nottinghamshire APC. It is considered appropriate for Independent Prescribing Optometrists to prescribe or recommend prescribing of any licensed Green or Amber traffic light medicines within this Chapter of the formulary that are also within their recognised area of expertise and competence. After 1 month of therapy, TBUT was significantly increased by 2.4 seconds with Blink Tears while Systane Ultra showed no statistically significant increase in tear film The Hylo-Tear® (0.1%)& Hylo-Forte® (0.2%) brands are manufactured in a COMOD device which may prove difficult to use in those with dexterity problems. These products have a six month expiry once opened (if used in hospital a 14 day expiry remains)

If you use carmellose sodium with other eye drops, wait at least 5 minutes before using your other eye drops. The second eye drops can wash out the carmellose sodium and it may not work as well. Supply issue with Clinitas 0.2% gel, Viscotears 2mg/g liquid gel, Artelac Nighttime 0.2% gel and GelTears 0.2% gel (Reviewed Nov 23) Ans : This medication is generally used once or twice a day. It is advised to consult your doctor before the usage, as the frequency also depends on the patient's condition. Repeat in your other eye if you need to. There is enough liquid in 1 single-dose dropper to put a drop in both eyes if needed. Patients should be encouraged to manage both dry eyes and sore eyes by implementing some self-care measures such as good eyelid hygiene and avoidance of environmental factors alongside treatment.

Patient concerns

Secondary Careprescribing: Brand supplied will depend on availability. Evolve ® brand is a cost-effective option. Carmellose sodium eye drops can be stored at room temperature and do not need to be kept in a fridge. What if I forget to use it? For use only in patients with moderate to severe dry eye with corneal epithelial stains and on the recommendation of a specialist. Allergan Optive Plus 10ml has a unique triple-action formula that provides long lasting comfort. Allergan Optive Plus lubricates the surface cells by restoring osmotic balance Plus protecting your natural tears with a lipid enhancement. Optive Plus is preserved with Purite, a preservative in the bottle which breaks down into natural tear components on the eye. This means that Optive ™ and Optive PLUS ™ are preserved in the bottle, but unpreserved on the eye. Optive PLUS ™ is suitable for patients with moderate to severe forms of dry eye who require additional protection.