Pilocar Eye Drop
Pilocar (pilocarpine 1% / 2% / 4%) — cholinergic miotic eye drop. Acute angle-closure glaucoma rescue and chronic IOP control. High-myope retinal-detachment caution.
✓ Lääketieteellinen tarkistus Morgan Ellis — Farmasian tutkija · 8 vuoden kokemus · Viimeisin arvio: toukokuu 2026
⚡ Quick Answer — What is Pilocar Eye Drop?
Pilocar Eye Drop is pilocarpine 2%, a cholinergic miotic that lowers eye pressure by constricting the pupil and pulling the iris off the trabecular meshwork. Used in acute angle-closure glaucoma, post-iridotomy, and rarely in chronic glaucoma. Causes pupil constriction, brow ache, and dim vision.
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Miksi tilata MedsBasesta
Pilocar Eye Drop is sourced from a WHO-GMP certified manufacturer and shipped worldwide in plain, discreet packaging. Every order is covered by our Reshipment Assurance Policy -politiikkamme piiriin — jos tuote ei ole saapunut 20 arkipäivän kuluessa, lähetämme uuden ilman lisäkustannuksia. Yli 1 400 varmennettua asiakasarvostelua.
What is Pilocar Eye Drop?
Pilocar Eye Drop is manufactured by Sunways and contains pilocarpine HCl 2% as a sterile ophthalmic solution. Pilocarpine is a parasympathomimetic miotic — it constricts the pupil and contracts the ciliary muscle, opening the trabecular meshwork and increasing aqueous outflow. It was the first effective glaucoma medication (used since the 1870s) but has been largely superseded by drops with better tolerability. It retains a critical role in acute angle-closure attacks and after laser iridotomy.
Miten se toimii
Pilocarpine activates muscarinic M3 receptors on the iris sphincter (constricting the pupil) and the ciliary muscle (contracting it). The mechanical pull of the contracting ciliary muscle opens the spaces of the trabecular meshwork, increasing conventional outflow of aqueous humour. In angle-closure glaucoma, pupil constriction also pulls the peripheral iris away from the trabecular meshwork, breaking the angle closure.
Indikaatiot
- Acute angle-closure glaucoma: emergency use to break the attack while definitive laser iridotomy is arranged
- Post-iridotomy in narrow-angle eyes, before laser is performed
- Diagnostic test for Adie’s tonic pupil (low-dose 0.1% — denervation supersensitivity)
- Chronic open-angle glaucoma: rarely now — only when other classes fail and patient tolerates side effects
- Off-label cosmetic miosis (presbyopia management): low-dose 1.25% formulations are FDA-approved (Vuity)
Annostus
| Käyttöaihe | Annos |
|---|---|
| Acute angle-closure attack | 1 drop every 5–10 minutes for the first hour, then 1 drop every 1–4 hours. Pilocarpine works only when iris ischaemia from very high IOP is reversed first — so initial therapy includes oral acetazolamide and topical beta-blocker. |
| Chronic glaucoma | 1 drop four times daily (every 6 hours) |
| After laser iridotomy | 1 drop on day of procedure, may continue 1–4× daily if angle still narrow |
Haittavaikutukset
Visual: dim vision (constricted pupil reduces light entering the eye — pronounced at night and indoors), brow ache (ciliary spasm — usually settles after 2–4 weeks of continuous use), induced myopia (ciliary contraction shifts accommodation), reduced peripheral vision.
Other ocular: conjunctival hyperaemia, lacrimation, retinal detachment risk in high myopes (vitreous traction from ciliary contraction), follicular conjunctivitis with chronic use.
Systemic (rare with eye drops): sweating, salivation, GI cramping, bronchospasm.
Varoitukset ja vasta-aiheet
- Acute uveitis — pupillary constriction can worsen posterior synechiae formation
- High myopia, lattice degeneration, prior retinal tear — relative contraindication, dilated retinal exam first
- Severe asthma or COPD — possible bronchospasm
- Severe bradycardia, recent MI
- Acute iritis
- Pregnancy / breastfeeding — discuss with specialist
Säilytys
Säilytä 15–25°C lämpötilassa valolta suojattuna. Hävitä 28 päivää ensimmäisen avaamisen jälkeen.
Usein Kysytyt Kysymykset
Why is my vision dim with Pilocar Eye Drop?
Pilocarpine constricts the pupil, reducing the amount of light entering the eye. The effect is most pronounced in dim or evening light. This is expected and reversible when the drop is stopped.
What is the brow ache?
Pilocarpine contracts the ciliary muscle, causing referred pain in the brow that feels like a tension headache. The discomfort usually settles after 2–4 weeks of continuous use as the muscle adapts.
Can I drive after Pilocar Eye Drop?
Avoid driving until you know how it affects your vision, especially at night. Constricted pupils make night driving difficult — most patients on chronic pilocarpine cannot drive after dark.
When is pilocarpine used in modern glaucoma care?
Acute angle-closure attack as a temporising measure before iridotomy; rare chronic-glaucoma patients who tolerate it; post-iridotomy when the angle is still narrow; new low-dose formulations for presbyopia (Vuity).
Is Pilocar Eye Drop safe in pregnancy?
Avoid unless an ophthalmologist judges the benefit outweighs the risk. Limited human data.
What is induced myopia?
Ciliary contraction shifts accommodation toward near vision, making distance vision blurry. The effect is usually reversible.
Why are high myopes at higher retinal-detachment risk?
High-myopic eyes have thinner peripheral retina with more lattice degeneration. Ciliary contraction transmits force to the vitreous base, which can pull on weakened retina and trigger a tear. Have a dilated retinal exam before starting if you are highly myopic.
Can I use Pilocar Eye Drop with other glaucoma drops?
Yes — pilocarpine is additive with all other classes. Wait 5 minutes between bottles.
What is acute angle-closure glaucoma?
A medical emergency where the iris suddenly blocks aqueous outflow at the angle, causing IOP to spike to 50–80 mmHg. Symptoms include severe eye pain, blurred vision, halos around lights, nausea, and a fixed mid-dilated pupil. Requires same-day ophthalmology assessment and laser iridotomy.
Mitä teen, jos unohdan ottaa annoksen?
For chronic dosing, take it as soon as you remember unless the next dose is close. For acute attack management, follow the specific instructions of your ophthalmologist.
Muut silmälääkkeet
Tätä tuotetta katsovat asiakkaat harkitsevat usein myös näitä vaihtoehtoja Silmänhoito valikoimastamme:
- Xalatan Eye Drop (latanoprost)
- Azopt Eye Drops (brinzolamide)
- Alphagan P Drop (brimonidine)
- Iotim Eye Drops (timolol)
- Careprost (bimatoprost)
Lääketieteellinen vastuuvapauslauseke
Tällä sivulla oleva tieto on vain opetuskäyttöön eikä korvaa pätevältä oftalmologilta tai optometrilta saatavaa lääketieteellistä neuvontaa. Silmäsairaudet voivat uhata näköä nopeasti – äkillinen näön menetys, vakava kipu tai trauma edellyttävät välitöntä silmätautien erikoislääkärin hoitoa. Kysy aina silmäalan ammattilaiselta ennen minkään hoidon aloittamista, lopettamista tai muuttamista.
Lisää vaihtoehtoja silmähoitoon
Luokiteltu MedsBase-tilausmäärän mukaan — mitä muut asiakkaat tässä kategoriassa valitsevat.
| Vahvuus | 2% (5 ml) Eye Drop |
|---|---|
| Määrä | 1 pullo, 3 pulloa, 6 pulloa |
| Lääkemuoto | Silmätipat |
| Valmistaja | Glaucoma |
| Hoito | Silmänhoito |
| Geneerinen tuotemerkki | Pilocarpine |
Pilocar Eye Drop
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Pilocar Eye Drop
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