Pilocar Eye Drop

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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 — als het niet is aangekomen na 20 werkdagen, sturen wij het opnieuw zonder extra kosten. Ondersteund door meer dan 1.400 geverifieerde klantbeoordelingen.

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 It was the first effective glaucoma medication (used since the 1870s) but has been largely superseded by drops with better tolerability.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.

Hoe het werkt

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.

Indicaties

• 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)

Dosering

Bijwerkingen

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.

Waarschuwingen & Contra-indicaties

• 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

Opslag

Bewaren bij 15–25°C beschermd tegen licht. Na eerste opening 28 dagen houdbaar.

Veelgestelde vragen

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.

Wat als ik een dosis vergeet?

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.

Andere oogzorgmedicijnen

Klanten die dit product bekijken, overwegen ook deze alternatieven in ons Oogzorg assortiment:

• Xalatan Eye Drop (latanoprost)
• Azopt Eye Drops (brinzolamide)
• Alphagan P Drop (brimonidine)
• Iotim Oogdruppels (timolol)
• Careprost (bimatoprost)

Medische Disclaimer

De informatie op deze pagina is alleen voor educatieve doeleinden en is geen vervanging voor medisch advies van een gekwalificeerde oogarts of optometrist. Oogaandoeningen kunnen snel een bedreiging vormen voor het gezichtsvermogen — plotseling verlies van gezichtsvermogen, hevige pijn of trauma is een oogheelkundig spoedgeval. Raadpleeg altijd een oogzorgprofessional voordat u een behandeling start, stopt of wijzigt.

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