{"id":51369,"date":"2023-09-20T09:21:01","date_gmt":"2023-09-20T09:21:01","guid":{"rendered":"https:\/\/medsname.com\/pilocar-eye-drop\/"},"modified":"2026-04-30T10:25:28","modified_gmt":"2026-04-30T10:25:28","slug":"pilocar-eye-drop","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/pilocar-eye-drop\/","title":{"rendered":"Pilocar Eye Drop"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fffbe6;border-left:4px solid #f5a623;padding:14px 18px;margin:14px 0 22px;border-radius:6px;font-size:15px;line-height:1.55;\">\n<h3 style=\"margin:0 0 6px;font-size:17px;color:#8a6d3b;\">\u26a1 R\u0103spuns Rapid \u2014 Ce este Pilocar Pic\u0103tur\u0103 Oftalmic\u0103?<\/h3>\n<p style=\"margin:0;\">Pilocar Pic\u0103tur\u0103 Oftalmic\u0103 con\u021bine pilocarpin\u0103 2%, un miotic colinergic care reduce presiunea intraocular\u0103 prin constric\u021bia pupil\u0103rii \u0219i desprinderea irisului de la trabecule. Utilizat \u00een glaucomul cu unghi \u00eenchis acut, post-iridotomie \u0219i rar \u00een glaucomul cronic. Provoc\u0103 constric\u021bie pupilar\u0103, dureri \u00een regiunea frontal\u0103 \u0219i vedere \u00eence\u021bo\u0219at\u0103.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f6f7fb;border:1px solid #e3e5ee;border-radius:8px;padding:14px 18px;margin:18px 0;font-size:14px;line-height:1.55;\"><strong style=\"color:#1f3661;\">De ce s\u0103 comanzi de la MedsBase?<\/strong> Produs de un produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 <a href=\"\/ro\/reviews\/\" rel=\"noopener\">Peste 1.400 de recenzii verificate ale clien\u021bilor<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Pilocar Pic\u0103tur\u0103 Oftalmic\u0103 este procurat\u0103 de la un produc\u0103tor certificat WHO-GMP \u0219i expediat\u0103 la nivel mondial \u00een ambalaje discrete \u0219i neutre. Fiecare comand\u0103 este acoperit\u0103 de <a href=\"\/ro\/medsbase-re-shipment-assurance-policy\/\" rel=\"noopener\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a> \u2014 dac\u0103 nu a sosit \u00een 20 de zile lucr\u0103toare, expediem din nou f\u0103r\u0103 costuri suplimentare. Sus\u021binut de peste 1.400 de recenzii verificate.<\/p>\n<h2>Ce este Pilocar Pic\u0103tur\u0103 Oftalmic\u0103?<\/h2>\n<p>Pilocar Pic\u0103tur\u0103 Oftalmic\u0103 este fabricat de Sunways \u0219i con\u021bine pilocarpin\u0103 HCl 2% ca solu\u021bie oftalmic\u0103 steril\u0103. Pilocarpina este un miotic parasimpaticomimetic \u2014 constric\u021bioneaz\u0103 pupila \u0219i contract\u0103 mu\u0219chiul ciliar, deschiz\u00e2nd trabeculele \u0219i cresc\u00e2nd scurgerea aqueosului. A fost primul medicament eficient \u00eempotriva glaucomului (folosit din anii 1870), dar a fost \u00een mare parte \u00eenlocuit de pic\u0103turi cu tolerabilitate mai bun\u0103. P\u0103streaz\u0103 totu\u0219i un rol critic \u00een atacurile de glaucom cu unghi \u00eenchis acut \u0219i post-iridotomie.<\/p>\n<h2>Cum func\u021bioneaz\u0103<\/h2>\n<p>Pilocarpina activeaz\u0103 receptorii muscarinici M3 pe sfincterul irisului (constric\u021bion\u00e2nd pupila) \u0219i pe mu\u0219chiul ciliar (contract\u00e2ndu-l). Trac\u021biunea mecanic\u0103 a mu\u0219chiului ciliar contractat deschide spa\u021biile trabeculare, cresc\u00e2nd scurgerea conven\u021bional\u0103 a umorului acvos. \u00cen glaucomul cu unghi \u00eenchis, constric\u021bia pupilar\u0103 desprinde \u0219i irisul periferic de la trabecule, \u00eentrerup\u00e2nd \u00eenchiderea unghiului.<\/p>\n<h2>Indica\u021bii<\/h2>\n<ul>\n<li><strong>Glaucom cu unghi \u00eenchis acut:<\/strong> utilizare de urgen\u021b\u0103 pentru \u00eentreruperea atacului \u00een timp ce se organizeaz\u0103 iridotomia laser definitiv\u0103<\/li>\n<li><strong>Post-iridotomie<\/strong> \u00een cazul ochilor cu unghi \u00eengust, \u00eenainte de efectuarea laserului<\/li>\n<li><strong>Test diagnostic pentru pupila tonic\u0103 Adie<\/strong> (doz\u0103 mic\u0103 0,1% \u2014 supersensibilitate denerva\u021bional\u0103)<\/li>\n<li><strong>Glaucom cronic cu unghi deschis:<\/strong> rar acum \u2014 doar c\u00e2nd alte clase e\u0219ueaz\u0103 \u0219i pacientul tolereaz\u0103 efectele adverse<\/li>\n<li><strong>Mioz\u0103 cosmetic\u0103 off-label<\/strong> (managementul prezbiopiei): formul\u0103rile cu doz\u0103 mic\u0103 1,25% sunt aprobate de FDA (Vuity)<\/li>\n<\/ul>\n<h2>Doza<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;border:1px solid #ddd;\">Indica\u021bie<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ddd;\">Doza<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Atac de \u00eenchidere acut\u0103 a unghiului<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">1 pic\u0103tur\u0103 la fiecare 5\u201310 minute \u00een prima or\u0103, apoi 1 pic\u0103tur\u0103 la fiecare 1\u20134 ore. Pilocarpina func\u021bioneaz\u0103 doar c\u00e2nd ischemia irisului din cauza IOP foarte ridicat este rezolvat\u0103 mai \u00eent\u00e2i \u2014 deci terapia ini\u021bial\u0103 include acetazolamid oral \u0219i beta-blocant topic.<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Glaucom cronic<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">1 pic\u0103tur\u0103 de patru ori pe zi (la fiecare 6 ore)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Dup\u0103 iridotomie cu laser<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">1 pic\u0103tur\u0103 \u00een ziua procedurii, poate fi continuat\u0103 1\u20134\u00d7 zilnic dac\u0103 unghiul r\u0103m\u00e2ne \u00eengust<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Efecte Secundare<\/h2>\n<p><strong>Vizual:<\/strong> vedere \u00eence\u021bo\u0219at\u0103 (pupila constric\u021bionat\u0103 reduce lumina care intr\u0103 \u00een ochi \u2014 pronun\u021bat\u0103 noaptea \u0219i \u00een interior), durere de spr\u00e2ncean\u0103 (spasm ciliar \u2014 de obicei se atenueaz\u0103 dup\u0103 2\u20134 s\u0103pt\u0103m\u00e2ni de utilizare continu\u0103), miopie indus\u0103 (contrac\u021bia ciliar\u0103 modific\u0103 acomodarea), reducerea c\u00e2mpului vizual periferic.<\/p>\n<p><strong>Altele oculare:<\/strong> hiperemie conjunctival\u0103, lacrimare, risc de dezlipire de retin\u0103 la pacien\u021bii cu miopie mare (trac\u021biune vitreian\u0103 din contrac\u021bia ciliar\u0103), conjunctivit\u0103 folicular\u0103 la utilizare cronic\u0103.<\/p>\n<p><strong>Sistematice (rare cu pic\u0103turi oculare):<\/strong> transpira\u021bie, saliva\u021bie, crampe gastrointestinale, bronhospasm.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:4px;font-size:14px;line-height:1.55;\"><strong style=\"color:#a94442;\">Dezlipire de retin\u0103 la pacien\u021bii tineri cu miopie mare.<\/strong> Contrac\u021bia ciliar\u0103 indus\u0103 de pilocarpin\u0103 poate trage retina periferic\u0103 prin baza vitreian\u0103. Pacien\u021bii cu miopie mare (&gt; -6 D), degenerare lattic\u0103 sau rupturi retiniene anterioare prezint\u0103 un risc crescut. Ar trebui efectuat un examen retinal dilatat \u00eenainte de \u00eenceperea tratamentului la orice pacient cu risc crescut.<\/div>\n<h2>Avertismente &amp; Contraindica\u021bii<\/h2>\n<ul>\n<li>Uveit\u0103 acut\u0103 \u2014 constric\u021bia pupilar\u0103 poate agrava formarea sinechielor posterioare<\/li>\n<li>Miopie mare, degenerare lattic\u0103, ruptur\u0103 retinien\u0103 anterioar\u0103 \u2014 contraindicare relativ\u0103, examen retinal dilatat mai \u00eent\u00e2i<\/li>\n<li>Astm sever sau BPOC \u2014 posibil bronhospasm<\/li>\n<li>Bradicardie sever\u0103, infarct miocardic recent<\/li>\n<li>Irit\u0103 acut\u0103<\/li>\n<li>Sarcin\u0103\/al\u0103ptare \u2014 consulta\u021bi un specialist<\/li>\n<\/ul>\n<h2>Depozitare<\/h2>\n<p>Se p\u0103streaz\u0103 la 15\u201325\u00b0C, protejat de lumin\u0103. Se elimin\u0103 dup\u0103 28 de zile de la prima deschidere.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>De ce vederea mea este \u00eence\u021bo\u0219at\u0103 cu pic\u0103turile Pilocar?<\/h3>\n<p>Pilocarpina contract\u0103 pupila, reduc\u00e2nd cantitatea de lumin\u0103 care p\u0103trunde \u00een ochi. Efectul este mai pronun\u021bat \u00een lumin\u0103 slab\u0103 sau seara. Acest lucru este normal \u0219i reversibil la \u00eentreruperea pic\u0103turilor.<\/p>\n<h3>Ce este durerea de frunte?<\/h3>\n<p>Pilocarpina contract\u0103 mu\u0219chiul ciliar, provoc\u00e2nd durere referit\u0103 \u00een frunte care sim\u021bi\u021bi ca o cefalee de tensiune. Disconfortul dispare de obicei dup\u0103 2\u20134 s\u0103pt\u0103m\u00e2ni de utilizare continu\u0103 pe m\u0103sur\u0103 ce mu\u0219chiul se adapteaz\u0103.<\/p>\n<h3>Pot conduce dup\u0103 ce folosesc pic\u0103turile Pilocar?<\/h3>\n<p>Evita\u021bi condusul p\u00e2n\u0103 c\u00e2nd \u0219ti\u021bi cum v\u0103 afecteaz\u0103 vederea, mai ales noaptea. Pupilele contractate fac condusul nocturn dificil \u2014 majoritatea pacien\u021bilor care folosesc pilocarpin\u0103 cronic nu pot conduce dup\u0103 \u00eentuneric.<\/p>\n<h3>C\u00e2nd se folose\u0219te pilocarpina \u00een tratamentul modern al glaucomului?<\/h3>\n<p>Atac de \u00eenchidere unghiular\u0103 acut\u0103 ca m\u0103sur\u0103 temporar\u0103 \u00eenainte de iridotomie; pacien\u021bii rare cu glaucom cronic care o tolereaz\u0103; post-iridotomie c\u00e2nd unghiul este \u00eenc\u0103 \u00eengust; noile formul\u0103ri cu doz\u0103 mic\u0103 pentru prezbiopie (Vuity).<\/p>\n<h3>Sunt pic\u0103turile Pilocar sigure \u00een sarcin\u0103?<\/h3>\n<p>Evita\u021bi, cu excep\u021bia cazului \u00een care un oftalmolog consider\u0103 c\u0103 beneficiul dep\u0103\u0219e\u0219te riscul. Date umane limitate.<\/p>\n<h3>Ce este miopia indus\u0103?<\/h3>\n<p>Contrac\u021bia ciliar\u0103 deplaseaz\u0103 acomodarea spre vederea de aproape, f\u0103c\u00e2nd vederea la distan\u021b\u0103 neclar\u0103. Efectul este de obicei reversibil.<\/p>\n<h3>De ce sunt persoanele cu miopie \u00eenalt\u0103 expuse unui risc mai mare de dezlipire de retin\u0103?<\/h3>\n<p>Ochii cu miopie \u00eenalt\u0103 au retina periferic\u0103 mai sub\u021bire \u0219i mai multe degener\u0103ri latice. Contrac\u021bia corpului ciliar transmite for\u021b\u0103 la baza corpului vitros, care poate trage de retina sl\u0103bit\u0103 \u0219i declan\u0219a o ruptur\u0103. Efectua\u021bi un examen retinal dilatat \u00eenainte de a \u00eencepe dac\u0103 ave\u021bi miopie \u00eenalt\u0103.<\/p>\n<h3>Pot folosi pic\u0103turile oculare Pilocarpin\u0103 \u00eempreun\u0103 cu alte pic\u0103turi pentru glaucom?<\/h3>\n<p>Da \u2014 pilocarpina are efect aditiv cu toate celelalte clase. A\u0219tepta\u021bi 5 minute \u00eentre flacoane.<\/p>\n<h3>Ce este glaucomul cu unghi \u00eenchis acut?<\/h3>\n<p>O urgen\u021b\u0103 medical\u0103 \u00een care irisul blocheaz\u0103 brusc scurgerea aqueosului la nivelul unghiului, provoc\u00e2nd o cre\u0219tere brusc\u0103 a TIO la 50\u201380 mmHg. Simptomele includ durere ocular\u0103 sever\u0103, vedere \u00eence\u021bo\u0219at\u0103, aure \u00een jurul luminilor, grea\u021b\u0103 \u0219i pupil\u0103 midriazic\u0103 fix\u0103. Necesit\u0103 evaluare oftalmologic\u0103 \u00een aceea\u0219i zi \u0219i iridotomie cu laser.<\/p>\n<h3>Ce fac dac\u0103 uit o doz\u0103?<\/h3>\n<p>Pentru dozarea cronic\u0103, lua\u021bi medicamentul imediat ce v\u0103 aminti\u021bi, cu excep\u021bia cazului \u00een care urm\u0103toarea doz\u0103 este aproape. Pentru gestionarea atacului acut, urma\u021bi instruc\u021biunile specifice ale oftalmologului dumneavoastr\u0103.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3>Alte medicamente pentru \u00eengrijirea ochilor<\/h3>\n<p>Clien\u021bii care vizualizeaz\u0103 acest produs iau \u00een considerare \u0219i aceste alternative din gama noastr\u0103 <a href=\"\/ro\/eye-care\/\">\u00cengrijirea ochilor<\/a> de:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/xalatan-eye-drop\/\">Xalatan Eye Drop (latanoprost)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/azopt-eye-drops\/\">Azopt Pic\u0103turi Oculare (brinzolamide)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/alphagan-p-drop\/\">Alphagan P Pic\u0103turi (brimonidine)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/iotim-eye-drops\/\">Iotim Pic\u0103turi Oculare (timolol)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/careprost-eye-drops\/\">Careprost (bimatoprost)<\/a><\/li>\n<\/ul>\n<h3>Declinare de responsabilitate medical\u0103<\/h3>\n<p style=\"font-size:13px;color:#555;\">Informa\u021biile de pe aceast\u0103 pagin\u0103 au scop educa\u021bional \u0219i nu \u00eenlocuiesc sfatul medical al unui oftalmolog sau optometrist calificat. Afec\u021biunile oculare pot amenin\u021ba rapid vederea \u2014 pierderea brusc\u0103 a vederii, durerea intens\u0103 sau trauma reprezint\u0103 urgen\u021be oftalmologice. Consulta\u021bi \u00eentotdeauna un specialist \u00een \u00eengrijirea ochilor \u00eenainte de a \u00eencepe, \u00eentrerupe sau modifica orice tratament.<\/p>","protected":false},"excerpt":{"rendered":"<p>Pilocar (pilocarpin\u0103 1% \/ 2% \/ 4%) \u2014 pic\u0103turi oftalmice miotice colinergice. Utilizat \u00een criza de glaucom cu unghi \u00eenchis \u0219i controlul cronic al IOP. Precau\u021bie la pacien\u021bii cu miopie mare \u0219i dezlipire de retin\u0103.<\/p>","protected":false},"featured_media":51370,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3343,3342],"product_tag":[],"class_list":{"0":"post-51369","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-eye-care","8":"product_cat-general-health","10":"first","11":"instock","12":"shipping-taxable","13":"purchasable","14":"product-type-variable","15":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/51369","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=51369"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/51370"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=51369"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=51369"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=51369"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=51369"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}