Fotil is a combined ophthalmic preparation. It is designed to treat various forms of glaucoma and increased intraocular pressure.Eye drops contain 2 active ingredients: timolol maleate and pilocarpine hydrochloride. In many people, it provides a steady decrease in intraocular pressure in a few weeks.
Eye drops Fotil applied strictly to the doctor's prescription.He defines an individual treatment regimen. The drug has a large number of contraindications and side effects. It is also important to take into account the peculiarities of the use of drops. These include interaction with other drugs and a joint application with contact lenses.
Content
- 1Description of the preparation
- 2Pharmacological action and group
-
3Application
- 3.1Indications
- 3.2Contraindications
- 3.3In pregnancy
- 3.4To small children
- 4Possible complications caused by the drug
- 5Analogues
- 6Video
- 7conclusions
Description of the preparation
Eye drops Fotil is a topical preparation. It is a clear, colorless liquid.
The composition of the combined preparation includes 2 main active ingredients: pilocarpine hydrochloride and timolol maleate.Excipients:- benzalkonium hydrochloride;
- lemon acid;
- hypromellose;
- sodium citrate;
- water for injections.
The drug is available in clear bottles with a dropper, made of plastic with a volume of 5 milliliters. Together with the instruction for use, it is packed in a cardboard box.
The drug is sold in pharmacies only on prescription. It belongs to the list B.
Store in a dry place, protected from direct sunlight. The temperature should not be above 25 ° C. Shelf life is 3 years.The open vial should be used within 1 month.
Pharmacological action and group
Fotil belongs to the pharmacological group of antiglaucoma drugs.Two active substances provide a steady decrease in intraocular pressure.Timolol belongs to the group of beta-blockers. It reduces the production of intraocular fluid, providing an antihypertensive effect in 20 minutes. The maximum duration of the action is 24 hours.
The drug can not be used in conjunction with other beta-blockers. This causes a risk of hypotension and cardiac conduction disorders.
Pilocarpine causes a temporary spasm of accommodation, providing a reduction in the ciliary muscle.This leads to an enlargement of the anterior chamber of the eye. The duration of pilocarpine is 4 to 14 hours.
Application
Eye drops Fotil according to the manufacturer's instructions are instilled in 1 drop in the conjunctival sac 2 times a day.It is important to do this correctly:
- Before digging in, you need to wash your hands with soap and water.
- If the vial was in the refrigerator, it should be heated in the hand.
- It is advisable to sit or lie down comfortably.
- Finger pull the lower eyelid and drip the drug into the conjunctival sac. Do not touch the edge of the eyelid drip eyelids or other objects.
- Close your eyes tightly for 5 - 10 seconds.
- Remains of the drug wipe off the skin with a cotton swab.
- Tighten the protective cap tightly.
After digging, be sure to wash your hands again.
Sodium-free sodium, used as a preservative, causes damage to soft contact lenses. It is necessary before dropping drops to remove them. You can wear at least 15 minutes.
It is important to consider the features of the drug.When treating with Fotil, it is necessary to control the intraocular pressure. The measurement is recommended to be performed 4 weeks after the start of the course of treatment. The medicine can cause temporary deterioration of vision, including a decrease in its severity. This should be taken into account when performing work that requires an increased concentration of attention and reaction speed.
Indications
Fotil drops are used for such forms of glaucoma:
- open-angle;
- closed-angle;
- secondary;
- After surgical treatment of cataracts.
The drug is prescribed after surgery on the eyes, if it leads to increased intraocular pressure.
Before the start of the course of treatment other antiglaucoma drugs are canceled for 1 day.
Contraindications
Fotil categorically can not be used for such states as:
- sinus bradycardia;
- Decompensated heart failure;
- anterior uveitis;
- cardiogenic shock;
- bronchial asthma;
- chronic obstructive pulmonary disease.
Contraindications are atrioventricular blockade of II-III degree or individual intolerance of the drug components.Fotil with extreme caution appoint, if there is:
- heart failure;
- retinal disinsertion;
- myopia;
- diabetes mellitus of any type;
- thyrotoxicosis.
The drug is used with caution in the preparation for surgical operations with general anesthesia.During the course of treatment, you can not drive a car or other complex mechanisms.
In pregnancy
The drug can be used on any 40 pregnancies if the expected benefit exceeds the risk for the fetus.
Components of eye drops can penetrate into breast milk. Its use in the period of breastfeeding is possible, when the beneficial action for the mother is higher than the risk for the child.
To small children
The drug is not used to treat glaucoma for children under 18 years. This is due to the lack of reliable clinical studies.
Possible complications caused by the drug
The use of Fotila can cause such side effects:
- blurred vision;
- burning sensation;
- rapidly passing pain in the eyes;
- irritation of the mucosa;
- dermatitis of the eyelid skin.
It can also be:
- dry eye syndrome;
- temporary redness of the conjunctiva;
- decreased sensitivity of the cornea.
Visual acuity may decrease in the dark.There are systemic side effects:
- nausea;
- vomiting;
- sweating;
- arrhythmia;
- bradycardia.
There may appear hives, headache, rashes on the skin, nasal congestion or ptosis.In rare cases, such complications arise:
- point keratitis;
- allergic blepharoconjunctivitis;
- reversible opacification of the lens;
- induction myopia;
- retinal detachment.
There are cases of rigidity of the iris, the occurrence of a cyst in it.
The components of the drug through the blood-brain barrier, causing violations of the central nervous system. This can cause complications such as dizziness, anxiety, hallucinations, and others. In rare cases, depression occurs.
Analogues
There are such analogues of Fotil:
- Pilocarpine hydrochloride;
- Timolola maleate;
- Arutimol;
- Oftan Timolol;
- Cusimolol;
- Xalacom;
- Oftan Pilocarpine.
Also there is Fotil Forte.It can be used for combined treatment.
Video
conclusions
Eye drops Fotil is a combined antiglaucoma drug.It consists of pilocarpine and timolol. This drug is also used in the complex therapy of diseases accompanied by increased intraocular pressure. Eye drops are applied topically, they are instilled in a conjunctival sac.
The drug belongs to the list of B, it is sold in pharmacies only on the prescription of a doctor. It is necessary to strictly observe the prescribed dosage and the duration of the course of treatment.If side effects occur, it is important to consult your doctor.
