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Pilocarpine HCl 0.25% Ophthalmic Liquid

FDA-approved generic
Dose form
Ophthalmic Liquid
Active ingredients
Pilocarpine Hydrochloride

The Pilocarpine HCl 0.25% Ophthalmic Liquid is a prescription eye drop formulation designed for the treatment of glaucoma and ocular hypertension. Pilocarpine, a cholinergic agonist, works by increasing the outflow of aqueous humor, thereby reducing intraocular pressure in the eye. This concentration is specifically used for patients requiring a lower dose or those who are sensitive to higher concentrations of the medication. Regular use as directed can help manage the symptoms and progression of these disease states.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Pilocarpine Hydrochloride
Ophthalmic Liquid
65ce2026e3e77080dabbf82c
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Pilocarpine HCl 0.25% Ophthalmic Liquid is a prescription medication specifically formulated for use in the eyes. Pilocarpine is a cholinergic agonist that works by stimulating the muscarinic receptors in the eye, leading to miosis, or constriction of the pupil. This action helps to facilitate the drainage of aqueous humor through the trabecular meshwork, which can reduce intraocular pressure. By reducing intraocular pressure, pilocarpine can help to prevent the onset of glaucoma or slow its progression, thereby preserving vision.

In addition to its use in glaucoma, pilocarpine is also employed in the management of ocular hypertension and can be used to induce miosis intraoperatively or postoperatively in cataract surgery. The 0.25% concentration provides a lower dose of the active ingredient, which may be suitable for patients who require a more conservative treatment approach or who may be sensitive to higher concentrations of the medication. It is important for patients to use this medication exactly as prescribed by their healthcare provider, as improper use can lead to inadequate treatment or adverse effects.

For prescribers considering Pilocarpine HCl 0.25% Ophthalmic Liquid, it is essential to evaluate the patient's overall ocular health, medical history, and current medications to ensure that pilocarpine is an appropriate choice. Prescribers should instruct patients on proper administration techniques to maximize the medication's efficacy and minimize potential side effects, such as headache, eye pain, or visual disturbances. Regular monitoring of intraocular pressure and ocular health is recommended to assess the effectiveness of the treatment and make any necessary adjustments.

Patients should be advised that pilocarpine may cause temporary blurring of vision or dimming, especially in low light conditions, due to its miotic effect. Caution is advised when driving at night or performing hazardous activities in poor lighting. Additionally, patients should be informed about the potential for systemic side effects, although these are less common with ophthalmic preparations.

At Bayview Pharmacy, we are committed to providing high-quality compounded medications tailored to meet the unique needs of each patient. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide guidance on the use of Pilocarpine HCl 0.25% Ophthalmic Liquid. If you have any questions or require further information, please do not hesitate to reach out to us.

Drug Interactions

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Pilocarpine HCl 0.25% Ophthalmic Liquid is a cholinergic agonist used primarily to treat certain conditions affecting the eyes, such as glaucoma by reducing intraocular pressure, and to induce miosis, or constriction of the pupil, after their dilation. When considering the use of this formulation, it is important to be aware of potential drug interactions that may affect its efficacy or increase the risk of adverse effects.

One key interaction is with other ophthalmic agents. The concurrent use of pilocarpine with other topical eye medications that have opposing effects, such as mydriatics or cycloplegics, can diminish the therapeutic effect of pilocarpine. It is advisable to administer these medications at least 5 minutes apart to prevent this interaction. Additionally, the use of pilocarpine with other intraocular pressure-lowering agents may have additive effects, which could be beneficial in managing glaucoma but should be monitored for excessive ocular hypotension.

Systemic beta-blockers, which are also used to manage cardiovascular conditions, may interact with pilocarpine. When used concurrently, there may be an additive effect in lowering intraocular pressure, but there is also a potential for an increase in adverse systemic effects such as bradycardia or respiratory difficulties, particularly in patients with pre-existing conditions like asthma or chronic obstructive pulmonary disease (COPD).

Anticholinergic drugs, taken either systemically or as eye drops, can counteract the effects of pilocarpine by inhibiting the parasympathetic response that pilocarpine promotes. This can lead to reduced efficacy of pilocarpine in lowering intraocular pressure or in achieving miosis. Patients using anticholinergic medications for other conditions should be closely monitored when starting pilocarpine therapy.

Caution is also advised when pilocarpine is used in conjunction with CNS depressants, as pilocarpine can potentially enhance the effects of these medications, leading to increased sedation or drowsiness. This is particularly important for patients who operate heavy machinery or drive, as their ability to perform these tasks safely may be compromised.

Lastly, pilocarpine may interact with certain medications that affect the metabolism of drugs. For example, medications that alter the activity of cytochrome P450 enzymes could potentially affect the concentration and effectiveness of pilocarpine, although the clinical significance of this interaction is likely to be minimal due to the local administration and low systemic absorption of ophthalmic pilocarpine.

It is essential for patients and prescribers to consider all current medications, including over-the-counter drugs and herbal supplements, when initiating treatment with pilocarpine HCl 0.25% Ophthalmic Liquid. If you have any questions or concerns regarding potential drug interactions with pilocarpine, please reach out to us at Bayview Pharmacy for personalized advice and support.

How Does it Work

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Pilocarpine HCl 0.25% Ophthalmic Liquid is a prescription medication used in the form of eye drops to treat certain conditions of the eye. Pilocarpine is a cholinergic agonist, which means it works by mimicking the action of a neurotransmitter called acetylcholine. This neurotransmitter is responsible for transmitting signals in the nervous system that can affect various bodily functions, including the control of pupil size and the fluid pressure inside the eye.

When pilocarpine is administered as an ophthalmic solution, it primarily acts on the muscles in the eye, causing the pupil to constrict (miosis). This constriction is beneficial in treating glaucoma, a group of eye diseases that damage the optic nerve and can lead to vision loss. By constricting the pupil, pilocarpine allows for better fluid drainage out of the eye, which can help to reduce the intraocular pressure (IOP) that is often elevated in glaucoma patients. Lowering the IOP is crucial in managing glaucoma and preventing further optic nerve damage.

In addition to its use in glaucoma, pilocarpine can also be used to reverse the effects of medications that cause pupil dilation (mydriasis) or to treat other conditions as determined by a healthcare provider. The 0.25% concentration provides a lower dose of the active ingredient, which may be suitable for patients who require a more subtle effect or who may be more sensitive to the drug.

It is important for patients and prescribers to understand that while pilocarpine can help manage symptoms and control conditions like glaucoma, it is not a cure. Patients must use the medication regularly and exactly as prescribed to maintain its therapeutic effects. Side effects can include eye irritation, headache, and changes in vision, among others. It is also essential to discuss with a healthcare provider any other medications being taken, as pilocarpine can interact with other drugs.

For those interested in using Pilocarpine HCl 0.25% Ophthalmic Liquid, or for more detailed information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is ready to assist with any questions or concerns you may have regarding this medication and its use in treating eye conditions.

Frequently Asked Questions

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What is Pilocarpine HCl 0.25% Ophthalmic Liquid used for?

Pilocarpine HCl 0.25% Ophthalmic Liquid is a prescription medication used to treat certain conditions of the eye such as glaucoma by reducing the pressure inside the eye, and can also be used to manage ocular hypertension. Additionally, it may be used to constrict the pupil in certain eye examinations.

How should Pilocarpine HCl 0.25% Ophthalmic Liquid be used?

This medication should be used exactly as prescribed by your doctor. Generally, it is applied by tilting the head back, pulling down the lower eyelid to form a pocket, and placing a drop of the medicine into the pocket without touching the tip to your eye or other surfaces. Blink a few times to spread the medication around the eye.

How often should I use Pilocarpine HCl 0.25% Ophthalmic Liquid?

The frequency of use will be determined by your doctor based on your condition. It's important to follow the dosing schedule as prescribed and not to use it more or less often than directed. If you are unsure about your dosing schedule, contact your healthcare provider for clarification.

Can Pilocarpine HCl 0.25% Ophthalmic Liquid cause side effects?

Yes, like all medicines, Pilocarpine HCl 0.25% Ophthalmic Liquid can cause side effects, although not everyone gets them. Common side effects include eye irritation, headache, brow ache, visual disturbance, and increased tear production. If you experience severe or persistent side effects, consult your doctor immediately.

What should I avoid while using Pilocarpine HCl 0.25% Ophthalmic Liquid?

While using Pilocarpine, avoid driving or operating heavy machinery if you experience visual disturbances. Also, be cautious when using other eye drops or medications, and consult your doctor before combining treatments. Avoid touching the dropper tip to keep it free from contaminants and to prevent infection.

Can I wear contact lenses while using Pilocarpine HCl 0.25% Ophthalmic Liquid?

You should not wear contact lenses while using this medication unless your doctor advises you otherwise. Pilocarpine may cause your contact lenses to become uncomfortable, and there could be a risk of contamination or additional eye irritation.

What should I do if I miss a dose of Pilocarpine HCl 0.25% Ophthalmic Liquid?

If you miss a dose, apply it as soon as you remember. However, if it's almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double doses to make up for a missed one.

How should I store Pilocarpine HCl 0.25% Ophthalmic Liquid?

Store Pilocarpine HCl 0.25% Ophthalmic Liquid at room temperature away from light, heat, and moisture. Keep the bottle tightly closed when not in use and out of reach of children and pets. Do not use the eye drops if the solution has changed colors or has particles in it.

What should I do in case of an overdose with Pilocarpine HCl 0.25% Ophthalmic Liquid?

If you suspect an overdose or experience severe discomfort after applying the medication, seek immediate medical attention or contact your local poison control center. An overdose of Pilocarpine in the eye is not likely to cause life-threatening symptoms.

Can I use Pilocarpine HCl 0.25% Ophthalmic Liquid during pregnancy or while breastfeeding?

The use of Pilocarpine HCl 0.25% Ophthalmic Liquid during pregnancy or while breastfeeding should only be when clearly needed and prescribed by a doctor. There is limited information about its safety in these conditions, so it is important to discuss the potential risks with your healthcare provider.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Pilocarpine HCl 0.25% Ophthalmic Liquid
Ophthalmic Liquid
controlled
Twice daily