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Pilocarpine Hydrochloride 1.25 mg/mL Ophthalmic Solution

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

Pilocarpine Hydrochloride 1.25 mg/mL Ophthalmic Solution is a sterile liquid formulation specifically designed for ocular use. It is dispensed in an eye dropper bottle for precise and controlled application. This solution is used to treat conditions such as glaucoma and ocular hypertension by reducing intraocular pressure. It may also be used to manage dry eye symptoms by stimulating tear production.

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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 Solution
66fd7b0bdc31c32733aec9f2
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 Hydrochloride 1.25 mg/mL Ophthalmic Solution is a sterile liquid formulation designed specifically for ocular use. Meticulously prepared to ensure sterility, it is dispensed in an eye dropper bottle for precise and controlled application. This solution delivers medication directly to the eyes.

Pilocarpine is a cholinergic agonist that stimulates muscarinic receptors in the eye, leading to the constriction of the pupil (miosis) and increased outflow of aqueous humor. This mechanism reduces elevated intraocular pressure, making it an essential treatment for conditions like open-angle glaucoma and acute angle-closure glaucoma. By lowering intraocular pressure, Pilocarpine helps prevent optic nerve damage and preserves vision.

This ophthalmic solution is also beneficial in managing ocular hypertension, where intraocular pressure is elevated without detectable glaucomatous damage. Consistent use as prescribed can help maintain normal pressure levels and prevent the progression to glaucoma.

For patients, it is crucial to use Pilocarpine Hydrochloride Ophthalmic Solution exactly as directed by your healthcare provider. Before application, wash your hands thoroughly. Tilt your head back, gently pull down your lower eyelid to create a small pocket, and instill the prescribed number of drops. Avoid touching the dropper tip to your eye or any surface to maintain sterility. After applying the drops, close your eyes gently and press the inner corner of your eye for about one minute to prevent the medication from draining away.

Some common side effects may include temporary stinging or burning sensations in the eyes, blurred vision, or difficulty seeing in low light due to pupil constriction. If you experience severe eye irritation, vision changes, or signs of an allergic reaction, contact your healthcare provider promptly.

For prescribers, Pilocarpine Hydrochloride 1.25 mg/mL Ophthalmic Solution offers a lower concentration option suitable for patients who may be sensitive to higher doses or are initiating therapy. Regular monitoring of intraocular pressure is recommended to assess the efficacy of the treatment and make necessary dosage adjustments. This formulation can be an integral part of a comprehensive glaucoma management plan.

If you have any questions about Pilocarpine Hydrochloride 1.25 mg/mL Ophthalmic Solution or need further information, please reach out to us. We are here to assist you with any inquiries regarding this formulation.

Drug Interactions

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Pilocarpine Hydrochloride 1.25 mg/mL Ophthalmic Solution is primarily used to treat conditions such as glaucoma and ocular hypertension by reducing intraocular pressure. It works by stimulating the muscarinic receptors in the eye, leading to increased outflow of aqueous humor, which helps lower intraocular pressure.

Patients using Pilocarpine Hydrochloride Ophthalmic Solution should be cautious when using other medications that may interact with pilocarpine. One significant interaction is with beta-blockers, which are often prescribed for cardiovascular conditions. When used concurrently, there may be an additive effect in lowering intraocular pressure, which could lead to hypotension or bradycardia. Patients should be monitored closely for signs of cardiovascular effects, and dosage adjustments may be necessary.

Another important interaction to consider is with anticholinergic medications, which are used to treat a variety of conditions including asthma, COPD, and overactive bladder. Anticholinergics can counteract the effects of pilocarpine, potentially reducing its efficacy in lowering intraocular pressure. Patients should inform their healthcare provider of all medications they are taking to ensure that any potential interactions are managed appropriately.

Additionally, patients using other ophthalmic medications should be advised to administer them at least 5 to 10 minutes apart to prevent any interference with the absorption or action of pilocarpine. This is particularly important for medications such as corticosteroids or other eye drops that may have opposing effects on intraocular pressure.

For prescribers, it is crucial to review the patient's complete medication profile to identify any potential interactions that could compromise the treatment of glaucoma or ocular hypertension. Adjustments to therapy may be necessary to optimize treatment outcomes and minimize adverse effects. Regular monitoring of intraocular pressure and patient symptoms is recommended to ensure the effectiveness and safety of the treatment regimen.

If you have any questions or need further information regarding the use of Pilocarpine Hydrochloride 1.25 mg/mL Ophthalmic Solution and its potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any concerns or inquiries you may have.

How Does it Work

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Pilocarpine Hydrochloride 1.25 mg/mL Ophthalmic Solution is a sterile liquid formulation meticulously crafted for ocular use, ensuring both safety and efficacy in treating various eye conditions. This solution is dispensed in an eye dropper bottle, allowing for precise and controlled application directly to the eye. The primary mechanism of action of pilocarpine hydrochloride is its ability to act as a cholinergic agonist, specifically targeting muscarinic receptors in the eye. By stimulating these receptors, pilocarpine induces miosis, or constriction of the pupil, which in turn facilitates the outflow of aqueous humor from the anterior chamber of the eye. This process effectively reduces intraocular pressure, making pilocarpine an invaluable treatment for conditions such as glaucoma, where elevated intraocular pressure can lead to optic nerve damage and potential vision loss.

In addition to its pressure-lowering effects, pilocarpine's ability to induce miosis can also be beneficial in managing certain types of eye strain and improving near vision in patients with presbyopia. The formulation's design as an ophthalmic solution ensures that the active ingredient is delivered directly to the site of action, maximizing therapeutic effects while minimizing systemic absorption and potential side effects. The sterile nature of the solution is crucial in preventing contamination and infection, which is particularly important given the sensitive nature of ocular tissues.

For patients, the use of Pilocarpine Hydrochloride 1.25 mg/mL Ophthalmic Solution involves instilling the prescribed number of drops into the affected eye(s) as directed by a healthcare professional. It is important to follow the prescribed dosage and administration schedule to achieve optimal therapeutic outcomes. Patients should be aware of potential side effects, such as temporary blurred vision, eye irritation, or headache, and should report any persistent or severe symptoms to their healthcare provider.

For prescribers, this formulation offers a reliable option for managing intraocular pressure in patients with open-angle glaucoma or ocular hypertension. It may also be considered for off-label uses where miosis is desired. When prescribing this solution, it is important to consider the patient's overall ocular health, potential contraindications, and any concurrent medications that may interact with pilocarpine. Regular monitoring of intraocular pressure and visual function is recommended to assess the efficacy and safety of the treatment.

If you have any questions or require further information about Pilocarpine Hydrochloride 1.25 mg/mL Ophthalmic Solution, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation or its use in treating ophthalmic conditions.

Frequently Asked Questions

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What is Pilocarpine Hydrochloride 1.25 mg/mL Ophthalmic Solution used for?

Pilocarpine Hydrochloride 1.25 mg/mL Ophthalmic Solution is used to treat various ophthalmic conditions by delivering medication directly to the eyes. It can help reduce intraocular pressure in conditions like glaucoma and may also be used for other eye-related issues as prescribed by a healthcare professional.

How should I apply Pilocarpine Hydrochloride eye drops?

To apply the eye drops, tilt your head back slightly and pull down your lower eyelid to create a small pocket. Hold the dropper above the eye and squeeze out the prescribed number of drops. Close your eyes gently and press your finger to the inside corner of the eye for about one minute to prevent the liquid from draining into your tear duct.

How often should I use Pilocarpine Hydrochloride eye drops?

The frequency of use will depend on your specific condition and the instructions provided by your healthcare provider. Always follow the prescribed dosage and schedule provided by your doctor or pharmacist.

Can I use Pilocarpine Hydrochloride eye drops with contact lenses?

It is generally recommended to remove contact lenses before applying Pilocarpine Hydrochloride eye drops. Wait at least 15 minutes after using the drops before reinserting your contact lenses. Consult your eye care professional for specific guidance related to your situation.

What should I do if I miss a dose of Pilocarpine Hydrochloride eye drops?

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Pilocarpine Hydrochloride eye drops?

Some common side effects may include temporary eye irritation, redness, or blurred vision. If you experience severe side effects such as eye pain, vision changes, or signs of an allergic reaction, seek medical attention immediately.

How should I store Pilocarpine Hydrochloride eye drops?

Store the eye drops at room temperature, away from light and moisture. Keep the bottle tightly closed when not in use and out of reach of children and pets. Do not freeze the solution.

Can I use Pilocarpine Hydrochloride eye drops if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before using Pilocarpine Hydrochloride eye drops. They will weigh the potential benefits and risks to determine if it is safe for you to use.

What should I do if I experience an allergic reaction to Pilocarpine Hydrochloride eye drops?

If you experience symptoms of an allergic reaction, such as rash, itching, swelling, severe dizziness, or trouble breathing, stop using the eye drops and seek immediate medical attention.

Can Pilocarpine Hydrochloride eye drops interact with other medications?

Yes, Pilocarpine Hydrochloride eye drops can interact with other medications. Inform your healthcare provider about all the medications you are currently taking, including prescription, over-the-counter, and herbal products, to avoid potential interactions.

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 Hydrochloride 1.25 mg/mL Ophthalmic Solution
Ophthalmic Solution
5 mL
controlled

Instill 1 drop into affected eye(s)

Twice daily