🩺 OTHER OPHTHALMOLOGICALS 🏷️ Cytostatic 💊 Cytostatic
👨‍⚕️ Clinically Reviewed by: PakistaniBano Medical Editorial Board (Pharm.D Panel)
📅 Reviewed: November 2026 • 🔍 Authority: DRAP / WHO ATC
📦 Formulations, Pack Sizes & Retail Prices Currency: Rs.
Dosage Form Reg. No Pack Size Trade Price (TP) Maximum Retail Price (MRP)
Eye Drop 0.05 % — 10 ml — —

📋 Indications & Clinical Dosage

*Severe keratitis in dry eye disease that has not responded to treatment with tear substitutes:* Adult: Apply 1 drop once daily, to be applied to the affected eye(s) at bedtime, review treatment at least every 6 months. *Keratoconjunctivitis sicca:* Adults & Children 16 yrs:: Instill 1 drops in each eye every 12 hr.

⛔ Contraindications

Active or suspected ocular or periocular infection

⚠️ Precautions & Warnings

Glaucoma, history of ocular herpes

🔄 Drug Interactions

Tacrolimus, other immunosuppressants, barbi-turates, carbamazepine, oxcarbazepine, primidone, phenytoin, griseofulvin, trimethoprim, rifampicin, octreotide, orlistat, St. Johns Wort, macrolides, azole antifungals, calcium channel blockers, metoclopramide, oral contraceptives, danazol, allopurinol, amiodarone, ursodeoxycholic acid, protease inhibitors, imatinib, nephrotoxic drugs, NSAIDs, vaccines, digoxin, corticosteroids, statins, etoposide, col-chicine, K+-sparing diuretics, K+ supplement, ACE inhibitors, angiotensin II antagonists, grapefruit juice, methotrexate, H2 blockers, propafenone, bromocriptine, doxycycline, chloroquine, sulfinpyrazone, terbinafine, bosentan, substrates of CYP3A4 and/or P-glycoprotein, repaglinide.

⚠️ Adverse Reactions / Side Effects

Abnormal vision, blurred vision, headache, local erythema, local irritation, local oedema, local pain, ocular hyperaemia, bacterial keratitis, blepharitis, chalazion, conjunctivitis, corneal decompensation, corneal infiltrates, corneal scar, eye discharge, herpes zoster (ophthalmic), iridocyclitis, keratitis, local pruritus, increased intraocular pressure

📚 Official Regulatory & Clinical References

  • Drug Regulatory Authority of Pakistan (DRAP): Drug Registration, S.R.O. Price Gazettes & National Essential Medicines List (NEML).
  • World Health Organization (WHO): Collaborating Centre for Drug Statistics Methodology (ATC/DDD Index).
  • Formulary Standards: British National Formulary (BNF) & Pakistan National Formulary (PNF) guidelines.

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