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artificial tears (Rx)Brand and Other Names:Tears Naturale PM, Isopto Tears, more...Bion Tears, Tears Naturale Forte, Tears Naturale Free Lubricant, Tears Naturale II Polyquad, Tears Plus, Lacril, Liquifilm Tears, LubriTears, Minims Artificial Tears, Celluvisc, Gel Tears, Bausch & Lomb Advanced Eye Relief Dry Eye Environmental Lubricant Eye Drops, Bausch & Lomb Advanced Eye Relief Dry Eye Rejuvenation Lubricant Eye Drops, Bausch & Lomb Soothe Long Lasting (Preservative Free) Eye Drops, Visine Tired Eye Relief, Visine TEARS Dry Eye Relief, Visine TEARS Long Lasting Dry Eye Relief

 
 
 

Dosing & Uses

AdultPediatric

Dosage Forms & Strengths

ophthalmic solution with preservative

  • 1% glycerin
  • 0.3% glycerin/1% propylene glycol
  • 0.5% polyvinyl alcohol/0.6% povidone
  • 1% polyvinyl alcohol/1% polyethylene glycol 400
  • 1.25% povidone
  • 0.4% polyethylene glycol 400/0.3% propylene glycol
  • 1.4% polyvinyl alcohol
  • 0.1% dextran 70/0.3% methylcellulose 2910
  • 0.1% dextran 70/0.2% glycerin/0.3% hydroxypropyl methylcellulose 2910

ophthalmic solution without preservative

  • 0.1% dextran 70/0.3% hydroxypropyl methylcellulose 2910
  • 0.6% glycerin/0.6% propylene glycol
  • 0.1% dextran 70/0.3% hydroxypropyl methylcellulose 2910
  • 0.4% polyethylene glycol 400/0.3% propylene glycol
  • 1% polysorbate 80

ophthalmic ointment

  • 94% white petrolatum/3% mineral oil/lanolin
  • 85% white petrolatum/15% mineral oil
  • white petrolatum/anhydrous liquid lanolin/mineral oil
  • white petrolatum/mineral oil
  • white petrolatum/light mineral oil
  • 57.7% white petrolatum/31.9% mineral oil
  • 55.5% white petrolatum/42.5% mineral oil/2% petrolatum/lanolin alcohol
  • 56.8% white petrolatum/42.5% mineral oil/chlorobutanol/lanolin alcohols
  • 56.8% white petrolatum/41.5% mineral oil/lanolin alcohols/sodium chloride
  • 83% white petrolatum/15% mineral oil
  • 80% white petrolatum/20% mineral oil
  • 15% mineral oil/85% white petrolatum

ophthalmic emulsion

  • 0.5% light mineral oil/0.5% mineral oil

ophthalmic gel

  • 0.3% hypromellose/phosphoric acid/sodium hydroxide/sodium perborate
  • 1.5% carboxymethylcellullose/0.1% polyvinylpyrrolidone
  • 0.25% PEG 400/boric acid/potassium chloride/sodium borate/sodium chlorite/sodium hyaluronate

ophthalmic spray solution

  • retinyl palmitate/tocopheryl acetate/magenesium ascorbyl phosphate/polysorbate 80/sodium chloride/sodium hydroxide/phenoxyethanol/alcohol/disodium EDTA/PEG-12/glyceryl
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Relief of Dry Eyes

Solution: Instill 1-2 gtt into eye(s) as necessary to relieve symptoms

Ointment: Pull down lid of affected eye and apply 0.25 in of ointment to the inside of the eyelid

Dosing Considerations

Formulations vary widely

Preservative-free formulations available

Some preparations have prolonged contact time and require less often dosing (CelluviscR)

Same as adult dosing

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Adverse Effects

Frequency Not Defined

Blurred vision

Eye pain

Headache

Itching/stinging

Redness in and around the eyes

Skin rash

Crusting of eyelids

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Warnings

Contraindications

Hypersensitivity to components

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Pregnancy & Lactation

Lactation: Compatible

Pregnancy Categories

A:Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B:May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C:Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D:Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X:Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA:Information not available.

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Pharmacology

Mechanism of Action

Protects and lubricates mucous membranes and relieves dryness and irritation

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Images

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Formulary

FormularyPatient Discounts

To view formulary information first create a list of plans. Your list will be saved and can be edited at any time.

Adding plans allows you to:

  • View the formulary and any restrictions for each plan.
  • Manage and view all your plans together – even plans in different states.
  • Compare formulary status to other drugs in the same class.
  • Access your plan list on any device – mobile or desktop.

The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information.

Tier Description
1 This drug is available at the lowest co-pay. Most commonly, these are generic drugs.
2 This drug is available at a middle level co-pay. Most commonly, these are "preferred" (on formulary) brand drugs.
3 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs.
4 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
5 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
6 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
NC NOT COVERED – Drugs that are not covered by the plan.
Code Definition
PA Prior Authorization
Drugs that require prior authorization. This restriction requires that specific clinical criteria be met prior to the approval of the prescription.
QL Quantity Limits
Drugs that have quantity limits associated with each prescription. This restriction typically limits the quantity of the drug that will be covered.
ST Step Therapy
Drugs that have step therapy associated with each prescription. This restriction typically requires that certain criteria be met prior to approval for the prescription.
OR Other Restrictions
Drugs that have restrictions other than prior authorization, quantity limits, and step therapy associated with each prescription.
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