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Chapter 11: Eye
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Treatment of dry eye
Nutritional supplements for age-related macular degeneration
11.1 Administration of drugs to the eye
11.3 Anti-infective eye preparations
11.4 Corticosteroids and other anti-inflammatory preparations
11.5 Mydriatics and cycloplegics
11.6 Treatment of glaucoma
11.7 Local anaesthetics
11.8 Miscellaneous ophthalmic preparations
11.9 Contact lenses
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11.6.5 Miotics
First Line
Second Line
Specialist
Hospital Only
Pilocarpine tends to be used as add on therapy. A darkly pigmented iris will tend to require treatment with higher strength products.
Pilocarpine
- Eye drops (as hydrochloride) 1%, 2%, 4% (£37.87 = 2% x 10ml)
- Single use preservative free eye drops (as nitrate) 2% (£13.74 = 20 x 0.5ml unit dose)
Dose
- Apply up to 4 times daily
Notes
- Caution: Ciliary spasm, cicatrizing conjunctivitis. Systemic absorption may cause sweating, bradycardia, intestinal colic, hypersalivation and bronchospasm.
