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Isopto Carpine Eye Drops are made up of an ophthalmic glaucoma agent drug called pilocarpine. We carry the brand choice and generic alternative to this medication in 1%, 2%, and 4%!

Isopto Carpine eye drops (Pilocarpine eye drops) are used to treat glaucoma, a condition where the pressure in the eye is higher than normal. This is a slow developing condition that causes blurry vision, poor night vision, blind spots, troubling focusing on objects close to the eye and may cause you to lose peripheral vision. If glaucoma is left untreated for too long, permanent vision loss or blindness will occur. Additionally, Isopto Carpine eye drops may be used to treat high pressure of the eye caused by other eye disease besides glaucoma.

Isopto Carpine eye drops are effective in treating high pressure of the eye because of its ability to shrink the size of the pupil which decreases the amount of fluid found in the eye, resulting in lower pressure.

Your doctor will explain to you how to properly use Isopto Carpine Eye Drops; ensure you follow those directions carefully. This medication is meant to be apply to the eye only; do not use this medication by mouth. Wash your hands before and after applying the eye drops. Avoid touching the tip of the eye drop bottle to the eye, lid, other body parts, or objects. If you wear contact lenses, make sure to take them out before applying the eye drops and avoid putting them back in within 15 minutes of applying the eye drops.

  • Tilt your head back
  • Look upward
  • Form a pouch by pulling down on your lower eye lid
  • Hold the dropper above eye; apply 1 drop into the pouch
  • Look down and gently close your eyes for 1 – 2 minutes


Before treatment

Tell your doctor about all drug allergies (especially an allergy towards pilocarpine), history of all your medical conditions (especially of asthma, other eye problems, heart disease, low or high blood pressure, overactive thyroid, Parkinsonism, or stomach/intestinal problems), and all medications you are currently taking, including over-the-counter medications and herbal supplements. You may also want to mention if you have any swelling of the eye.

Do not use this medication if you are pregnant. Only use this drug if you are pregnant and your doctor believes the benefit outweighs the risk.

During treatment

Be aware that this drug may cause blurry vision temporarily after applying the eye drops; keep this in mind before operating a vehicle or doing other activities that require full vision.

You may want to limit alcoholic beverages as they may enhance unwanted side effects.

It is not known if this medication passes into breast milk. Do not breast feeding while being treated with Isopto Carpine eye drops.

Side Effects

Common side effects of Isopto Carpine Eye Drops (Pilocarpine) may include:

Stinging. Burning. Temporary blurry vision within 1 hr of applying drops.

The above side effects should not alarm you.

Serious side effects of Isopto Carpine Eye Drops (Pilocarpine) may include:

Change in eyesight, eye pain, or very bad eye irritation. Headache.

If you have any of the above side effects, contact your doctor right away.

Contact your doctor if you notice signs of…

allergic reaction - rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.


How should I store this medication?

Ensure the lid is tightly closed when not in use. Avoid keeping this medication in an area where it risks becoming wet or hot. Keep out of reach of children.

What are signs of an overdose?

Overdose may include symptoms of increased saliva, slow heartbeat, nausea, diarrhea, increased sweating. Contact emergency services right away if you suspect an overdose.

Does it have any medication interactions?

Some drug interactions include cogentin (benztropine), aspir 81 (aspirin), azopt (brinzolamide ophthalmic), combigan (brimonidine/timolol ophthalmic), cosopt (dorzolamide/timolol ophthalmic), and coumadin (warfarin). This is not a complete list.

What happens if I miss a dose?

Take the miss dose as soon as you remember or skip it if your next dose is approaching soon. Do not double up on dosages to make up for missing a dose.

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