Pilocarpine Hydrochloride Ophthalmic drops, solution

What is this medicine?

PILOCARPINE (PYE loe KAR peen) is used in the eye to decrease pressure in certain kinds of glaucoma. It is also used to prepare the eyes for surgery.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• asthma, bronchitis

• glaucoma

• heart disease

• inflammation or damage in the eye

• wear contact lenses

• an unusual or allergic reaction to pilocarpine, sulfites, other medicines, foods, dyes, or preservatives

• breast-feeding

• pregnant or trying to get pregnant

How should I use this medicine?

This medicine is only for use in the eye. Do not take by mouth. Follow the directions on the prescription label. Wash hands before and after use. With your middle finger, apply pressure to the inside corner of your eye for 1 to 2 minutes. Tilt your head back slightly and pull your lower eyelid down with your index finger to form a pouch. Try not to touch the tip of the dropper to your eye, fingertips, or other surface. Squeeze the prescribed number of drops into the pouch. Do not blink for 30 seconds. Close your eye gently for 1 to 2 minutes to spread the drops.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

What may interact with this medicine?

• atropine

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

This medicine can make your vision blur. You may find it is difficult to see, especially at night. Do not drive, use machinery, or do anything that requires clear vision until you know how this medicine affects you. This medicine may make your eyes more sensitive to light. Wear dark glasses in bright sun, or under any bright lights.

Do not wear contact lenses while you are using this medicine.

You can get dehydrated if you sweat a lot while taking this medicine. Make sure you drink enough fluids in order to stay hydrated.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• eye irritation, burning, or itching

• difficulty breathing

• irregular heartbeat

• nausea, vomiting

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• blurred vision

• dizziness

• headache

• sensitivity of the eyes to light

• weakness or tiredness

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Do not freeze. Throw away any unused medicine after the expiration date.

Pilocarpine Hydrochloride Ophthalmic gel

What is this medicine?

PILOCARPINE (PYE loe KAR peen) is used in the eye to decrease pressure in certain kinds of glaucoma. It is also used to prepare the eyes for surgery.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• asthma, bronchitis

• glaucoma

• heart disease

• inflammation or damage in the eye

• wear contact lenses

• an unusual or allergic reaction to pilocarpine, sulfites, other medicines, foods, dyes, or preservatives

• breast-feeding

• pregnant or trying to get pregnant

How should I use this medicine?

This medicine is only for use in the eye. Do not take by mouth. Follow the directions on the prescription label. Wash hands before and after use. Tilt your head back slightly and pull your lower eyelid down with your index finger to form a pouch. Try not to touch the tip of the tube to your eye, fingertips, or other surface. Squeeze the gel into the pouch. Do not blink for 30 seconds. Close your eye gently for 1 to 2 minutes to spread the gel. Your vision may blur for a few minutes. Use your doses at regular intervals. Do not use your medicine more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

What may interact with this medicine?

• atropine

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

This medicine can make your vision blur. You may find it is difficult to see, especially at night. Do not drive, use machinery, or do anything that requires clear vision until you know how this medicine affects you.

Do not wear contact lenses while you are using this medicine. Your lenses can deteriorate, and your eyes may feel irritated. Also, wearing lenses may increase the amount of this medicine absorbed by your body.

While you are using this medicine, have plenty to drink. You can get dehydrated if you sweat a lot.

This medicine may make your eyes more sensitive to light. Wear dark glasses in bright sun, or under any bright lights.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• breathing problems

• eye irritation, burning, or itching

• irregular heartbeat

• nausea, vomiting

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• blurred vision

• dizziness

• headache

• sensitivity of the eyes to light

• weakness or tiredness

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.

Store in a refrigerator between 2 and 8 degrees C (36 and 46 degrees F). Do not freeze. Throw away any unused medicine after the expiration date.

Pilocarpine Hydrochloride Oral tablet

What is this medicine?

PILOCARPINE (PYE loe KAR peen) can increase saliva in the mouth. This medicine is used to treat dry mouth from radiation treatment or from Sjogren's syndrome.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• eye infection or other eye problems

• glaucoma

• heart disease

• liver disease

• lung or breathing disease, like asthma

• an unusual or allergic reaction to pilocarpine, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take your doses at regular intervals. Do not take your medicine more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

• antihistamines for allergy, cough and cold

• atropine

• certain medicines for Alzheimer's disease like donepezil, galantamine, rivastigmine

• certain medicines for bladder problems like bethanecol, oxybutynin, tolterodine

• certain medicines for Parkinson's disease like benztropine, trihexyphenidyl

• certain medicines for quitting smoking like nicotine

• certain medicines for stomach problems like dicyclomine, hyoscyamine

• certain medicines for travel sickness like scopolamine

• ipratropium

• medicines for blood pressure or heart problems like metoprolol

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor for regular check ups. Tell your doctor if your symptoms do not get better or if they get worse.

You may get blurry vision or have trouble telling how far something is from you. This may be a problem at night or when the lights are low. Do not drive, use machinery, or do anything that needs clear vision until you know how this medicine affects you.

If you sweat a lot, drink enough to replace fluids. Do not get dehydrated.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives

• breathing problems

• confusion

• irregular heartbeat

• stomach pains

• tremor

• unusual blood pressure

• unusually weak or tired

• vomiting

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• changes in vision

• chills, flushing

• diarrhea

• headache

• increased sweating

• nausea

• runny eyes, nose

• urgent need to pass urine

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.