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Details for: IOPIDINE

Company: NOVARTIS PHARMACEUTICALS CANADA INC

DIN DIN name Active Ingredient(s) Strength Dosage Form Route of Administration
02076306IOPIDINEAPRACLONIDINE (APRACLONIDINE HYDROCHLORIDE)0.5 % / %SOLUTIONOPHTHALMIC
00888354IOPIDINEAPRACLONIDINE (APRACLONIDINE HYDROCHLORIDE)1 % / %SOLUTIONOPHTHALMIC
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Consumer Information

This information was provided by the drug’s manufacturer when this drug product was approved for sale in Canada. It is designed for consumers and care givers. It is a summary of information about the drug and will not tell you everything about the drug. Contact your doctor or pharmacist if you have any questions about the drug.

What the medication is used for

IOPIDINE* 1%

  • Control or prevention of increases in eye pressure (intraocular pressure) following certain types of laser eye surgery.

IOPIDINE* 0.5%

IOPIDINE* 0.5% is used with other medication to lower high pressure in the eyes. If left untreated, this high pressure can eventually damage the eyes.

What it does

IOPIDINE* 1%

IOPIDINE* 1% contains apraclonidine, an alpha adrenergic agonist. It works by reducing the production of liquid in the eye as well as by increasing the rate liquid flows out of the eye.

IOPIDINE* 0.5%

IOPIDINE* 0.5% contains apraclonidine, an alpha adrenergic agonist. It works by reducing the production of liquid in the eye as well as by increasing the rate liquid flows out of the eye.

When it should not be used

IOPIDINE* 1%

  • Allergic (hypersensitive) to apraclonidine or any of the other ingredients in IOPIDINE* 1% (see What are the ingredients in IOPIDINE* 1%?).
  • Allergic to clonidine.
  • Taking monoamine oxidase inhibitors (MAOIs).

IOPIDINE* 0.5%

  • Allergic (hypersensitive) to apraclonidine or any of the other ingredients in IOPIDINE* 1% (see What are the ingredients in IOPIDINE* 0.5%?).
  • Allergic to clonidine.
  • Taking monoamine oxidase inhibitors (MAOIs).

IOPIDINE* 0.5% must not be used in children under 18 years of age.

What the medicinal ingredient is

IOPIDINE* 1%

Apraclonidine 1% w/v (as apraclonidine hydrochloride)

IOPIDINE* 0.5%

apraclonidine hydrochloride

What the non-medicinal ingredients are

IOPIDINE* 1%

Benzalkonium chloride (preservative), sodium acetate, sodium chloride, sodium hydroxide and/or hydrochloric acid (to adjust pH) and purified water

IOPIDINE* 0.5%

benzalkonium chloride (preservative), sodium acetate, sodium chloride, sodium hydroxide and/or hydrochloric acid (to adjust pH) and purified water

What dosage form it comes in

IOPIDINE* 1%

Eye drop solution in 0.1 mL plastic dispensers packaged 2 per pouch

IOPIDINE* 0.5%

Eye drop solution, 0.5% w/v, in a 5 mL dispenser bottle

Warnings and precautions

IOPIDINE* 1%

To help avoid side effects and ensure proper use, talk to your healthcare professional before you take IOPIDINE* 1%. Talk about any health conditions or problems you may have, including if you:

  • Have or have had any heart conditions or blood circulation problems, such as:
    • high blood pressure.
    • a sudden drop in heart rate and blood pressure (vasovagal attack).
    • not enough blood flow in the arteries (coronary insufficiency).
    • heart attack or stroke.
    • lower blood flow to the fingers and/or toes (Raynaud’s disease).
    • blocked blood vessels in the hands and/or feet (thromboanginitis obliterans).
  • Are pregnant or plan to become pregnant. You should not use IOPIDINE* 1% while you are pregnant.
  • Are breastfeeding or plan to breast-feed. You should not breast-feed while using IOPIDINE* 1%.

Other warnings you should know about:
You may become dizzy or sleepy after taking IOPIDINE* 1%. Do not drive or operate machines until these symptoms pass.

Tell your healthcare professional about all the medicines you take, including any drugs, vitamins, minerals, natural supplements or alternative medicines.

IOPIDINE* 0.5%

To help avoid side effects and ensure proper use, talk to your healthcare professional before you take IOPIDINE* 0.5%. Talk about any health conditions or problems you may have, including if you:

  • Have or have had any heart conditions or blood circulation problems, such as
    • high blood pressure.
    • a sudden drop in heart rate and blood pressure (vasovagal attack).
    • not enought blood flow in the arteries (coronary insufficiency).
    • heart attack or stroke.
    • lower blood flow to the fingers and/or toes (Raynaud’s disease).
    • blocked blood vessels in the hands and/or feet (thromboanginitis obliterans).
  • Have liver or kidney problems.
  • Are or have been depressed.
  • Are pregnant or plan to become pregnant. You should not use IOPIDINE* 1% while you are pregnant.
  • Are breastfeeding or plan to breast-feed. You should not breast-feed while using IOPIDINE* 1%.

Other warnings you should know about:
Over time, IOPIDINE* 0.5% may not work as well. Your doctor should monitor you closely.

If you feel any eye allergy symptoms, such as redness, itching, increased tearing, or swelling, stop using IOPIDINE* 0.5% and talk to your doctor.

You may become dizzy, sleepy or less alert after taking IOPIDINE* 0.5%. Do not drive or operate machines until these symptoms pass.

Contact lens wearers
IOPIDINE* 0.5% contains the preservative benzalkonium chloride, which can stain contact lenses and cause eye irritation. Remove your contact lenses before applying IOPIDINE* 0.5%. Wait at least 15 minutes before you put your contacts back in.

Tell your healthcare professional about all the medicines you take, including any drugs, vitamins, minerals, natural supplements or alternative medicines.

Interactions with this medication

IOPIDINE* 1%

  • Monoamine oxidase inhibitors (MAOIs).
  • Alcohol.
  • Antidepressants, including barbiturates and tricyclic antidepressants.
  • Opiates (class of painkillers).
  • Sedatives.
  • Anesthetics.
  • Beta-blockers (medicines used to treat some heart problems).
  • Anti-hypertensives (medications used to treat high blood pressure).
  • Heart medications, including those used to treat heart failure and irregular heartbeats.

IOPIDINE* 0.5%

  • Monoamine oxidase inhibitors (MAOIs).
  • Alcohol.
  • Antidepressants, including barbiturates and tricyclic antidepressants.
  • Opiates (class of painkillers).
  • Sedatives.
  • Anesthetics.
  • Beta-blockers (medicines used to treat some heart problems).
  • Anti-hypertensives (medications used to treat high blood pressure).
  • Heart medications, including those used to treat heart failure and irregular heartbeats.
Proper use of this medication

IOPIDINE* 1%

Your doctor or nurse will apply IOPIDINE* 1% for you. A separate container will be used for each single drop. Each container will be discarded after use.

Usual adult dose

1 drop in the eye scheduled for surgery 1 hour before surgery followed by 1 drop in the same eye after surgery.

Overdose

An overdose is unlikely as your doctor or nurse will apply IOPIDINE* 1% for you.

If you think you have be given too much IOPIDINE* 1%, contact your healthcare professional, hospital emergency department or regional Poison Control Centre immediately, even if there are no symptoms.

IOPIDINE* 0.5%

Always use IOPIDINE* 0.5% exactly as your doctor has told you.

  • Get the IOPIDINE* 0.5% bottle and a mirror (if needed).
  • Wash your hands.
  • Twist off the cap. If the security snap collar is loose after removing the cap, remove the snap collar before using IOPIDINE* 0.5%.
  • Hold the bottle, pointing down, between your thumb and fingers.
  • Tilt your head back. Pull down your eyelid with a clean finger, until there is a ‘pocket’ between the eyelid and your eye. The drop will go in here (picture 1).
  • Bring the bottle tip close to the eye. Use the mirror if it helps.
  • Don’t touch your eye or eyelid, surrounding areas or other surfaces with dropper. It could contaminate the drops.
  • Gently press on the base of the bottle to release one drop of IOPIDINE* 0.5% at a time (picture 2). Do not squeeze the bottle: it is designed so that a gentle press on the bottom of the bottle is all that it needs.
  • If you miss the eye, wipe up and try again.
  • If you take drops in both eyes, repeat the steps for your other eye.
  • Close the bottle cap firmly immediately after use.

Wait at least 5 minutes between applying each eye drop solution you are taking, including IOPIDINE* 0.5%.

Usual adult dose

Apply 1-2 drops in the eye(s) 2 or 3 times a day. Wait at least 5 minutes between applying each eye drop solution you are taking, including IOPIDINE* 0.5%.

Overdose

If you apply more IOPIDINE* 0.5% than you should, rinse your eyes with lukewarm water. Do not apply any more drops until it is time for your next regular dose.

If you think you have accidentally ingest IOPIDINE* 0.5%, contact your healthcare professional, hospital emergency department or regional Poison Control Centre immediately, even if there are no symptoms.

Missed Dose

If you forget to apply IOPIDINE* 0.5%, apply a single drop as soon as you remember. If it is close to your next regular dose, skip the missed dose. Do not use a double dose to make up for the missed dose.

Side effects and what to do about them

IOPIDINE* 1%

These are not all the possible side effects you may feel when taking IOPIDINE* 1%. If you experience any side effects not listed here, contact your healthcare professional. Please also see Warnings and Precautions.

Side effects seen with IOPIDINE* 1% used in laser surgery include:

  • Raised upper eyelid or widely opened eyes.
  • White appearance in the eyes.
  • Dilated pupils.
  • Red eye.
  • Damage to the cornea.
  • Nausea.
  • Dizziness when standing.
  • Feeling faint or fainting.
  • Low or high blood pressure.

If you have a troublesome symptom or side effect that is not listed here or becomes bad enough to interfere with your daily activities, talk to your healthcare professional.

IOPIDINE* 0.5%

These are not all the possible side effects you may feel when taking IOPIDINE* 0.5%. If you experience any side effects not listed here, contact your healthcare professional. Please also see Warnings and Precautions.

Related to the eyes:

  • Redness.
  • Itching.
  • Discomfort.
  • Increased tearing.
  • Swelling.
  • A feeling that something is in eye.
  • Dry eye.
  • Blurred, abnormal or reduced vision.
  • Eyelid margin crusting or scales.
  • Discharge.
  • Damage to or staining of the cornea.
  • Eyelid redness, itching, or swelling.
  • Pain.
  • Irritation.
  • Sensitivity to light.
  • Eyelid spasms or drooping.
  • Dilation of the pupils.

Related to rest of body:

  • Dry mouth.
  • Headache.
  • Feeling unwell or tired.
  • Chest pain.
  • Coordination problems.
  • Swelling of the hands of feet.
  • Abnormal heartbeat.
  • Sleepiness.
  • Drowsiness.
  • Depression.
  • Nervousness.
  • Difficulty sleeping.
  • Tingling of the hands or feet.
  • Constipation.
  • Nausea.
  • Muscle pain.
  • Dry nose.
  • Itchy nose or throat.
  • Problems breathing.
  • Skin rash.
  • Bad taste in the mouth.
  • Problems identifying smells.
  • Feeling irritable.
  • Runny nose.
  • Throat irritation.
  • Allergy (hypersensitivity)
Serious side effects and what to do about them
Symptom / effect Talk to your healthcare professional Only if severe Talk to your healthcare professional In all cases Stop taking drug and get immediate medical help
UNKNOWN
Allergic-like reaction: eye redness, itching or discomfort; increased tearing; foreign body sensation; swelling of the eye or eyelid    

If you have a troublesome symptom or side effect that is not listed here or becomes bad enough to interfere with your daily activities, talk to your healthcare professional.

How to store

IOPIDINE* 1%

Your doctor or nurse will store IOPIDINE* between 2°C and 30°C.

IOPIDINE* 0.5%

Store between 2°C and 30°C. Do not freeze. Protect from light.

Keep out of reach and sight of children.

Reporting side effects

You can help improve the safe use of health products for Canadians by reporting serious and unexpected side effects to Health Canada. Your report may help to identify new side effects and change the product safety information.
3 ways to report:

  • Online at MedEffect;
  • By calling 1-866-234-2345 (toll-free);
  • By completing a Consumer Side Effect Reporting Form and sending it by:
    • Fax to 1-866-678-6789 (toll-free), or
    • Mail to: Canada Vigilance Program
      Health Canada, Postal Locator 1908C
      Ottawa, ON
      K1A 0K9
    Postage paid labels and the Consumer Side Effect Reporting Form are available at MedEffect.

NOTE: Contact your health professional if you need information about how to manage your side effects. The Canada Vigilance Program does not provide medical advice.

More information
  • Talk to your healthcare professional
  • Find the full product monograph that is prepared for healthcare professionals and includes this Patient Medication Information by visiting the Health Canada website; the manufacturer’s website www.alcon.ca, or by calling 1-800-613-2245.

This leaflet was prepared by Novartis Pharmaceuticals Canada Inc.

Last Revised: February 8, 2018

Date modified: