Nesudil Plus Eye drop

Indications

This is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension.

Pharmacology

This is a fixed-dose combination of a Rho kinase inhibitor and a Prostaglandin F2 analogue. Netarsudil is a Rho kinase inhibitor, works at the cellular level within the trabecular outflow pathway to relax actin-myosin. This causes relaxation within the trabecular meshwork and the inner wall of Schlemm's canal, and decrease episcleral venous pressure (EVP).

Latanoprost is a selective FP receptor agonist which reduces the intraocular pressure (IOP) by increasing the outflow of aqueous humor through uveoscleral outflow.

Dosage & Administration

The recommended dosage is one drop in the affected eye(s) once daily in the evening.

* চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন'

Contraindications

This eye drops is contraindicated in patients who are hypersensitive to any component of this preparation.

Side Effects

The most common ocular adverse reaction observed in controlled clinical studies with Netarsudil & Latanoprost was conjunctival hyperemia, instillation site pain, corneal verticillata, instillation site discomfort, foreign body sensation and blurred visions were reported in few patients.

Pregnancy & Lactation

There are no adequate and well-controlled studies of Netarsudil & Latanoprost combination in pregnant women to inform any drug-associated risk. There are no data on the presence of Netarsudil or Latanoprost in human milk, the effects on the breastfed infant, or the effects on milk production.

Precautions & Warnings

For ophthalmic use only

To avoid possible contamination of the drops, do not touch the dropper tip or to any surface

Should be used with caution in patients with active intraocular inflammation (e.g., iritis/uveits)

May cause changes to pigmented tissues, gradually change eyelashes and vellus hair in the treated eye

Cystoid macular edema, has been reported during treatment with Latanoprost. Reactivation of Herpes Simplex keratitis may occur

Netarsudil & Latanoprost combination can be used with other topical eye drug products, but they should be administered at least 5 minutes apart from each other.

Use in Special Populations

Pediatric Use: Safety and effectiveness in pediatric patients have not been established.

Use in elderly patients: No overall differences in safety and effectiveness have been observed between elderly and other adult patients.

Therapeutic Class

Drugs for miotics and glaucoma

Storage Conditions

Store at 2°-8°C in a dry place, protect from light until opened. After opening the product may be kept at 2°-25°C for upto 6 weeks. Keep out of the reach of children.