The goal of screening the marketed artificial tear formulations was to give health care providers a formulary of artificial tears classified based on their active ingredients and biologically active excipients. The options of preservative-free single dose units, if available, has also been included in our data tables. The compiled information should assist the healthcare providers to make a stepwise and rational selection of appropriate artificial tears for the patients based on the active ingredients and biologically active excipients.

You or your doctor can also report adverse events or quality issues to the FDA’s MedWatch Adverse Event Reporting program. Artificial tears are also available as nonprescription gels and gel inserts. These may cause temporary blurred vision.

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Demulcents are the primary active ingredient for artificial tears. Our data analysis shows that there are primarily four categories of artificial tears to select from based on the demulcent present in them. Two brands contain CMC as demulcents, with Thera Tears ® containing the lowest concentration of CMC at 0.25%. These drops are a great option for patients with milder symptoms of dry eye who better tolerate lower concentrations of CMC. Thera Tears ® are available in multidose vial containing the vanishing preservative sodium perborate or as preservative-free single application. Thera Tears extra ® with 0.25% CMC plus trehalose as an additional ingredient are available only as sodium perborate preservative containing multidose vial. Sodium perborate, also known as Dequest, is a vanishing type of preservative. In solution, it is converted to hydrogen peroxide and causes the bactericidal effect by oxidative stress-mediated denaturation of bacterial proteins. Upon instillation into an eye, it is converted to oxygen and water by the enzyme catalase. Sodium perborate is less toxic than benzalkonium chloride but not completely innocuous [ 25, 26]. Therefore, preservative-free Thera Tears ® should be preferred if a patient needs more than four applications per day. Vision may be temporarily blurred when this product is first used. Also, minor burning/stinging/irritation may temporarily occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Purely Soothing 15% MSM Drops, LOT#: 2203PS01, UPC 7 31034 91379 9; and LOT#: 1808051, UPC 7 31034 91382 9.

Artificial tears are available without a prescription. No single brand works best for every form of dry eyes. You may need to try several different brands before you find one that works best for you. These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical Preservative-free eye drops. This type has fewer additives and is generally recommended if you apply artificial tears more than four times a day, or if you have moderate or severe dry eyes. Preservative-free eye drops may come in single-dose vials.Our survey data shows that the currently marketed artificial tears use the following biologically active pharmaceutical excipients and food additives: (a) Osmoprotectants: trehalose, erythritol, levocarnitine, (b) Humectants: sodium hyaluronate, (c) Hydroxypropyl Guar gum, (d) Oils: flaxseed oil, castor oil, mineral oil. This makes TheraTears ® your one-stop drop. Developed with clinical experts, our drops contain naturally derived ingredients and offer lasting comfort. They will help you to live your life to the fullest without experiencing the pain and inconvenience of dry eyes. Cardinal Health, Inc. Issues Voluntary Nationwide Recall of Certain LEADER™ Brand Eye Drops Supplied by Velocity Pharma, LLC Due to Potential Risk of Eye Infections Oct 31, 2023 | Audience: Consumer, Health Professional, Ophthalmology, Pharmacy Risk Statement: For those patients who use these products, there is a potential risk of eye infections that could result in partial vision loss or blindness. These products are intended to be sterile. Ophthalmic drug products pose a potential heightened risk of harm to users because drug applied to the eyes bypass some of the body’s natural defenses. To date, Cardinal Health, Inc., and its subsidiaries have received reports of three (3) adverse events related to these listed products. The reports of adverse events were shared with our supplier, Velocity Pharma, LLC.

Apply 1-2 drops into each eye, one or more times a day every few hours or otherwise stated by an healthcare professional.Clear Eyes Once Daily, Eye Allergy Itch Relief: Lot 114349, Lot 117396, Lot 0120128, Lot 114371, and Lot 123781. If you use TheraTears Nighttime (carboxymethylcellulose) on a regular basis, use a missed dose as soon as you think about it. The Harvard Drug Group, LLC Issues Voluntary Nationwide Recall of Certain Rugby® Laboratories Brand Eye Drops Supplied by Velocity Pharma, LLC Due to Potential Risk of Eye Infections Oct 31, 2023 | Audience: Consumer, Health Professional, Ophthalmology, Pharmacy tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, Many times TheraTears Nighttime (carboxymethylcellulose) is used on an as needed basis. Do not use more often than told by the doctor.

to make sure that it is safe for you to take TheraTears Nighttime (carboxymethylcellulose) with all of your drugs and health problems. Do not start, stop, or change the dose of

Recent FDA Alerts for TheraTears

Adverse reactions or quality problems experienced with the use of this product may be reported to the FDA's MedWatch Adverse Event Reporting program either online, by regular mail or by fax. Cases with moderate to high increase in osmolarity and significant ocular surface staining invariably require prescription based anti-inflammatory drops. The importance of lifestyle and dietary modification should be emphasized during counseling and is helpful for all types of dry eye patients. Warm compresses and lid hygiene are also critical for meibomian gland dysfunction. Use of gels and nighttime ointments is also an option for moderate cases. Ointments are exclusively for nighttime use but some gel formulations (Refresh Liquigel ®, Refresh Celluvisc ®, Refresh Optive Gel ®, Systane Gel Drops ®, Blink Gel Tears ®) can be used during both the day and nighttime. Patients need to be counselled on transient blurring of vision with the daytime use of gels. All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical