- Antibiotic
Prescribing Keflex®
Indication
Treatment of soft tissue infections such as preseptal cellulitis, internal hordeolum, and dacryocystitis
Mechanism of Action
ß-lactam antibiotic – inhibits synthesis of bacterial cell wall
Available Quantities
250mg, 500mg, 750mg capsules. 100, 200ml Bottles (250mg per 5ml)
Dosage/Instructions
1 to 4 g daily in divided doses. 500mg every 12 hours for cellulitis without further systemic signs of infectionSafety Info for Keflex®
Pregnancy & Nursing
No evidence of teratogenicity in rat studies at normal human dose
Pediatric Use
≥1 year
Contraindications, side effects, etc.
Contraindications: Hypersensitivity to cephalexin, any component of the formulation, or other cephalosporins. Warnings/Precautions: Caution in patients with a history of gastrointestinal disease, especially colitis. Cross-reactivity with penicillins can occur in patients allergic to penicillins. Common Side Effects: Diarrhea, nausea, vomiting, rash, and hypersensitivity reactions. Rarely, interstitial nephritis, Clostridium difficile-associated diarrhea, and Steven-Johnson syndrome.Cephalexinoral capsule, oral suspension - Dry Eye/OSD
Prescribing Lacrisert®
Indication
Moderate to severe dry eye syndromes, including keratoconjunctivitis sicca, exposure keratitis, and recurrent corneal erosionsMechanism of Action
Stabilizes and thickens the precorneal tear film and prolongs the tear film breakup time.Available Quantities
60 units per boxDosage/Instructions
Insert 1 rod daily into the lower conjunctival sac. The insert dissolves slowly over the day, providing continuous lubrication and protection.Safety Info for Lacrisert®
Pregnancy & Nursing
Feeding of hydroxypropyl cellulose to rats at levels up to 5% of their diet produced no gross or histopathologic changes or other deleterious effects.Pediatric Use
No studiesContraindications, side effects, etc.
Contraindications: Hypersensitivity to hydroxypropyl cellulose. Warnings/Precautions: Proper insertion and removal are crucial to avoid corneal abrasion. May cause transient blurring of vision; caution advised when driving or operating machinery. Common Side Effects: Blurring of vision, ocular discomfort or irritation, eyelash matting or stickiness, photophobia, hypersensitivity, eyelid edema, hyperemia.Hydroxypropyl Cellulose 5 mgophthalmic insert - Allergy
Prescribing Lastacaft®
Indication
allergic conjunctivitisMechanism of Action
Alcaftadine is a H1 histamine receptor antagonist and inhibitor of the release of histamine from mast cells. Decreased chemotaxis and inhibition of eosinophil activation has also been demonstrated.Available Quantities
3mlDosage/Instructions
Instill 1 drop into each eye once a daySafety Info for Lastacaft®
Pregnancy & Nursing
No adequate and well-controlled studies in pregnant women. It is not known whether this drug is excreted in human milkPediatric Use
≥2 yearsContraindications, side effects, etc.
Contraindications: Should not be used if allergic to alcaftadine or in children younger than 2 years old. Not recommended for treating eye irritation caused by contact lenses. Warnings: Avoid use while wearing contact lenses; wait at least 10 minutes after using Lastacaft before putting in contact lenses. Do not let the dropper tip touch any surface to avoid contamination. Side Effects: Common side effects include mild burning, stinging, or irritation; eye redness or itching; runny or stuffy nose, sore throat, flu symptoms; headache. Serious side effects may include changes in vision, eye pain, increased eye redness, itching of the eye that worsens or lasts for more than 72 hours.alcaftadine 0.25%ophthalmic solution - Aesthetics/Presbyopia
Prescribing Latisse®
Indication
Treatment of eyelash hypotrichosis by increasing lash length, thickness, and darknessMechanism of Action
Enhances the anagen (hair growth) phase of eyelash follicles.Available Quantities
3ml with 70 applicators, 5ml with 140 applicatorsDosage/Instructions
Apply nightly to the skin at the base of the upper eyelashes using the enclosed applicators. Use a new applicator for each eye to avoid contamination. Do not apply to the lower eyelashes.Safety Info for Latisse®
Pregnancy & Nursing
Use with caution during pregnancy and nursing. No adequate and well-controlled studies in pregnant women.Pediatric Use
No studiesContraindications, side effects, etc.
Contraindications: Avoid if allergic to bimatoprost. Not recommended for use if you have glaucoma, eye swelling/infection, retinal detachment, or eye surgery/injury. Warnings: May cause a change in eye color, increased eyelash growth, and brown pigmentation. Not studied for safety during pregnancy or breastfeeding. Side Effects: Common side effects include eye redness, itching. Severe effects include eye pain, vision changes, severe eye irritation.Bimatoprost 0.03%ophthalmic solution - Diagnostic Dye
Prescribing Lissamine Green
Indication
Diagnostic agent for ocular surface damageMechanism of Action
Stains degenerate cells, dead cells, and mucus; highlights corneal filaments and plaques . It also binds to the nuclei of severely damaged cells and has shown an antiviral effect in vitro.Available Quantities
1.5 mg per stripDosage/Instructions
1 strip applied topically to the conjunctival sacSafety Info for Lissamine Green
Pregnancy & Nursing
Limited data; potential risks to the fetus not well establishedPediatric Use
All agesContraindications, side effects, etc.
Common Side Effects: Lissamine Green is well-tolerated and does not usually sting when applied. However, it may cause some mild irritation in the eye.Lissamine Greenophthalmic strip - Analgesics & Anesthetics
Prescribing Lortab®
Indication
Narcotic for moderate to moderately severe pain relief. Can be used for pain management following ocular procedures like corneal abrasion or iritisMechanism of Action
Hydrocodone is a semisynthetic opioid agonist that primarily acts on the mu-opioid receptors in the central nervous system, producing analgesia, respiratory depression, and sedation. Acetaminophen is a non-opioid, non-salicylate analgesic and antipyretic. It works by inhibiting the synthesis of prostaglandins in the central nervous system and peripherally blocking pain impulse generation, producing antipyresis from inhibition of the hypothalamic heat-regulating centerAvailable Quantities
5mg, 7.5mg, or 10mg hydrocodone and 325mg or 500 mg acetaminophenDosage/Instructions
5/325mg: 1 or 2 tabs every 4 to 6 hrs. Do not exceed 12 tablets. 7.5/325mg: 1 tablet every 4 to 6 hrs. Do not exceed 6 tablets. 10/325mg: 1 tablet every 4 to 6 hrs. Do not exceed 6 tabletsSafety Info for Lortab®
Pregnancy & Nursing
Use during pregnancy can result in neonatal opioid withdrawal syndrome, which may be life-threatening if not recognized and treated. Caution should be exercised when administered to a nursing womanPediatric Use
≥18 yearsContraindications, side effects, etc.
Contraindications: Avoid use in patients allergic to acetaminophen or hydrocodone, those who have recently used alcohol, sedatives, tranquilizers, other narcotic medications, or MAO inhibitors within the last 14 days. Warnings/Precautions: Be cautious in patients with liver disease, history of alcoholism or drug addiction, bowel issues, low blood pressure, dehydration, head injury, brain tumor, stroke, or respiratory disorders. Older adults and those who are severely ill or malnourished are at increased risk of breathing problems. Use during pregnancy can lead to neonatal withdrawal symptoms. The drug is excreted into breast milk and may harm a nursing baby. Common Side Effects: Include drowsiness, headache, upset stomach, constipation, blurred vision, and dry mouth. More serious effects can include shallow breathing, slow heartbeat, confusion, unusual thoughts or behavior, seizure, easy bruising or bleeding, liver problems, and low cortisol levels.Hydrocodone and Acetaminophenoral tablet - Steroid
Prescribing Lotemax SM®
Indication
Post-operative inflammation and painMechanism of Action
Inhibits inflammatory response, leukocyte migration, capillary dilationAvailable Quantities
5 gDosage/Instructions
1-2 drops 3 times/daySafety Info for Lotemax SM®
Pregnancy & Nursing
Teratogenic in rabbits at 4.2x the recommended human ophthalmic dosePediatric Use
No studiesContraindications, side effects, etc.
Contraindications: Hypersensitivity to loteprednol etabonate or related corticosteroids. Contraindicated in patients with fungal or viral eye infections. Warnings: Loteprednol etabonate is a corticosteroid and may increase the risk of elevated intraocular pressure, cataracts, and secondary eye infections. It should be used cautiously and under supervision. Common Side Effects: Common side effects include eye irritation, burning, and stinging.Loteprednol Etabonate 0.38%ophthalmic gel - Steroid
Prescribing Lotemax®
Indication
Allergic conjunctivitis, acne rosacea, superficial punctate keratitis, iritis, cyclitisMechanism of Action
Inhibits inflammatory response, leukocyte migration, capillary dilationAvailable Quantities
2.5ml, 5ml, 10ml, 15mlDosage/Instructions
1-2 drops up to 4 times/daySafety Info for Lotemax®
Pregnancy & Nursing
Embryotoxic and teratogenic in rabbits at 35 times the maximum daily clinical dosePediatric Use
No studiesContraindications, side effects, etc.
Contraindications: Hypersensitivity to loteprednol etabonate or related corticosteroids. Contraindicated in patients with fungal or viral eye infections. Warnings: Loteprednol etabonate is a corticosteroid and may increase the risk of elevated intraocular pressure, cataracts, and secondary eye infections. It should be used cautiously and under supervision. Common Side Effects: Common side effects include eye irritation, burning, and stinging.Loteprednol Etabonate 0.5%ophthalmic suspension - Steroid
Prescribing Lotemax® Gel
Indication
Post-operative inflammation and painMechanism of Action
Inhibits inflammatory response, leukocyte migration, capillary dilationAvailable Quantities
5 gDosage/Instructions
1-2 drops 4 times/daySafety Info for Lotemax® Gel
Pregnancy & Nursing
Teratogenic in rabbits at clinically relevant dosesPediatric Use
All agesContraindications, side effects, etc.
Contraindications: Hypersensitivity to loteprednol etabonate or related corticosteroids. Contraindicated in patients with fungal or viral eye infections. Warnings: Loteprednol etabonate is a corticosteroid and may increase the risk of elevated intraocular pressure, cataracts, and secondary eye infections. It should be used cautiously and under supervision. Common Side Effects: Common side effects include eye irritation, burning, and stinging.Loteprednol Etabonate 0.5%ophthalmic gel - Steroid
Prescribing Lotemax® Ointment
Indication
Post-operative inflammation and painMechanism of Action
Inhibits inflammatory response, leukocyte migration, capillary dilationAvailable Quantities
3.5 gDosage/Instructions
½ inch ribbon 4 times/daySafety Info for Lotemax® Ointment
Pregnancy & Nursing
Teratogenic in rabbits at 1.2x the normal human dosePediatric Use
All agesContraindications, side effects, etc.
Contraindications: Hypersensitivity to loteprednol etabonate or related corticosteroids. Contraindicated in patients with fungal or viral eye infections. Warnings: Loteprednol etabonate is a corticosteroid and may increase the risk of elevated intraocular pressure, cataracts, and secondary eye infections. It should be used cautiously and under supervision. Common Side Effects: Common side effects include eye irritation, burning, and stinging.Loteprednol Etabonate 0.5%ophthalmic ointment - Aesthetics/Presbyopia
Prescribing Lumify®
Indication
OTC eye whitenerMechanism of Action
Selectively constricts venules, reducing ocular rednessAvailable Quantities
2.5 ml, 7.5 mlDosage/Instructions
Instill 1 drop in the affected eye(s) every 6-8 hoursSafety Info for Lumify®
Pregnancy & Nursing
No teratogenicity in rats at 360 times the normal human dosage. Use with caution during pregnancy and nursing. No adequate and well-controlled studies in pregnant women.Pediatric Use
≥5 yearsContraindications, side effects, etc.
Contraindications: Not recommended if allergic to brimonidine. Caution advised for those with heart problems, circulation issues, coronary artery disease, low blood pressure, depression, Raynaud’s syndrome, or Buerger disease. Warnings: Should not be used more than four times daily. Avoid if the liquid is cloudy or has particles. Side Effects: Common side effects include mild itching, redness, burning, or other eye irritation, dry mouth, and drowsiness. Severe effects include eye pain, increased watering, vision changes, and severe swelling, redness, burning, or discomfort around the eye.Brimonidine Tartrate 0.025%ophthalmic solution - Antiglaucoma
Prescribing Lumigan®
Indication
Reduction of elevated IOP in open-angle glaucoma or ocular hypertensionMechanism of Action
Bimatoprost, a prostaglandin analog, increases uveoscleral aqueous outflow by loosening intercellular spaces on the ciliary body face, leading to a significant reduction in intraocular pressure.Available Quantities
2.5 ml, 5 ml, 7.5 mlDosage/Instructions
1 drop in the affected eye(s) once daily in the eveningSafety Info for Lumigan®
Pregnancy & Nursing
Use with caution during pregnancy and nursing. No adequate and well-controlled studies in pregnant women.Pediatric Use
≥16 yearsContraindications, side effects, etc.
Contraindications include hypersensitivity to bimatoprost or any of the ingredients. Common side effects include vision changes, pain, redness, itching, or swelling in or around the eye, swelling or redness of the eyelids, oozing or discharge from the eye, increased sensitivity to light, and vision changes. Serious side effects include asthma-like symptoms, dizziness, dry eye, dyspnea, eye discharge, eye edema, foreign body sensation, and headache.Bimatoprost 0.01%, 0.03%ophthalmic solution - Steroid
Prescribing Maxidex®
Indication
Inflammatory conditions of the conjunctiva and anterior segmentMechanism of Action
Suppresses inflammatory response, delays or slows healingAvailable Quantities
5mlDosage/Instructions
Up to 4-6 times/day, more often in severe casesSafety Info for Maxidex®
Pregnancy & Nursing
Teratogenic in mice with ophthalmic applicationPediatric Use
All agesContraindications, side effects, etc.
Contraindications: Hypersensitivity to dexamethasone or related corticosteroids. Contraindicated in patients with untreated bacterial, fungal, or viral eye infections. Warnings: Dexamethasone is a corticosteroid and may increase the risk of elevated intraocular pressure, cataract formation, and secondary eye infections. It should be used cautiously and under supervision. Common Side Effects: Common side effects include increased eye pressure, eye irritation, and transient blurred vision.Dexamethasone 0.1%ophthalmic suspension - Antibiotic/Steroid
Prescribing Maxitrol®
Indication
Steroid-responsive inflammatory ocular conditions for which a corticosteroid is indicated and where bacterial infection or a risk of bacterial infection existsMechanism of Action
Neomycin inhibits bacterial protein synthesis, Polymyxin B disrupts bacterial cell membrane, Dexamethasone suppresses the inflammatory responseAvailable Quantities
5 mlDosage/Instructions
Instill 1-2 drops into the conjunctival sac every 4-6 hoursSafety Info for Maxitrol®
Pregnancy & Nursing
Use with caution during pregnancy and nursing.Pediatric Use
≥2 yearsContraindications, side effects, etc.
Contraindications: Not to be used in cases of fungal or viral eye infections, including herpes simplex. Warnings: Use with caution in the presence of glaucoma, recent cataract surgery, eye infections with pus, or a history of cornea or sclera problems. Side Effects: Common include blurred vision and mild eye irritation. Serious side effects include blurred vision, tunnel vision, eye pain, seeing halos around lights, swelling, redness, severe discomfort, crusting or drainage, pain behind the eyes, sudden vision changes, and a wound that will not healneomycin 0.35%, polymyxin B, dexamethasone 0.1%ophthalmic suspension - Antibiotic/Steroid
Prescribing Maxitrol® Ointment
Indication
Steroid-responsive inflammatory ocular conditions for which a corticosteroid is indicated and where bacterial infection or a risk of bacterial infection existsMechanism of Action
Neomycin inhibits bacterial protein synthesis, Polymyxin B disrupts bacterial cell membrane, Dexamethasone suppresses the inflammatory responseAvailable Quantities
3.5 gDosage/Instructions
Apply a 0.5-inch ribbon to the affected eye(s) in the conjunctival sac every 4-6 hoursSafety Info for Maxitrol® Ointment
Pregnancy & Nursing
Use with caution during pregnancy and nursing.Pediatric Use
≥2 yearsContraindications, side effects, etc.
Contraindications: Not to be used in cases of fungal or viral eye infections, including herpes simplex. Warnings: Use with caution in the presence of glaucoma, recent cataract surgery, eye infections with pus, or a history of cornea or sclera problems. Side Effects: Common include blurred vision and mild eye irritation. Serious side effects include blurred vision, tunnel vision, eye pain, seeing halos around lights, swelling, redness, severe discomfort, crusting or drainage, pain behind the eyes, sudden vision changes, and a wound that will not healneomycin 0.35%, polymyxin B, dexamethasone 0.1%ophthalmic ointment - Diagnostic Dye
Prescribing Methylene Blue
Indication
Vital staining of corneal nerves, staining the lacrimal sac before dacryocystorhinostomy, aiding in cataract surgery, and gonioscopic laser sclerostomyMechanism of Action
Stains devitalized cells, mucus, and corneal nerves. Absorption peak at 660 nm. Used for vital staining of corneal nerves and other ocular structuresAvailable Quantities
VariesDosage/Instructions
Corneal Nerves: Up to 3 instillations at 5-minute intervals. Lacrimal Sac: Irrigate sac before surgery. Cataract Surgery: Intracameral administration.Safety Info for Methylene Blue
Pregnancy & Nursing
Limited data; potential risks to the fetus not well establishedPediatric Use
All agesContraindications, side effects, etc.
Contraindications: Allergic reactions to methylene blue or components. Warnings/Precautions: Serious or fatal serotonergic syndrome may occur with concomitant use of serotonergic drugs. Common Side Effects: Include agitation, confusion, fast heartbeat, fever, headache, hives or welts, itching, and skin rash.Methylene Blueophthalmic solution - Dry Eye/OSD
Prescribing Miebo®
Indication
Treatment of dry eye diseaseMechanism of Action
Perfluorohexyloctane forms an amphiphilic, physiologically inert monolayer at the air-liquid interface, reducing evaporation and stabilizing the tear film. It enhances the lipid layer of the tear film in dry eye disease.Available Quantities
3 mlDosage/Instructions
1 drop four times daily (QID)Safety Info for Miebo®
Pregnancy & Nursing
No adequate and well-controlled studies in pregnant women. No evidence of embryofetal toxicity or teratogenicity in rats at 160x human ophthalmic dose.Pediatric Use
≥18 yearsContraindications, side effects, etc.
ontraindications: Hypersensitivity to perfluorohexyloctane. Warnings/Precautions: Limited data available on use during pregnancy and breastfeeding. Contact lenses should be removed before use and reinserted after at least 30 minutes. Common Side Effects: Blurred vision and eye redness.100% perfluorohexyloctaneophthalmic solution - Antibiotic
Prescribing Moxeza®
Indication
bacterial conjunctivitisMechanism of Action
Inhibits bacterial enzymes DNA gyrase and topoisomerase IV, effective against a wide range of Gram-positive and Gram-negative bacteria.Available Quantities
3 mlDosage/Instructions
1 drop in the affected eye(s) 2 times/day for 7 daysSafety Info for Moxeza®
Pregnancy & Nursing
Limited data in pregnancy; unknown if excreted in milkPediatric Use
≥4 monthsContraindications, side effects, etc.
Contraindications: Hypersensitivity to moxifloxacin or any component in the formulation. Warnings: Not for injection or subconjunctival use. Common Side Effects: Eye irritation, dry eye, keratitis, conjunctival hemorrhage, increased lacrimation, eye pain, and headache.Moxifloxacin Hydrochloride 0.5%ophthalmic solution - Dry Eye/OSD
Prescribing Muro 128® 2%
Indication
Temporary relief of corneal edemaMechanism of Action
Creates a hypertonic environment to reduce corneal edemaAvailable Quantities
15 mlDosage/Instructions
1 to 2 drops in the eye every 3 to 4 hoursSafety Info for Muro 128® 2%
Pregnancy & Nursing
Limited data; potential risks to the fetus not well establishedPediatric Use
No studiesContraindications, side effects, etc.
Contraindications: Allergy to sodium chloride or any other part of Muro 128. Warnings/Precautions: Inform healthcare providers if you’re using Muro 128, especially if you are pregnant, plan to become pregnant, or are breastfeeding. Use caution when driving or doing tasks that require clear eyesight. Common Side Effects: Eye irritation and burning sensation. In rare cases, severe side effects like allergic reactions (rash, itching, swelling), changes in eyesight, eye pain, or very bad eye irritation may occur.Sodium Chloride 2%ophthalmic solution - Dry Eye/OSD
Prescribing Muro 128® 5%
Indication
Temporary relief of corneal edemaMechanism of Action
Creates a hypertonic environment to reduce corneal edemaAvailable Quantities
15 mlDosage/Instructions
1 to 2 drops in the eye every 3 to 4 hoursSafety Info for Muro 128® 5%
Pregnancy & Nursing
Limited data; potential risks to the fetus not well establishedPediatric Use
No studiesContraindications, side effects, etc.
Contraindications: Allergy to sodium chloride or any other part of Muro 128. Warnings/Precautions: Inform healthcare providers if you’re using Muro 128, especially if you are pregnant, plan to become pregnant, or are breastfeeding. Use caution when driving or doing tasks that require clear eyesight. Common Side Effects: Eye irritation and burning sensation. In rare cases, severe side effects like allergic reactions (rash, itching, swelling), changes in eyesight, eye pain, or very bad eye irritation may occur.Sodium Chloride 5%ophthalmic solution - Dry Eye/OSD
Prescribing Muro 128® Ointment 5%
Indication
Temporary relief of corneal edemaMechanism of Action
Creates a hypertonic environment to reduce corneal edemaAvailable Quantities
VariesDosage/Instructions
Apply a small amount in the eye every 3 to 4 hours or as directed. Generally reserved for nighttime use.Safety Info for Muro 128® Ointment 5%
Pregnancy & Nursing
Limited data; potential risks to the fetus not well establishedPediatric Use
No studiesContraindications, side effects, etc.
Contraindications: Allergy to sodium chloride or any other part of Muro 128. Warnings/Precautions: Inform healthcare providers if you’re using Muro 128, especially if you are pregnant, plan to become pregnant, or are breastfeeding. Use caution when driving or doing tasks that require clear eyesight. Common Side Effects: Eye irritation and burning sensation. In rare cases, severe side effects like allergic reactions (rash, itching, swelling), changes in eyesight, eye pain, or very bad eye irritation may occur.Sodium Chloride 5%ophthalmic ointment - Mydriatics/Cycloplegics
Prescribing Mydcombi®
Indication
Induce mydriasis for diagnostic proceduresMechanism of Action
Phenylephrine stimulates the dilator muscle of the iris, causing pupil dilation; Tropicamide blocks the responses of the sphincter muscle of the iris and the ciliary muscle to cholinergic stimulation, causing pupil dilation and paralysis of accommodationAvailable Quantities
2-mL vial in dispenser cartridgeDosage/Instructions
Dosage as directed by a healthcare professionalSafety Info for Mydcombi®
Pregnancy & Nursing
No teratogenicity in rats at clinically relevant dosesPediatric Use
All agesContraindications, side effects, etc.
Contraindications: Hypersensitivity to tropicamide, phenylephrine, or related substances. Warnings: This combination medication may cause transient blurred vision, light sensitivity, and should be used with caution in patients with narrow-angle glaucoma. Common Side Effects: Common side effects include blurred vision, photophobia, stinging or burning sensation, and temporary increases in intraocular pressure.Tropicamide 1%, Phenylephrine Hydrochloride 2.5%ophthalmic spray - Mydriatics/Cycloplegics
Prescribing Mydriacyl®
Indication
Mydriasis, CycloplegiaMechanism of Action
Tropicamide is an antimuscarinic agent that binds to and blocks M4 muscarinic receptors in the iris sphincter and ciliary muscle. This action leads to pupil dilation (mydriasis) and paralysis of accommodation (cycloplegia), facilitating diagnostic procedures and aiding in the management of uveitis.Available Quantities
2, 3, 15 mlDosage/Instructions
1 or 2 drops of 0.5% 15 or 20 minutes before examinationSafety Info for Mydriacyl®
Pregnancy & Nursing
Use with caution during pregnancy; animal reproduction studies have not been conductedPediatric Use
All agesContraindications, side effects, etc.
Contraindications: Hypersensitivity to tropicamide or related drugs. Warnings: Tropicamide may cause temporary blurred vision and sensitivity to light. Prolonged or excessive use should be avoided. Common Side Effects: Common side effects include blurred vision, photophobia (sensitivity to light), stinging or burning sensation, and increased intraocular pressure.Tropicamide 0.5%, 1%ophthalmic solution - Antifungal
Prescribing Natacyn®
Indication
Fungal blepharitis, fungal conjunctivitis, fungal keratitisMechanism of Action
Binds to sterols in the fungal cell membrane, altering membrane permeability and causing cell contents to leak. Effective against a variety of yeasts and filamentous fungi.Available Quantities
15mlDosage/Instructions
1 drop in affected eye(s) every 2-4 hours; may be increased to 1 drop every hour during initial treatment phaseSafety Info for Natacyn®
Pregnancy & Nursing
Limited data; use with caution in pregnancy and nursingPediatric Use
No studiesContraindications, side effects, etc.
Contraindications: Allergy to natamycin. Warnings: Avoid dropper contamination, caution in driving or tasks requiring clear vision. Common Side Effects: Tearing, watery eyes, feeling like something is in your eye.Natamycin 5%ophthalmic solution - Antibiotic
Prescribing Neosporin®
Indication
bacterial conjunctivitis and other superficial ocular infectionsMechanism of Action
Neomycin inhibits protein synthesis, Polymyxin B disrupts cell membrane, Gramicidin increases bacterial membrane permeability; combined action effective against a broad range of bacteria.Available Quantities
10 mlDosage/Instructions
1-2 drops in affected eye(s) every 4 hoursSafety Info for Neosporin®
Pregnancy & Nursing
Use with caution during pregnancy and nursing; not well studiedPediatric Use
No studiesContraindications, side effects, etc.
Contraindications: Hypersensitivity to neomycin, polymyxin B, bacitracin, or any component of the formulation. Warnings: Avoid prolonged use which may result in overgrowth of nonsusceptible organisms, including fungi. Common Side Effects: Itching, redness, swelling, rash, allergic reactions, and secondary infections.Neomycin Sulfate, Polymyxin B Sulfate, Gramicidinophthalmic solution - Antiglaucoma
Prescribing Neptazane®
Indication
Treatment of chronic open-angle glaucoma, secondary glaucoma, and preoperatively in acute angle-closure glaucomaMechanism of Action
Methazolamide inhibits carbonic anhydrase II in the ciliary processes, slowing the formation of bicarbonate, which leads to reduced sodium and fluid transport. This action decreases aqueous humor production and intraocular pressureAvailable Quantities
25 mg, 50 mg tabletsDosage/Instructions
50 mg orally as a single dose for emergency IOP reduction; consult package insert for other dosing regimensSafety Info for Neptazane®
Pregnancy & Nursing
Use cautiously during pregnancy; teratogenic effects observed in animal studies. No specific data for nursing.Pediatric Use
No studiesContraindications, side effects, etc.
Contraindications include cirrhosis, severe liver or kidney disease, an electrolyte imbalance, and adrenal gland failure. Common side effects include nausea, loss of appetite, change in taste, vomiting, diarrhea, frequent urination, dizziness, drowsiness, or tiredness. Serious side effects include signs of kidney stones, blood in urine or stools, a seizure, loss of movement in any part of your body, a blood cell disorder, liver problems, signs of metabolic acidosis, signs of a kidney stone, or severe skin reaction.MethazolamideOral Tablets - NSAID
Prescribing Nevanac®
Indication
Treatment of pain and inflammation associated with cataract surgeryMechanism of Action
After topical ocular dosing, nepafenac penetrates the cornea and is converted by ocular tissue hydrolases to amfenac, which inhibits prostaglandin synthesis by blocking cyclooxygenase (COX)Available Quantities
3mlDosage/Instructions
1 drop three times a day (tid) on the day of surgery, 1 day before, and 2 weeks afterSafety Info for Nevanac®
Pregnancy & Nursing
Prostaglandin biosynthesis inhibitors may harm the fetal cardiovascular systemPediatric Use
≥11 yearsContraindications, side effects, etc.
Contraindications: Hypersensitivity to nepafenac or related NSAIDs. It is contraindicated in patients with a history of asthma, urticaria, or other allergic-type reactions after taking aspirin or other NSAIDs. Warnings: Nepafenac can cause eye irritation and burning upon instillation. It may also increase the risk of ocular complications and should be used cautiously in certain eye conditions. Common Side Effects: Common side effects include eye irritation, stinging or burning sensation, eye redness, and blurred vision.Nepafenac Suspension 0.1%ophthalmic suspension - Antibiotic
Prescribing Ocuflox®
Indication
bacterial conjunctivitis, corneal ulcersMechanism of Action
Inhibits bacterial DNA gyrase and topoisomerase IV, essential for bacterial DNA replication, transcription, repair, recombination, effective against various Gram-positive and Gram-negative bacteria.Available Quantities
5 mlDosage/Instructions
1-2 drops in affected eye(s) every 2-4 hoursSafety Info for Ocuflox®
Pregnancy & Nursing
Caution advised in pregnancy and nursing; not well studiedPediatric Use
≥1 yearContraindications, side effects, etc.
Contraindications: Hypersensitivity to ofloxacin, other quinolones, or any component of the product. Warnings: Not for injection into the eye. Common Side Effects: Burning, stinging, itching, foreign body sensation, redness, pain, dryness of the eyes, photophobia, tearing, or blurred vision.Ofloxacin 0.3%ophthalmic solution - Antiglaucoma
Prescribing Ocupress®
Indication
Lowering IOP in chronic open-angle glaucoma or ocular hypertension. May be used with pilocarpine, epinephrine, dipivefrin, or systemically administered carbonic anhydrase inhibitors.Mechanism of Action
Carteolol reduces aqueous humor production by blocking beta-adrenergic receptors in the ciliary body. Its intrinsic sympathomimetic activity may reduce the risk of systemic side effects typically associated with beta-blockers.Available Quantities
5 ml, 10 ml, 15 mlDosage/Instructions
1 drop in the affected eye(s) twice dailySafety Info for Ocupress®
Pregnancy & Nursing
Use with caution during pregnancy and nursing. No adequate and well-controlled studies in pregnant women.Pediatric Use
No studiesContraindications, side effects, etc.
Contraindications: Asthma, severe COPD, serious heart problems such as very slow heartbeats, heart failure, or “AV block”. Warnings: May cause serious side effects like severe itching, burning, or irritation in or around your eye; bronchospasm; a light-headed feeling; fast, slow, or uneven heart rate. Common side effects: Eye redness, irritation, or burning; watery eyes; blurred or cloudy vision; droopy or puffy eyelids; headache, dizziness, weakness; stuffy nose, sinus pain.Carteolol HCL 1%ophthalmic solution - Allergy
Prescribing Opcon-A®, Naphcon-A®, Visine-A®
Indication
allergic conjunctivitisMechanism of Action
Naphazoline is a sympathomimetic amine that acts as a vasoconstrictor, reducing redness in the eye. Pheniramine is an antihistamine that blocks the effects of histamine, reducing itching and watering of the eyesAvailable Quantities
0.5 fl. oz.Dosage/Instructions
Adults and children 6 years and older: put 1 drop in the affected eye(s) up to 4 times dailySafety Info for Opcon-A®, Naphcon-A®, Visine-A®
Pregnancy & Nursing
No adequate and well-controlled studies in pregnant women. It is not known whether this drug is excreted in human milkPediatric Use
≥6 yearsContraindications, side effects, etc.
Warnings: Not to be used by individuals allergic to naphazoline or pheniramine. Exercise caution if you have heart disease, high blood pressure, urination problems, or narrow-angle glaucoma. Not recommended during pregnancy or breastfeeding without a doctor’s advice. Should not be used in children under 6 years old without doctor’s advice. Avoid prolonged use as it may worsen symptoms and damage blood vessels in the eyes. Side Effects: Common side effects include mild burning or stinging of the eye, dilated pupils, blurred vision, and increased sensitivity to light. Serious side effects can include ongoing or worsening eye redness, eye pain, and changes in vision.naphazoline 0.025% pheniramine 0.3%ophthalmic solution - Allergy
Prescribing Optivar®
Indication
allergic conjunctivitisMechanism of Action
Azelastine is a potent, second-generation, selective, histamine antagonist (histamine-H1-receptor antagonist) used in the treatment of allergic rhinitis and allergic conjunctivitis. It inhibits the release of histamines from mast cells.Available Quantities
6mlDosage/Instructions
Adults and children 3 years and older: put 1 drop in the affected eye(s) twice daily, every 8-12 hours, no more than twice per daySafety Info for Optivar®
Pregnancy & Nursing
Animal studies of toxic doses did not reveal evidence of teratogenicity. No human data is available. It is not known whether this drug is excreted in human milk.Pediatric Use
≥3 yearsContraindications, side effects, etc.
Contraindications: Should not be used if allergic to azelastine. Not to be used in children younger than 3 years old. Warnings: Avoid use while wearing soft contact lenses; wait at least 10 minutes after using Optivar before putting in contact lenses. Do not let the dropper tip touch any surface to avoid contamination. Side Effects: Common side effects include bitter taste in mouth, headaches, and temporary eye burning or stinging. Less common side effects include burning, dry or itching eyes, temporary blurred vision, chills, diarrhea, eye discharge or excessive tearing, fever, general feeling of discomfort or illness, hoarseness or other voice changes, itching skin, joint pain, loss of appetite, muscle aches and pains, nausea, redness, pain, swelling of eye, eyelid, or inner lining of eyelid, runny nose, shivering, sneezing, sore throat, stuffy nose, sweating, tender, swollen glands in neck, trouble in swallowing, trouble sleeping, unusual tiredness or weakness, vomiting.azelastine HCL 0.05%ophthalmic solution - Dry Eye/OSD
Prescribing Oxervate®
Indication
Treatment of neurotrophic keratitisMechanism of Action
Replicates action of endogenous NGF controlling neurotransmitter and neuropeptide synthesis, influences neuronal plasticity affecting innervation density, axonal terminal sprouting, and dendrite arborizationAvailable Quantities
7 multiple-dose vialsDosage/Instructions
1 drop in the affected eye(s) every 2 hours, 6 times a day for eight weeks.Safety Info for Oxervate®
Pregnancy & Nursing
Administration to pregnant rats or rabbits during organogenesis did not produce adverse fetal effects at clinically relevant dosesPediatric Use
≥2 yearsContraindications, side effects, etc.
Contraindications: Allergy to cenegermin or any part of Oxervate. Warnings/Precautions: Patients should inform their healthcare providers if they take Oxervate. It’s important to use caution when driving or doing other tasks requiring clear eyesight. Discuss the benefits and risks of using Oxervate if you are pregnant or breastfeeding. Common Side Effects: The most commonly reported side effects include eye pain, ocular hyperemia (enlarged blood vessels in the eye), eye inflammation, and increased lacrimation (tear production). Other side effects may include decreased vision, feeling of having something in the eye, irritation, pain, redness, or swelling of the eye, and tearing.Cenegermin-bkbj 0.002%ophthalmic solution - Mydriatics/Cycloplegics
Prescribing Paremyd®
Indication
Mydriasis for diagnostic proceduresMechanism of Action
Hydroxyamphetamine causes the release of norepinephrine at the nerve terminal, resulting in mydriasis. Tropicamide blocks the response of the iris sphincter and the ciliary body, aiding in mydriasis and partial cycloplegia. The combination of these two agents provides effective pupil dilation with a slightly less intense effect than tropicamide 1% with phenylephrine 2.5%.Available Quantities
15 mlDosage/Instructions
1 or 2 drops in the conjunctival sacSafety Info for Paremyd®
Pregnancy & Nursing
Use with caution during pregnancy; animal reproduction studies not conducted with ParemydPediatric Use
≥18 yearsContraindications, side effects, etc.
Contraindications: Allergic reaction to hydroxyamphetamine, tropicamide, or related compounds. Warnings: This combination medication may elevate intraocular pressure. Caution is needed in patients with narrow-angle glaucoma. Common Side Effects: Common side effects may include blurred vision, light sensitivity, stinging or burning sensation, and transient increases in intraocular pressure.Hydroxyamphetamine 1%, Tropicamide 0.25%ophthalmic solution - Allergy
Prescribing Pataday Extra Strength Once Daily Relief®
Indication
allergic conjunctivitisMechanism of Action
Olopatadine is a selective histamine H1 antagonist and an inhibitor of the release of histamines from mast cells. It also inhibits the release of other mediators involved in the allergic response, such as eosinophils and neutrophilsAvailable Quantities
Dosage/Instructions
Adults and children 2 years and older: put 1 drop in the affected eye(s) once dailySafety Info for Pataday Extra Strength Once Daily Relief®
Pregnancy & Nursing
Animal studies of toxic doses did not reveal evidence of teratogenicity. No human data is available. It is not known whether this drug is excreted in human milkPediatric Use
≥2 yearsContraindications, side effects, etc.
Warnings: Not approved for use by individuals younger than 2 years old. Do not use while wearing soft contact lenses. A preservative in this medicine could permanently stain the lenses. Use the medicine at least 15 minutes before inserting your contact lenses. Side Effects: Common side effects include headache, runny or stuffy nose, and sore throat. Less common effects are back pain, body or muscle aches, change in taste, chills, cough, diarrhea, feeling of something in the eye, general discomfort, increased cough, loss of strength, loss of appetite, nausea, pain or tenderness around the eyes and cheekbones, redness of the eye or inside of the eyelid, sensitivity of the eyes to light, shivering, sneezing, sweating, swollen glands in the neck, trouble sleeping, trouble swallowing, unusual tiredness or weakness, and voice changes. Serious side effects may include blurred vision, burning, dryness, stinging of the eye, eye redness, irritation, or pain, swelling of the eyelid, face, lips, or feet, and trouble breathing.olopatadine HCL 0.7%ophthalmic solution - Allergy
Prescribing Pataday Once Daily Relief®
Indication
allergic conjunctivitisMechanism of Action
Olopatadine is a selective histamine H1 antagonist and an inhibitor of the release of histamines from mast cells. It also inhibits the release of other mediators involved in the allergic response, such as eosinophils and neutrophilsAvailable Quantities
2.5mlDosage/Instructions
Adults and children 3 years and older: put 1 drop in the affected eye(s) once dailySafety Info for Pataday Once Daily Relief®
Pregnancy & Nursing
Animal studies of toxic doses did not reveal evidence of teratogenicity. No human data is available. It is not known whether this drug is excreted in human milkPediatric Use
≥3 yearsContraindications, side effects, etc.
Warnings: Not approved for use by individuals younger than 2 years old. Do not use while wearing soft contact lenses. A preservative in this medicine could permanently stain the lenses. Use the medicine at least 15 minutes before inserting your contact lenses. Side Effects: Common side effects include headache, runny or stuffy nose, and sore throat. Less common effects are back pain, body or muscle aches, change in taste, chills, cough, diarrhea, feeling of something in the eye, general discomfort, increased cough, loss of strength, loss of appetite, nausea, pain or tenderness around the eyes and cheekbones, redness of the eye or inside of the eyelid, sensitivity of the eyes to light, shivering, sneezing, sweating, swollen glands in the neck, trouble sleeping, trouble swallowing, unusual tiredness or weakness, and voice changes. Serious side effects may include blurred vision, burning, dryness, stinging of the eye, eye redness, irritation, or pain, swelling of the eyelid, face, lips, or feet, and trouble breathing.olopatadine HCL 0.2%ophthalmic solution - Allergy
Prescribing Pataday Twice Daily Relief®
Indication
allergic conjunctivitisMechanism of Action
Olopatadine is a selective histamine H1 antagonist and an inhibitor of the release of histamines from mast cells. It also inhibits the release of other mediators involved in the allergic response, such as eosinophils and neutrophilsAvailable Quantities
5 mlDosage/Instructions
Adults and children 3 years and older: put 1 drop in the affected eye(s) twice daily, every 8-12 hours, no more than twice per daySafety Info for Pataday Twice Daily Relief®
Pregnancy & Nursing
Animal studies of toxic doses did not reveal evidence of teratogenicity. No human data is available. It is not known whether this drug is excreted in human milkPediatric Use
≥3 yearsContraindications, side effects, etc.
Warnings: Not approved for use by individuals younger than 2 years old. Do not use while wearing soft contact lenses. A preservative in this medicine could permanently stain the lenses. Use the medicine at least 15 minutes before inserting your contact lenses. Side Effects: Common side effects include headache, runny or stuffy nose, and sore throat. Less common effects are back pain, body or muscle aches, change in taste, chills, cough, diarrhea, feeling of something in the eye, general discomfort, increased cough, loss of strength, loss of appetite, nausea, pain or tenderness around the eyes and cheekbones, redness of the eye or inside of the eyelid, sensitivity of the eyes to light, shivering, sneezing, sweating, swollen glands in the neck, trouble sleeping, trouble swallowing, unusual tiredness or weakness, and voice changes. Serious side effects may include blurred vision, burning, dryness, stinging of the eye, eye redness, irritation, or pain, swelling of the eyelid, face, lips, or feet, and trouble breathing.olopatadine HCL 0.1%ophthalmic solution
