Dry Eye Restasis and Opcon A

Discussion in 'Eye-Care' started by jay1000, Jul 25, 2007.

  1. jay1000

    jay1000 Guest

    I am on Restasis, lubricants and heat for dry eye, but my eyes are
    still fairly irritated. I tried some Opcon A in addition to the
    Restasis and lubricants and it really helps minimize the irritation. I
    used it about an hour after taking Restasis.

    Anyone know if there is a problem with taking Opcon A with all the
    other dry eye meds? Twice a day ought to be enough.
     
    jay1000, Jul 25, 2007
    #1
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  2. jay1000

    p.clarkii Guest

    conventional wisdom is that Opcon A is contraindicated in dry eye
    patients.

    Opcon A contains a vasoconstrictor and an antihistamine (which has
    anticholinergic side effects). Both of those agents can reduce tear
    secretion in the eye. In fact it's use is for people suffering from
    allergic symptoms which includes watery weeping eyes-- it is supposed
    to dry-up the tearing and reduce itching (another allergic symptom).

    Are you suffering from eye irritation after applying Restasis? If so,
    then perhaps the Opcon A reduces your inflammatory response to the
    Restasis making you feel more comfortable despite the fact that tear
    production has not been increased (and perhaps even been decreased).

    This is all conjecture on my part, and I am unaware of any data on the
    topic.
     
    p.clarkii, Jul 25, 2007
    #2
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  3. jay1000

    Neil Brooks Guest

    AND it's preserved with Benzalkonium Chloride -- virtual Drano for the
    eyes.

    IF you have ocular allergy, ask your doctor to prescribe Acular PF --
    the preservative-free version.

    Stay away from ocular preservatives. They're horrible for dry eye.

    Refrigerate your Restasis. Some people say that helps a lot.

    Neil
    Not a doctor
     
    Neil Brooks, Jul 25, 2007
    #3
  4. Hi Neil,

    I was wondering when you said about ocular preservatives. Please could
    you explain a little about them? What sort of substances are they?
    Where could I find them or buy them?

    And also, what is meant by 'Virtual Drano'?

    TIA
     
    Kisame Hoshigaki, Jul 25, 2007
    #4
  5. jay1000

    Neil Brooks Guest

    No. Based on your lengthy posting history here--under numerous
    aliases--you're really an obnoxious asshole, so ... go find out for
    yourself.

    Or don't.

    Cheers.
     
    Neil Brooks, Jul 25, 2007
    #5
  6. jay1000

    jay1000 Guest

    THANK YOU. I suspected that there might be a problem, but was unable
    to locate anything with a warning about the use of Opcon A when there
    is a dry eye diagnosis. Fortunately I took it only once.

    My eye doctor gave me a bunch of different lubricants to try out. The
    best of the lot, for me, are Soothe, Optive, and TheraTears. I don't
    think any of them contain the preservative benzalkonium chloride.
    Actually, the inactive ingredients in Restasis are fairly
    soothing...have to look for an eye drop with castor oil, glycerin and
    polysorbate.
     
    jay1000, Jul 25, 2007
    #6
  7. jay1000

    p.clarkii Guest

    Theratears is good. Also consider Refresh Plus and Systane.
     
    p.clarkii, Jul 25, 2007
    #7
  8. jay1000

    Ms.Brainy Guest

    Best response I have seen. Congrats, Neil!
     
    Ms.Brainy, Jul 26, 2007
    #8
  9. jay1000

    jay1000 Guest

    Actually I think I am getting best results by switching lubricants. I
    use Optive until it no longer stops the irritation, then switch to
    Soothe and then to TheraTears (5 minute flood). Systane and HypoTears
    don't seem to work as well. Lots of fun!
     
    jay1000, Jul 28, 2007
    #9
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