Fotil Forte eye drops 5ml

Instruction for Fotil Forte

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Composition and form of release

The drug Fotil Forte is combined drops, which are a clear, odorless liquid. They do not have a characteristic color or taste, do not precipitate during storage. The main active ingredients are:
    5 mg timolol;
    20 mg pilocarpine hydrochloride.
The active ingredients are dissolved in a water base. As anti-inflammatory additives are declared: hypromellose, benzalkonium chloride. Citric acid and sodium citrate act as safe preservatives.
The medicine is available in small transparent plastic bottles. The 5 ml bottle is additionally equipped with a dropper dispenser, packed in a cardboard box with detailed instructions. In the pharmacy, you can buy Fotil Forte - eye drops with an increased concentration of pilocarpine hydrochloride 40 mg in 1 ml of the drug.

Pharmachologic effect

The drug Fotil Forte has a pronounced anti-glaucoma effect. The substance timolol maleate is a beta-adrenergic receptor blocker. When used, it reduces hypertonicity, reduces the adrenaline content in the lacrimal fluid and tissues of the organ of vision. Stimulates the work of cholinergic receptors, normalizing nutrition, accelerating the elimination of excess fluid. Relieves painful spasm of the ciliary muscle.
Pilocarpine is an m-cholinomimetic that reduces intraocular pressure. It promotes the outflow of aqueous humor from the fundus, normalizes the work of the muscles that control the iris.
This restores visual acuity, improves the condition in glaucoma, and stops the development of complications. The effect of the drug lasts up to 12-14 hours.

Indications

Instructions for using the medication recommend treatment with Fotil Forte drops in the following situations:
    primary angle-closure glaucoma;
    secondary glaucoma;
    high pressure in the fundus;
    open-angle shape.
The tool is used to prevent spasms and increase intraocular pressure after surgery. The potent composition is not used for inflammation, infections, it requires a strict dosage.

Mode of application

Fotil Forte drops must be carefully instilled into the conjunctival sac. Before the procedure, you should thoroughly wash your hands, wipe with an antiseptic. Recommended dosage, according to the instructions for use:
    For any form of glaucoma, instill 1 drop no more than 2 times a day. The duration of treatment is calculated by the doctor.
    After the operation to relieve intraocular pressure - 1-2 drops in each eye after 8-10 hours.
The drug has a cumulative effect. The first control measurement at a routine examination by an ophthalmologist is carried out after 4 weeks. Based on the results, the doctor decides whether it is necessary to change the dosage and continue the therapeutic course.

Contraindications

The components of the drug are absorbed into the bloodstream and can adversely affect the functioning of the human cardiovascular system. The symptoms of a negative reaction are:
    allergy to components;
    acute form of iritis;
    sinus bradycardia;
    asthma;
    heart failure.
With great care and under the supervision of a general practitioner, Fotil Forte drops can be taken in case of diabetes mellitus, thyroid pathologies, severe diseases of the bronchopulmonary system. The drug can worsen the condition with cardiogenic shock, cerebrovascular disorders, retinal detachment and myopia. Due to the negative effect on blood vessels, it is necessary to discuss with the doctor the use of an ophthalmic solution before surgery with general anesthesia.

Side effects

If the dosage is observed, most patients tolerate treatment with Fotil Forte drops well. In rare cases, with prolonged use, local reactions and complications are observed:
    increased discomfort and burning;
    dermatitis of the eyelids;
    increased lacrimation;
    redness of the sclera;
    violation of visual acuity;
    the appearance of myopia.
In case of individual intolerance to the components, the patient may be diagnosed with a cyst on the iris, increased detachment, and ptosis. Long-term treatment without interruption sometimes provokes lens opacity, photophobia.
Systemic reactions of the body are considered more hazardous to health. They are associated with disruption of the work of internal organs:
    pressure drop;
    violation of the heart rhythm;
    headaches;
    swelling of the nasopharynx;
    asthenic syndrome.
In severe cases, disorders of the nervous system occur. The patient has hallucinations, irritability, depression. He complains of depression, suffers from insomnia.

Overdose

Doctors do not recommend violating the dosage indicated by the manufacturer. Typical symptoms of an overdose appear 15–20 minutes after the procedure:
    drop in blood pressure;
    pain in the region of the heart;
    tachycardia;
    bronchospasm.
If complications appear, you must go to the hospital. The antidote is atropine, which is given intravenously. It stops a heart attack, restores the work of the circulatory system. When the pressure drops to critical values, the use of Dobutamine is indicated.

Special instructions

The medicine contains benzalkonium chloride, so it is recommended to remove the lenses before instillation. They can be put on 15–20 minutes after the procedure. There is no such limitation when wearing glasses.
The use of Fotil Forte drops simultaneously with other antiglaucoma drugs can give the opposite effect, provoke a violation of intraocular pressure. Therefore, they can be taken one day after instillation by other means.
In case of dysfunction of the thyroid gland, diabetes mellitus, the active substance timolol can provoke hypoglycemia or other dangerous processes. Therefore, self-medication is excluded.
The medicine should not be used in the complex treatment of children under 18 years of age. With instability of the retina, a potent composition can impair vision, provoke irreversible complications and detachment, lens opacity. It is forbidden to use drops Fotil and Fotil Forte during pregnancy and breastfeeding.

Reviews

Valery Pavlovich, 53 years old
I had to resort to ophthalmic surgery: the doctor used a laser to clean the eye canals. He warned about the initial stage of glaucoma, prescribed Fotil Forte drops 2 times a day for a month after the surgical procedure. The medicine is simply dosed and has convenient packaging. The first results are satisfactory, there are no allergies or exacerbations, so I continue the treatment.
Maria, 46 years old
Glaucoma is hereditary, so I have been treating it for a long time - I'm afraid to lose my sight completely. In the last month I have been taking Fotil Forte drops. The doctor recommended a dosage of 1 drop every 12 hours. Among the "unusual" effects - increased urine output, dizziness in the first minutes after instillation. But intraocular pressure returned to normal, visual acuity recovered slightly.

Terms of sell

You don't need a prescription to buy Fotil Forte.