Dexydrop 3 mg/ml + 1 mg/ml, eye drops, solution
INTERNATIONAL NONPROPRIETARY NAME
Hypromellose/Dextran
PHARMACEUTICAL FORM
Eye drops, solution
Clear, colourless solution.
COMPOSITION
Each ml of Dexydrop 3 mg/ml + 1 mg/ml, eye drops, solution contains 3 mg Hypromellose and 1 mg Dextran 70.
List of excipients
Glycerol
Boric acid
Sodium tetraborate
Potassium chloride
Sodium chloride
Disodium edetate
Benzalkonium chloride
Sodium hydroxide and/or Hydrochloric acid (for pH-adjustment)
Purified water
PHARMACEUTICAL GROUP AND ATC CODE
Pharmacotherapeutic group: Artificial Tears, ATC code: S01XA20
PHARMACOLOGICAL PROPERTIES
Pharmacodynamic properties
Dexydrop 3 mg/ml + 1 mg/ml, eye drops, solution is an physiological tear product that exerts a physical, not a pharmacologic action, and it contains the ionic components of the human tear:, , sodium, potassium and chloride ions. It also consists of two water-soluble polymers: Dextran 70 and hypromellose. The polymers provides a lubricant and emollient effect to the cornea. The surface tension and viscosity of artificial tears are similar to those of natural tears. The combination of Dextran 70 and Hypromellose in an aqueous presentation that provides a soothing lubricant preparation for the relief of dry eye syndrome associated with deficient tear secretion or deficient mucous.
Pharmacokinetic properties
The pharmacokinetics of Dextran 70 and hypromellose have not been studied in this product. Due to the high molecular weights of these polymers, penetration into the cornea and conjunctiva is expected to be low.
THERAPEUTIC INDICATIONS
Dexydrop 3 mg/ml + 1 mg/ml, eye drops, solution is indicated in adults, children and elderly as a lubricant and artificial tear in dry eye and other ocular irritation syndromes associated with deficient tear or mucous secretion.
POSOLOGY AND METHOD OF ADMINISTRATION
Posology
Adults, children and the elderly:
One or two drops as required or directed instilled into the conjunctival sac.
Method of administration
For ocular use.
Patients must not use this product if the solution becomes cloudy or changes colour.
To avoid contamination, do not touch tip of container to any surface. Replace cap after using.
Remove the loose collar from the cap when the bottle is first opened to avoid eye injury.
CONTRAINDICATIONS
Hypersensitivity to dextran 70, Hypromellose or to any of the excipients.
UNDESIRABLE EFFECTS
Summary of the safety profile
The most frequently occurring adverse reaction from clinical trials was vision blurred.
Tabulated list of adverse reactions
The following adverse reactions are classified according to the following convention: very common (≥ 1/10), common (≥ 1/100 to <1/10), uncommon (≥1/1,000 to <1/100), rare (≥1/10,000 to <1/1,000), very rare (<1/10,000), or not known (cannot be estimated from the available data). Within each frequency-grouping, adverse reactions are presented in order of decreasing seriousness. The adverse reactions were obtained from clinical trials and post marketing spontaneous reports)
System Organ Classification | MedDRA Preferred Term |
Immune system disorders | Not known: hypersensitivity |
Nervous system disorders | Uncommon: headache |
Eye disorders | Very common: vision blurred
Common: dry eye (residual), eyelid disorder, abnormal sensation in eye, foreign body sensation in eyes, ocular discomfort. Uncommon: photophobia, hypoaesthesia eye, eye pruritus, eye irritation, ocular hyperaemia. Not known: erythema of eyelid, eye swelling, eye pain, eye discharge, eyelid margin crusting, lacrimation increased. |
General disorders and administration site conditions | Uncommon: discomfort |
Reporting of suspected adverse reactions
Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the national reporting system.
SPECIAL WARNINGS AND PRECAUTIONS FOR USE
- For ocular use only. Not for injection or ingestion.
- Dexydrop 3 mg/ml + 1 mg/ml, eye drops, solution contains benzalkonium chloride which may cause eye irritation and is known to discolour soft contact lenses. Contact with soft contact lenses is to be avoided. Patients should be advised to remove their contact lenses prior to the application of Dexydrop 3 mg/ml + 1 mg/ml, eye drops, solution and wait at least 15 minutes before reinsertion.
- If patients experience headache, eye pain, vision changes, irritation of the eyes, persistent redness, or if the condition worsens or persists for more than 3 days, they are to discontinue use and consult a doctor.
EFFECTS ON ABILITY TO DRIVE AND USE MACHINES
Dexydrop 3 mg/ml + 1 mg/ml, eye drops, solution has no or negligible influence on the ability to drive or use machines. As with any eye drops, temporary blurred vision or other visual disturbances may affect the ability to drive or use machines. If blurred vision occurs at instillation, the patient must wait until the vision clears before driving or using machines.
FERTILITY, PREGNANCY AND LACTATION
Pregnancy
There is no adequate data from the use of Dexydrop 3 mg/ml + 1 mg/ml, eye drops, solution
in pregnant women. All of the components are pharmacologically inert compounds or generally
classified as non-toxic and non-irritating; therefore, no adverse effects during pregnancy are anticipated.
Dexydrop 3 mg/ml + 1 mg/ml, eye drops, solution can be used during pregnancy.
Breast-feeding
There is no adequate data regarding the impact of Dexydrop 3 mg/ml + 1 mg/ml, eye drops, solution
on lactation. All of the components are pharmacologically inert compounds or generally classified as
non-toxic and non-irritating; therefore, no adverse effects during breast-feeding are
anticipated. Dexydrop 3 mg/ml + 1 mg/ml, eye drops, solution can be used during breast-feeding.
Fertility
There is no adequate data regarding the impact of Dexydrop 3 mg/ml + 1 mg/ml, eye drops, solution
on fertility. All of the components are pharmacologically inert compounds or generally classified as
non-toxic and non-irritating. Therefore, no effects on fertility are anticipated.
INTERACTION WITH OTHER MEDICINAL PRODUCTS AND OTHER FORMS OF INTERACTION
If more than one topical ophthalmic medicinal product is being used, the medicines must be administered at least 5 minutes apart. Eye ointments should be administered last.
OVERDOSE
No case of overdose has been reported.
An overdose of Dexydrop 3 mg/ml + 1 mg/ml, eye drops, solution can easily be washed out of the eye with lukewarm tap water.
SPECIAL PRECAUTIONS FOR DISPOSAL AND OTHER HANDLING
Any unused medicinal product or waste material should be disposed of in accordance with local requirements.
INCOMPATIBILITIES
None known.
NATURE AND CONTENTS OF CONTAINER
Polyethylene dropper bottle with a dropper insert and a screw cap sealed with safety ring which ensure tightness, and inserted in a carton.
Pack size: 1 x 15 ml.
SPECIAL PRECAUTIONS FOR STORAGE
Store below 25°C in the original package.
SHELF LIFE
3 years.
NAME AND ADDRESS OF MANUFACTURER
S.C. Rompharm Company S.R.L.
Eroilor Street, no. 1A, Otopeni, Ilfov County, 075100, Romania
MARKETING AUTHORISATION HOLDER
Nextra Group Ltd
18 I.Evdoshvili street, zip code 0154, Tbilisi, Georgia.