Active substanceDorzolamideDorzolamide
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  • Dosage form: & nbspeye drops
    Composition:

    Composition of the preparation per ml

    Active substance:

    Dorzolamide hydrochloride 22.26 mg

    in terms of dorzolamide 20.0 mg

    Excipients:

    Sodium citrate dihydrate 2.94 mg

    Sodium hyaluronate 1.80 mg

    Mannitol 23.0 mg

    1 M sodium hydroxide solution to pH 5.6

    Water for injection up to 1.0 ml.

    Description:Transparent colorless or almost colorless slightly viscous liquid.
    Pharmacotherapeutic group:The antiglaucoma agent is a carbonic anhydrase inhibitor
    ATX: & nbsp

    S.01.E.C.03   Dorzolamide

    Pharmacodynamics:

    Dorzolamide hydrochloride is an inhibitor of carbonic anhydrase II.

    Inhibition of carbonic anhydrase (CA) in the ciliary body of the eyeball reduces the production of intraocular fluid, presumably due to a slowing down of the synthesis of bicarbonate ions with their subsequent reduction to sodium and elimination of the liquid. As a result, the intraocular pressure (IOP) decreases.

    Pharmacokinetics:

    With prolonged use selectively accumulates in erythrocytes as a result of selective binding to carbonic anhydrase II (KA-II), while the concentration of free dorzolamide in plasma remains extremely low. Dorzolamide forms a single metabolite - N-residyl-dorzolamide, suppressing to a lesser degree than dorzolamide, the enzyme KA-II, as well as the enzyme KA-I. Metabolite accumulates in the erythrocytes, mainly in contact with KA-I. Dorzolamide moderately binds to plasma proteins (about 33%). Dorzolamide and its metabolite are excreted mainly unchanged through the kidneys. After the end of treatment dorzolamide is washed out of the erythrocytes unevenly, that is, very intensively at the beginning, which leads to a rapid and significant decrease in concentration, followed by a phase of slow elution with a half-life of about 4 months.

    Indications:

    The drug is prescribed for adults with:

    ophthalmic hypertension;

    - primary open-angle glaucoma;

    - pseudoexfoliation glaucoma;

    - secondary glaucoma (without a block of anterior chamber angle of the eye).

    The drug is administered to children:

    - for the treatment of glaucoma in children from 1 week in monotherapy or as a supplement to the treatment with beta-blockers.

    Contraindications:

    - The age is less than 1 week;

    hypersensitivity to the components of the drug;

    - chronic renal failure;

    - Pregnancy;

    - the period of breastfeeding.

    Carefully:

    The drug has not been studied in patients with severe hepatic impairment and, therefore, should be used with caution in this category of patients.

    Pregnancy and lactation:

    Contraindicated in the use of the drug during pregnancy and during the breast feeding.

    Dosing and Administration:

    When using Dorzolamide-SOLOfarm, the usual dosage is 1 drop to the affected eye (or both eyes) in the morning, afternoon and evening.

    When replacing any antiglaucoma drug with Dorzolamide-SOLOfarm, treatment with Dorzolamide-SOLOfarm should be started the day after the previous drug was discontinued.

    With the simultaneous use of Dorzolamide-SOLOfarm with other eye drops, they should be instilled with an interval of at least 10 minutes.

    The procedure for using a tube-dropper:

    1. Separate one tube-dropper.

    2. Open the tube-dropper (making sure that the solution is in the bottom of the tube-dropper, rotate the movements and turn off the valve).

    3. Inject the required amount of the drug into the eyes.

    The dose contained in a tube-dropper is sufficient for one instillation in both eyes. After a single use, the tube-dropper should be discarded, even if the contents remain.

    Side effects:

    In clinical trials, the drug with drosolamide in the form of eye drops was prescribed to 1,108 patients as monotherapy or adjunct therapy for treatment with beta-blockers. Approximately 3% of patients had the drug canceled due to local side reactions from the side of the eye, the most frequent of them were conjunctivitis and reactions from the eyelids.

    The side effects recorded during the research and during the post-registration period are classified by frequency (very often (≥1 / 10), often (≥1 / 100, <1/10), infrequently (≥1 / 1000, <1/100 ), rarely (> 1/10000, <1/1000)).

    From the nervous system

    Often: headache.

    Rarely: dizziness, paresthesia.

    From the side of the organ of vision

    Very often: burning and pain.

    Often: superficial punctate keratitis, lacrimation, conjunctivitis, inflammation of the eyelids, itching, eyelid irritation, blurred vision.

    Infrequently: iridocyclitis.

    Rarely: redness of the eyes, pain, hyperkeratosis of the eyelids, transient myopia (disappearing after withdrawal of the drug), corneal edema, decreased intraocular pressure, detachment of the choroid of the eye after surgical interventions to restore the outflow of intraocular fluid.

    On the part of the respiratory system, thorax and mediastinum

    Rarely: nosebleeds.

    From the gastrointestinal tract

    Often: nausea, bitter taste in the mouth.

    Rarely: pharyngitis, dry mouth.

    From the side of the urinary tract

    Rarely: urolithiasis.

    From the skin and subcutaneous tissue

    Rarely: contact dermatitis, Stevens-Johnson syndrome, toxic epidermal necrolysis.

    General disorders and disorders at the site of administration

    Often: asthenia, fatigue.

    Rarely: allergic reactions - signs and symptoms of local reactions (eyelid) and systemic allergic reactions, including angioedema, urticaria, pruritus, rash, difficulty breathing, less often - bronchospasm.

    Children

    During a 3-month, double-blind, multicentre study using an active drug as a control conducted with the participation of 184 children under the age of 6 years,the profile of adverse reactions with dorzolamide in the form of eye drops was comparable with the profile of adverse reactions in adult patients. The most frequent adverse reactions associated with the use of the drug with dorzolamide in in the form of eye drops, in children under 2 years of age, conjunctival injection (5.4%) and discharge from the eyes (3.6%). In children from 2 to 6 years, the most frequent adverse reactions were a burning sensation in the eye (12.1%), conjunctival injection (7.6%), eye pain (3%), inflammation of the eyelids (3%).

    Overdose:

    Symptoms

    Possible electrolyte disorders, the development of metabolic acidosis and the emergence of drowsiness, nausea, dizziness, headache, weakness, unusual dreams, dysphagia.

    Treatment

    Symptomatic therapy aimed at maintaining vital body functions is performed. Plasma concentrations of electrolytes (especially potassium) and blood pH values ​​should be monitored.

    Interaction:

    Special studies to study the interaction of the drug Dorzolamide-SOLOfarm with other drugs have not been conducted. In clinical studies, the drug with dorzolamide in the form of eye drops was prescribed incombinations with other medicinal products without negative manifestations of inter-drug interaction, including: with eye drops of timolol and betaxolol, as well as systemic preparations: inhibitors angiotensin-converting enzyme (ACE), calcium channel blockers, diuretics, non-steroidal anti-inflammatory drugs (including acetylsalicylic acid), hormones (estrogen, insulin, thyroxine).

    The possibility of mutual reinforcement of the systemic effects of carbonic anhydrase inhibitors for internal use and the drug Dorzolamide-SOLOfarm when they are used simultaneously is not ruled out. Combined treatment with drugs that have systemic effects and local inhibitors of carbonic anhydrase in clinical studies has not been studied.

    The drug Dorzolamide-SOLOfarm is an inhibitor of carbonic anhydrase, and although it is applied topically, it is partially absorbed and can have a systemic effect. In clinical studies, the use of drugs with dorzolamide in the form of eye drops was not accompanied by a violation of the acid-base balance. However, similar phenomena were observed with the use of inhibitors of carbonic anhydrase, including in result of inter-drug interaction with other drugs (as a manifestation of toxicity against the background of high doses of salicylates). Thus, when prescribing Dorzolamide-SOLOfarm, one should not forget about the possibility of such inter-drug interactions.

    The patient should inform the doctor about all medications that he uses or plans to use, including those that are sold without a prescription.

    It should pay special attention to the reception of high doses of acetylsalicylic acid, since it is possible to increase toxicity.

    Special instructions:

    In the elderly, sensitivity to dorzolamide may increase (a dose reduction is required).

    Effect on the ability to drive transp. cf. and fur:

    When using the drug is not recommended to drive vehicles and engage in potentially hazardous activities that require increased concentration and speed of psychomotor reactions.

    Form release / dosage:

    Eye drops 20 mg / ml.

    Packaging:

    By 0,4 ml in a tube-dropper made of low-density polyethylene or polypropylene.

    For 5 or 10 tubes of intravenous drips in a foil bag or without it.

    2, 4, 6, 12 or 18 packages of foil film with 5 tube-droppers or 1, 2, 3, 6 or 9 packages of foil film with 10 tubes or 10, 20, 30, 60 or 90 Tube-droppers together with instructions for use in a pack of cardboard.

    For 5, 7 and 10 ml in plastic bottles, equipped with a drip dispenser.

    1 bottle with instructions for use in a pack of cardboard.

    Storage conditions:

    At a temperature of no higher than 25 ° C.

    Keep out of the reach of children.

    Shelf life:

    2 years.

    Do not use after the expiration date!

    Terms of leave from pharmacies:On prescription
    Registration number:LP-004288
    Date of registration:12.05.2017
    Expiration Date:12.05.2022
    The owner of the registration certificate:GROTEKS, LLC GROTEKS, LLC Russia
    Manufacturer: & nbsp
    Information update date: & nbsp15.06.2017
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