英文药名: Isopto carbachol(carbachol drops)

中文药名: 卡巴胆碱滴眼液

品牌药生产厂家: Alcon Labratories Inc.

药品名称

通用名称：卡巴胆碱
英文名称：Carbachol
中文别名：氨甲酰胆碱、卡巴可、卡巴可碳酰胆碱、卡柏考、氯化氧甲酰胆碱、碳酰胆碱
英文别名：Carbach、Carbacholine、Carbamoylcholine Chloride、Carbyl、Chloratum、Colentyl、Karbakolin Isopto、Samoryl、Spersacarbachol
适应症　　

外用滴眼缩瞳，治疗青光眼。卡巴胆碱为合成的拟胆碱药，并有轻度抗胆碱酯酶作用。眼内通透性较差。点眼后瞳孔迅速缩小，作用与匹罗卡品相似，但持续时间约长3倍。
用法用量　　

一般一天三次, 或遵医嘱.
禁用/慎用　　

禁用于闭角青光眼。禁用于心脏病及支气管哮喘者。
不良反应　　

应用本品后，可出现较强的调节痉挛、头痛、结膜充血，以及泪腺分泌增多等。还表现为眼睑瘙痒、抽动，并可增加虹膜及睫状体的血流。
本品的全身反应，心血管系统与血的不良反应较少发生。可出现潮红、出汗、上腹部不适感、腹部绞痛、打嗝、膀胱紧缩感、视力调节困难、头痛和流涎等。
药物相互作用　　

此药与润湿药物合用可加强穿透力。有3例快速形成白内障的报告。

包装规格：

1.50% 3支 x 15ml 

3% 3支 x 15ml 

Medication name
Generic name: Carbachol Solution - Ophthalmic
Pronunciation: (KAR-buh-coal)
Brand name(s): Carboptic, Isopto Carbachol
Uses
This medication is used alone or with other medications to treat high pressure inside the eye due to glaucoma or other eye diseases (e.g., ocular hypertension). Lowering high pressure inside the eye helps to prevent blindness, vision loss, and nerve damage. Carbachol works by decreasing the amount of fluid within the eye.
How to use
To apply eye drops, wash your hands first. To avoid contamination, be careful not to touch the dropper to any surface or let it touch your eye.If you are wearing contact lenses, remove them before using eye drops. Wait at least 15 minutes before replacing your contact lenses.Tilt your head back, look upward, and pull down the lower eyelid to make a pouch. Hold the dropper directly over your eye and place one drop into the pouch. Let go of the eyelid and gently close your eyes. Place one finger at the corner of your eye (near the nose) and apply gentle pressure for 1 to 2 minutes. This will prevent the medication from draining out. Try not to blink and do not rub your eye. Repeat these steps for your other eye if so directed or if your dose is for more than 1 drop.Remove extra solution around the eye with a tissue and wash your hands to remove any medicine that may be on them. Do not rinse the dropper. Replace the dropper cap after each use.If you are using another kind of eye medication (e.g., drops or ointments), wait at least 5 minutes before using the other medication. Use eye drops before ointments to allow the eye drops to enter the eye.Use this medication regularly in order to get the most benefit from it. Most people with glaucoma or high pressure in the eyes do not have any symptoms. To help you remember, use it at the same time(s) each day.
Precautions
Before using carbachol, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients (such as preservatives like benzalkonium chloride), which can cause allergic reactions or other problems. Talk to your pharmacist for more details.Before using this medication, tell your doctor or pharmacist your medical history, especially of: asthma, other eye problems (e.g., iritis, corneal abrasion), heart disease (e.g., heart failure, recent heart attack), low or high blood pressure, overactive thyroid (hyperthyroidism), Parkinsonism, stomach/intestinal problems (e.g., ulcers, spasms), certain urinary problems (e.g., blockage).After you apply carbachol, your vision may become temporarily blurred or unstable. Vision in dim light may be affected. Do not drive (especially at night), use machinery, or do any activity that requires clear vision until you are sure you can perform such activities safely.During pregnancy, this drug should be used only when clearly needed. Discuss the risks and benefits with your doctor.It is not known if this medication passes into breast milk. Consult your doctor before breast-feeding.
Drug interactions
Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially: other eye medications.This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.
Side effects
Temporary irritation/burning/stinging of the eye, temporary blurred vision, poor vision in dim light, headache, or brow ache may occur. If any of these effects persist or worsen, contact your doctor or pharmacist promptly. (See also Precautions section.)Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: eye pain, flushing, diarrhea, nausea, stomach/abdominal pain or cramps, increased saliva, unusual sweating, vision changes.A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Missed dose
If you miss a dose, apply it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
Overdose
This medicine may be harmful if swallowed. If swallowing or overdose is suspected, contact your local poison control center or emergency room immediately. US residents should call the US National Poison Hotline at 1-800-222-1222. Canada residents should call a provincial poison control center. Symptoms of overdose may include: increased saliva, fainting, irregular heartbeat, nausea, vomiting, diarrhea, increased sweating.
Notes
Do not share this medication with others.Laboratory and/or medical tests (e.g., eye exams) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.
Storage
Store at room temperature between 46-80 degrees F (8-27 degrees C) away from light and moisture. Do not freeze. Do not store in the bathroom. Keep all medicines away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
Photos by medication strength
Click the "Photos" link to see sample photographs for a specific medication strength.

Isopto Carbachol 0.75 % Eye Drops

Isopto Carbachol 1.5 % Eye Drops

Isopto Carbachol 2.25 % Eye Drops

Isopto Carbachol 3 % Eye Drops