Generic Name: epinephrine ophthalmic (ep ih NEF rin)
Brand Names: Eppy/N

What is Epinal (epinephrine ophthalmic)?

Epinephrine ophthalmic reduces the amount of fluid in the eye, which decreases pressure inside the eye.

Epinephrine ophthalmic is used to treat glaucoma and is also used during eye surgery.

Epinephrine ophthalmic may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about Epinal (epinephrine ophthalmic)?

You should not use this medication if you are allergic to epinephrine, or if you have narrow-angle glaucoma.

Before using epinephrine, tell your doctor if you are allergic to any drugs, or if you have high blood pressure or a history of cataract surgery.

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Do not use this medication while you are wearing contact lenses. This medication may contain a preservative that can be absorbed by soft contact lenses. Wait at least 15 minutes after using epinephrine before putting your contact lenses in.

Do not allow the dropper tip to touch any surface, including the eyes or hands. If the dropper becomes contaminated it could cause an infection in your eye, which can lead to vision loss or serious damage to the eye.

What should I discuss with my healthcare provider before using Epinal (epinephrine ophthalmic)?

You should not use this medication if you are allergic to epinephrine, or if you have narrow-angle glaucoma.

Before using epinephrine, tell your doctor if you are allergic to any drugs, or if you have:

  • asthma;

  • diabetes;

  • heart disease, blood circulation problems;

  • high blood pressure;

  • a thyroid disorder; or

  • a history of cataract surgery.

If you have any of these conditions, you may need a dose adjustment or special tests to safely use epinephrine ophthalmic.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether epinephrine ophthalmic passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I use Epinal (epinephrine ophthalmic)?

Use this medication exactly as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended. Follow the directions on your prescription label.

Wash your hands before using the eye drops. Do not use this medication while you are wearing contact lenses. This medication may contain a preservative that can be absorbed by soft contact lenses. Wait at least 15 minutes after using epinephrine before putting your contact lenses in.

To apply the eye drops:

  • Tilt your head back slightly and pull down your lower eyelid to create a small pocket. Hold the dropper above the eye with the dropper tip down. Look up and away from the dropper as you squeeze out a drop, then close your eye.

  • Gently press your finger to the inside corner of the eye (near your nose) for about 1 minute to keep the liquid from draining into your tear duct.

  • If you use any other eye medications, wait about 5 minutes after using epinephrine eye drops before using the other medication.

  • Do not allow the dropper tip to touch any surface, including the eyes or hands. If the dropper becomes contaminated it could cause an infection in your eye, which can lead to vision loss or serious damage to the eye.

Do not use the eye drops if the liquid has changed colors or has particles in it. Call your doctor for a new prescription.

Store the drops at room temperature away from heat and moisture. Keep the bottle tightly closed when not in use.

What happens if I miss a dose?

Apply the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and apply the next one as directed. Do not use a double dose of this medication.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine, or if anyone has accidentally swallowed it. An overdose of epinephrine ophthalmic is unlikely to cause life-threatening side effects.

What should I avoid while using Epinal (epinephrine ophthalmic)?

Epinephrine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid using any eye medications your doctor has not prescribed.

Epinal (epinephrine ophthalmic) side effects

Stop using epinephrine and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:
  • severe stinging or burning in your eyes;

  • fast, pounding, or uneven heart rate;

  • sweating, shaking, feeling like you might pass out;

  • high blood pressure (severe headache, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath).

Less serious side effects may include:

  • burning, stinging, or itching of your eyes;

  • blurred vision;

  • watery eyes;

  • eye pain;

  • headache; or

  • pain behind your eyebrows.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

See also: Side effects (in more detail)

What other drugs will affect Epinal (epinephrine ophthalmic)?

There may be other drugs that can interact with epinephrine ophthalmic. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about epinephrine ophthalmic.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 1996-2006 Cerner Multum, Inc. Version: 5.01. Revision Date: 05/07/2008 10:00:26 AM.
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