Aceclidine ophthalmic

Generic name: aceclidine ophthalmic [ a-SEK-li-deen ]
Brand name: Vizz
Dosage form: ophthalmic solution (1.44%)
Drug class: Miscellaneous ophthalmic agents

Medically reviewed by Drugs.com on Aug 27, 2025. Written by Cerner Multum.

What is aceclidine ophthalmic?

Aceclidine ophthalmic (for the eyes) is used in adults to treat a condition that reduces the eyes' ability to focus on near objects (presbyopia).

Aceclidine ophthalmic may also be used for purposes not listed in this medication guide.

Aceclidine ophthalmic side effects

Get emergency medical help if you have signs of an allergic reaction: hives, difficult breathing, swelling of your face, lips, tongue, or throat.

Aceclidine ophthalmic may cause serious side effects. Call your doctor at once if you have:

• seeing flashes of light or "floaters" in your vision; or

• severe vision problems, including vision loss.

Common side effects of aceclidine ophthalmic may include:

• headache;

• eye redness;

• eye irritation after using the eye drops; or

• dim or dark vision.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Related/similar drugs

Warnings

Use only as directed. Tell your doctor if you use other medicines or have other medical conditions or allergies.

Before taking this medicine

You should not use aceclidine ophthalmic if you are allergic to it.

Tell your doctor if you have or have ever had:

• swelling of your iris (the colored part of your eye); or

• a detached retina or tear in the retina.

It is not known if aceclidine ophthalmic will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

Ask a doctor if it is safe to breastfeed while using aceclidine ophthalmic.

How should I use aceclidine ophthalmic?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Your doctor may examine your retina before starting therapy.

Aceclidine ophthalmic is usually used once per day.

Do not use while wearing soft contact lenses. Wait at least 10 minutes before inserting your contact lenses.

Call your pharmacist if the medicine looks cloudy, has changed colors or has particles in it.

Wash your hands before using eye medication.

To apply the eye drops: Pull down your lower eyelid to create a small pocket and squeeze a drop into this pocket. Close your eyes for 2 minutes. Then apply a second drop in each eye.

Use only the prescribed number of drops.

Wait at least 5 minutes before using any other eye drops.

Do not touch the dropper tip or place it directly on your eye. A contaminated dropper can infect your eye and lead to serious vision problems.

Each single-use vial is for one use only (in both eyes). Throw away a vial after one use, even if there is still medicine left inside.

Store in the refrigerator, do not freeze.

Once the foil pouch or vial is removed from the refrigerator, aceclidine ophthalmic can be stored at room temperature away from moisture and heat for 30 days.

Aceclidine ophthalmic dosing information

Usual Adult Dose for Presbyopia:

Instill 1 drop in each eye, then wait 2 minutes and instill a second drop in each eye once a day, using the same single-dose vial.

Use: For the treatment of presbyopia

What happens if I miss a dose?

Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include sweating, nausea, tremors, slow heart rate, increased salivation, stomach discomfort, or feeling like you might pass out.

What should I avoid while using aceclidine ophthalmic?

Do not use other eye medications unless your doctor tells you to.

aceclidine ophthalmic may cause blurred vision and may impair your reactions. Avoid driving, especially at night or hazardous activity until you know how this medicine will affect you.

What other drugs will affect aceclidine ophthalmic?

Medicine used in the eyes is not likely to be affected by other drugs you use. But many drugs can interact. Tell your doctor about all your current medicines, including prescription and over-the-counter medicines, vitamins, and herbal products.

Further information

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.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

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