Generic Name: apraclonidine ophthalmic (A pra KLON i deen off THAL mik)
Brand Name: Iopidine
What is apraclonidine ophthalmic?
Apraclonidine reduces the amount of fluid in the eye, which decreases pressure inside the eye.
Apraclonidine ophthalmic (for the eyes) is used short term to treat or prevent high pressure inside the eye.
Apraclonidine ophthalmic may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about apraclonidine ophthalmic?
Do not use this medicine if you have used an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine.
What should I discuss with my healthcare provider before using apraclonidine ophthalmic?
You should not use this medicine if you are allergic to apraclonidine or to clonidine (Catapres).
Do not use apraclonidine ophthalmic if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.
To make sure this apraclonidine is safe for you, tell your doctor if you have:
heart disease or a history of heart attack or stroke;
peripheral vascular disease such as Raynaud's syndrome or Buerger's disease;
high blood pressure;
a history of depression.
It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant.
It is not known whether apraclonidine ophthalmic passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.
How should I use apraclonidine ophthalmic?
Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.
Apraclonidine ophthalmic is usually given as 1 to 2 drops in each affected eye, 3 times per day. Follow your doctor's dosing instructions very carefully.
Wash your hands before using the eye drops.
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 tip down. Look up and away from the dropper and squeeze out a drop.
Close your eyes for 2 or 3 minutes with your head tipped down, without blinking or squinting. Gently press your finger to the inside corner of the eye for about 1 minute, to keep the liquid from draining into your tear duct.
Use only the number of drops your doctor has prescribed.
Wait at least 5 minutes before using any other eye drops your doctor has prescribed.
Do not touch the tip of the eye dropper or place it directly on your eye. A contaminated dropper can infect your eye, which could lead to serious vision problems.
Do not use the eye drops if the liquid has changed colors or has particles in it. Call your pharmacist for new medicine.
Apraclonidine may become less effective over time. This medicine is for short-term use only.
To be sure this medicine is helping your condition, your vision may need to be tested. You may not notice any change in your symptoms, but vision tests will help your doctor determine how long to treat you with apraclonidine.
Store at room temperature away from moisture and heat. Do not freeze. Keep the bottle tightly closed when not in use.
What happens if I miss a dose?
Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.
What happens if I overdose?
An overdose of apraclonidine is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication.
What should I avoid while using apraclonidine ophthalmic?
This medicine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.
Apraclonidine 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.
Call your doctor at once if you have:
severe itching, redness, or discomfort in or around your eye;
crusting or drainage around your eye;
eye pain or increased watering; or
feeling like something is in your eye.
Common side effects may include:
eye redness or watering, puffy eyelids;
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.
See also: Side effects (in more detail)
Apraclonidine ophthalmic dosing information
Usual Adult Dose for Glaucoma:
0.5% solution: 1 to 2 drops should be instilled in the affected eye(s) 3 times per day
-When used concomitantly with other ophthalmic drugs, an approximate 5 minute interval between instillation of each medication should be followed to prevent washout of the previous dose.
-Patients on maximally tolerated medical therapy who are treated to delay surgery should have frequent follow up examinations and treatment should be discontinued if the intraocular pressure rises significantly.
Uses: Short-term adjunctive therapy in patients on maximally tolerated medical therapy who require additional IOP reduction
Usual Adult Dose for Postoperative Increased Intraocular Pressure:
1% solution: 1 drop should be instilled in the scheduled operative eye one hour before initiating anterior segment laser surgery and a second drop should be instilled to the same eye immediately upon completion of the laser surgical procedure
-A separate container should be used for each single-drop dose and discarded after use.
Use: Control or prevent postsurgical elevations in intraocular pressure that occur in patients after argon laser trabeculoplasty, argon laser iridotomy or Nd:YAG posterior capsulotomy.
What other drugs will affect apraclonidine ophthalmic?
Using this medicine while you are taking other medications that make you sleepy can worsen this effect. Ask your doctor before using apraclonidine if you also take a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.
Tell your doctor about all your current medicines and any you start or stop using, especially:
medicine to treat mental illness;
insulin or oral diabetes medicine;
blood pressure medication; or
heart rhythm medication.
This list is not complete. Other drugs may interact with apraclonidine ophthalmic, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.
More about apraclonidine ophthalmic
- Other brands: Iopidine
Related treatment guides
Where can I get more information?
- Your pharmacist can provide more information about apraclonidine 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 1996-2012 Cerner Multum, Inc. Version: 4.05.
Last reviewed: July 22, 2016
Date modified: January 10, 2017