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Tyrvaya

Generic name: varenicline solution
Dosage form: nasal spray, for intranasal use

Medically reviewed by Judith Stewart, BPharm. Last updated on Feb 20, 2022.

What is Tyrvaya?

Tyrvaya is a prescription nasal spray used to treat the signs and symptoms of dry eye disease.

Before using Tyrvaya

Before you use Tyrvaya, tell your healthcare provider about all of your medical conditions, including if you:

  • are pregnant or plan to become pregnant. It is not known if Tyrvaya will harm your unborn baby.
  • are breastfeeding or plan to breastfeed. It is not known if Tyrvaya passes into your breast milk. You and your healthcare provider should decide if you will use Tyrvaya if you plan to breastfeed.

What other drugs will affect Tyrvaya?

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Know the medicines you take. Keep a list of them to show your healthcare provider and pharmacist when you get a new medicine.

There are no known drug interactions with Tyrvaya.

How should I use Tyrvaya?

  • See the Instructions for Use at the end of this Patient Information leaflet for information about the right way to use Tyrvaya.
  • Tyrvaya increases tear production in the eye after being sprayed in the nose.
  • Use the nasal spray exactly as your healthcare provider tells you to use it.
  • Do not shake the bottles.
  • Spray 1 time in each nostril, 2 times daily (about 12 hours apart).
  • A 1-month supply consists of 2 nasal spray bottles. Finish 1 bottle before opening the second.
    Tyrvaya comes in glass bottles with a white nasal pump and blue dust cover.
  • If you miss a dose, skip that dose and take your next dose at your regular scheduled time. Do not take an extra dose to make up for a missed dose.

Dosing information

- Administer one spray in each nostril twice daily (approximately 12 hours apart).

Use: treatment of the signs and symptoms of dry eye disease

Tyrvaya side effects

The most common side effects include sneezing, cough, and throat and nose irritation.

These are not the only possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I store Tyrvaya?

  • Store Tyrvaya at room temperature between 68°F to 77°F (20°C to 25°C).
  • Do not freeze.
  • Throw away (discard) Tyrvaya nasal spray bottle 30 days after first use.

Keep all medicines out of the reach of children and pets.

General information about the safe and effective use of Tyrvaya.

Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use this medicine for a condition for which it was not prescribed. Do not give it to other people, even if they have the same symptoms that you have. It may harm them. You can ask your pharmacist or healthcare provider for information that is written for health professionals.

What are the ingredients in Tyrvaya?

Active ingredient: varenicline tartrate
Inactive ingredients: sodium phosphate dibasic heptahydrate, monobasic sodium phosphate, anhydrous, sodium chloride, sodium hydroxide and/or hydrochloric acid (to adjust pH) and water for injection.

Instructions for Use

Read this Instructions for Use before you start using Tyrvaya and each time you get a refill. There may be new information. This information does not take the place of talking to your healthcare provider about your medical condition or your treatment.

Steps for priming Tyrvaya before first Use

Step 1. Remove the cap and the clip. Do not throw away the cap or the clip. The cap and the clip will be placed back on to the nasal applicator after each use.

Step 2. Hold the nasal spray bottle upright and away from your face. Place 1 finger on each side of the base of the nasal applicator and place your thumb underneath the bottle.

Step 3. Prime the nasal spray bottle by pressing and releasing the nasal applicator 7 times with your thumb and fingers. You may not see a spray released each time you press and release the nasal applicator. Spray away from yourself and others.
Tyrvaya is now primed for use.

  • Reprime: If you do not use Tyrvaya for more than 5 days, you will need to reprime the nasal spray bottle with 1 spray before you start using it. To reprime, hold the nasal spray bottle upright and away from your face and press and release the nasal spray applicator 1 time.
  • Avoid priming the nasal spray bottle more than needed: Priming the nasal spray bottle more than needed will reduce the amount of medicine in the nasal spray bottle.

Steps for using Tyrvaya nasal spray after priming

Step 1. Blow your nose to clear your nostrils, if needed.

Step 2. Remove the cap and clip. Do not throw away the cap or the clip. The cap and the clip will be placed back on to the nasal applicator after each use.

Step 3. Hold the nasal spray bottle upright. Place 1 finger on each side of the base of the nasal applicator and your thumb underneath the bottle.

Step 4. Tilt your head back slightly without lying down.

Step 5. Insert the nasal applicator into the left or right nostril. Tilt the nasal applicator and point the tip of the nasal applicator towards the top of the ear on the same side as your nostril.

Do not press the tip of the nasal applicator against the wall of the inside of your nose. Leave a space between the tip of the nasal applicator and the wall of the inside of your nose.

Step 6. Place your tongue to the roof of your mouth and breathe gently while pressing and releasing the nasal applicator 1-time to release a spray into your nostril.

Repeat Steps 5 and 6 to deliver a second spray in the other nostril.

Step 7. Wipe the nasal applicator with a clean tissue.

Step 8. Replace the clip and the cap.

Repeat Steps 1 to 8 each time you use Tyrvaya.

Popular FAQ

How often can you use Tyrvaya?

Tyrvaya should be sprayed into each nostril twice a day (about every 12 hours) to treat the signs and symptoms of dry eye disease. Follow the special Instructions for Use included with your prescription to learn how to correctly spray Tyrvaya, or ask your healthcare provider.

How quickly does Tyrvaya work?

When used twice a day in each nostril, Tyrvaya nasal spray may start working as quickly as the first week to increase eye tear film production. In clinical studies, Tyrvaya increased tear production and relief of symptoms at 4 weeks, on average, in mild to severe dry eye disease.

Can you use Tyrvaya long term?

The recommended dose is one spray in each nostril twice daily (about every 12 hours). Only change your dose or stop treatment if directed by your doctor. Tyrvaya is a prescription nasal spray used to treat symptoms of dry eye disease.

Further information

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