Active substance(s): DEXTRAN 70 / HYPROMELLOSE
Package Leaflet - Information for the User
TEARS NATURALE eye drops, solution
Dextran 70 and Hypromellose
Read all of this leaflet carefully because it contains important information for you.
This medicine is available without a prescription. However, you still need to use
TEARS NATURALE carefully to get the best results from it.
Keep this leaflet. You may need to read it again.
Ask your pharmacist if you need more information or advice.
You must contact a doctor if your symptoms worsen or do not improve after 3 days.
If any of the side effects get serious, or if you notice any side effects not listed in this
leaflet, please tell your doctor or pharmacist.
IN THIS LEAFLET
1. What TEARS NATURALE is and
what it is used for
2. Before you use TEARS NATURALE
3. How to use TEARS NATURALE
It is used to treat dry eyes caused by a lack of
tears in the eye ( s ).
6. Further information
Replacement of the missing natural tears with an
artificial tear helps to soothe and lubricate your
eyes and provide relief from irritation.
BEFORE YOU USE TEARS NATURALE ®
Do not use TEARS NATURALE ...
• If you are allergic to dextran 70,
hypromellose or any of the other
ingredients listed in section 6
If any of these apply, ask your doctor for advice.
Take special care ...
Only use TEARS NATURALE in your eye ( s ).
If you experience eye pain, headaches,
changes in vision, persistent redness or irritation
of your eyes, or if your condition worsens or does
not improve within 3 days, stop using TEARS
NATURALE and consult a doctor.
This medicine is available without a
prescription. However, you still need to use TEARS
NATURALE carefully to get the best results from it.
Pregnancy and breast-feeding
If you are pregnant or might get pregnant, or if
you are breast-feeding a baby, talk to your
doctor before you use TEARS NATURALE.
5. How to store TEARS NATURALE
WHAT TEARS NATURALE ® IS AND WHAT IT IS USED FOR
TEARS NATURALE is a slightly viscous solution
that acts as an artificial tear.
4. Possible side effects
TEARS NATURALE can be used during
pregnancy or breast-feeding.
Driving and using machines
You may experience blurred vision after using
TEARS NATURALE. Do not drive or use any
machines unless your vision is clear.
Using other medicines
Tell your doctor or pharmacist if you are taking
or have recently taken any other medicines,
including medicines obtained without a prescription.
If you are using more than one type of eye
medicine, the medicines must be used at least
5 minutes apart. Eye ointments should be used last.
Important information if you wear
Do not use the drops while wearing contact
lenses. Wait at least 15 minutes after use before
putting your lenses back in. There is a preservative
in TEARS NATURALE (benzalkonium chloride) that
can cause eye irritation and is also know to
discolour soft contact lenses.
HOW TO USE TEARS NATURALE®
The usual dose
The usual dose is 1 or 2 drops in your eye ( s ) as
often as you require to relieve the irritation.
Only use TEARS NATURALE for dropping in your
Remove the loose collar from the cap when
the bottle is first opened.
Always use TEARS NATURALE exactly as
recommended. You should check with your
doctor or pharmacist if you are not sure.
HOW TO USE TEARS NATURALE® ( continued )
How to use
• Wash your hands before you
• Twist off the bottle cap.
• Hold the bottle pointing down,
between your thumb and
• Tilt your head back.
• Pull down your lower eyelid with
a finger, until there is a ‘pocket’
between the eyelid and your
eye. The drop will go in here
( picture 1 ).
• If a drop misses your eye, try again.
• If you use more TEARS NATURALE than
you should do not worry as it will not cause
you any harm. If necessary TEARS
NATURALE can be washed out of your eye
with warm water. Do not put in any more
drops until it is time for your next regular
• You may experience some or all of the
following effects in your eye ( s ) :
Very common ( affects more than 1 user in 10 ) :
Common ( affects 1 to 10 users in 100 ) :
dryness, discomfort, abnormal sensation, feeling
of something in the eye, eyelid problem
Uncommon ( affects 1 to 10 users in 1,000 ) :
sensitivity to light, decreased sensation, itching,
Not known ( cannot be estimated from the
available data ) : pain, swelling, discharge, eyelid
redness or crusting, increased tear production
• You may also experience effects in other
areas of your body including :
Uncommon : headache, discomfort ( skin )
Not known : hypersensitivity
Reporting of side effects
If you get any side effects, talk to your doctor,
pharmacist or nurse. This includes any possible
side effects not listed in this leaflet. You can also
report side effects directly via the Yellow Card
Scheme at : www.mhra.gov.uk / yellowcard.
By reporting side effects you can help provide
more information on the safety of this medicine.
HOW TO STORE TEARS NATURALE®
Keep out of the reach and sight of children.
Do not refrigerate or store above 25 °C.
Keep the bottle tightly closed.
Do not use the drops after the expiry date
( marked ‘Exp’ ) on the bottle and the carton.
The expiry date refers to the last day of that
• If you swallow TEARS NATURALE do not worry,
it will not harm you.
• If you forget to use TEARS NATURALE,
continue with the next dose as planned. Do not
use a double dose to make up.
If you have any further questions on the
use of TEARS NATURALE, ask your doctor or
POSSIBLE SIDE EFFECTS
Like all medicines, TEARS NATURALE can cause
side effects, although not everybody gets them.
• Bring the bottle tip close to the eye. Do this in
front of a mirror if it helps.
• Do not touch your eye or eyelid,
surrounding areas or other surfaces with the
dropper. It could infect the drops.
• Gently press on the base of the bottle to
release one drop at a time ( picture 2 ).
• Do not squeeze the bottle, only a gentle
press on the bottom is needed.
• If you use drops in both eyes, repeat the steps
for your other eye. Put the bottle cap firmly
back on immediately after use.
• Stop using the bottle 4 weeks after first
opening, to prevent infections.
• Medicines should not be disposed of via waste
water or household waste. Ask your pharmacist
how to dispose of medicines no longer
required. These measures will help to protect
What TEARS NATURALE contains
• The active substances are dextran 70
1 mg / ml and hypromellose 3 mg / ml.
• The other ingredients are disodium edetate,
sodium chloride, potassium chloride,
benzalkonium chloride, hydrochloric acid
and / or sodium hydroxide ( to adjust pH ) and
Marketing authorisation holder :
Novartis Pharmaceuticals UK Limited
Frimley Business Park,
Surrey, GU16 7SR, United Kingdom.
What TEARS NATURALE looks like
and contents of the pack
TEARS NATURALE is a clear, colourless liquid
supplied in a pack containing a 15 ml plastic
bottle with a screw cap.
SA Alcon-Couvreur NV
Rijksweg 14, B-2870 Puurs, Belgium.
This leaflet was last revised in 07/2017
© 2005, 2010, 2013, 2014 Novartis
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.