Components:
Medically reviewed by Kovalenko Svetlana Olegovna, PharmD. Last updated on 26.06.2023

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A slowly hydrolyzed cholinergic agonist that acts at both muscarinic and nicotinic receptors.
Carboptic reduces the pressure in the eye by increasing the amount of fluid that drains from the eye. Carboptic also causes the pupil to become smaller and reduces its response to light or dark conditions.
Carboptic is used to treat glaucoma by lowering the pressure inside the eye.
Carboptic may also be used for purposes other than those listed in this medication guide.
Carboptic lowers pressure in the eye by increasing the amount of fluid that drains from the eye.
Carboptic (for the eye) is used to treat glaucoma.
Carboptic may also be used for purposes not listed in this medication guide.
Usual Adult Dose for Intraocular Hypertension
Instill no more than 0.5 mL into the anterior chamber of the affected eye(s) for the production of miosis during ocular surgery.
Comments:
-Miosis is usually maximal within 2 to 5 minutes after application.
-This drug may be instilled before or after securing sutures.
Uses:
-To obtain miosis during surgery
-To reduce the intensity of intraocular pressure elevation in the first 24 hours following cataract surgery
Usual Adult Dose for Production of Miosis
Instill no more than 0.5 mL into the anterior chamber of the affected eye(s) for the production of miosis during ocular surgery.
Comments:
-Miosis is usually maximal within 2 to 5 minutes after application.
-This drug may be instilled before or after securing sutures.
Uses:
-To obtain miosis during surgery
-To reduce the intensity of intraocular pressure elevation in the first 24 hours following cataract surgery
Renal Dose Adjustments
Data not available
Liver Dose Adjustments
Data not available
Precautions
Safety and efficacy have not been established in patients younger than 18 years.
Consult WARNINGS section for additional precautions.
Dialysis
Data not available
Other Comments
Administration advice:
-The manufacturer product information should be consulted.
-Intraocular solution: For single-dose intraocular use only; discard unused portion
-Ophthalmic solution: For topical use only; not for injection
See also:
What is the most important information I should know about Carboptic?
Should not be used in those persons showing hypersensitivity to any of the components of this preparation.
Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.
Wash your hands before using eye medication.
To apply the eye drops:
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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 as you squeeze out a drop, then close your eye.
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Use only the number of drops your doctor has prescribed.
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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.
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If you use more than one drop in the same eye, wait about 5 minutes before putting in the next drop.
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Also wait at least 10 minutes before using any other eye drops that your doctor has prescribed.
Do not allow the tip of the dropper to touch any surface, including your 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 pharmacist for new medication.
Store at room temperature away from moisture and heat. Do not freeze. Keep the bottle tightly closed when not in use.
See also:
What other drugs will affect Carboptic?
Before using this medication, tell your doctor if you are using another eye medication, especially if it is a nonsteroidal anti-inflammatory drug (NSAID) such as flurbiprofen (Ocufen), suprofen (Profenal), diclofenac (Voltaren), or ketorolac (Acular).
Do not use other eye medications during treatment with Carboptic except under the direction of your doctor.
Drugs other than those listed here may also interact with Carboptic. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.
See also:
What are the possible side effects of Carboptic?
Applies to Carboptic: ophthalmic solution
In addition to its needed effects, some unwanted effects may be caused by Carboptic (the active ingredient contained in Isopto Carboptic). In the event that any of these side effects do occur, they may require medical attention.
Severity: Moderate
If any of the following side effects occur while taking Carboptic, check with your doctor or nurse as soon as possible:
Rare
- Veil or curtain appearing across part of vision
- Diarrhea, stomach cramps or pain, or vomiting
- fainting
- flushing or redness of face
- frequent urge to urinate
- increased sweating
- irregular heartbeat
- shortness of breath, wheezing, or tightness in chest
- unusual tiredness or weakness
- watering of mouth
Minor Side Effects
Some of the side effects that can occur with Carboptic may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:
More common:
- Blurred vision or change in near or distance vision
- eye pain
- stinging or burning of the eye
- Headache
- irritation or redness of eyes
- twitching of eyelids