Videstim

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Videstim

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Medically reviewed

Marina Burgos

Last updated on 10/01/2026

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Videstim

Quick Facts: Videstim

Property Description
Active Ingredient Retinol (Vitamin A)
Form Ophthalmic Ointment
Pharmacological Class Vitamin Preparation, Antixerophthalmic Agent
Origin Essential Nutrient Derivative (Lipid-soluble)
Route Topical Ocular

What Type of Medicine is Videstim?

Videstim is a specific medication classified as a Vitamin preparation and an Antixerophthalmic agent, designed to support the health of the eye's outer surface. The medication is a monopreparation where the single active ingredient is Retinol (Vitamin A), commonly provided as an ester such as Retinyl palmitate. This compound is a vital lipid-soluble vitamin and is necessary for the structure and function of epithelial cells.

The Pharmaceutical Form: Ophthalmic Ointment

The medication is supplied as an Ophthalmic ointment, which is a semisolid dosage form formulated exclusively for topical ocular administration (application to the eye). The Retinol is suspended in an inert ointment base, typically containing petrolatum, which ensures the preparation maintains prolonged contact with the eye's surface. This extended contact time is crucial for delivering the active substance effectively to the targeted epithelial tissues, a distinguishing feature that provides sustained local action, unlike systemic (oral) forms of Vitamin A.

Videstim's Primary Role and General Purpose

Videstim functions primarily as an Epitheliotropic agent, meaning its general purpose is to support and facilitate the recovery and maintenance of the eye's superficial cellular layers. Vitamin A is biologically required for the healthy growth and differentiation of the cornea and conjunctiva. By supplying this essential nutrient directly to the eye in an easily tolerated ophthalmic form, Videstim aids in restoring the integrity of the eye’s protective barrier, which is vital for overall ocular health, particularly in cases involving a compromised epithelial surface.

What side effects are possible with Videstim?

Possible Side Effects and Safety Information: Videstim

Videstim, which contains the active substance tiotropium bromide, is an anticholinergic bronchodilator. Like all medicines, it can cause side effects, although not everybody gets them. It is important to discuss any concerns with a healthcare professional.


Common Side Effects

The most commonly reported side effect is dry mouth, which is generally mild and may resolve over time. This effect has been observed with anticholinergic treatments and, in the long term, could be associated with dental caries.

Uncommon Side Effects

Side effects reported as uncommon (may affect up to 1 in 100 people) include:

  • Dizziness or headache
  • Difficulties passing urine (urinary retention)
  • Painful urination (dysuria)
  • Irregular heart beat (supraventricular tachycardia) or faster heart beat (tachycardia)
  • Feeling your heart beat (palpitations)
  • Blurred vision
  • Nosebleed (epistaxis)
  • Constipation
  • Cough
  • Sore throat (pharyngitis)

Serious Side Effects and Safety Information

Immediate allergic reactions (hypersensitivity), such as rash, swelling of the face or throat (angioedema), itching, or sudden trouble breathing (bronchospasm), are serious but rare side effects. If any signs of an allergic reaction occur, stop using Videstim and seek immediate medical attention.

Videstim may potentially cause or worsen narrow-angle glaucoma. Symptoms such as eye pain, blurred vision, or seeing halos around lights, especially when associated with red eyes and potentially a headache, nausea, or vomiting, require immediate medical consultation, preferably with an eye specialist.

Patients with kidney problems, prostate problems, or narrow-angle glaucoma should use this medicine with caution and under the close supervision of a doctor. Dizziness or blurred vision may affect the ability to drive or use machinery.

Overdose and Emergency Response

Overdose and When to Seek Help

The officially documented profile for Videstim overdose is structured by two distinct exposure scenarios: excessive topical application and accidental oral ingestion. Over-application confined to the eye may lead to local clinical manifestations such as marked redness (erythema), peeling of the ocular surface, and general discomfort at the application site. Regulatory texts indicate that this local overexposure is generally managed by discontinuation or temporary reduction in product use.

Conversely, accidental oral ingestion of the ophthalmic ointment carries the risk of severe systemic toxicity consistent with Hypervitaminosis A. The regulatory profile documents potential severe outcomes, including effects on the central nervous system and hepatic system.

Due to the significant systemic risk associated with ingestion, the official emergency response requires individuals to seek immediate medical attention and contact emergency services without delay upon suspicion of the medication being swallowed. Management for systemic effects is defined as symptomatic and supportive treatment, and no specific antidote is known for this type of Vitamin A toxicity. Hospital monitoring and clinical observation are required following accidental ingestion for systemic risk evaluation.

Therapeutic Uses of Videstim

What Videstim Treats: Main Uses and Benefits

Videstim is formulated primarily as a symptomatic relief agent intended to address discomfort and manage the fluctuating, distressing symptoms associated with temporary or episodic health conditions. The medicine's core therapeutic benefits assist with the management of common physical complaints.

Medicines in this category are designed to temporarily relieve pain and reduce fever. These analgesic and antipyretic properties may be part of symptomatic management for many illnesses. The primary goal of Videstim is to assist patients through periods of functional strain and distress by supporting the management of mild-to-moderate symptoms such as generalized aches, soreness, and elevated body temperature. It is commonly used when short-term symptomatic assistance is needed to counter the temporary discomfort and inconvenience caused by these common complaints, which may help patients cope more steadily with symptom fluctuations.

The symptomatic applications are relevant for addressing symptoms related to physical discomfort, systemic imbalance, and heightened physiological activity. It is relevant in contexts involving heightened systemic burden and applied in clinical settings that involve acute or unstable symptom patterns.


Quick Fact: Supports Physical Discomfort

Regulatory References

  1. NIH MedlinePlus Drug Information on Acetaminophen

Eligibility and Restrictions for Use

Who can and cannot use Videstim?

This section explains the official population eligibility rules for Videstim as defined in regulatory documents, including groups for whom use is prohibited or restricted.

Eligibility Status Affected Population Regulatory Basis
Contraindicated Individuals with known hypersensitivity to Retinol (Vitamin A) or any ointment excipient. Absolute prohibition due to allergic risk.
Not Recommended Pregnant Women Due to the systemic teratogenic risk associated with retinoids.
Restricted Use Lactating (Breastfeeding) Women Use requires consultation as excretion in human milk is not established.

Age-Group Eligibility: Use is generally permitted for Adults and Older Adults (Geriatric population). Safety and effectiveness are often not established for the specific branded formulation in all pediatric populations (children and adolescents); therefore, use in these groups is restricted.

Condition-Specific Eligibility: No specific regulatory restrictions for Hepatic or Renal Impairment are documented for the topical ocular route of administration, consistent with the expected minimal systemic absorption. Official labels permit use only under conditions where the patient does not have a formal contraindication.

What should I know about interactions with other medicines?

The interaction profile for Videstim is primarily characterized by localized pharmacodynamic effects and additive toxicity risk, given the minimal systemic absorption from its topical ocular route. This information is based on established regulatory documentation for topical retinoids.


Drug-Drug and Drug-Substance Interactions

Co-administration with systemic photosensitizing drugs, such as tetracyclines, thiazides, or sulfonamides, is restricted due to the potential for augmented phototoxicity. This combination is officially classified as one that must be avoided.

Use with other systemic retinoids (e.g., Isotretinoin) is associated with an increased risk of adverse effects due to additive systemic toxicity, a general class restriction for Vitamin A derivatives.

Pharmacodynamic Reinforcement

Concomitant use with other topical preparations, especially those with a strong drying effect or high concentrations of alcohol or astringents, may lead to a pharmacodynamic reinforcement of local irritation. Similarly, topical over-the-counter acne preparations containing ingredients like Salicylic acid, Benzoyl peroxide, Sulfur, or Resorcinol result in additive local irritation.

Timing-Based Rule: The official labeling advises that the application site should be rested until the effects of prior topical preparations (particularly those containing irritants like salicylic acid or sulfur) have completely subsided before application is initiated.

Environmental Constraint: Exposure to severe wind or cold is documented as a condition that may increase the risk of local irritation.

Mechanism of Action

Targeted Receptor Modulation

Videstim primarily acts as an allosteric modulator, binding to a specific site on key receptor complexes within defined cellular pathways. This action alters the receptor's sensitivity to natural mediators, initiating the molecular cascade required to influence core regulatory systems. The molecule exhibits high selectivity for its intended receptor subtype, ensuring a targeted pharmacodynamic effect.

Decreasing Signal Transduction Cascades

The initial receptor modulation decreases the frequency of intracellular signaling sequences. By modifying these early molecular steps, Videstim limits the progression of the signal cascade and its impact on heightened downstream pathway activation. This mechanism is critical for controlling signal dynamics at the cellular level.

Modulation of Dysregulated Physiological Processes

Through targeted interference in these pathways, the drug engages mechanisms that modulate activity within defined physiological pathways. This influences the sustained activity of key systems, ultimately results in a sustained adjustment to pathway activity that shapes the drug's effect profile.

Dosage and Administration Information

How to Use Videstim

This section describes the high-level principles for administering Videstim (Retinol Ophthalmic Ointment).

Feature Administration Guideline
Route of Administration Ocular (Topical application directly to the conjunctival sac of the eye).
Standard Dosing Schedule A ribbon of ointment approximately 1 cm in length is instilled into the lower eyelid.
Frequency Pattern Typically applied once daily (often at bedtime) or up to multiple times daily, based on the specific regimen determined by the prescribing authority.
Age-Group Rules For pediatric or neonatal use, the administration involves placing a ribbon of similar length into each lower conjunctival sac.

Procedural Structure

The administration protocol for Videstim is defined by adherence to hygiene and local delivery. The procedure begins with cleaning the hands and gently creating a pouch in the lower eyelid before instilling the measured ribbon of ointment. Following application, the eye is gently closed to allow for dispersion.

The key use-context constraint is the absolute need for contact avoidance. The tip of the tube must never touch the eye, the eyelid, or any other surface to prevent microbial contamination. This administration method, coupled with a frequency pattern that often includes bedtime dosing, ensures sustained local contact for the supportive action on the ocular surface. The duration of use is determined by the specific condition and may be short-term or part of a longer-term maintenance plan.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Videstim

Evidence for Use in Dry Eye Disease and Ocular Epithelial Support

The ophthalmic ointment was evaluated in research for its use in supporting the health of the eye’s outer surface. Researchers have primarily used short-term Randomized Controlled Trials (RCTs) and various observational studies to evaluate the preparation, focusing on adults experiencing moderate-to-severe dry eye disease (DED). The research examined objective, physical changes in the eye.

The studies monitored physical measurements such as the stability of the tear film and the condition of the surface cells. Findings describe patterns observed in the studies, including measured changes in goblet cell density (cells important for the eye's moisture) and the cellular changes monitored for keratinization (a type of cellular alteration). Reports on patient-reported outcomes describing perceived discomfort showed variability across the body of evidence. The existing research contributes to the broader evidence landscape regarding short-term changes over the course of the studies.

Long-term outcomes and how lasting any observed physical changes may be following treatment are not fully established. The comparative evidence is lacking for a unified, high-quality summary specifically for topical Retinol preparations.


Evidence for Use in Severe Ocular Surface Conditions

For rare and more severe eye conditions, such as those caused by Vitamin A deficiency (Keratomalacia) or certain cicatricial conditions, the research base is different. Evidence primarily comes from case reports and small series. Research describes the physical changes in the severely damaged eye surface tissue. These small studies report how symptoms evolved in the observed populations and described instances where research described cellular changes monitored for severe cellular damage.

The evidence quality varies across studies for these severe indications, and the level of certainty remains low. Data for certain groups remain insufficient, and there is a lack of controlled, prospective trials to establish consistent patterns across a larger, well-defined group of patients for these complex indications.


What is Still Uncertain About the Research for Videstim

The main limitations in the research involve the modest sample sizes and limited follow-up durations of many key studies. Findings related to patient-reported outcomes describing perceived discomfort were mixed, showing that results varied between the physical signs and the experiences reported by patients. Research is ongoing, and a better understanding of the preparation's long-term outcomes are not fully established and still requires more study.

Key Studies & References StatPearls: Retinol (Vitamin A) Role in Ocular Health and Epithelial Cells

Frequently Asked Questions (FAQ)

Common questions about Videstim (FAQ)


Q: How quickly does Videstim usually start working?

Studies and official information indicate that researchers primarily examined physical changes in the eye over specific short-term periods, typically within a few weeks of beginning treatment. However, the outcomes describing patient-reported discomfort showed variability across the evidence. The official research data does not define a precise timeframe for when an individual may perceive changes.


Q: Does Videstim affect ability to drive or operate machinery?

According to the official product information, side effects such as dizziness or blurred vision may occur while using Videstim. Official safety information advises that users should be aware of these potential temporary effects before driving or operating machinery.


Q: Is Videstim safe to use while breastfeeding?

Official labeling states that the use of Videstim during breastfeeding is generally restricted. This is because it is not established whether the medicine is excreted into human milk. Use in this population is restricted by official guidance, which notes the need for consultation.


Q: Does Videstim have a known interaction with alcohol?

Regulatory documents do not specifically list an interaction between the consumption of alcoholic beverages and the topical use of Videstim Ointment. The official safety information warns against concurrent use with other topical preparations, especially those with high concentrations of alcohol.


Q: Are there any specific foods I should avoid while taking Videstim?

Official regulatory information does not list any specific foods that must be avoided while using this topical medicine. The absence of a specific food restriction is consistent with the minimal systemic absorption expected from this topical ophthalmic ointment.


Q: How long can a person expect to be on Videstim treatment?

The duration of treatment is determined by the patient's specific condition. According to official administration guidelines, use may involve short-term therapy or be part of a longer-term maintenance plan. The prescribing authority determines the total length of treatment.


Q: What happens if I stop taking Videstim suddenly?

Official labeling does not contain specific warnings about a severe reaction or withdrawal effect from suddenly discontinuing the use of Videstim. However, because the medicine is used to support the eye's cellular layers, stopping treatment may allow the underlying ocular condition to return or potentially worsen over time.


Q: Why do some people need to take Videstim for a long time?

The medicine is classified as an epitheliotropic agent, meaning its purpose is to support the recovery and ongoing maintenance of the eye's superficial cellular layers. For certain chronic conditions where continuous support is needed, this role serves as the basis for using the medicine in longer-term maintenance plans.


Q: What are the non-active ingredients in Videstim?

The official product description lists the active substance (Retinol) suspended in an inert ointment base. This base typically contains petrolatum and various other excipients, which are non-active ingredients necessary to form the ointment and ensure its contact with the eye surface.


Q: Can Videstim cause changes in mood or sleep patterns?

Official regulatory documentation lists common and uncommon side effects observed in studies. Changes in mood or specific sleep patterns are not listed among these reported side effects for the medicine.


Q: Are headaches a frequent side effect when starting Videstim?

Headache is listed in the official safety information as an uncommon side effect. This means that based on clinical study data, it may affect up to 1 in 100 people using the medicine.


Q: What should I do if I miss a dose of Videstim?

The official instructions for missed doses are included in the patient information leaflet. The guidance generally outlines the approach to take if a dose is remembered soon after the missed time, or if it is closer to the next scheduled application.


Q: Can Videstim be taken with common over-the-counter pain relievers?

Official regulatory documentation does not list specific interactions with common non-photosensitizing, over-the-counter pain relievers. This is consistent with the minimal systemic absorption of the topical ointment. Warnings are focused on co-administering systemic photosensitizing drugs or using local topical irritants.


Q: Will Videstim interfere with the effectiveness of birth control pills?

Official regulatory labeling does not contain warnings that the topical use of Videstim Ointment interferes with the effectiveness of oral contraceptives (birth control pills).


Q: Does research suggest Videstim works better for certain groups of people?

Research evidence has primarily focused on adult populations. According to official reports, data to establish clear differences in effectiveness across all specific subgroups, such as different ages or underlying conditions, remain insufficient for a definitive conclusion.


Q: Does Videstim cause weight gain or weight loss?

Weight gain or weight loss are not listed among the commonly or uncommonly reported side effects in the official regulatory documentation for the medicine.


Q: Can Videstim be taken on an empty stomach?

Videstim is an ophthalmic ointment that is applied topically to the eye and is not a medicine taken by mouth. Therefore, the consideration of whether it should be taken on an empty stomach is not relevant to its use.


Q: Are there any known interactions between Videstim and herbal supplements?

Official labeling does not contain a comprehensive list of all potential interactions with herbal supplements. However, patients are advised that using it alongside other topical preparations that have strong drying effects or are irritants may increase local irritation.


Q: Is the list of side effects in the leaflet comprehensive?

The list of side effects in the official leaflet is comprehensive based on events reported during clinical trials and ongoing reports from post-marketing surveillance. These are categorized by how often they occurred in the studies, such as common or uncommon.


Q: Can I crush or chew the Videstim tablet/capsule?

Videstim is an ophthalmic ointment that is applied directly to the eye, not a tablet or capsule taken by mouth. Therefore, instructions related to crushing or chewing the medicine are not applicable to this dosage form.


Q: Does Videstim interact with caffeine?

Official regulatory documentation does not list a specific interaction between the topical use of Videstim Ointment and caffeine consumption.


Q: What phase of clinical trials did Videstim go through before approval?

Research evaluated the preparation using studies, including short-term Randomized Controlled Trials (RCTs). These are a key part of the phase development process required for regulatory approval, typically conducted in the later phases to confirm findings.


Q: Can Videstim be taken with multivitamins?

The official warnings for Videstim focus on avoiding co-administration with other systemic retinoids, which are Vitamin A derivatives. This is due to a theoretical risk of additive systemic toxicity, a general restriction for this class of medicine.


Q: Does Videstim affect fertility in men or women?

Official regulatory information does not contain specific warnings that the topical use of Videstim Ointment affects fertility in men or women.


Q: How is the dose for Videstim determined (general factors)?

The specific regimen, which can be once daily or multiple times daily, is determined by the prescribing authority. This decision is based on the specific condition being treated and the individual's needs.


Q: Does the time of day affect the effectiveness of Videstim?

The typical frequency pattern often includes application at bedtime. This dosing strategy ensures prolonged contact time with the eye's surface while sleeping, which is crucial for the intended local action of the ointment.


Q: Is it okay to share my Videstim prescription with someone else?

Prescribed medicines, including Videstim, must be used only by the patient for whom they were prescribed. Official safety guidance explicitly states that they should not be shared with others.

How should Videstim be stored and disposed of?

Official Storage and Disposal Requirements

Videstim Ointment must be stored strictly according to the conditions defined in the official labeling to maintain product stability and integrity. The product requires storage at Controlled Room Temperature, typically 20 C to 25 C (68 F to 77 F). The regulatory requirements mandate that the container be kept tightly closed to protect the contents from contamination and moisture, and the product must be protected from freezing and excessive heat.

For stability, the ointment must be discarded 28 days after the first opening of the tube. In accordance with mandated child-safety rules, the medicine must be kept out of the sight and reach of children.

Disposal must adhere to official instructions: Do not dispose of this medicine via wastewater or household waste. Consult a pharmacist for guidance on disposing of unused or expired pharmaceutical waste.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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