Isopto Carpine Eye Drops are Ophthalmic Solution. A cholinergic agonist is used alone or with other medications to treat high pressure inside the eye due to glaucoma and ocular hypertension. Isopto Carpine may also be used during certain eye surgeries to reverse the effects of drugs to enlarge the pupil.

Only use Isopto Carpine Eye Drops following your doctor's instructions. To apply Isopto Carpine Eye Drops, wash your hands first. To avoid contamination, avoid touching the dropper to any surface or letting it touch your eye.

If you are wearing contact lenses, remove them before using eye drops. Wait at least 15 minutes before replacing your contact lenses.

Tilt your head back, look upward, and pull down the lower eyelid to make a pouch. Hold the dropper directly over your eye and place one drop into the pouch. Let go of the eyelid and gently close your eyes. Place one finger at the corner of your eye (near the nose) and apply gentle pressure for 1 to 2 minutes. It will prevent the medication from draining out. Try not to blink, and do not rub your eye. Repeat these steps for your other eye if directed or if your dose is for more than one drop.

Remove extra solution around the eye with a tissue and wash your hands to remove any medicine on them. Do not rinse the dropper. Replace the dropper cap after each use.

If your doctor has prescribed this medication to treat glaucoma or high pressure in the eyes, use it regularly to get the most benefit. Most people with glaucoma or high pressure in the eyes do not have any symptoms. To help you remember, use it at the same time(s) each day.

Before using Isopto Carpine Eye Drop,

• Tell your doctor and pharmacist if you are allergic to pilocarpine, other medications, or Isopto Carpine Eye Drop ingredients. Ask your pharmacist for a list of the ingredients.
• Tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you plan to take while using pilocarpine ophthalmic. 
• Tell your doctor if you have had acute iritis (uveitis; swelling and irritation inside the eye) or retinal detachment.
• Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while using pilocarpine eye drops, call your doctor.
• You should know that Isopto Carpine Eye Drop should not be instilled while wearing contact lenses. If you wear contact lenses, remove them before instilling pilocarpine eye drops; you may put them back in 10 minutes later.
• You should know that  Isopto Carpine Eye Drops may cause vision changes, especially at night or when there is not enough light. Be careful when driving at night or performing dangerous activities in low lighting. Pilocarpine may also cause blurred vision. If blurred vision occurs, do not drive or operate heavy machinery until vision clears.

If your doctor has prescribed this medication to treat glaucoma or high pressure in the eyes, use it regularly to get the most benefit. Most people with glaucoma or high pressure in the eyes do not have any symptoms. To help you remember, use it at the same time(s) each day.

Common side effects of Isopto Carpine Eye Drops include:

• temporary irritation/burning/stinging of the eye,
• temporary blurred vision,
• poor vision in dim light,
• headache, or
• brow ache.

Tell your doctor if you have unlikely but serious side effects of Isopto Carpine Eye Drops, including:

• eye pain,
• flushing,
• diarrhea,
• nausea,
• stomach/abdominal pain or cramps,
• increased saliva,
• unusual sweating, or
• vision changes.

What if you forgot a dose of Isopto Carpine Eye Drops?

If you miss a dose of Isopto Carpine Eye Drops, take it when you remember, but if it is close to the next dose, skip it and take it at the next scheduled time, and return to the regular dosing schedule. 

Who should not take Isopto Carpine Eye Drops?

Do not use Isopto Carpine Eye Drop if you are sensitive or allergic to pilocarpine or any ingredients of this medication that have inflammation of the colored part of the eye.

Are there any potential side effects of Isopto Carpine Eye Drops?

The most common side effects of Isopto Carpine Eye Drops include irritation at the application site, which usually resolves after a few days.  It could include redness, squinting, and cloudiness in the eye.