Pilagan can be prescribed as a multitude of various medications. It is often prescribed as Pilocar, Akarpine, Piloptic 1, 1/2, 2, 3, 4, and 6, Pilostat, and Pilopine HS. Generic forms of this medication are usually prescribed as pilocarpine ophthalmic. The main purpose of this medication is to reduce the pressure within the eye and to prevent the pupil from achieving full dilation, which allows for less light to enter the eye. It is regularly prescribed for patients who are suffering from glaucoma, and can be used to reduce pressure in the eye before surgical procedures. It is also prescribed for patients who are taking other medications which cause the pupil to dilate too readily, causing painful reactions to bright light.
Pilagan is not appropriate for all patients and a complete medical evaluation should be determined prior to prescribing this medication. Patients with a medical history which includes Parkinson’s disease, heart failure, hyperthyroidism, difficulty urinating or a blocked urethra, stomach spasms, stomach ulcers, epilepsy, asthma, heart attack, high blood pressure, low blood pressure, or heart disease may not be able to take Pilagan or might need special testing and dosing while undergoing drug therapy with this medication.
The American Food and Drug Administration rated this medication as a pregnancy risk category C. There is insufficient data to determine whether or not this drug will have a negative impact on a developing fetus. It has not been determined whether or not this drug will have a negative impact on a nursing baby. Women who are pregnant, nursing, or are planning on becoming pregnant should avoid this medication.
Patients should never use a double dose of this medication, even in the event of a missed dose. A missed dose can be used as soon as possible, however, if the next dose is nearing, the missed dose should be skipped. Using too much of this medicine can cause an overdose.
An overdose requires immediate emergency medical care. In the event that an overdose of Pilagan is suspected, the patient may experience tearing, watery mouth, nausea, vomiting, sweating, and diarrhea. Eyes can be flushed with fresh water to help offset the effects of an overdose.
There is a risk of side effects associated with the use of Pilagan. Common side effects include stinging or burning of the eyes, tearing of the eyes, difficulty seeing in low light, twitching eyelids, headaches, or the sensation of a “brow ache” and should be reported to the physician.
More serious side effects may be life threatening and require immediate medical attention. Symptoms such as difficulty breathing, irregular heart rate, muscle weakness, excessive sweating, abdominal cramps, urinary incontinence, diarrhea, and excessive saliva require direct and decisive medical advice. Allergic reactions, which present with selling of the lips, mouth, tongue, throat, hives, and respiratory distress can be life threatening and require immediate medical care.
Patients should never take any additional over the counter medications, prescription medication, herbal remedies, or vitamin supplements without first discussing them with the prescribing physician. Medicines that are known to cause interactions include NSAID pain relievers and additional eye medications.
Patients should use caution when driving a car or operating machinery in poor lighting. Pilagan may decrease the patient’s ability to see clearly in low light, and patients must become vigilant of these effects to compensate for them.
Pilagan has the following structural formula:
• Molecular formula of pilagan is C11H16N2O2
• Chemical IUPAC Name is (3S,4R)-3-ethyl-4-[(3-methylimidazol-4-yl)methyl]oxolan-2-one
• Molecular weight is 208.257 g/mol
• Pilagan available : 5ml 2% bottles, 5ml 4% bottles
Generic name: Pilocarpine
Brand name(s): Adsorbocarpine, Akarpine, Almocarpine, Ami-Pilo, Amistura P, Epicar, Isoptocarpine, Miocarpine, Mistura P, Ocu-Carpine, Pilocar, Pilocarpal, Pilocarpin, Pilocarpol, Pilocel, Pilokarpin, Pilokarpol, Pilomiotin, Pilopine HS, Pilostat, Pilovisc, Salagen, Sno Pilo, Spersacarpine, Syncarpine
Review published on: 15 November 2007
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