What are the best eye drops to use for allergies
Different pharmacological classes of eye drops can be recognized by patients by their diverse colored tops. For instance the tops to dilating drops are a diverse color than anti-allergy drops.
Rinse eye drops
Eyes drops sometimes do not own medications in them and are only lubricating and tear-replacing solutions.
Some eye drops may contain histamine antagonists or nonsteroidal anti-inflammatory drug (NSAIDs), which suppress the optical mast cell responses to allergens including (but not limited to) aerosolized dust particles.
Antibiotic eye drops are prescribed when conjunctivitis is caused by bacteria but not when it is caused by a virus. In the case of allergic conjunctivitis, artificial tears can assist dilute irritating allergens present in the tear film.
Steroid and antibiotic eye drops
Steroid and antibiotic eye drops are used to treat eye infections. They also own prophylactic properties and are used to prevent infections after eye surgeries. They should be used for the entire time prescribed without interruptions. The infection may relapse if the use of the medication is stopped.
Eye drops used in managing glaucoma assist the eye’s fluid to drain better and decrease the quantity of fluid made by the eye which decreases eye pressure.
They are classified by their athletic ingredient and they include: prostaglandin analogs, beta blockers, alpha agonists, and carbonic anhydrase inhibitors.
There are also combination drugs available for those patients who require more than one type of medication.
There is a wide variety of artificial tear eye drops that provide diverse surface healing strategies. One can discover bicarbonate ions, hypotonicity, viscosity, and non-preserved types.
They every act differently and therefore, one may own to attempt diverse artificial tears to discover the one that works the best.
Mydriatic eye drops
These make the eye’s pupil widen to maximum, to let an optometrist own the best view inside the eyeball behind the iris. Afterwards in sunny weather they can cause dazzling and photophobia until the effect of the mydriatic has worn off.
In Russia, Tropicamide, a mydriatic eye drop, is used to some degree as an inexpensive recreational drug.
Love other anticholinergics, when taken recreationally, tropicamide acts as a deliriant.
According to one reporter, when injected intravenously, as is most often the case, the drug often «brings on suicidal feelings.»
Availability of medicines
- PHARMACY ONLY available for sale through pharmacies only.
- GENERAL SALE available through pharmacies and possibly other retail outlets.
- PHARMACIST ONLY may only be sold by a pharmacist.
Search myDr for Consumer Medicine Information
Last Reviewed: 16/04/2016
For the television show, see Eye Drops.
Eye drops are saline-containing drops used as an ocularroute to ister.
Depending on the condition being treated, they may contain steroids, antihistamines, sympathomimetics, beta receptor blockers, parasympathomimetics, parasympatholytics, prostaglandins, nonsteroidal anti-inflammatory drugs (NSAIDs), antibiotics, antifungal, or topical anesthetics. Eye drops sometimes do not own medications in them and are only lubricating and tear-replacing solutions.
Eye drops own less of a risk of side effects than do oral medicines, and such risk can be minimized by occluding the lacrimal punctum, (i.e. pressing on the inner corner of the eye) for a short while after instilling drops.
Eye drops are also used for stopping itching and redness of the eyes.
Prior to the development of single-use pre-loaded sterile plastic applicators, eye drops were istered using an eye dropper, a glass pipette with a rubber bulb.
Redness and inflammation of the eye has been reported as being the most common eye problem in Australia. A major cause of eye problems is conjunctivitis, which is an inflammation of the ‘conjunctiva’ (the thin clear tissue that lines that inner eyelids and covers the white part of the eyeball).
There are 3 main types of conjunctivitis: allergic, bacterial and viral. They can be hard to tell apart, and each is treated differently.
Irritant conjunctivitis can also happen due to dryness and/or foreign matter in the eye.
Always seek medical advice if you own red or painful eyes, loss of vision, irregular shaped pupils or there is unusual discharge.
Bacterial conjunctivitis is caused by bacteria and is extremely contagious, commonly infecting other family members. Symptoms, which may start suddenly and may affect one eye before the other, include:
- red, burning, sore or gritty eyes with puffy eyelids
- eyelids may be stuck together when you wake up, or there may be yellow discharge coming from your eyes.
- swelling of the eyelid
- there are generally no other symptoms associated with bacterial conjunctivitis
Allergic conjunctivitis is generally caused by triggers, such as pollen, dust mites, pet dander (hair and dead skin cells from animals), cosmetics or preservatives in eye drops.
- watery eyes
- sensitivity to light
- dark pouches under eyes
- itchy, burning, sore, red eyes with puffy eyelids
- other symptoms of allergy, such as sneezing and a blocked or runny nose
Viral conjunctivitis is caused by a virus and is contagious. Sometimes it is accompanied by freezing or flu symptoms. Symptoms include:
- itchy and swollen eyes
- red, sore, watery or gritty eyes
- crusty eyelids
- if you are using more than one type of eye drops, leave 10 minutes between applications
- protect your eyes from wind and sun by wearing sunglasses
- throw eye drop bottles away one month after opening; mark the date you open them on the bottle (check product details as some eye drops can only be used for shorter periods)
- some eye drops can cause temporary stinging, if this continues, talk to your pharmacist
- do not wear contact lenses with some eye drops; check with your pharmacist
- do not wear contact lenses if you own an eye infection, such as conjunctivitis
- simple analgesics such as paracetamol may help in relieving the pain associated with viral conjunctivitis
Tips for applying eye drops
- close your eye and press gently over the corner, near your nose, to stop the drops draining through your tear duct
- apply only one drop at a time into the affected eye(s) unless the first drop was incorrectly istered
- do not touch your eye with the dropper tip
- try not to blink straightaway, as this draws eye drops into the tear duct and out of the eye
- hold the bottle between your thumb and index finger and squeeze gently to release one drop into your eye pocket
- wait 10 minutes before adding other eye products
- always wash your hands first
- pull your lower eyelid below gently with your index finger to form a pocket; tilt your head back slightly and glance up
- use eye drops before eye ointment
Tips for applying eye ointment
- hold the tube between your thumb and index finger and relax your hand against the base of your nose, to position the tube tip
- apply a little blob of ointment into your lower eyelid pocket
- do not touch the eye with the tube tip
Combination eye drops including decongestant
naphazoline + antazoline (Antistine-Privine, Albalon-A), pheniramine + naphazoline (Visine Allergy with Antihistamine, Naphcon-A)
- some eye drops contain an antihistamine (such as pheniramine, antazoline) to stop itching, and a decongestant (such as naphazoline) to take away redness
- some eye drops cause temporary stinging
- limit use of combination eye drops to no more than 5 to 7 days to avoid a ‘rebound’ redness from overuse
- don’t share face cloths, towels or eye drops
- dispose of tissues carefully
- apply a freezing face cloth or lubricating eye drops to soothe eyes
Antihistamine and mast cell stabiliser eye drops
- histamine is released from mast cells when you own an allergic reaction, which leads to hayfever.
Mast cell stabiliser medicines assist reduce this histamine release, and so reduce allergic reactions and hayfever
e.g. ketotifen (Zaditen)
- do not share face cloths, towels or eye drops
- dispose of tissues carefully
- bathe eyelids with warm water or saline, and use warm face cloths
- do not use decongestant eye drops as they can mask redness and infection
- children should be excluded from school until the infection subsides
Antihistamine eye drops
azelastine (Eyezep Eye Drops), levocabastine (Livostin Eye Drops, Zyrtec Levocabastine Eye Drops)
Other eye drops, to prevent allergy symptoms
e.g. cromoglycate (Cromolux Eye Drops, Opticrom), lodoxamide (Lomide Eye Drops 0.1%)
- these prevent allergic reactions in the eyes and need to be used 4 to 6 times per day, depending on the ingredient, for the entire time you are exposed to triggers, such as during spring
Antihistamines (to treat and prevent symptoms)
- allergic conjunctivitis can be treated with antihistamine tablets or eye drops.
- when you own an allergic reaction your body releases histamine, which leads to ‘allergic’ symptoms
- you can prevent and/or treat the allergic reaction by taking antihistamines when you are around triggers, such as pollen or pet dander
Newer, less-sedating antihistamines
cetirizine (ZepAllergy, Zilarex, Zyrtec), desloratadine (Aerius), fexofenadine (Fexotabs, Telfast), loratadine (Claratyne, Lorano)
- cetirizine and loratadine are available as syrups for children; check correct doses for diverse age groups
- newer antihistamines may rarely cause drowsiness; do not drive or operate machinery if you are affected. Cetirizine is more likely to cause drowsiness than other less sedating antihistamines
fexofenadine + pseudoephedrine (Telfast Decongestant)
Oral antihistamines (tablets and syrups)
- newer, less sedating antihistamines, which do not typically cause drowsiness
- older sedating antihistamines that cause drowsiness
- antihistamines are excellent for treating hay fever symptoms as they happen, especially if you own a lot of diverse symptoms.
You can also take them in advance if you know you are going to be exposed to allergens or triggers
- avoid triggers (e.g. pollen, animal dander) where possible
- apply a freezing flannel or lubricating eye drops to soothe eyes
Antibacterial eye drops and ointment
e.g. propamidine (Brolene Eye Drops)
e.g. chloramphenicol (Chloromycetin Eye Ointment and Drops, Chlorsig Eye Ointment and Drops, Minims Chloramphenicol 0.5% Eye Drops), sulphacetamide (Bleph-10 Eye Drops)
- eye ointment may temporarily blur vision, so it may be better to use it in the evening
- continue using treatment until 24 hours after your conjunctivitis has cleared
- bacterial conjunctivitis can resolve without treatment; however, antibacterial eye drops or ointments may speed your recovery
- if conjunctivitis persists, see your doctor for further treatment
- for the best effect use drops or ointment every few hours, according to instructions, and clean away discharge before applying
- some people may be allergic to the contents of eye drops, so check with your pharmacist before taking
- some of these drops or ointments should be avoided in pregnancy
Older, sedating antihistamines
chlorpheniramine + pseudoephedrine (Demazin 6 Hour Relief Tablets), dexchlorpheniramine (Polaramine), loratadine + pseudoephedrine (Claratyne-D with Decongestant Repetabs), promethazine (Phenergan, Sandoz Fenezal)
- these medicines can cause drowsiness, sometimes the next day; it is significant you do not drive or operate machinery
- do not drink alcohol with medicines that make you drowsy
- not available without a prescription for children under 2 years old
- sedating antihistamines are not suitable for everyone; check with your pharmacist.
- if you own other medical conditions, such as glaucoma, epilepsy or prostate problems, or you take antidepressants, check with your pharmacist before taking these medicines
Lubricant eye drops and gels
Albalon Relief, Bion Tears, Blink Intensive Tears, Cellufresh, Celluvisc, GelTears, Genteal Gel, Genteal Lubricant Eye Drops, HPMC PAA, Hylo-Forte, In A Wink Moisturising Eye Drops, Liquifilm Forte, Liquifilm Tears, Lux Clean, Luxyal, Luxyal Monodose, Methopt, Murine Eye Drops, Murine Revital Eyes, Murine Tears, Optifresh, Optive, Optrex Eye Drops, PAA, Poly Gel Lubricating Eye Gel, Poly-Tears, PVA Forte, PVA Tears, Refresh, Refresh Contacts, Refresh Liquigel, Refresh Plus, Refresh Tears Plus, Rohto Zi Contact Eye Drops, Rohto Zi Unused Eye Drops, Systane, Tears Again, Tears Naturale, TheraTears, Viscotears, Visine Professional, Vistil, Vistil Forte
- viral conjunctivitis generally resolves by itself
- lubricating eye drops and bathing of the eyes can be soothing
- topical decongestant eye drops may help
Although most bottles of eye drops contain preservatives to inhibit contamination once opened, these will not prevent contamination indefinitely.
Ophthamologists recommend disposing of bottles no longer than four weeks after opening. Eye drops that contain no preservatives are generally packaged in single-use tubes. Dispensers typically oversize the drops; the human eye can only handle about 25 microlitres.
See Your Pharmacist or Medical Professional
- if your eyes do not reply to treatment, or do not improve in 2 days
- if your eyes own a discharge, such as pus
- if only one eye is affected
- if you own allergies to any medicines
- if you own had the problem before
- if you own other medical conditions or use other medicines
- if you are pregnant or breastfeeding; some medicines may not be suitable
- if the person with the eye problem is a baby, young kid, or elderly
- if you own strangely shaped pupils or cloudy eyes
- if you ponder the problem was caused by something stuck in your eye
- if you own other symptoms, such as headache, vomiting or a rash
- if your eyes are painful, sensitive to light, you see colour around lights, or your sight is affected
- if you own significant swelling of the eyes
- if you own a freezing sore, herpes or shingles
- if you wear contact lenses