Eye drops "Fotil Forte": indications, instructions for use, reviews of ophthalmologists

Drops of "Fotil Forte" refer to a combined preparation for the treatment of glaucoma. It is the most effective remedy among similar medicines. Decrease and normalize intraocular pressure quickly enough. Can be used after surgery to prevent possible complications.

Composition and form of release

Eye drops "Fotil Forte" are a transparent, colorless liquid. In 1 ml of this drug contains about 6.84 mg of timolol maleate and 40 mg of pilocarpine hydrochloride. These are the main active substances of the drug. Their concentration here is twice as large as in the analog of Fortila.

Additional elements in the composition of the medicine were:

• Benzalkonium chloride;
• Citric acid;
• Sodium citrate;
• Hypromellose;
• distilled water.

Drops for the eyes are made in special bottles-droppers and packed in cardboard boxes. The shelf life of the opened vial is 30 days.

Pharmacology

The drug "Fotil Forte" is an antiglaucoma preparation of a combined type. It combines two active components - pilocarpine and timolol.

Pilocarpine is derived from m-holinomimetics. After it is instilled in the eyeball, it provokes miosis, causing a spasm of accommodation. Effectively lowers the intraocular pressure due to compression of the ciliary and iris muscles of the eye apparatus. This action widens the viewing angle of the anterior chamber of the retina. The substance reworks the structure of the trabecular network, thereby ensuring the release of aqueous humor. This action lasts 4-14 hours.

The active component in the drug timolol belongs to the category of beta-blockers. It prevents the connection of neurotransmitters with adrenoreceptors in the ciliary body. Reduces pressure inside the eye, reduces the watery moisture content. The hypotensive effect is visible after twenty minutes after instillation. The maximum result comes in two hours and lasts a day.

Pilocarpine is able to penetrate the cornea. Its maximum concentration in a humid environment is observed after half an hour. The substance actively interacts with many tissues of the eye apparatus. It is displayed unchanged together with the liquid inside the eye. Its combination with timolol reduces the formation of watery moisture, inhibits the process of excretion of pilocarpine.

Timolol in an instant passes through the cornea in the watery environment of the anterior chamber of the eye. Approximately 80% of the active substance used externally enters the systemic circulation. Its maximum concentration in the plasma comes an hour after instillation into the eye. The component is excreted by the kidneys.

Indications for use

The drug "Fotil Forte" is intended for the treatment of glaucoma. It can also be used when a combination of timolol and pilocarpine should be used. Usually it happens when there is open-angle glaucoma. Use this medication with a closed-angle and secondary glaucoma, as well as with increased intraocular pressure, after surgery in the eye apparatus (for example, with cataracts).

Contraindications

Drops with glaucoma give an amazing result. They help to improve the patient's condition, but they can not be used if there is anterior uveitis of the eye. Prohibition to use the drug is a sinus bradycardia, as well as AV-blockade with the second and third degree. Do not use the drug for heart failure, bronchial asthma and cardiogenic shock. Contraindicated in patients with COPD, it is also not used at the age of eighteen.

Do not use drops for the eyes after ophthalmic operations and eye pathologies, where narrowing of the eyeball can lead to a number of negative consequences.

Do not use the medicine in the presence of hypersensitivity to its constituent elements.

The drug drips with caution in heart failure, in the presence of cerebrovascular disorders, as well as if there is diabetes mellitus and hypoglycemia. Patients with retinal detachment, patients with thyrotoxicosis and myopia should be under special control. This includes persons who are to undergo surgery under general anesthesia.

Method of use, dose

Before you drip your eyes, you should know the diagnosis accurately and coordinate the treatment with your doctor. If there are no individual prescriptions, then the drug is injected one drop into the diseased eye twice a day.

There are patients who use the drug "Fortil" does not immediately produce results, but after several weeks of treatment. If, measuring the pressure inside the eye after a month of using this drug, there is no improvement, then therapy is recommended to continue "Fortil Forte". Instillation in this case, you need to do two times a day, one drop.

About how to drip your eyes, more details will tell the instructions for use, which comes with the drug.

Side effects

Drops in glaucoma can in some cases cause negative reactions. Among them, blurred vision, burning, which quickly enough, after the introduction of the drug. Sometimes there is irritation and pain in the eyes, increased tearing, dry eye syndrome may appear. In some cases, eyelid dermatitis, ciliary muscle spasm, myopia, a decrease in visual acuity, which can occur when there is insufficient illumination in the room and, mainly, as a consequence of miosis.

In some cases, the cornea loses its sensitivity, there is a pinpoint keratitis, allergic blepharoconjunctivitis, ptosis and diplopia. In some patients, a retinal detachment occurs, stiffness of the iris, a clouding of the lens was fixed.

Among the systemic symptoms there was nausea, excessive salivation and sweating, diarrhea, lowering blood pressure, exacerbations of bronchial asthma. Heart failure, arrhythmia, and bradycardia were also noted. Headaches, nasal congestion and a rash appeared on the skin.

Timolol seeping through the blood-brain barrier can affect the central nervous system.

If the patient suffers from heart failure, he may experience nausea, asthenic syndrome, anxiety, dizziness, hallucinations, depressive condition and headache due to timolol exposure.

special instructions

Open-angle glaucoma and other eye diseases do not tolerate the simultaneous use of several drugs with beta-blockers. Other drops should be discontinued the day before the above drug is used.

Every four weeks, the effect that occurs when treating eye diseases (glaucoma open-angle and closed-angle) "Fortil Forte" should be evaluated. Especially on the control should be the pressure inside the eye.

The drug has benzalkonium chloride, which acts as a preservative here, so the drug should not be used when wearing contact lenses. Install the lens or remove them can be after fifteen minutes after instillation of drops in the eye.

The active ingredient in drops - timolol - in some cases hides the onset of hypoglycemia in people with diabetes. He can also mask the reactions of hyperthyroidism.

Before the surgical operation, which will be carried out under general anesthesia, Fortil Forte is canceled two days before this event, since the drug can enhance the effect of anesthesia and muscle relaxants on the body.

The miotic property of drops for the eyes can create a feeling of nearsightedness, which affects the driving of transport. Therefore, during Fortile Forte therapy, care should be taken when driving a car, as well as when working with devices that require increased concentration of attention.

Women during pregnancy and lactation may use the drug if the benefit to the mother exceeds the potential risk to the fetus.

The cost of drops

The drug "Fotil Forte" (the instruction comes complete with the drug and must be read before the treatment) costs 150 rubles, and its analog "Fortil" - about 200 rubles.

Opinion of ophthalmologists

Applies in their practice, these drops for the eyes of every ophthalmologist. Reviews of doctors consider this drug effective. It is said that it quickly stabilizes intraocular pressure, is tolerated well by patients. Helps improve the condition with glaucoma of different types.

Almost every ophthalmologist (reviews of some people say that this drug helps to avoid surgery on the eyes) uses these drops in his surgical practice. They are dripped to patients in the visual apparatus to reduce the production of intraocular fluid and in order to enhance its outflow. The duration of the postoperative course of use of Fortil Forte is four days.

Patient Reviews

The antiglaucoma preparation caused mostly positive reviews. People note that the drug is convenient to use, affordable at its price. Brings back the intraocular pressure. With its help, many patients began to see better and avoided surgical intervention.

There are patients in whom the drug caused side effects in the form of headache, nausea, chills, excessive dryness in the mouth, dizziness. These people had to abandon the use of this medication and replace it with another.

Cataract Symptoms and Treatment

Use the data drops for the eyes and with cataracts. As you know, this disease is very insidious, against its background the transparency of the lens decreases and the acuity of visual perception decreases.

Cataract appears in many cases unexpectedly and asymptomatically. The first period in patients swim "flies" in the eyes, silhouettes begin to double, blur and there is a slight blackout in the visual apparatus. When reading, the letters become, hardly distinguishable, merge, the visual acuity of perception of the surrounding world is lost.

The disease lasts for a fairly long period, up to 15 years. As a rule, only in the retirement age cataract (the symptoms and treatment will help to establish the attending physicians, especially with timely treatment) is most pronounced and complex.

At the initial stages of the disease, conservative treatment is prescribed. It does not help restore the transparency of the lens, but it prevents the progression of the disease. In the most severe cases, ophthalmologists suggest an operation where the natural lens is replaced with an artificial one.

It is in the latter case that the use of drops "Fortil Forte" is invaluable. The drug drips into the eyes after surgery. It helps to reduce the production of intraocular fluid and stimulates its outflow. This approach avoids all possible complications and helps the eyes to recover properly.