1%, 2% and 4%
Consumer Medicine Information
What is in this leaflet
Please read this leaflet carefully before you use any ISOPTO CARPINE Eye Drops.
This leaflet answers some common questions about ISOPTO CARPINE. It does not contain
all of the available information. It does not take the place of talking to your doctor
The information in this leaflet was last updated on the date listed on the final page.
More recent information on the medicine may be available.
You should ensure that you speak to your pharmacist or doctor to obtain the most up
to date information on the medicine.
You can also download the most up to date leaflet in Australia from www.novartis.com.au
and from www.medsafe.govt.nz in New Zealand.
The updates may contain important information about the medicine and its use of which
you should be aware.
All medicines have risks and benefits. Your doctor has weighed the expected benefits
of you using ISOPTO CARPINE against the risks this medicine could have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine.
You may need to read it again.
What ISOPTO CARPINE is used for
ISOPTO CARPINE is used to treat glaucoma. Glaucoma is a condition in which the pressure
of fluid in the eye may be high. However, some people with glaucoma may have normal
Glaucoma is usually caused by a build up of the fluid which flows through the eye.
This build up occurs because the fluid drains out of your eye more slowly than it
is being pumped in. Since new fluid continues to enter the eye, joining the fluid
already there, the pressure continues to rise. This raised pressure may damage the
back of the eye resulting in gradual loss of sight. Damage can progress so slowly
that the person is not aware of this gradual loss of sight. Sometimes even normal
eye pressure is associated with damage to the back of the eye.
There are usually no symptoms of glaucoma. The only way of knowing that you have glaucoma
is to have your eye pressure, optic nerve and visual field checked by an eye specialist
or optometrist. If glaucoma is not treated it can lead to serious problems, including
total blindness. In fact, untreated glaucoma is one of the most common causes of blindness.
ISOPTO CARPINE contains the active ingredient pilocarpine hydrochloride, which belongs
to a family of medicines called parasympathomimetics.
ISOPTO CARPINE is used, either alone or in combination with other eye drops/medicines,
to treat glaucoma.
ISOPTO CARPINE lowers pressure in the eye by allowing more fluid to flow out from
within your eye(s).
Although ISOPTO CARPINE helps control your glaucoma it does not cure it.
For more information about glaucoma, contact the Glaucoma Foundation of Australia
on 9906 6640 or Glaucoma New Zealand on 09 373 8779.
Your doctor may have prescribed ISOPTO CARPINE for another reason. Ask your doctor
if you have any questions about why ISOPTO CARPINE has been prescribed for you.
ISOPTO CARPINE is not addictive.
Before you use ISOPTO CARPINE
When you must not use it
Do not use ISOPTO CARPINE if:
1. You have an allergy to pilocarpine hydrochloride, clonidine or any of the ingredients
listed at the end of this leaflet.
Some of the symptoms of an allergic reaction include:
Shortness of breath
Wheezing or difficulty breathing
Swelling of the face, lips, tongue or other parts of the body
Rash, itching or hives on the skin.
2. You have been diagnosed with a condition known as iritis, an inflammation of the coloured
part of the eye
3. You have a certain type of glaucoma called "pupillary block glaucoma", a condition
that prevents normal flow of fluid through the pupil
4. You are currently taking any monoamine oxidase inhibitor (MAOI) or tricyclic antidepressant
5. You are currently taking any sympathometic medications (drugs used to treat asthma,
severe headaches or coughs and colds may belong to this class of medicines).
If you are unsure if you are taking any of these medications speak to your doctor
Do not use this medicine if the seal around the cap is broken or the bottle/packaging
shows signs of tampering.
Do not use this medicine if the expiry date on the bottle/carton has passed.
If you use this medicine after the expiry date has passed, it may not work, or worse,
there may be an entirely unexpected effect.
If it has expired or is damaged, return it to your pharmacist for disposal.
Before you start to use it
Tell your doctor if:
1. You have had an allergy to any other medicines or any other substances, such as foods,
preservatives or dyes.
2. You are pregnant or intend to become pregnant
Your doctor will discuss the possible risks and benefits of using ISOPTO CARPINE during
3. You are breast-feeding or intend to breast-feed
Your doctor will discuss the possible risks and benefits of using ISOPTO CARPINE when
4. You have or have had any medical conditions, especially the following:
high or low blood pressure
an obstruction of the urinary tract
any heart disease
any breathing difficulties or lung problems,e,g, asthma
corneal or conjunctival damage.
If you have not told your doctor about any of the above, tell them before you use
Do not use in children unless specifically directed to by your doctor.
Do not put the eye drops into your eye(s) while you are wearing soft contact lenses.
The preservative in ISOPTO CARPINE (benzalkonium chloride) may be deposited in soft
contact lenses causing eye irritation or discolouration of lenses. It is best to avoid
the use of contacts during your treatment. If you require the use of your lenses you
can put your soft contact lenses back into your eyes 15 minutes after you have used
If you are not sure whether you should start using ISOPTO CARPINE talk to your doctor.
ISOPTO CARPINE has been developed for use in the eye only. It is not to be swallowed
Taking other medicines
Tell your doctor if you are taking or using any other medicines, including any that
you buy without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and ISOPTO CARPINE may interfere with each other. This is particularly
important if you are currently using other medicines or eye drops for glaucoma.
These medicines may be affected by ISOPTO CARPINE, or may affect how well it works.
You may need different amounts of your medicines, or you may need to take different
Your doctor or pharmacist has more information on medicines to be careful with or
avoid while using ISOPTO CARPINE.
How to use ISOPTO CARPINE
How much to use
The usual dose of ISOPTO CARPINE is one to two drops in the affected eye(s) three
to four times a day. Your dosing instructions will be printed on the label your pharmacist
put on the bottle or carton.
Follow all directions given to you by your doctor carefully.
They may differ from the information contained in this leaflet.
Use ISOPTO CARPINE every day, at about the same time each day, unless your doctor
tells you otherwise.
Using your eye drops at the same time each day will have the best effect on your eye
pressure. It will also help you remember when to use the eye drops.
After using ISOPTO CARPINE wait at least 5 minutes before putting any other eye drops
in your eye(s).
If you are being changed from one eye drop to another, follow your doctor's instructions
carefully as to when to stop the old drops and when to start the new drops.
How to use it
You may find it easier to put the drop(s) in your eye(s) while you are sitting or
If you wear contact lenses take the lenses out before you use ISOPTO CARPINE. Wait
15 minutes before putting back your contact lenses.
1. Wash your hands thoroughly
2. Shake the bottle well before use
3. Remove the cap from the bottle
4. Hold the bottle upside down in one hand between your thumb and middle finger (see
5. Tilt your head back and look up
6. Using your other hand, gently pull down the lower eyelid to form a pouch or pocket
7. Put the tip of the dropper close to, but not touching your eye. Release the required
number of drops into the pouch/pocket formed between the eye and eyelid by gently
squeezing the side of the bottle (see Diagrams 2 and 3).
8. Close your eye gently without blinking and press on the inside corner of your eye
with the pad of your index finger for 2 minutes. This will help to stop the medicine
from draining through the tear duct to the nose and throat, from where it can be absorbed
into other parts of your body.
If necessary repeat the above steps 4 to 8 for your other eye.
Replace the cap on the bottle, closing it tightly.
Wash your hands again with soap and water to remove any residue.
You may feel a slight burning sensation in the eye shortly after using the eye drops.
If this persists, or is very uncomfortable, contact your doctor or pharmacist.
Be careful not to touch the dropper tip against your eye, eyelid or anything else
to avoid contaminating the eye drops.
Contaminated eye drops may give you an eye infection.
How long to use it
ISOPTO CARPINE helps control your condition but does not cure it. Therefore, ISOPTO
CARPINE must be used every day. Continue using ISOPTO CARPINE for as long as your
If you forget to use it
If it is almost time for your next dose, skip the dose you missed and use your next
dose when you are meant to. Otherwise, use the drops as soon as you remember, and
then go back to using them as you would normally.
If you are not sure whether to skip the dose, talk to your doctor or pharmacist.
Do not use double the amount to make up for the dose that you missed.
If you have trouble remembering to use your eye drops, ask your pharmacist for some
If you use too much (overdose)
If you accidentally put several drops in your eye(s), immediately rinse your eye(s)
with warm water.
If you think that you or anyone else may have swallowed any or all of the contents
of a bottle of ISOPTO CARPINE immediately telephone your doctor or the Poisons Information
Centre in Australia on 131126 or the National Poisons Centre in New Zealand on 0800
POISON or 0800 764 766 for advice, or go to Accident and Emergency at your nearest
hospital. Do this even if there are no signs of discomfort or poisoning.
Symptoms of an overdose may include salivation, tearing, sweating, headache, breathing
difficulties, fainting, slow heart rate, low blood pressure, tremors, stomach cramps,
nausea, vomiting and diarrhoea.
While you are using ISOPTO CARPINE
Things you must do
Have your eye pressure checked when your eye specialist says, to make sure ISOPTO
CARPINE is working.
If you develop an eye infection, receive an eye injury, or have eye surgery tell your
Your doctor may tell you to use a new container of ISOPTO CARPINE because of possible
contamination of the old one, or may advise you to stop your treatment with ISOPTO
If you become pregnant while using ISOPTO CARPINE tell your doctor immediately.
If you are about to be started on any new medicine tell your doctor and pharmacist
that you are using ISOPTO CARPINE.
Things you must not do
Do not give ISOPTO CARPINE to anyone else, even if they have the same condition as
Do not stop using ISOPTO CARPINE without first talking to your doctor.
If you stop using your eye drops, your eye pressure may rise again and damage to your
eye may occur.
Do not let children handle ISOPTO CARPINE.
If a child accidentally swallows any of the drops read the instructions under "If
you use too much (overdose)".
Things to be careful of
Be careful driving or operating machinery until you know how ISOPTO CARPINE affects
ISOPTO CARPINE generally does not cause any problems with one's ability to drive a
car or operate machinery. It may however, cause blurred or decreased vision in some
people, particularly under poor lighting conditions. Make sure you know how you react
to ISOPTO CARPINE or that your vision is clear before driving a car or operating machinery.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you
are using ISOPTO CARPINE.
ISOPTO CARPINE helps most people with high eye pressure and glaucoma, but it may have
unwanted side effects in a few people.
All medicines can have side effects. Sometimes they are serious, most of the time
they are not. You may need medical treatment if you get some of the side effects.
Most side effects from ISOPTO CARPINE occur in, or around the eye. These include:
burning, redness, irritation, itching and stinging of the eye
blurred vision or difficulty in focussing the eye(s)
eye and/or eyelid swelling
a feeling that something is in the eye(s)
poor night vision
narrow/blocking of the pupil. This can lead to poor night vision and also a decrease
in the amount of fluid able to be released from the eye
browache or headache
detachment of the back part of the eye. Symptoms include seeing bright flashes of
light with floaters, progressing to a loss of sight
eye floaters which are small moving spots that appear in the field of vision
internal bleeding of the eye
tearing of the retina (inner surface of the eye)
contraction of the pupil.
Occasionally some people notice unwanted effects in the rest of their body as a result
of using ISOPTO CARPINE. These effects may include:
high blood pressure
fast heart rate
changes in breathing (e.g. wheezing or asthma)
increase in production of saliva
Other side effects not listed above may also occur in some patients. Tell your doctor
if you notice any other effects.
Do not be alarmed by this list of possible side effects. You may not experience any
After using ISOPTO CARPINE
Keep your eye drops in a cool place where the temperature stays below 25°C. Do not
freeze the eye drops.
Do not store it or any other medicine in the bathroom or near a sink. Do not leave
it in the car or on window sills. Do not carry the eye drops in pockets of your clothes.
Heat and dampness can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place
to store medicines.
Do not leave the cap off the bottle for any length of time to avoid contaminating
the eye drops.
Write the date on the bottle when you open the eye drops and throw out any remaining
solution after four weeks.
Eye drops contain a preservative which helps prevent germs growing in the solution
for the first four weeks after opening the bottle. After this time there is a greater
risk that the drops may become contaminated and cause an eye infection. A new bottle
should be opened.
If your doctor tells you to stop using the eye drops or they have passed their expiry
date, ask your pharmacist what to do with any remaining solution.
What it looks like
ISOPTO CARPINE is a clear solution that comes in a 15 mL dropper bottle.
It contains the active ingredient pilocarpine hydrochloride in strengths of either
1%, 2% or 4%.
It also contains the inactive ingredients:
Benzalkonium chloride (as a preservative)
Sodium chloride (1% strength only)
This product is supplied in Australia by:
Novartis Pharmaceuticals Australia Pty Limited
ABN 18 004 244 160
54 Waterloo Road
Macquarie Park NSW 2113
Telephone: 1800 671 203
Web Site: www.novartis.com.au
This product is supplied in New Zealand by:
Novartis New Zealand Limited
PO Box 99102
Free Phone: 0800 354 335.
Date of Preparation
This leaflet was prepared in November 2020.
Australian Registration Numbers
AUST R 25294 (1%)
AUST R 25295 (2%)
AUST R 25297 (4%).
® Registered Trademark
© Novartis Pharmaceuticals Australia Pty Limited 2020
Internal document code
(iso121120c) based on PI (iso121120i)