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TETRAHYDROZOLINE HCl

500mcg/mL (0.05% w/v)
OPHTHALMIC DROPS
VASOCONSTRICTOR
PATIENT INFORMATION LEAFLET

Product Description:

Tetrahydrozoline HCI (Visine) is a clear, colorless to slightly yellow, sterile ophthalmic solution containing 0.05% w/v Tetrahydrozoline with  lubricants, packed in a translucent, tear-drop shaped, low density polyethylene (LDPE) bottle (15 ml) with a dropper tip, and a two-piece, "push & turn" child-resistant screw cap.

What is in the Medicine?

Each ml contains:

Tetrahydrozoline Hydrochloride... 500mcg

What is the Medicine used for?

Temporarily relieves hyperemia (redness) of the eye secondary to minor eye irritations.

How much and how often should you use this Medicine?

Unless otherwise required by local authorities, these products should be administered as follows:

Adults and children 6 years of age and older:

Instill 1 or 2 drops in the affected eye(s) up to four times a day.

Children under 6 years of age and older:

Use under the supervision of a healthcare professional.

FOR EXTERNAL USE ONLY

When should you not take this Medicine?

Do not use in patients with known hypersensitivity to tetryzoline or to any of the ingredients.

Do not use in patients with narrow angle glaucoma.

Do not use in patients under 2 years of age.

Care that should be taken when taking this Medicine?

If you experience eye pain, changes in vision, continued redness or irritation of the eye, or if the condition worsens or persists or new symptoms occur, discontinue use and consult a physician.

When using this product, pupils may become enlarged temporarily.

Overuse or continuous use of this product may produce increased redness of the eye.

Remove contact lenses before using this product.

To avoid contamination of this product, do not touch tip of container to any surface. Replace cap after using. Do not use if this solution changes in color or becomes cloudy.

Undesirable effects of this Medicine

Clinical Trial Data

The safety of tetryzoline from clinical trial data was based on data from 5 clinical trials (Skilling et al 2005, 0152-8/72, A35B1001, TMC-C-3 and TMC-C-2) tor thetreatmentof ocular irritation.

Table 1 includes adverse events that occurred where greater than one event was reported, and the incidence was greater than placebo and in 1% of patients or more.

Table 1. ADRs Reported by >1% Tetryzoline-treated adult subjects in Single Dose Randomized Placebo Controlled Clinical Trials

System Organ
Class
Preferred

Tetryzoline 0.05%
Single Dose (N=269)
%(Frequency)

Placebo
(N=196)
%(Frequency)

Eye disorders
Eye irritation (pain, stinging, burning)
Visual impairment

3.7 (Common)
1.1 (Common)

1.5 (Common)
1.0 (Common)

Post Marketing Data

Adverse drug reactions (ADRs) identified during Post-marketing experience with tetryzoline are included in Table 3 and Table 4.

The frequencies are provided according to the following convention:

Very common ≥ 1/10

Common ≥ 1/100 and < 1/10

Uncommon ≥ 1/1,000 and < 1/100

Rare ≥ 1/10,000 and < 1/1,000

Very rare < 1/10,000

Not known (cannot be estimated from the available data)

To accommodate different local requirements, two tables are presented. It should be determined locally which format is preferable to the local health authority.

In Table 2, ADRs identified are presented by frequency category based on 1) incidence in adequately designed clinical trials or epidemiology studies, if available or 2) when incidence is unavailable, frequency category is listed as Not known.

In Table 3, the same ADRs are presented with ADR frequency categories estimated from spontaneous reporting rates where the numerator represents total number of reported Company ADRs under given PT or medical concept and denominator represents exposure data calculated from sales data.

Table 2. Adverse Drug Reactions Identified During Post-Marketing Experience with Tetryzoline by Frequency Category Estimated from Clinical Trials or Epidemiology Studies

SOC
Frequency category

Adverse Event Preferred Term

Eye Disorder
Not known
Not known
General and Administrative
Site Conditions

Not known


Lacrimation increased
Mydriasis


Application site reaction (including ocular or periocular burning, erythema, irritation, oedema, pain and pruritic)

SOC
Frequency category

Adverse Event Preferred Term

Eye Disorder
Very rare
Very rare
General and Administrative
Site Conditions

Very rare


Lacrimation increased
Mydriasis


Application site reaction (including ocular or periocular burning, erythema, irritation, oedema, pain and pruritus)

* Patient exposure was estimated by calculation from sales data from IMS MIDAS™

What other medicine or food should be avoided while taking this Medicine?

There are no known significant interactions with other drugs. Consult your physician before administering with other ophthalmic drugs.

Whal should you do if you miss a dose?

Continue medication based on dosage and/or consult your doctor.

Signs and symptoms of overdose

No ADRs associated with overdose were identified based on the review of post-marketing safety data.

Symptoms of overdose are not likely with ophthalmic use; however, if ingested, tetryzoline may cause serious adverse effects.

From 1985 to 2012, FDA identified 96 cases of accidental ingestion of products containing tetryzoline, oxymetazoline or naphazoline by young children 1 month to 5 years. Fifty-three cases reported hospitalization due to symptoms including nausea, vomiting, lethargy, tachycardia, decreased respiration, bradycardia, hypotension, sedation, somnolence, mydriasis, stupor, hypothermia, drooling and coma.

Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

What to do when you have taken more than the recommended dosage?

Consult your doctor if you have taken more than the recommended dosage.

How should you keep this Medicine?

Store at temperatures not exceeding 30°C.

Keep out of reach of children.

Adult supervision of used under 12 years is recommended.

Unless instructed otherwise, do not dispose of unused medicines by emptying them into your sink, toilet or storm drain.

When should you consult your doctor?

If you experience eye pain, changes in vision, continued redness or irritation of the eye, or if the condition worsens or persists or new symptoms occur, discontinue use and consult a doctor.

Imported and Distributed by:

JNTL Consumer Health (Philippines), Inc.

KM 14 Edison Road, Merville, Parañaque City, Philippines.

Manufactured by:

Janssen Pharmaceutica NV, Turnhoutseweg 30, B-2340 Beerse, Belgium

J&J Toll Free (Except Hand Phone)

00 800-888-111-00

For suspected adverse drug reaction, report to the FDA: www.fda.gov.ph
Registration Number: DR-XY47700
Date of First Authorization: 03 February 2022
Version: 29 November 2017