Carboxymethylcellulose
Indications
Registered South African indications:
- Dry eyes
Cautions
Contraindications
- Hypersensitivity to the active ingredient or any of its excipients
Cautions
- Concomitant use with contact lenses
Adult dosage
Forms avail. in SA and covered in this monograph: dro
Relief of irritation and discomfort caused by dry eye
Relief of eye irritation caused by exposure to wind or sun
- Ophthalmic (dro): 1-2 drops in affected eye(s), as needed
Avoid touching the bottle tip to the eye or to any other surface
Concomitant ocular agents should be administered 15 minutes prior to application
Paediatric dosage
Not established for use in children
Special populations
Pregnancy
- Safe
- Carboxymethylcellulose has been used as a pharmaceutical agent for many years with no untoward effects. No special precautions are necessary for the use of carboxymethylcellulose in pregnancy
Breastfeeding
- Compatible
- Carboxymethylcellulose has been used as a pharmaceutical agent for many years with no untoward effects. No special precautions are necessary for the use of carboxymethylcellulose in breastfeeding
Renal Impairment
Hepatic Impairment
Elderly
Porphyria Information
Drugs in Sport
- Permitted - No warnings
Adverse reactions
Immune, Blood and Lymphatic System Disorders
- Hypersensitivity
- Eye allergy
Sensory Disorders
- Eye irritation
- Eye pain
- Eye pruritus
- Visual disturbance
- Increased lacrimation
- Blurred vision
- Eye discharge
- Eyelid margin crusting and/or medication residue
- Foreign body sensation in eye
- Ocular hyperemia
- Visual impairment
- Superficial injury of eye
- Corneal abrasion
Interactions
No information available
Monitoring
None routine
Mechanism of action
Carmellose sodium (carboxymethylcellulose sodium) acts as a lubricant with no pharmacological effect. It has a high viscosity resulting in an increased retention time on the eye.
Dosage forms
- Eye drops
Formulation
Carboxymethylcellulose is available in several formulations. Please note the list below gives examples of products which are available and is not necessarily comprehensive. The listing of a product does not constitute endorsement of the product by EMGuidance; likewise, failure to list a product does not imply that EMGuidance disapproves of the product. This information is put together on the basis of the National Government's Medicines Price Registry at the time of publication
Eye drops (per ml) 5mg
- Cellufresh single dose vial (Allergan)
- Optive (Allergan)
- Refresh Tears (Allergan)
Eye drops (per ml) 10mg
- Celluvisc single dose vial (Allergan)
- Refresh Liquigel (Allergan)
References
1. SAMF_12th Edition_Page 586 2. https://www.medicines.org.uk/emc/medicine/6615 (14/10/2014_Allergan_Celluvisc_drops) 3. https://drive.google.com/drive/folders/1E5Di6mFY_ukAfz5cPo_01FPJwbzOmNnY (03/05/1999_Allergan_Cellufresh_eye drop_Intekom) 4. https://drive.google.com/drive/folders/1E5Di6mFY_ukAfz5cPo_01FPJwbzOmNnY (28/06/1996_Allergan_Celluvisc_eye drop_Intekom) 5. https://drive.google.com/drive/folders/1E5Di6mFY_ukAfz5cPo_01FPJwbzOmNnY (24/112005_Allergan_Refresh liquigel_eye drop_Intekom) 6. https://drive.google.com/drive/folders/1E5Di6mFY_ukAfz5cPo_01FPJwbzOmNnY (12/1/2004_Allergan_Refresh_Lub eye drop_Intekom) 7.http://www.newdruginfo.com/pharmacopeia/bp2003/British%20Pharmacopoeia%20Volume%20I%20and%20II/Monographs%20Medicinal%20and%20Pharmaceutical%20substances/C/Carmellose%20Sodium.htm 8. https://drive.google.com/drive/folders/1E5Di6mFY_ukAfz5cPo_01FPJwbzOmNnY (24/11/2005_Allergan_Refresh Liquigel) 9. South African Institute for Drug-Free Sport; Optive; Accessed online 08 Jan 2019 [http://www.drugfreesport.org.za/online-medication-check/] 10. NAPOS The Drug Database for Acute Porphyria: S01XA20 Artificial tears and other indifferent preparations; Accessed online 28 Jan 2019 [http://www.drugs-porphyria.org/languages/UnitedKingdom/s3.php?l=gbr&atc_code=S01XA20] 11. https://www.uptodate.com/contents/carboxymethylcellulose-drug-information?source=history_widget
Brands & products
0 products · cached snapshot- Cellufresh
- Celluvisc
- Optive
- Refresh
Medical aid coverage
data not yet integrated- Comprehensive Series—
- Executive Plan—
- KeyCare Series—
- Priority Series—
- Saver Series—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- BonClassic—
- BonComprehensive—
- BonEssential—
- BonFit Select—
- BonSave—
- BonStart—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Beryl—
- Emerald—
- Onyx—
- Ruby—
- Sapphire—
- Tanzanite One—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Aquarium Option—
- Efficiency Option—
- Marine Option—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.