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Carboxymethylcellulose

LubricantCorneal wetting agent

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
Trade names (4)
  • Cellufresh
  • Celluvisc
  • Optive
  • Refresh

Medical aid coverage

data not yet integrated
Discovery Health
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.

Bonitas Medical Fund
not yet integrated
  • BonClassic—
  • BonComprehensive—
  • BonEssential—
  • BonFit Select—
  • BonSave—
  • BonStart—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

GEMS — Government Employees Medical Scheme
not yet integrated
  • Beryl—
  • Emerald—
  • Onyx—
  • Ruby—
  • Sapphire—
  • Tanzanite One—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

POLMED — Police Medical Aid Scheme
not yet integrated
  • Aquarium Option—
  • Efficiency Option—
  • Marine Option—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

NeoHealth® ID 14483 · updated 5/22/2024