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naphazoline/pheniramine ophthalmic (Naphcon-A, Opcon-A, Visine-A)

 

Classes: Antihistamines/Decongestants, Ophthalmic

Dosing and uses of Naphcon-A, Opcon-A (naphazoline/pheniramine ophthalmic)

 

Adult dosage forms and strengths

naphazoline/pheniramine

ophthalmic solution

  • 0.025%/0.3%
  • 0.027%/0.3%

 

Allergic Conjunctivitis

Instill 1-2 drops in affected eye(s) up to 4 times daily

 

Other Information

Remove contact lenses before using

Store at room temp; protect from light and excessive heat; use before expiration date

 

Pediatric dosage forms and strengths

naphazoline/pheniramine

ophthalmic solution

  • 0.025%/0.3%
  • 0.027%/0.3%

 

Allergic Conjunctivitis

<6 years: Not established

6 years or older: 1-2 drops in affected eye(s) up to 4 times daily

 

Other Information

Remove contact lenses before using

Store at room temp; protect from light and excessive heat; use before expiration date

 

Naphcon-A, Opcon-A (naphazoline/pheniramine ophthalmic) adverse (side) effects

Frequency not defined

Stinging/tingling sensation upon instillation

Mydriasis

Ocular erythema

 

Warnings

Contraindications

Hypersensitivity

 

Cautions

Cardiac disease

Hypertension

Benign prostatic hypertrophy

Narrow angle glaucoma

 

Pregnancy and lactation

Pregnancy category: C

Lactation: Unknown whether distributed in breast milk, weigh benefits against risks

 

Pregnancy categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

 

Pharmacology of Naphcon-A, Opcon-A (naphazoline/pheniramine ophthalmic)

Absorption: Negligible systemic absorption

 

Mechanism of action

Naphazoline: alpha-adrenergic agonist (decongestant)

Pheniramine: H1 blocker (antihistamine)