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Glaucoma is a disease of the major nerve of vision, called the optic nerve. The optic nerve receives light-generated nerve impulses from the retina and transmits these to the brain, where we recognize those electrical signals as vision. Glaucoma is characterized by a particular pattern of progressive damage to the optic nerve that generally begins with a subtle loss of side vision (peripheral vision). If glaucoma is not diagnosed and treated, it can progress to loss of central vision and blindness.
Glaucoma is usually, but not always, associated with elevated pressure in the eye (intraocular pressure). Generally, it is this elevated eye pressure that leads to damage of the eye (optic) nerve. In some cases, glaucoma may occur in the presence of normal eye pressure. This form of glaucoma is believed to be caused by poor regulation of blood flow to the optic nerve.
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Demecarium bromide ophthalmic reduces pressure in the eye by increasing the amount of fluid that drains from the eye. Demecarium bromide ophthalmic also causes the pupil to become smaller and reduces its response to light or dark conditions.
Demecarium bromide ophthalmic is used to treat glaucoma by lowering the pressure inside the eye. Demecarium bromide ophthalmic is also used for other conditions that require increased fluid outflow from the eye, after surgical iridectomy, and for certain eye disorders involving eye accommodation (focusing).
Demecarium bromide ophthalmic may also be used for purposes other than those listed in this medication guide.
Contact your doctor immediately if you notice any decrease in vision or an increase in "floaters" in your visual field. Rarely, demecarium bromide ophthalmic may cause retinal detachment. Retinal detachment can lead to blind spots, floaters in the visual field, and even blindness. Your doctor will want to check your retina before you use this medication to determine if you have an increased risk of retinal detachment.
If you experience any of the following serious side effects, stop using demecarium bromide ophthalmic and seek emergency medical attention or contact your doctor immediately:
Other, less serious side effects may be more likely to occur. Continue to use demecarium bromide ophthalmic and talk to your doctor if you experience
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
Contact your doctor immediately if you notice any decrease in vision or an increase in "floaters" in your visual field. Rarely, demecarium bromide ophthalmic may cause retinal detachment. Retinal detachment can lead to blind spots, floaters in the visual field, and even blindness. Your doctor will want to check your retina before you use this medication to determine if you have an increased risk of retinal detachment.
Do not touch the dropper to any surface, including the eyes or hands. The dropper is sterile. If it becomes contaminated, it could cause an infection in the eye.
Apply light pressure to the inside corner of the eye (near the nose) after each application to prevent the medicine from draining down the tear duct.
Use caution when driving, operating machinery, or performing other hazardous activities. Demecarium bromide ophthalmic may cause decreased vision at night. If you experience decreased vision, avoid these activities.
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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