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Navstel Side Effects Center

Medical Editor: John P. Cunha, DO, FACOEP

Last reviewed on RxList 6/15/2016

Navstel (balanced salt ophthalmic solution) is a sterile intraocular irrigating solution for use during ophthalmic surgical procedures, involving perfusion of the eye (e.g. vitrectomy and anterior segment reconstruction). Common side effects of Navstel include:

  • eye discomfort
  • blurred vision
  • dry eye
  • eye swelling
  • eye redness
  • other eye problems, and
  • headache

Dosing of Navstel is determined by a physician. Navstel may interact with other drugs. Tell your doctor all medications and supplements you use. During pregnancy, Navstel should be used only if prescribed. Consult your doctor before breastfeeding.

Our Navstel (balanced salt ophthalmic solution) Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What is Prescribing information?

The FDA package insert formatted in easy-to-find categories for health professionals and clinicians.

Navstel FDA Prescribing Information: Side Effects
(Adverse Reactions)


Clinical Studies Experience

Increased intraocular pressure was the most frequently reported adverse reaction which occurred in 12% of the 391 patients exposed to NAVSTEL® (balanced salt ophthalmic solution) Solution and 11% of the 431 patients exposed to BSS PLUS® Solution.

The following table presents the incidence of patients with IOP ≥ 25 mmHg. IOP lowering medication was not administered until after the first IOP assessment at hour 6 (anterior segment studies) or Day 1 (posterior segment study).

Table 1: Anterior Segment Studies

Treatment NAVSTEL®
IOP ≥ 25 mmHg % %
Hour 6 38 35
Day1 17 15
Day3 6 4
Day7 0.5 0
Posterior Segment Study
Treatment NAVSTEL®
IOP ≥ 25 mmHg % %
Day1 7 5
Day7 8 8
Day14 10 4
Day 30 4 4

Table 2 presents the most common adverse reactions reported with NAVSTEL® (balanced salt ophthalmic solution) and BSS PLUS.

Table 2

Treatment NAVSTEL®
Coded Adverse Reactions % %
Nervous system disorders
  Headache 3 3
Eye disorders
  Ocular Discomfort 5 3
  Macular Edema 4 4
  Conjunctival Hyperemia 4 3
  Dry Eye 3 5
  Iritis 3 1
  Retinal Hemorrhage 3 1
  Vision Blurred 2 1
  Posterior Capsule Opacification 2 3

In the posterior segment surgical study, cataract was reported in 11% of patients exposed to NAVSTEL® (balanced salt ophthalmic solution) , compared to 7% of patients exposed to BSS PLUS® .

Read the entire FDA prescribing information for Navstel (Balanced Salt Ophthalmic Solution)

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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