Pilocarpine Ophthalmic (Pilocar) – Side Effects, Interactions, Uses, Dosage, Warnings

Pilocarpine ophthalmic (for the eyes) is used to treat glaucoma or ocular hypertension (high pressure inside the eye).

Vuity is used to treat an age-related progressive condition that reduces the eyes' ability to focus on near objects (presbyopia).

Pilocarpine ophthalmic may also be used for purposes not listed in this medication guide.


What is Pilocarpine Ophthalmic (Pilocar) used for?

  • Glaucoma
  • Intraocular Hypertension
  • Production of Miosis
  • Glaucoma (Open Angle)
  • Glaucoma (Narrow Angle)
  • Glaucoma/Intraocular Hypertension
  • Visual Defect/Disturbance
  • Glaucoma with Pupillary Block


What is the most important information I should know about Pilocarpine Ophthalmic (Pilocar)?

You should not use pilocarpine ophthalmic if you are allergic to it.

Tell your doctor if you have ever had:

  • a detached retina;
  • iritis; or
  • uveitis.

Do not give this medicine to a child without medical advice.

Tell your doctor if you are pregnant or breastfeeding.

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Side Effects

What are the side effects of Pilocarpine Ophthalmic (Pilocar)?

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Seek medical attention right away if you have sudden onset of vision loss.

Call your doctor at once if you have:

  • severe stinging, burning, swelling, or redness of your eye;
  • vision changes;
  • eye pain or increased watering; or
  • signs of eye infection–swelling, redness, severe discomfort, crusting or drainage.

Common side effects may include:

  • headache, eyebrow pain;
  • eye pain or irritation;
  • eye redness;
  • blurred vision;
  • trouble seeing in low light; or
  • your eyes may be more sensitive to light.

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.

Pregnancy & Breastfeeding

Can I take Pilocarpine Ophthalmic (Pilocar) if I’m pregnant or breastfeeding?

Risk cannot be ruled out
Based on FDA pregnancy categories

Tell your doctor if you are pregnant or breastfeeding.


What drugs and food should I avoid while taking Pilocarpine Ophthalmic (Pilocar)?

Avoid using any other eye medications your doctor has not prescribed.

Pilocarpine can make it harder for you to see at night or in low light. Avoid driving or hazardous activity until you know how this medicine will affect you.

Dosage Guidelines & Tips

How to take Pilocarpine Ophthalmic (Pilocar)?

Use Pilocarpine Ophthalmic (Pilocar) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Wash your hands before using eye medication.

Do not use while wearing soft contact lenses. A preservative in this medicine could permanently stain the lenses. Use the medicine at least 10 minutes before inserting your contact lenses.

Shake the eye drops well just before each use.

To apply the eye drops: Tilt your head back slightly and pull down your lower eyelid to create a small pocket. Hold the dropper above the eye and squeeze a drop into this pocket. Close your eyes for 1 or 2 minutes.

Use only the number of drops your doctor has prescribed.

Wait at least 5 minutes before using any other eye medications your doctor has prescribed.

Do not touch the tip of the eye dropper or place it directly on your eye. A contaminated dropper can infect your eye, which could lead to serious vision problems.

Do not use the eye drops if the liquid has changed colors or has particles in it. Call your doctor for a new prescription.

Store this medicine in an upright position at room temperature. Do not freeze.

What should I do if I missed a dose of Pilocarpine Ophthalmic (Pilocar)?

Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.

Overdose Signs

What happens if I overdose on Pilocarpine Ophthalmic (Pilocar)?

Overdose symptoms may include sweating, nausea, tremors, or slow heart rate.

If you think you or someone else may have overdosed on: Pilocarpine Ophthalmic (Pilocar),  call your doctor or the Poison Control center

(800) 222-1222

If someone collapses or isn't breathing after taking Pilocarpine Ophthalmic (Pilocar), call 911


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