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IKERVIS 1 mg /Ml Eye Drops In Emulsion

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A doctor will review your case and decide whether a prescription is medically appropriate.

Talk to a doctor about this medicine

Talk to a doctor about this medicine

Discuss your symptoms and possible next steps in a quick online consultation.

Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a General Practitioner with specialized training in chronic pain. He provides online consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight-related concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different approaches without feeling truly heard. During the consultation, the doctor creates a comfortable and supportive, non-judgmental environment where the patient’s medical history can be discussed in detail, questions can be answered, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, the patient’s medical history, test results, current medications, and previous treatments will be reviewed.

If you would like to learn about possible medication options or have already started treatment, the doctor can assess your situation, review the effectiveness and tolerability of the therapy, and clearly explain its benefits, potential risks, and alternatives.

Not every patient requires the same treatment. A consultation does not guarantee a prescription — it provides an objective medical assessment and a plan tailored to your individual situation.

Pain and General Medicine

You can also consult Dr. Popov regarding:

* chronic pain, migraines, neuralgia, and fibromyalgia;

* back, neck, lower back, or joint pain;

* hypertension, diabetes, and follow-up of chronic conditions;

* review of test results, medical reports, and current treatment;

* preventive medicine and a second medical opinion.

How the Consultation Works

The video consultation lasts up to 30 minutes. The doctor will listen carefully, review the information you provide, and explain the next steps in clear and understandable language.

If additional tests, an in-person consultation, or urgent medical care are required, the doctor will inform you directly.

Dr. Popov’s goal is to make sure the patient feels heard and leaves the consultation with a clear understanding of their condition and the next steps they can take.

Book a video appointment
€86
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use IKERVIS 1 mg/ml eye drops in emulsion

Contents of the leaflet

  1. Introduction
  2. What is IKERVIS and what is it used for
  3. What you need to know before you use IKERVIS
  4. How to use IKERVIS
  5. Possible side effects
  6. Storage of IKERVIS
  7. Contents of the pack and further information

Introduction

Package Leaflet: Information for the Patient

IKERVIS 1 mg/ml Eye Drops, Emulsion

ciclosporin (ciclosporin)

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the Package Leaflet

  1. What is IKERVIS and what is it used for
  2. What you need to know before you use IKERVIS
  3. How to use IKERVIS
  4. Possible side effects
  5. Storage of IKERVIS
  6. Contents of the pack and further information

1. What is IKERVIS and what is it used for

IKERVIS contains the active substance ciclosporin. Ciclosporin belongs to a group of medicines called immunodepressants, which are used to reduce inflammation.

IKERVIS is used to treat adults with severe keratitis (inflammation of the cornea, the transparent layer on the front of the eye). It is used in patients with dry eye syndrome who have not improved despite treatment with artificial tears.

You should consult a doctor if it worsens or does not improve.

You should visit your doctor's office at least every 6 months so that they can evaluate the effect of IKERVIS.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before you use IKERVIS

Do not use IKERVIS:

  • if you are allergic to ciclosporin or any of the other ingredients of this medicine (listed in section 6);
  • if you have had or have cancer in or around the eye;
  • if you have an eye infection.

Warnings and precautions

Use IKERVIS only as eye drops for the affected eye(s).

Consult your doctor or pharmacist before starting to use IKERVIS:

  • if you have had a previous eye infection caused by the herpes virus that may have damaged the transparent front part of the eye (cornea);
  • if you are taking any medicine that contains steroids;
  • if you are taking any medicine to treat glaucoma.

Contact lenses may increase the damage to the transparent front part of the eye (cornea). Therefore, you should remove your contact lenses when going to bed, before using IKERVIS; you can put them back on when you wake up.

Children and adolescents

IKERVIS should not be used in children and adolescents under 18 years of age.

Other medicines and IKERVIS

Tell your doctor or pharmacist if you are using, have recently used, or might use any other medicines.

Consult your doctor if you are using a steroid eye drop with IKERVIS, as these may increase the risk of side effects.

You should use the IKERVIS eye drop at least 15 minutesafter using any other eye drop.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine.

Do not useIKERVIS if you are pregnant.

If you can become pregnant, you should use contraception while using this medicine.

It is likely that there will be very small amounts of IKERVIS in breast milk. If you are breastfeeding, ask your doctor for advice before using this medicine.

Driving and using machines

You may have blurred vision immediately after using the IKERVIS eye drop. Wait until your vision is clear before driving or using machines.

3. How to use IKERVIS

Follow the instructions for administration of this medicine exactly as told by your doctor or pharmacist. If you are unsure, consult your doctor or pharmacist again.

The recommended doseis one drop in the affected eye(s), once a day at bedtime.

Instructions for use

Follow these instructions carefully and consult your doctor or pharmacist if you have any questions.

Hands holding an auto-injector and pressing it against the thigh or abdomen for activation

1 2 3

  • Wash your hands.
  • If you wear contact lenses, remove them when going to bed, before using the eye drop; you can put them back on when you wake up.
  • Open the aluminum pouch, which contains 5 single-dose containers.
  • Take a single-dose container from the aluminum pouch and.
  • Gently shake the single-dose container before use.
  • Twist the cap to open it (image 1).
  • Lower the lower eyelid with the help of a finger (image 2).
  • Tilt your head back and look up at the ceiling.
  • Gently squeeze to release one drop of medicine into the eye. Make sure not to touch the eye with the tip of the single-dose container.
  • Blink several times to spread the medicine across the eye.
  • After using IKERVIS, press the corner of your eye next to your nose and gently close your eyelids for 2 minutes (image 3). This helps prevent IKERVIS from reaching other parts of your body.
  • If you use the eye drop in both eyes, repeat these steps in the other eye.
  • Discard the single-dose container after use, even if there is still some liquid left in it.
  • You should keep the remaining single-dose containers in the aluminum pouch.

If the drop falls outside the eye, try again.

If you use more IKERVIS than you should, rinse your eye with water. Do not apply more drops until the next scheduled dose.

If you forget to use IKERVIS, continue with the next scheduled dose.Do not apply a double dose to make up for forgotten doses. Do not use more than one drop per day in the affected eye(s).

If you stop treatment with IKERVISwithout consulting your doctor, the inflammation of the transparent front part of the eye (known as keratitis) will not be controlled and may lead to visual impairment.

If you have any further questions about the use of this medicine, ask your doctor or pharmacist.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

The following side effects have been reported:

The most common side effects occur in and around the eyes.

Very common (may affect more than 1 in 10 people)

Pain when applying the drops to the eye.

Common (may affect up to 1 in 10 people)

Irritation, redness, and increased tearing when applying the drops to the eye, redness of the eyelid, watery eyes, redness of the eye, blurred vision. Swelling of the eyelid, redness of the conjunctiva (thin membrane covering the front of the eye), eye irritation, eye pain.

Uncommon (may affect up to 1 in 100 people)

Uncommon side effects related to the eye:

Discomfort, itching, or irritation in or around the eye, including the feeling of having something in it. Irritation or swelling of the conjunctiva (thin membrane covering the front of the eye), eye allergy, changes in tear production, eye discharge, inflammation of the iris (colored part of the eye) or eyelid, deposits in the eye, bacterial infection or inflammation of the cornea (transparent front part of the eye), abrasion on the outer layer of the cornea, white spots on the cornea, cyst on the eyelid, itching of the eyelid, painful skin rash around the eye caused by the herpes zoster virus.

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system listed in Appendix V. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of IKERVIS

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the outer carton, aluminum pouch, and single-dose containers after ‘EXP’. The expiry date is the last day of the month stated.

Do not freeze.

After opening the aluminum pouches, the single-dose containers should be kept in them to protect them from light and to prevent evaporation. Discard any opened single-dose container with remaining emulsion immediately after use.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the pack and further information

Composition of IKERVIS

  • The active substance is ciclosporin. One milliliter of IKERVIS contains 1 mg of ciclosporin.
  • The other ingredients are medium-chain triglycerides, cetalkonium chloride, glycerol, tyloxapol, poloxamer 188, sodium hydroxide (for pH adjustment), and water for injections.

Appearance and pack contents

IKERVIS is a white, milky eye drop emulsion.

It is supplied in single-dose containers made of low-density polyethylene (LDPE).

Each single-dose container contains 0.3 ml of eye drop emulsion.

The single-dose containers are packaged in a sealed aluminum pouch.

Pack sizes: 30 and 90 single-dose containers.

Not all pack sizes may be marketed.

Marketing authorisation holder

SANTEN Oy

Niittyhaankatu 20

33720 Tampere

Finland

Manufacturer

EXCELVISION

Rue de la Lombardière

ZI la Lombardière

F-07100 Annonay

France

SANTEN Oy

Niittyhaankatu 20

33720 Tampere

Finland

For further information about this medicine, please contact the local representative of the marketing authorisation holder:

België/Belgique/BelgienLietuva

Santen Oy Santen Oy

Tél/Tel: +32 (0) 24019172 Tel: +370 37 366628

????????Luxembourg/Luxemburg

Santen Oy Santen Oy

Тел.: +359 (0) 888 755 393 Tél/Tel: +352 (0) 27862006

Česká republikaMagyarország

Santen Oy Santen Oy

Tel: +420 234 102 170 Tel.: +36 (06) 16777305

DanmarkMalta

SantenPharma AB Santen Oy

Tlf: +45 78737843 Tel: +358 (0) 3 284 8111

DeutschlandNederland

Santen GmbH Santen Oy

Tel: +49 (0) 3030809610 Tel: +31 (0) 207139206

EestiNorge

Santen Oy SantenPharma AB

Tel: +372 5067559 Tlf: +47 21939612

ΕλλάδαÖsterreich

Santen Oy Santen Oy

Τηλ: +358 (0) 3 284 8111 Tel: +43 (0) 720116199

EspañaPolska

Santen Pharmaceutical Spain S.L. Santen Oy

Tel: +34 914 142 485 Tel.: +48 (0) 221168608

FrancePortugal

Santen Santen Oy

Tél: +33 (0) 1 70 75 26 84 Tel: +351 308 805 912

HrvatskaRomânia

Santen Oy Santen Oy

Tel: +358 (0) 3 284 8111 Tel: +40 (0) 316300603

IrelandSlovenija

Santen Oy Santen Oy

Tel: +353 (0) 16950008 Tel: +358 (0) 3 284 8111

ÍslandSlovenská republika

Santen Oy Santen Oy

Sími: +358 (0) 3 284 8111 Tel: +421 (01) 23 332 5519

ItaliaSuomi/Finland

Santen Italy S.r.l. Santen Oy

Tel: +39 0236009983 Puh/Tel: +358 (0) 974790211

ΚύπροςSverige

Santen Oy SantenPharma AB

Τηλ: +358 (0) 3 284 8111 Tel: +46 (0) 850598833

LatvijaUnited Kingdom

Santen Oy Santen UK Limited

Tel: +371 677 917 80 Tel: +44 (0) 845 075 4863

Date of last revision of this leaflet:

Detailed information on this medicine is available on the European Medicines Agency website: http://www.ema.europa.eu.

Online doctors for IKERVIS 1 mg/ml eye drops in emulsion

Discuss questions about IKERVIS 1 mg/ml eye drops in emulsion, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a General Practitioner with specialized training in chronic pain. He provides online consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight-related concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different approaches without feeling truly heard. During the consultation, the doctor creates a comfortable and supportive, non-judgmental environment where the patient’s medical history can be discussed in detail, questions can be answered, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, the patient’s medical history, test results, current medications, and previous treatments will be reviewed.

If you would like to learn about possible medication options or have already started treatment, the doctor can assess your situation, review the effectiveness and tolerability of the therapy, and clearly explain its benefits, potential risks, and alternatives.

Not every patient requires the same treatment. A consultation does not guarantee a prescription — it provides an objective medical assessment and a plan tailored to your individual situation.

Pain and General Medicine

You can also consult Dr. Popov regarding:

* chronic pain, migraines, neuralgia, and fibromyalgia;

* back, neck, lower back, or joint pain;

* hypertension, diabetes, and follow-up of chronic conditions;

* review of test results, medical reports, and current treatment;

* preventive medicine and a second medical opinion.

How the Consultation Works

The video consultation lasts up to 30 minutes. The doctor will listen carefully, review the information you provide, and explain the next steps in clear and understandable language.

If additional tests, an in-person consultation, or urgent medical care are required, the doctor will inform you directly.

Dr. Popov’s goal is to make sure the patient feels heard and leaves the consultation with a clear understanding of their condition and the next steps they can take.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

General medicine12 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

General medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.

  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.

  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.

  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.

  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.

  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.

  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.

  • Medical advice and follow-up consultations.

  • Test interpretation and diagnostic guidance.

  • Structured support for undiagnosed complaints.

  • Second opinion on diagnoses and treatment plans.

  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.

  • Post-operative recovery support and pain management.

  • Preconception counselling and postpartum support.

  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75
Doctor
5.0(20)

Nuno Tavares Lopes

General medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies

  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management

  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses

  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment

  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance

  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis

  • Pain management: acute and chronic pain, post-surgical care

  • Public health: prevention, health screenings, long-term monitoring

  • Sick leave (Baixa médica) connected to Segurança Social in Portugal

  • IMT medical certificates for driving licence exchange

Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70
Doctor
0.0(0)

Hocine Lokchiri

General medicine21 years of experience

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
Book a video appointment
€64

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Frequently Asked Questions

IKERVIS 1 mg/ml eye drops in emulsion requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

The active ingredient in IKERVIS 1 mg/ml eye drops in emulsion is ciclosporin. This information helps identify medicines with the same composition but different brand names.

IKERVIS 1 mg/ml eye drops in emulsion is manufactured by Santen Oy. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether IKERVIS 1 mg/ml eye drops in emulsion is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy IKERVIS 1 mg/ml eye drops in emulsion in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

Other medicines with the same active substance (ciclosporin) include CEQUA 0.9 mg/ml EYE DROPS IN SINGLE-DOSE CONTAINERS, VERKAZIA 1 mg/ml EMULSION EYE DROPS, ACUOLENS 3 mg/ml + 5.5 mg/ml EYE DROPS IN SINGLE-DOSE CONTAINERS. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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