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IOPIMAX 10 mg/ml EYE DROPS SOLUTION

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About the medicine

How to use IOPIMAX 10 mg/ml EYE DROPS SOLUTION

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

PACKAGE LEAFLET: INFORMATION FOR THE USER

IOPIMAX 10 mg/ml eye drops, solution

Apraclonidine hydrochloride

Read 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.
  • 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 pack

  1. What IOPIMAX is and what it is used for
  2. What you need to know before you are given IOPIMAX
  3. How IOPIMAX is given
  4. Possible side effects
  5. Storing IOPIMAX
  6. Contents of the pack and other information

Your doctor will give you IOPIMAX eye drops. This leaflet is intended to provide you with information about the medicine.

1. What IOPIMAX is and what it is used for

IOPIMAX eye drops contain apraclonidine, which is used to control or prevent increased pressure inside the eye after laser surgery

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 are given IOPIMAX

This medicine may not be suitable for you. It is important that you review all the following points, as your doctor may decide to prescribe you a different medicine if any of them apply to you:

IOPIMAX should not be given

  • to children (this medicine is not indicated for children under 18 years of age)
  • if you are allergicto clonidine, apraclonidine, or any of the other ingredients of this medicine (listed in section 6)
  • if you have a historyof any uncontrolled, unstable, or severe heart disease (including chest pain, angina, heart attacks, or heart failure)
  • if you are taking monoamine oxidase inhibitors (used to treat depression)

If you think any of the above points apply to you or you have doubts, consult your doctor before you are given this medicine.

Be cautious with IOPIMAX. Consult your doctor if:

  • You have or are taking medication for:
    • heart disease (including chest pain, angina, heart attacks, or heart failure)
    • high blood pressure
    • circulatory problems (including stroke, Raynaud's disease, or Buerger's disease)
    • vasovagal attacks (fainting episodes)
    • reduced liver or kidney function

If any of these points apply to you, you may be at greater risk of effects on your heart or circulatory system, and your blood pressure and heart rate will be closely monitored.

? You suffer from depression, as clonidine and its derivatives can cause depression

? You suffer from diabetesor have low blood sugar levels, as this medicine can mask the signs and symptoms of a sudden drop in blood sugar, such as rapid heartbeat or tremors

? You regularly drink alcohol, as IOPIMAX can increase its effects

? You have had an exaggerated response to other medicinesthat lower eye pressure, in which case your eye pressure will be closely monitored.

If any of the above points apply to you or you have doubts, consult your doctor before you are given this medicine.

Other medicines and IOPIMAX

IOPIMAX should not be given

? If you are takingmonoamine oxidase inhibitors (used to treat depression), e.g., phenelzine, isocarboxazid, tranylcypromine, moclobemide

? If you are takingtricyclic antidepressants (frequently used to treat depression), e.g., amitriptyline, imipramine, doxepin, mianserin, trazodone, dosulepin, lofepramine

? If you are takingmedicines containing sympathomimeticsused to treat various diseases, including asthma (e.g., salbutamol, terbutaline, bambuterol), Parkinson's disease, and heart disease, and which may also be present in cough and cold medicines.

Be cautious with IOPIMAX

? If you are takingeye drops for glaucomathat contain sympathomimetics, e.g., phenylephrine, brimonidine, dipivefrine, as your blood pressure may increase

? If you are takingsleeping pills, pain relievers, or sedatives, as IOPIMAX can increase their effects

? If you are taking or have takenneuroleptics(very potent tranquilizers used to treat some mental illnesses, e.g., chlorpromazine, flupentixol, haloperidol), as your blood pressure may drop too low.

In case of potential effects on your blood pressure, it will be closely monitored, along with your heart rate.

Before you are given IOPIMAX, inform your doctor if you are taking, have recently taken, or might take any other medicine.

Using IOPIMAX with food and drinks

IOPIMAX should be used with caution if you have recently drunk alcohol or do so regularly.

Pregnancy, breastfeeding, and fertility

IOPIMAX should not be used if you are pregnant, think you may be pregnant, or are breastfeeding.

Your doctor should have informed you about this. If not, consult your doctor before using any medicine.

Driving and using machines

This type of medicine can cause drowsiness. If this happens, do not drive or operate tools or machines.

3. How IOPIMAX is given

Adults and elderly patients

IOPIMAX comes in a specially designed single-use container. Your doctor will give you one drop one hour before laser surgery and another drop immediately after surgery.

After you are given IOPIMAX, you will be instructed to press the edge of your eye, next to your nose, with your finger. This helps prevent IOPIMAX from entering the rest of your body.

If you are using other eye medicines, wait at least 5 minutes between giving this eye drop and the other eye medicines. Eye ointments should be given last.

Use in children

This medicine should not be used in children.

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.

When used before and after laser surgery,you may experience some or all of the following side effects in your eyes:

Common(may affect up to 1 in 10 people treated)

  • redness in one or both eyes
  • increased pupil size
  • inability to close the eye
  • eye disorder (white appearance of the eye surface)
  • unusual or uncomfortable sensation in the eye
  • dry eye sensation

Uncommon(may affect up to 1 in 100 people treated)

  • bleeding on the eye surface (conjunctival hemorrhage)
  • eye inflammation (which may include pain, burning, redness, or swelling of the eye)

eye

  • retraction or lifting of the upper eyelid
  • extremely low pressure inside the eye (your doctor will notice this during eye checks)

eye

  • blurred or reduced vision
  • bleeding on the eye surface
  • blurred vision
  • eye allergy
  • eye itching
  • eye irritation

You may also experience side effects in other parts of your body:

Common(may affect up to 1 in 10 people treated)

  • dryness in the nose
  • unpleasant taste

Uncommon(may affect up to 1 in 100 people treated)

  • irregular heartbeats
  • difficulty sleeping
  • disturbed dreams
  • fainting episodes
  • burning or tingling sensations
  • decreased libido
  • feeling irritable
  • slow or rapid heartbeats
  • feeling of fainting or dizziness when sitting or standing up
  • diarrhea
  • nausea or vomiting
  • stomach pain or discomfort
  • headaches
  • fatigue

Rare(may affect up to 1 in 1,000 people treated)

  • reduced sensitivity or numbness (tingling sensation)
  • difficulty breathing
  • runny nose or excessive saliva
  • dryness or burning sensation in the nose
  • dry mouth
  • increased sweating
  • skin itching
  • pain in arms or legs
  • chest tightness or pain
  • feeling hot or cold

Frequency not known(cannot be estimated from the available data)

  • low blood pressure
  • high blood pressure

If you experience an allergic reaction, unusual dizziness, or delirium, or have irregular heartbeats, inform your doctor immediately.

Reporting 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 through the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storing IOPIMAX

  • Do not use IOPIMAX after the expiry date stated on the outer packaging and on the container after "EXP". The expiry date is the last day of the month shown.
  • Do not store above 25°C. Store in the outer packaging to protect from light.
  • Keep out of the reach and sight of children.
  • Use immediately after opening.

6. Contents of the pack and other information

Composition of IOPIMAX

  • The active ingredient is apraclonidine 10 mg/ml (as hydrochloride).
  • The other ingredients are sodium acetate, sodium chloride, and purified water. Small amounts of hydrochloric acid or sodium hydroxide may be added to make the drops more suitable for your eyes.

Appearance and packaging of the product

IOPIMAX 10 mg/ml eye drops, solution is pale yellow and comes in a 0.25 ml container.

Marketing authorization holder:

Essential Pharma Limited,

Vision Exchange Building

Triq it-Territorjals, Zone 1,

Central Business District,

Birkirkara, CBD 1070,

Malta

Manufacturer:

Alcon Couvreur N.V.

Rijksweg, 14

B-2870 Puurs, Belgium

Date of last revision of this leaflet:April 2018

Online doctors for IOPIMAX 10 mg/ml EYE DROPS SOLUTION

Discuss questions about IOPIMAX 10 mg/ml EYE DROPS SOLUTION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (3)
Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques. For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance. Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults. In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions. Patients commonly seek his care for: 

  • seasonal and perennial allergies
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  • sports-related health questions
  • general family medicine concerns

Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.

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Doctor

Anna Biriukova

General medicine 6 years exp.

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

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Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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5.0 (2)
Doctor

Svetlana Kolomeeva

Cardiology 18 years exp.

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

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Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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Frequently Asked Questions

Is a prescription required for IOPIMAX 10 mg/ml EYE DROPS SOLUTION?
IOPIMAX 10 mg/ml EYE DROPS SOLUTION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in IOPIMAX 10 mg/ml EYE DROPS SOLUTION?
The active ingredient in IOPIMAX 10 mg/ml EYE DROPS SOLUTION is apraclonidine. This information helps identify medicines with the same composition but different brand names.
Who manufactures IOPIMAX 10 mg/ml EYE DROPS SOLUTION?
IOPIMAX 10 mg/ml EYE DROPS SOLUTION is manufactured by Essential Pharma Limited. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of IOPIMAX 10 mg/ml EYE DROPS SOLUTION online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether IOPIMAX 10 mg/ml EYE DROPS SOLUTION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to IOPIMAX 10 mg/ml EYE DROPS SOLUTION?
Other medicines with the same active substance (apraclonidine) include IOPIMAX 5 mg/ml EYE DROPS SOLUTION, ABRADEL 2 mg/ml EYE DROPS SOLUTION, ALPHAGAN 2 mg/ml EYE DROPS SOLUTION. 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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