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IOPIMAX 5 mg/ml EYE DROPS SOLUTION

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About the medicine

How to use IOPIMAX 5 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 5mg/ml eye drops solution

Apraclonidine hydrochloride

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

  • Keep this leaflet, as 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 get 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 is IOPIMAX and what is it used for
  2. What you need to know before you use IOPIMAX
  3. How to use IOPIMAX
  4. Possible side effects
  5. Storing IOPIMAX
  1. Contents of the pack and further information

1. What is IOPIMAX and what is it used for

IOPIMAX5 mg/ml eye drops solution contains apraclonidine (as hydrochloride) as the active substance.

IOPIMAXbelongs to a group of medicines called alpha-agonists.

It is used for the treatment ofchronic glaucoma in people who are already taking other medicines to treat this disease.

In this group of people, IOPIMAX helps to reduce the pressure of fluids in the eye and to delay surgical intervention to relieve eye pressure.

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 IOPIMAX

Do not use IOPIMAX

  • if you have a history of severe or unstable heart diseaseor circulation problems.
  • if you are allergicto apraclonidine or any of the other ingredients of this medicine (listed in section 6).
  • if you are currently taking antidepressants that belong to the class of monoamine oxidase inhibitors or tricyclic antidepressants.
  • if you are currently taking medicines of the class of sympathomimetics that are taken orally or by injection.
  • in CHILDREN.

If you are unsure, consult your doctor.

Warnings and precautions

Be particularly careful:

  • Only use this medicine in your eye(s).
  • IOPIMAX may not continue to control the pressure in your eyes after you have used it for a period of time. Your doctor will examine your eyes frequently while you are using IOPIMAX to check that the eye drops are still working.
  • Since IOPIMAX reduces the pressure in the eye(s), you should have your eye pressure checked regularly to ensure that the pressure in the eye(s) remains under control.

If you have a history ofor are being treated forany of the following diseases:

  • Any heart disease(including angina, infarction, or heart failure)
  • High blood pressureor other circulation problems(including embolisms, Raynaud's disease, and fainting)
  • Kidney or liver problems
  • Depression
  • Parkinson's disease
  • Diabetes or low blood sugar levels. IOPIMAX may hide the signs and symptoms of a sudden drop in blood sugar, such as rapid heartbeat or tremors
  • If you are scheduled for surgery

If you think you are affected by any of the above cases, you may still use IOPIMAX, but consult your doctor first.

Using IOPIMAX with food, drinks, and alcohol

Do not consume alcoholduring treatment with IOPIMAX because it may enhance its effects.

Other medicines and IOPIMAX

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

Do not use IOPIMAXif you are taking antidepressants that belong to the class of monoamine oxidase inhibitors or tricyclic antidepressants. Also, do not use IOPIMAX if you are taking medicines of the class of sympathomimetics that are taken orally or by injection.

IOPIMAX may increase the effectsof other medicines used to treat depression, asthma, high blood pressure, heart medicines that contain digoxin or digitoxin, various types of mental illnesses, and Parkinson's disease. It may interact with some pain-relieving medicines, sedatives, anesthetics, tricyclic antidepressants, cough and cold remedies, glaucoma medications such as timolol or brimonidine, and eye drops used to whiten the eye.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

Do not use this medicine during pregnancy or breastfeeding.

Driving and using machines

This type of medication may cause you to feel drowsy and dizzy. If so, do not driveor use machines.

IOPIMAX contains benzalkonium chloride

This medicine contains 0.1 mg of benzalkonium chloride per ml, equivalent to 0.01%.

IOPIMAX contains a preservative (benzalkonium chloride) that can be absorbed by soft contact lenses and may alter the color of the contact lenses. You should remove your contact lenses before using this medicine and wait 15 minutes before putting them back in. Benzalkonium chloride can cause eye irritation, especially if you have dry eyes or other corneal diseases (the transparent layer on the front of the eye). Consult your doctor if you feel any unusual sensation, itching, or pain in the eye after using this medicine.

3. How to use IOPIMAX

Recommended dose

The recommended dose is 1 drop in the eye(s) 3 times a day.

Hand holding an eye drop applicator with a drop falling into the open eye and lower eyelid pressed

1 2 3

Remove the collarthat surrounds the cap when you open the bottle for the first time.

Follow exactly the administration instructions of this medicine indicated by your doctor or pharmacist. If in doubt, consult your doctor or pharmacist again.

How to use it

  • Wash your hands before starting.
  • Remove the cap.
  • Hold the bottle upside down between your thumb and fingers.
  • Tilt your head back.
  • Pull your lower eyelid down with one finger until a pocket is formed between the eyelid and your eye, where the drop should fall (figure 1).
  • Bring the tip of the bottle close to the eye. You may find it helpful to use a mirror.
  • Do not touch the eye or eyelid, or surrounding areas with the dropper. The drops could become infected.
  • Gently squeeze the bottle to release one drop at a time (figure 2).
  • Do not squeeze the bottle; gentle pressure is enough.
  • After using IOPIMAX, press the edge of your eye, next to your nose, with your finger. This helps prevent IOPIMAX from entering the rest of your body (figure 3).
  • If you are applying drops to both eyes, repeat the above steps for the other eye. Close the bottle tightly after use.
  • If a drop falls outside the eye, try again.
  • In case of ingestion of IOPIMAX, consult your doctor immediately.

If you forget to use IOPIMAX

Continue with the next dose that was scheduled. However, if it is almost time for the next dose, do not apply the missed dose and continue with the next dose of your regular schedule.

Do not apply a double dose to make up for the missed dose.

If you use more IOPIMAX than you should

You can rinse your eyes with warm water. Do not apply more drops until it is time for your next dose. In case of accidental ingestion, the symptoms of overdose may include: low blood pressure, drowsiness, decreased heart rate, shallow breathing (reduced rate and depth of breathing that causes increased carbon dioxide), and convulsions.

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

If you have any further questionsabout 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.

IOPIMAX may cause allergic reactions. If you experienceone or more of the following symptoms in the eye(s): redness, itching, watery eyes, abnormal sensation, or swelling of the eye or eyelid, consult your doctor immediately.

If your vision worsensafter using IOPIMAX, stop using itand consult your doctor immediately.

You may experience some or all of the following reactions in your eye(s):

Very common (may affect more than 1 in 10 people):increased redness, itching, inflammation.

Common (may affect up to 1 in 10 people):discomfort, increased tear production, eyelid swelling, feeling of grit in the eye, dry eye, crusts on the eyelids.

Uncommon (may affect up to 1 in 100 people):swelling under the eyelids, swelling of the eye, abnormal vision, pain, inflammation, and irritation of the eye or eyelids, damage to the corneal surface (the front part of your eye), sensitivity to light, redness of the eyelid, increased or decreased eyelid size, increased pupil size, reduced vision, blurred vision, drooping eyelid, discharge or whitening of the eye.

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

Common (may affect up to 1 in 10 people):dry mouth, inflammation inside the nose, dermatitis, dry nose, weakness, headache, unusual taste.

Uncommon (may affect up to 1 in 100 people):chest pain, swelling of hands, feet, or limbs, irregular heartbeat, constipation, nausea, feeling of tiredness, throat inflammation, runny nose, muscle pain, abnormal coordination, drowsiness, dizziness, tingling sensation, feeling of nervousness, depression, difficulty sleeping, reduced air exhaled or difficulty breathing, unusual smell sensation, facial swelling, irritability, dilation of blood vessels.

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist, even if it is possible side effects not listed in this leaflet. You can also report side effects directly through the Spanish Medicines and Healthcare Products Agency (AEMPS) https://www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storing IOPIMAX

  • Keep this medicine out of the sight and reach of children.
  • Do not store above 25°C. Do not refrigerate or freeze.
  • Keep the bottle tightly closed and store in the outer packaging.
  • Do not use this medicine after the expiry date which is stated on the bottle and carton after “EXP”. The expiry date is the last day of the month stated.
  • To avoid infections, you must discard the bottle 4weeks after first opening.

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 IOPIMAX

  • The active substance is apraclonidine 5 mg/ml (as hydrochloride).
  • The other ingredients are sodium chloride, sodium acetate (trihydrate), benzalkonium chloride, hydrochloric acid, and/or sodium hydroxide (for pH adjustment) and purified water.

Appearance and packaging

IOPIMAX is a clear, colorless or slightly yellowish solution, presented in a carton containing a 5 ml or 10 ml plastic bottle with a screw cap.

Marketing authorization holder

Essential Pharma Limited,

Vision Exchange Building

Triq it-Territorjals, Zone 1,

Central Business District,

Birkirkara, CBD 1070,

Malta

Manufacturer

Essential Pharma Limited,

Vision Exchange Building

Triq it-Territorjals, Zone 1,

Central Business District,

Birkirkara, CBD 1070,

Malta

Date of last revision of this leaflet:February 2023.

Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Healthcare Products (AEMPS) http://aemps.gob.es/

Online doctors for IOPIMAX 5 mg/ml EYE DROPS SOLUTION

Discuss questions about IOPIMAX 5 mg/ml EYE DROPS SOLUTION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (69)
Doctor

Tarek Agami

General medicine 11 years exp.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

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Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) 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 Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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Nuno Tavares Lopes

Family medicine 18 years exp.

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.

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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.

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Doctor

Hocine Lokchiri

General medicine 21 years exp.

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.

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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.

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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.
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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.

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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.

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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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Frequently Asked Questions

Is a prescription required for IOPIMAX 5 mg/ml EYE DROPS SOLUTION?
IOPIMAX 5 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 5 mg/ml EYE DROPS SOLUTION?
The active ingredient in IOPIMAX 5 mg/ml EYE DROPS SOLUTION is apraclonidine. This information helps identify medicines with the same composition but different brand names.
How much does IOPIMAX 5 mg/ml EYE DROPS SOLUTION cost in pharmacies?
The average pharmacy price for IOPIMAX 5 mg/ml EYE DROPS SOLUTION is around 11.1 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures IOPIMAX 5 mg/ml EYE DROPS SOLUTION?
IOPIMAX 5 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 5 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 5 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 5 mg/ml EYE DROPS SOLUTION?
Other medicines with the same active substance (apraclonidine) include IOPIMAX 10 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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