MIRAZUL 1.25 mg/ml Eye Drops Solution

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Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

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 MIRAZUL 1.25 mg/ml EYE DROPS SOLUTION

Contents of the leaflet

  1. Introduction
  2. What Mirazul is and what it is used for
  3. What you need to know before starting to use Mirazul
  4. How to Use Mirazul
  5. Possible Side Effects
  6. Storage of Mirazul
  7. Package Contents and Additional Information

Introduction

Package Leaflet: Information for the Patient

Mirazul 1.25 mg/ml Eye Drops Solution

Phenylephrine Hydrochloride

Read the entire package leaflet carefully before starting to use this medication, as it contains important information for you.

Follow the administration instructions for the medication contained in this package leaflet or as indicated by your doctor, pharmacist, or nurse.

  • Keep this package leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor, pharmacist, or nurse, even if they are side effects not listed in this package leaflet. See section 4.
  • You should consult a doctor if it worsens or does not improve after 5 days.

Contents of the Package Leaflet:

  1. What Mirazul is and what it is used for
  2. What you need to know before starting to use Mirazul
  3. How to use Mirazul
  4. Possible side effects
  5. Storage of Mirazul
  6. Package Contents and Additional Information

1. What Mirazul is and what it is used for

Mirazul belongs to the group of medications known as ocular decongestants.

Phenylephrine hydrochloride is a medication that belongs to the group of sympathomimetics used as decongestants, it has a vasoconstrictor effect (causes narrowing of blood vessels), producing rapid and prolonged decongestion, relieving eye irritations.

Mirazul is an eye drop solution indicated to relieve eye irritation caused by smoke, air, dust, pool chlorine, seawater, polluted environments, contact lenses, cosmetics, eye fatigue, etc. in adults.

You should consult a doctor if it worsens or does not improve after 5 days.

Doctor consultation

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Discuss your symptoms and treatment with a doctor online.

2. What you need to know before starting to use Mirazul

Do not use Mirazul:

  • If you are allergic to phenylephrine hydrochloride or any of the other components of this medication (listed in section 6).
  • If you have glaucoma (increased pressure inside the eye), as the vasoconstrictor action of phenylephrine may lead to a transient increase in intraocular pressure (pressure of the eye fluids).
  • If you are taking any monoamine oxidase inhibitor (MAOI) medication (such as some antidepressants) or have taken it up to 21 days before using Mirazul.
  • If you have any severe thyroid disease (overactive thyroid gland).
  • If you have dry rhinitis (inflammation of the nasal mucosa).
  • In children under 12 years of age.

Warnings and Precautions

Consult your doctor, pharmacist, or nurse before starting to use Mirazul.

  • If you have high blood pressure.
  • If you have advanced arteriosclerosis (hardening of the arteries).
  • If you have orthostatic hypotension (decrease in blood pressure when changing position).
  • If you have long-term insulin-dependent diabetes.
  • If you have heart disease, including severe ischemic cardiopathy (transient decrease in blood circulation to the heart).

During administration, care should be taken not to touch the dropper tip to the eye, touch it with hands, or with any other object. It should be closed immediately after use.

If there is no improvement after 5 days of treatment or if symptoms worsen when using the medication, its use should be discontinued and a doctor consulted.

Chronic use of this medication can cause rebound congestion in the eye.

When patients are not yet accustomed to contact lenses, they should not use this medication for more than 5 consecutive days without consulting a doctor, in order to avoid masking possible eye irritation due to incorrect fitting of the lenses.

If eye pain, headache, blurred vision, or changes in vision, sensitivity of the eyes to light, or eye redness occur, a doctor should be consulted.

Children

Mirazul should not be used in children under 12 years of age, as children seem to be more sensitive to the risk of serious side effects.

Mirazul is not recommended in children between 12 and 18 years of age, as there is a lack of adequate clinical experience.

Using Mirazul with Other Medications

Inform your doctor or pharmacist if you are using, have recently used, or may need to use any other medication.

  • Tricyclic antidepressants (amitriptyline, doxepin, trimipramine) and MAOIs (isocarboxazid, iproniazid, moclobemide), which are medications for treating depression, reserpine, and guanethidine (medication for reducing blood pressure), may increase the action of this medication.
  • This medication is incompatible with the local anesthetic butacaine.
  • The mydriatic response (increase in pupil dilation) of phenylephrine hydrochloride is reduced when the patient is treated simultaneously with levodopa (medication for treating Parkinson's disease).

Pregnancy and Breastfeeding

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

Since the risk to the fetus cannot be excluded, the use of Mirazul is not recommended during pregnancy.

Breastfeeding women should consult their doctor before using this medication, as it is not known with certainty whether phenylephrine hydrochloride passes into breast milk.

Driving and Using Machines

Mirazul has a mydriatic effect (abnormal dilation of the pupil with iris immobility) that increases with the dose. This medication may cause disorders in visual accommodation (eye adaptation), and therefore, a decrease in reaction time. Therefore, driving or using machinery after administration is not recommended.

Mirazul Contains Benzoic Acid

This medication may be slightly irritating to the skin, eyes, and mucous membranes because it contains benzoic acid.

Avoid contact with soft contact lenses. It changes the color of soft contact lenses.

Remove contact lenses before application and wait at least 15 minutes before putting them back on.

3. How to Use Mirazul

Follow the administration instructions for the medication contained in this package leaflet or as indicated by your doctor or pharmacist. In case of doubt, ask your doctor, pharmacist, or nurse.

The recommended dose is 1-2 drops in each eye, as needed, 3 or 4 times a day if necessary.

How to use Mirazul:

Mirazul is used via the ocular route

  1. Wash your hands before using Mirazul.
  2. Take the open container and hold it with one hand, between the thumb and index finger.
  3. Using the index finger of the other hand, separate the lower eyelid of the eye downward.
  4. Gently press the container, allowing one or two drops to fall into the eye
  5. After application, keep the eye closed for a few moments to facilitate the distribution of the liquid over the entire eye surface
  6. Repeat the steps above for the other eye.
  7. Close the container well after each use.

If You Use More Mirazul Than You Should

If you have used more Mirazul than you should, it could lead to manifestations such as elevated blood pressure, increased or decreased heart rate.

In case of overdose or accidental ingestion, go to a medical center indicating the product and the amount ingested or consult the Toxicology Information Service: Phone: 91.562.04.20.

If you have any other doubts about the use of this product, 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 medications, this medication can cause side effects, although not everyone will experience them.

The following side effects may occur, whose frequency cannot be defined with precision: allergic conjunctivitis, mydriasis (pupil dilation), alterations in visual accommodation, eye irritation, or contact dermatitis.

Reporting Side Effects

If you experience any type of side effect, consult your doctor, pharmacist, or nurse, even if it is a side effect not listed in this package leaflet. You can also report them directly through the Spanish Medication Pharmacovigilance System: www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Mirazul

Keep this medication out of sight and reach of children.

Do not use this medication after the expiration date that appears on the container after "EXP". The expiration date is the last day of the month indicated.

Discard the product one month after opening the container.

Do not use Mirazul if you notice that the solution changes color or becomes cloudy.

Medications should not be thrown down the drain or into the trash. Ask your pharmacist how to dispose of the containers and medications you no longer need. This will help protect the environment.

6. Package Contents and Additional Information

Mirazul Composition

  • The active ingredient of Mirazul is phenylephrine hydrochloride. Each ml of solution contains 1.25 mg of phenylephrine hydrochloride.
  • The other components are disodium phosphate, benzoic acid (E-210), ethanol 0.0037% v/v, chlorobutanol, benzyl alcohol, terpineol, methyl blue, sodium chloride, and water for injection.

Product Appearance and Package Contents

Mirazul is an eye drop solution presented in a 10 ml bottle.

Marketing Authorization Holder and Manufacturer:

Holder:

LABORATORIO DE APLICACIONES FARMACODINÁMICAS, S.A.

Grassot, 16 – 08025 Barcelona (Spain)

Date of the Last Revision of this Package Leaflet:June 2021

Detailed information about this medication is available on the European Medicines Agency website: http://www.ema.europa.eu/, and on the Spanish Agency for Medicines and Health Products (AEMPS) website: http://www.aemps.gob.es/

Online doctors for MIRAZUL 1.25 mg/ml EYE DROPS SOLUTION

Discuss questions about MIRAZUL 1.25 mg/ml EYE DROPS SOLUTION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral 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
Doctor
0.0(0)

Muhammad Tayyab Altaf

General medicine3 years of experience

Dr. Muhammad Tayyab Altaf is a primary care physician with extensive international experience, offering online consultations for adults and children. His background includes clinical practice in Policlinico San Matteo Hospital Pavia in Italy, Mount Sinai Hospital in New York, United States and other healthcare settings, allowing him to manage a wide range of acute and chronic medical conditions with confidence and clarity.

His clinical expertise spans multi-system conditions, preventive care and long-term management of chronic diseases. Dr. Altaf combines hands-on experience with a strong research background in both medical and surgical fields, enabling him to provide accurate assessments and structured, evidence-based treatment plans. Patients value his ability to explain diagnoses clearly, outline next steps and support them in making informed healthcare decisions.

Online consultations with Dr. Altaf are suitable for many everyday and acute situations where a timely medical opinion can help determine the safest next steps. He evaluates and treats conditions affecting the cardiovascular, respiratory, gastrointestinal, neurological, haematological and endocrine systems. Common examples include:

  • hypertension and other blood pressure issues
  • ischaemic heart disease and angina
  • asthma, COPD and emphysema
  • pneumonia and lung fibrosis
  • gastroenteritis and digestive infections
  • liver conditions, including alcohol-related disease
  • epilepsy, seizures and post-stroke symptoms
  • dementia and cognitive decline
  • anaemia and other haematological changes
  • diabetes, thyroid disorders and pituitary disease
Many patients reach out when they experience new or worsening symptoms, fluctuations in blood pressure, non-severe chest discomfort, breathing symptoms, digestive issues, suspected infections, chronic fatigue or concerns that affect daily life. He also helps patients understand test results, adjust existing treatment plans and navigate long-term health strategies safely and effectively.

When clinically appropriate, Dr. Altaf can also provide health and fitness certificates, including documentation required for physical activity, sports participation or gym use, based on the patient’s health status and medical indications.

Some conditions are not suitable for online care. Severe chest pain, loss of consciousness, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack require immediate attention from local emergency services. Dr. Altaf prioritises patient safety and will guide you accordingly if your situation needs urgent in-person care.

In all consultations, Dr. Muhammad Tayyab Altaf focuses on clear communication, accurate diagnosis and patient-centred decision-making. His approach ensures that individuals and families feel informed, supported and confident in their next steps, no matter where they are.

Book a video appointment
€71

Get MIRAZUL 1.25 mg/ml EYE DROPS SOLUTION Prescription Online

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Frequently Asked Questions

Is a prescription required for MIRAZUL 1.25 mg/ml EYE DROPS SOLUTION?

MIRAZUL 1.25 mg/ml EYE DROPS SOLUTION does not require 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 MIRAZUL 1.25 mg/ml EYE DROPS SOLUTION?

The active ingredient in MIRAZUL 1.25 mg/ml EYE DROPS SOLUTION is phenylephrine. This information helps identify medicines with the same composition but different brand names.

Who manufactures MIRAZUL 1.25 mg/ml EYE DROPS SOLUTION?

MIRAZUL 1.25 mg/ml EYE DROPS SOLUTION is manufactured by Laboratorio De Aplicaciones Farmacodinamicas S.A.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of MIRAZUL 1.25 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 MIRAZUL 1.25 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.

How to buy MIRAZUL 1.25 mg/ml EYE DROPS SOLUTION in Spain?

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 MIRAZUL 1.25 mg/ml EYE DROPS SOLUTION in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to MIRAZUL 1.25 mg/ml EYE DROPS SOLUTION?

Other medicines with the same active substance (phenylephrine) include ALERGOFTAL 0.25 mg/ml + 5 mg/ml EYE DROPS SOLUTION, CENTILUX 0.25 mg/ml EYE DROPS SOLUTION, LUMOBRY 0.25 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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