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OXIBUPROCAINE HYDROCHLORIDE AGEPHA 4 MG/ML EYE DROPS IN SOLUTION

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About the medicine

How to use OXIBUPROCAINE HYDROCHLORIDE AGEPHA 4 MG/ML EYE DROPS IN 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

Oxibuprocaine Hydrochloride Agepha 4 mg/ml Eye Drops Solution

Read this entire 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, even if they are not listed in this leaflet. See section 4.

Contents of the Package Leaflet

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

1. What is Oxibuprocaine Hydrochloride Agepha and what is it used for

This medicine is an external anaesthetic for use in adults.

It acts by locally anaesthetizing the surface of the eye for short ophthalmological procedures.

Doctor consultation

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2. What you need to know before you start using Oxibuprocaine Hydrochloride Agepha

Do not use Oxibuprocaine Hydrochloride

  • if you are hypersensitive (allergic) to oxibuprocaine or any of the other ingredients of oxibuprocaine hydrochloride (listed in section 6);
  • if you are hypersensitive (allergic) to other local anaesthetics belonging to the same group of active substances (p-aminobenzoic acid).

Warnings and Precautions

Be especially careful with Oxibuprocaine Hydrochloride

If you wear contact lenses. Remove your contact lenses before instillation and wait until the anaesthetic effect has completely worn off before putting them back in your eye (see also 3. How to use Oxibuprocaine Hydrochloride).

In patients with a history of allergies, heart disease, asthma, hyperactive thyroid gland (hyperthyroidism), or liver disease, as well as in elderly patients.

If you have an inflamed eye, as red eyes greatly increase blood flow through the surface of the eyes.

Prolonged and repeated use

Oxibuprocaine Hydrochloride Agepha is intended for use by a doctor only and for a short period of time. Repeated and uncontrolled use can cause serious damage to the cornea of the eye. The same can be said of its long-term use.

Children and adolescents

The safety and efficacy of Oxibuprocaine Hydrochloride in children and adolescents have not been established.

Other medicines and Oxibuprocaine Hydrochloride

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

Sulphonamides (present in certain antibiotics): The efficacy of these antibiotics may be reduced.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor. He will tell you whether you can be given Oxibuprocaine Hydrochloride or not.

Driving and using machines

This medicine may affect your ability to react, as well as your ability to drive. The use of Oxibuprocaine Hydrochloride may affect your vision and, therefore, also your ability to react when driving or using machines. Do not drive vehicles or use tools or machinery before this effect has worn off.

Medicine questions

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3. How to use Oxibuprocaine Hydrochloride Agepha

The recommended dose is 1 drop for the eyes before the examination or procedure; this dose may be repeated if necessary.

Method of administration

For use in the eye. (To be instilled in the eye to be examined)

Your doctor or ophthalmologist will put the drops in your eye. You may be asked to press the inner corners of your eyelid for 1-2 minutes, which prevents the solution from passing into the nose and throat. This measure is especially advisable in elderly patients and at-risk populations.

Your eye will be numb for about an hour, depending on how many drops you have been given. Avoid touching your eye until the anaesthetic effect has worn off.

If you need to instil another eye drop, you should wait at least 15 minutes before administering it.

Although you may have received more oxibuprocaine hydrochloride than you should, it is very unlikely that you will suffer from the effects of an overdose.

If you suddenly feel unwell after the drops have been instilled, inform your doctor or ophthalmologist or contact the nearest emergency department immediately.

Warning for contact lens wearers

Remove your contact lenses before the eye drops are instilled and wait at least one hour after instillation, until the anaesthetic effect has completely worn off, before putting them back in. Failure to follow this recommendation may cause damage to the cornea.

If you use more Oxibuprocaine Hydrochloride than you should

Overdose: Poisoning with local/topical anaesthetics, especially when administered orally, can trigger the following symptoms: muscle spasms, convulsions, drop in blood pressure, fainting, arrhythmias, cardiac arrest caused by conduction problems, respiratory paralysis.

In such cases, consult a doctor immediately.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medicine and the amount ingested.

Instructions for healthcare professionals

You will find information on overdose at the end of this leaflet.

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

4. Possible side effects

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

You should contact a doctor immediately if you experience any of the following symptoms of a severe allergic/anaphylactic reaction: swelling, skin rash, itching, urticaria, difficulty breathing, chills, flushing, headache, general malaise, nausea, restlessness, rapid heartbeat, or low blood pressure (which occurs in an unknown number of patients).

Other side effects that may occur:

Frequent (may affect up to 1 in 10 people):

The most common side effect is local irritation. Other common side effects are: temporary burning after instillation, corneal damage with repeated use.

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

Tremors, blurred vision, slow heartbeat, low blood pressure, dizziness.

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

Ocular allergy, allergic blepharitis (inflammation of the eyelids). The symptoms of ocular allergy and allergic blepharitis may be: itching, red and swollen eyelids, red eyes, irritated and watery eyes, burning or stinging eyes, scales and crusts on the edge of the eyelashes, similar to dandruff, sensitivity to light.

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist, even if they are not listed in this leaflet.

You can also report side effects directly via the Spanish Medicines Monitoring System for Human Use: https://www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Oxibuprocaine Hydrochloride Agepha

This medicine does not require any special storage conditions.

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 carton after EXP. The expiry date is the last day of the month indicated.

To be used within 4 weeks 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. These measures will help protect the environment.

6. Contents of the pack and further information

Composition of Oxibuprocaine Hydrochloride Agepha

  • The active substance is oxibuprocaine hydrochloride

Each ml contains 4 mg of oxibuprocaine hydrochloride

  • The other ingredients are: boric acid, chlorhexidine diacetate, hydrochloric acid (for pH adjustment), water for injection.

Appearance and pack contents

Oxibuprocaine Hydrochloride Agepha 4 mg/ml eye drops solution is a clear and colourless solution, presented in a plastic bottle. Each pack contains a 10 ml bottle.

Marketing authorisation holder and manufacturer

AGEPHA Pharma s.r.o.,

Dialnicná cesta 5,

Senec 903 01,

Slovakia

This medicine is authorised in the Member States of the European Economic Area under the following names:

Member State

Medicine name

Austria

Novain 4 mg/ml Augentropfen, Lösung

Denmark

Obupro 4 mg/ml øjendråber, opløsning

Estonia

Novain 4 mg/ml silmatilgad, lahus

Finland

Obupro 4 mg/ml silmätipat, liuos

Ireland

Oxybuprocaine Agepha 4 mg/ml eye drops, solution

Latvia

Obupro 4 mg/ml acu pilieni, šķīdums

Iceland

Obupro 4 mg/ml augndropar, lausn

Croatia

Ophtesia 4 mg/ml kapi za oko, otopina

Lithuania

Novain 4 mg/ml akiu lašai (tirpalas)

Netherlands

Obupro 4 mg/ml oogdruppels, oplossing

Norway

Novain 4 mg/ml øyedråper, løsning

Poland

Obupro 4 mg/ml, krople do oczu, roztwór

Portugal

Novain 4 mg/ml colírio, solução

Sweden

Obupro 4 mg/ml ögondroppar, lösning

Spain

Oxibuprocaine Hydrochloride Agepha 4 mg/ml eye drops solution

Hungary

Obupro 4 mg/ml oldatos szemcsepp

Date of last revision of this leaflet: March 2024

This information is intended only for healthcare professionals:

Treatment in case of poisoning

Immediate management of respiratory and circulatory function (intubation and artificial ventilation), cardiovascular stimulation, perfusions (without adrenaline!). In case of cardiac arrest, external cardiac massage and electrostimulation should be performed. In case of convulsions, ultra-short-acting barbiturates or diazepam should be administered (long-acting barbiturates should not be administered due to the risk of respiratory depression)

Online doctors for OXIBUPROCAINE HYDROCHLORIDE AGEPHA 4 MG/ML EYE DROPS IN SOLUTION

Discuss questions about OXIBUPROCAINE HYDROCHLORIDE AGEPHA 4 MG/ML EYE DROPS IN SOLUTION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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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.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
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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5.0 (63)
Doctor

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.

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

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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.

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
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
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  • recurrent infections in children
  • 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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Frequently Asked Questions

Is a prescription required for OXIBUPROCAINE HYDROCHLORIDE AGEPHA 4 MG/ML EYE DROPS IN SOLUTION?
OXIBUPROCAINE HYDROCHLORIDE AGEPHA 4 MG/ML EYE DROPS IN 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 OXIBUPROCAINE HYDROCHLORIDE AGEPHA 4 MG/ML EYE DROPS IN SOLUTION?
The active ingredient in OXIBUPROCAINE HYDROCHLORIDE AGEPHA 4 MG/ML EYE DROPS IN SOLUTION is oxybuprocaine. This information helps identify medicines with the same composition but different brand names.
Who manufactures OXIBUPROCAINE HYDROCHLORIDE AGEPHA 4 MG/ML EYE DROPS IN SOLUTION?
OXIBUPROCAINE HYDROCHLORIDE AGEPHA 4 MG/ML EYE DROPS IN SOLUTION is manufactured by Agepha Pharma S.R.O.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of OXIBUPROCAINE HYDROCHLORIDE AGEPHA 4 MG/ML EYE DROPS IN 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 OXIBUPROCAINE HYDROCHLORIDE AGEPHA 4 MG/ML EYE DROPS IN 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 OXIBUPROCAINE HYDROCHLORIDE AGEPHA 4 MG/ML EYE DROPS IN SOLUTION?
Other medicines with the same active substance (oxybuprocaine) include COLIROFTA ANESTHETIC 5 mg/ml + 0.5 mg/ml EYE DROPS SOLUTION, COLIROFTA ANESTHETIC DOUBLE 1 mg/ml + 4 mg/ml EYE DROPS SOLUTION, OPHTESIC 20 mg/g OPHTHALMIC GEL SINGLE-DOSE CONTAINER. 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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