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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Cequa Ophthalmic Solution 10 x 0.25 ml is used in the treatment of severe keratitis (inflammation of the cornea) in adults. It is also used to treat dry eyes in patients whose condition has not been improved with artificial tears. This medicine contains cyclosporine which helps increase tear production and decrease inflammation (swelling) in the eye.

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Composition :

CYCLOSPORINE-0.9MG

Manufacturer/Marketer :

Sun Pharmaceutical Industries Ltd

Consume Type :

OPHTHALMIC

Return Policy :

Not Returnable

Expires on or after :

About Cequa Ophthalmic Solution 10 x 0.25 ml

Cequa Ophthalmic Solution 10 x 0.25 ml is used in the treatment of severe keratitis (inflammation of the cornea) in adults. Also, it is used to treat dry eyes in patients whose condition has not been improved with artificial tears. A dry eye is a common condition that occurs when tears are unable to provide sufficient moisture. 

Cequa Ophthalmic Solution 10 x 0.25 ml contains Cyclosporine, which works by increasing tear production and decreasing inflammation (swelling) in the eye. 

Use Cequa Ophthalmic Solution 10 x 0.25 ml as prescribed by your doctor. Cequa Ophthalmic Solution 10 x 0.25 ml is only for use in eyes. You are advised to use Cequa Ophthalmic Solution 10 x 0.25 ml for as long as your doctor has prescribed it for you based on your medical condition. In some cases, you may experience eye irritation, eye pain, watery eyes, itching in the eye, redness or swelling of the eyelid, and blurred vision using Cequa Ophthalmic Solution 10 x 0.25 ml. Most of these side effects do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

Please tell your doctor if you are allergic to Cequa Ophthalmic Solution 10 x 0.25 ml or any other medicines. If you are pregnant or breastfeeding, please consult your doctor before using Cequa Ophthalmic Solution 10 x 0.25 ml. Avoid using Cequa Ophthalmic Solution 10 x 0.25 ml while you are wearing contact lenses. Drive only if your vision is clear, as Cequa Ophthalmic Solution 10 x 0.25 ml may cause temporary blurred vision immediately after applying. If you have or had an eye infection, inform your doctor before using Cequa Ophthalmic Solution 10 x 0.25 ml. 

Uses of Cequa Ophthalmic Solution 10 x 0.25 ml

Cequa Ophthalmic Solution 10 x 0.25 ml is used in the treatment of dry eyes and severe keratitis. The detailed uses of Cequa Ophthalmic Solution 10 x 0.25 ml are as follows:
• Dry Eye Relief: Cequa Ophthalmic Solution 10 x 0.25 ml is used to provide relief from the symptoms of dry eyes, helping to lubricate and moisten the eye surface.
• Post-Surgical Recovery: After certain eye surgeries, Cequa Ophthalmic Solution 10 x 0.25 ml can aid in the healing process by maintaining eye moisture and reducing discomfort.
• Improvement of Tear Film Stability: Cequa Ophthalmic Solution 10 x 0.25 ml supports the stability of the tear film, which is essential for maintaining clear vision and comfort throughout the day.
• Treatment of Keratitis: Cequa Ophthalmic Solution 10 x 0.25 ml reduces inflammation in the cornea, helps to relieve discomfort and supports recovery from keratitis symptoms.

Directions for Use

  • Cequa Ophthalmic Solution 10 x 0.25 ml is typically used 1-2 times a day, or as prescribed by your healthcare provider, based on the severity of the condition.
  • Before using eye drops, wash your hands thoroughly. Then, tilt your head back, gently pull down your lower eyelid to create a small pocket, and drop the prescribed number of drops into the affected eye. Close your eye and gently press the corner of your eye near the nose for 1-2 minutes to prevent the drops from draining out.
  • Avoid touching the dropper to any surface, including your eyes, to prevent contamination.

Medicinal Benefits

Cequa Ophthalmic Solution 10 x 0.25 ml contains Cyclosporine, an immunosuppressant that increases tear production and decreases inflammation (swelling) in the eye. Thus, it is used in the treatment of severe keratitis (inflammation of the cornea) and to treat dry eyes in patients whose condition has not been improved with artificial tears. 

How Cequa Ophthalmic Solution 10 x 0.25 ml Works

Cequa Ophthalmic Solution 10 x 0.25 ml contains Cyclosporine, which works by increasing tear production and decreasing inflammation (swelling) in the eye.

Storage

Store in a cool and dry place away from sunlight
Side effects of Cequa Ophthalmic Solution 10 x 0.25 ml
  • Wash hands before touching eyes.
  • Apply a cold compress for relief.
  • Use lubricating eye drops.
  • Try over-the-counter decongestant or antihistamine drops.
  • Avoid contact lenses during redness.
  • Refrain from using mobile phones or laptops at a distance that is too close to your eyes.
  • See an ophthalmologist if symptoms worsen, hurt, or affect vision.
  • Your doctor might recommend eye drops to treat dry eyes, reduce inflammation, or stop irritation.
  • Use a cold, moist towel to relieve inflammation and discomfort.
  • Refrain from rubbing or touching the affected eyelid to avoid worsening the irritation.
  • Avoid allergens like pollen or pet dander that may trigger eyelid erythema.
  • Gently wash the eyelid with mild soap and water to prevent infection.
  • Drink lots of water to keep your skin and eyes moisturized.
  • Inform your doctor if you experience severe symptoms like intense pain, vision changes, or increased sensitivity to light.
  • Avoid rubbing your eyes, which can exacerbate the issue.
  • Lubricate your eyes using artificial tears or eye drops.
  • Wear sunglasses while you are out in the sun to protect your eyes from sun and wind.
  • Avoid irritants like smoke, dust, and strong chemicals.
  • Get enough rest and sleep to help your eyes recover.
  • Follow a healthy lifestyle by drinking plenty of water and taking sufficient rest.
  • Eat balanced diet rich in whole grains, fruits, and vegetables, while minimizing fatty, spicy, and seasoned foods.
  • Additionally, avoid seafood to reduce the risk of allergic reactions or infections that may exacerbate symptoms.
  • Talk to your healthcare professional and explain the symptoms you face to explore treatment options.
  • Try to eliminate or modify factors that may contribute to the aggravation of symptoms.
  • Corticosteroid eye drops may be recommended based on the condition.
  • Modification of local environment, such as limiting exposure to air conditioning, air travel, and low humidity environments is helpful.
  • Using a humidifier may be of particular help for patients with increased evaporative loss.
  • Modification of diet, including oral dietary (omega 3) fatty acid supplementation is helpful.
  • Drink plenty of water stay hydrated.
  • Reduce cigarette smoking and alcohol intake
  • Reduce digital screen time (computer, tablet or mobile phone).
  • Enhancing sleep quality and quantity is helpful.
  • Assessment of contact lens and changing them regularly if required is helpful.
  • Consult the ophthalmologists if symptoms persists or worsen.
  • Eat a healthy, low-fat diet rich in whole grains, fruits, and vegetables.
  • Drink plenty of water to stay hydrated.
  • Get adequate sleep and avoid direct sunlight.
  • Follow a low-salt diet to minimize fluid retention.
  • Apply a cold compress to reduce inflammation and soothe affected areas.

What if I have taken an overdose of Cequa Ophthalmic Solution 10 x 0.25 ml

An overdose of Cequa Ophthalmic Solution 10 x 0.25 ml is not expected to be dangerous. However, if an overdose is suspected, seek immediate medical help.

Drug Warnings

Please tell your doctor if you are allergic to Cequa Ophthalmic Solution 10 x 0.25 ml or any other medicines. If you are pregnant or breastfeeding, please consult a doctor. Avoid using Cequa Ophthalmic Solution 10 x 0.25 ml while you are wearing contact lenses. Drive only if your vision is clear, as Cequa Ophthalmic Solution 10 x 0.25 ml may cause temporary blurred vision immediately after applying. If you have or had an eye infection, inform your doctor before using Cequa Ophthalmic Solution 10 x 0.25 ml. You are recommended to maintain a time gap of 15 minutes between using other eye medicines and Cequa Ophthalmic Solution 10 x 0.25 ml. Discard the bottle after 4 weeks of first opening to prevent infections.

Drug-Drug Interactions

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CiclosporinCidofovir
Critical
CiclosporinSimvastatin
Critical

Drug-Drug Interactions

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CiclosporinCidofovir
Critical
How does the drug interact with Cequa Ophthalmic Solution 10 x 0.25 ml:
Taking cyclosporine with cidofovir can increase the risk of kidney problems.

How to manage the interaction:
Taking Cequa Ophthalmic Solution 10 x 0.25 ml with Cidofovir is not recommended, but can be taken be together if prescribed by a doctor. However, if you experience nausea, vomiting, loss of hunger, increased or decreased urination, sudden weight gain or weight loss, swelling, shortness of breath, bone pain, muscle cramps, tiredness, weakness, dizziness, confusion, and irregular heart rhythm, contact the doctor immediately. Do not discontinue any medications without consulting a doctor
CiclosporinSimvastatin
Critical
How does the drug interact with Cequa Ophthalmic Solution 10 x 0.25 ml:
Combining Cequa Ophthalmic Solution 10 x 0.25 ml and Simvastatin can increase the blood levels and effects of Simvastatin. This can increase the risk of side effects such as liver damage and rhabdomyolysis(involves the breakdown of skeletal muscle tissue).

How to manage the interaction:
Taking Cequa Ophthalmic Solution 10 x 0.25 ml and Simvastatin together is not recommended as it can lead to an interaction, but it can be taken if advised by your doctor. However, if you experience any symptoms like muscle pain, tenderness, or weakness, fever or dark colored urine, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of hunger, weakness, nausea, vomiting, and yellowing of the skin or eyes, contact the doctor immediately. Do not discontinue any medications without consulting your doctor.
CiclosporinBosentan
Critical
How does the drug interact with Cequa Ophthalmic Solution 10 x 0.25 ml:
When Bosentan is taken with Cyclosporine, it may increase the risk of side effects.

How to manage the interaction:
Taking Cequa Ophthalmic Solution 10 x 0.25 ml with Bosentan is not recommended, but it can be taken if prescribed by the doctor. However, if you experience any symptoms like severe headache, nausea, or an increased heart rate, consult the doctor immediately. Do not stop using any medications without talking to a doctor.
CiclosporinPitavastatin
Critical
How does the drug interact with Cequa Ophthalmic Solution 10 x 0.25 ml:
Coadministration of pitavastatin with Cequa Ophthalmic Solution 10 x 0.25 ml may significantly increase the blood levels of pitavastatin which can increase the risk of side effects such as liver problems and rhabdomyolysis(involves the breakdown of skeletal muscle tissue).

How to manage the interaction:
Taking Pitavastatin with Cequa Ophthalmic Solution 10 x 0.25 ml is not recommended, as it can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience symptoms like unexpected bruising or bleeding, skin rash, itching, tiredness, nausea, vomiting, yellowing of the skin or eyes, unexplained muscular pain, tenderness, or weakness, fever, dark urine, chills, joint pain, or swelling, consult a doctor. Do not discontinue any medications without a doctor's advice.
CiclosporinBaricitinib
Critical
How does the drug interact with Cequa Ophthalmic Solution 10 x 0.25 ml:
Co-administration of Baricitinib with Cyclosporine can increase the risk of infections as well as some cancers.

How to manage the interaction:
Taking Cequa Ophthalmic Solution 10 x 0.25 ml with Baricitinib is not recommended as it can cause an interaction, but it can be taken together if prescribed by a doctor. However, if you experience fever, chills, diarrhea, sore throat, muscle pains, breathing difficulty, blood in your coughing fluid, weight loss, red or irritated skin, body sores, and discomfort or burning sensation when you urinate, consult a doctor. Do not stop using any medications without a doctor's advice.
CiclosporinDabigatran etexilate
Severe
How does the drug interact with Cequa Ophthalmic Solution 10 x 0.25 ml:
Co-administration of dabigatron etexilate with Cequa Ophthalmic Solution 10 x 0.25 ml may increase the blood levels of dabigatron etexilate.

How to manage the interaction:
Although there is a possible interaction between dabigatron etexilate and Cequa Ophthalmic Solution 10 x 0.25 ml, you can take these medicines together if prescribed by your doctor. However, contact a doctor immediately if you experience any symptoms such as bleeding or bruising, dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headache, and weakness. Do not discontinue any medications without consulting a doctor.
CiclosporinPosaconazole
Severe
How does the drug interact with Cequa Ophthalmic Solution 10 x 0.25 ml:
Coadministration of posaconazole and Cequa Ophthalmic Solution 10 x 0.25 ml together can enhance the effects of Cequa Ophthalmic Solution 10 x 0.25 ml.

How to manage the interaction:
Although using posaconazole and Cequa Ophthalmic Solution 10 x 0.25 ml together can possibly result in an interaction, they can be taken together if advised by your doctor. However, contact a doctor immediately if you experience any symptoms such as nausea, dizziness, weakness, vomiting, diarrhea, abdominal pain, or headache. Do not stop taking any medications without consulting a doctor.
CiclosporinCisapride
Severe
How does the drug interact with Cequa Ophthalmic Solution 10 x 0.25 ml:
Coadministration of cisapride with cyclosporine may significantly increase the blood levels of cisapride which may increase the risk of an irregular heart rhythm.

How to manage the interaction:
There may be a possibility of interaction between cisapride and Cequa Ophthalmic Solution 10 x 0.25 ml, but it can be taken if prescribed by a doctor. However, contact a doctor immediately if you experience dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations. Do not stop using any medications without a doctor's advice.
CiclosporinZalcitabine
Severe
How does the drug interact with Cequa Ophthalmic Solution 10 x 0.25 ml:
Co-administration of zalcitabine with Cequa Ophthalmic Solution 10 x 0.25 ml may significantly decrease the effect of zalcitabine.

How to manage the interaction:
Although there is a possible interaction between Zalcitabine and Cequa Ophthalmic Solution 10 x 0.25 ml, you can take these medicines together if prescribed by your doctor. Do not discontinue any medications without consulting a doctor.
CiclosporinHuman immunoglobulin
Severe
How does the drug interact with Cequa Ophthalmic Solution 10 x 0.25 ml:
Coadministration of Human immunoglobulin with Cequa Ophthalmic Solution 10 x 0.25 ml, may raise the risk of kidney problems.

How to manage the interaction:
Although there is a possible interaction between Human immunoglobulin and Cequa Ophthalmic Solution 10 x 0.25 ml, you can take these medicines together if prescribed by a doctor. However, if you experience nausea, vomiting, loss of hunger, increased or decreased urination, sudden weight gain or loss, fluid retention, swelling, shortness of breath, muscle cramps, tiredness, weakness, dizziness, confusion, or an irregular heart rhythm, consult a doctor. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Use a humidifier in your room to increase moisture and avoid dry climates. 

  • Limit the time you spend in front of the television or computer.

  • If dry eyes are caused by environmental factors, wear protective eyewear during outdoor activities when it’s windy and avoid exposure to cigarette smoke. 

  • Limit wearing contact lenses and use soft contact lenses if you have dry eyes, as they are moist and allow the eye to breathe better than hard contact lenses.

  • Take omega-3-fatty acid supplements as they may be helpful in treating dry eyes. 

Habit Forming

No

Therapeutic Class

IMMUNOSUPPRESSANTS
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Alcohol

Caution

The interaction of alcohol with Cequa Ophthalmic Solution 10 x 0.25 ml is unknown. Please consult a doctor before consuming alcohol with Cequa Ophthalmic Solution 10 x 0.25 ml.

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Pregnancy

Safe if prescribed

Consult your doctor before using Cequa Ophthalmic Solution 10 x 0.25 ml if you are pregnant. Your doctor may prescribe this medicine if the benefits outweigh the risks.

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Breast Feeding

Safe if prescribed

If you are breastfeeding, consult your doctor before using Cequa Ophthalmic Solution 10 x 0.25 ml. Your doctor may prescribe this medicine if the benefits outweigh the risks.

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Driving

Caution

Cequa Ophthalmic Solution 10 x 0.25 ml may cause temporary blurred vision immediately after applying. Therefore, wait until your vision is clear before driving or operating machinery.

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Liver

Safe if prescribed

If you have any concerns regarding the use of Cequa Ophthalmic Solution 10 x 0.25 ml in patients with liver problems, please consult your doctor.

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Kidney

Safe if prescribed

If you have any concerns regarding the use of Cequa Ophthalmic Solution 10 x 0.25 ml in patients with kidney problems, please consult your doctor.

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Children

Caution

Cequa Ophthalmic Solution 10 x 0.25 ml should be used in children only if it is advised by a doctor. It is not recommended for use in children less than four years.

Have a query?

FAQs

Cequa Ophthalmic Solution 10 x 0.25 ml is used in the treatment of severe keratitis (inflammation of the cornea) in adults. Also, it is used to treat dry eyes in patients whose condition has not been improved with artificial tears.

Cequa Ophthalmic Solution 10 x 0.25 ml contains Cyclosporine, which works by increasing tear production and decreasing inflammation (swelling) in the eye. Thereby, it provides a soothing effect and relieves irritation and dryness caused by decreased tear flow.

You are recommended to use Cequa Ophthalmic Solution 10 x 0.25 ml after 15 minutes of using other eye medications only if advised by your doctor. Therefore, inform your doctor if you are using any other medicines before using Cequa Ophthalmic Solution 10 x 0.25 ml

Cequa Ophthalmic Solution 10 x 0.25 ml may cause temporary blurred vision immediately after applying. Therefore, you are recommended to wait until your vision is clear before driving or operating machinery.

You are recommended to avoid wearing contact lenses while using Cequa Ophthalmic Solution 10 x 0.25 ml as it may cause eye irritation. Therefore, you are advised to remove contact lenses before applying Cequa Ophthalmic Solution 10 x 0.25 ml and reinsert after 15 minutes of using Cequa Ophthalmic Solution 10 x 0.25 ml. Also, inform your doctor if you experience pain, stinging or abnormal sensation in the eye after using Cequa Ophthalmic Solution 10 x 0.25 ml.

You are recommended to discuss with your doctor before using eye drops containing steroids with Cequa Ophthalmic Solution 10 x 0.25 ml as there is a risk of side effects if used both medicines simultaneously.

Country of origin

France

Manufacturer/Marketer address

Sun Pharmaceutical Industries Ltd., Sun House, Cts No. 201 B/1, Western Express Highway, Goregaon (E), Mumbai 400063
Other Info - CEQ0007

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