Information about Miotics Dosages, Precautions & Side Effects

Miotics that are used in glaucoma treatment include:

  • Pilopine HS, Ocusert Pilo (pilocarpine); eyedrops: 1 eyedrop 4x/day, gel: 1/2-inch strip 1x/day at, bedtime, controlled release system: 1x/week at bedtime
  • Phospholine Iodide (echothiophate); 1 eyedrop 2x/day

Miotics lower IOP (intraocular pressure) by increasing drainage of aqueous humor. When using miotic eyedrops, wait at least 10 minutes before using another type of eyedrop. For instructions on using gel and the controlled release system, see the patient information sheet that accompanies your prescription.

Do not use Phospholine Iodide if there is active inflammation of the eye. If the Ocusert system is removed from the eye before seven days, rinse and re-insert unless it is damaged or contaminated.

Tell your doctor about any medical conditions you may have, particularly:

  • asthma
  • intestinal disease
  • ulcers
  • high blood pressure
  • heart disease
  • overactive thyroid gland
  • seizures
  • Parkinson's disease
  • obstruction in the urinary tract

Call your doctor if you you develop:

  • urinary incontinence
  • dizziness
  • weakness
  • breathing problems
  • tremors
  • nausea
  • vomiting
  • diarrhea
  • sweating
  • muscle tremors

Common side effects associated with miotics include:

  • cloudy vision
  • eye redness or itching
  • uveitis
  • headache over your eye
  • nearsightedness
  • reduced vision in poor light
  • spasms of the eyelids
  • stinging, burning, or discomfort in the eye
  • redness of the eyelids
  • stuffy nose
  • increased salivation

Publication Review By: Susan B. Bressler, M.D., Harry A. Quigley, M.D., Oliver D. Schein, M.D., M.P.H.

Published: 04 Mar 2011

Last Modified: 07 Jan 2015