Product image of Iopidine (Apraclonidine) supplied by GNH India

Iopidine

Active Ingredient:
Apraclonidine
Origin:
EU

Iopidine (Apraclonidine)

Apraclonidine, the active ingredient in Iopidine, is a Alpha-2 adrenergic agonist presented as a 0.5% w/v ophthalmic solution for ocular (topical) use. It treats open-angle glaucoma and ocular hypertension by lowering intra‑ocular pressure.

GNH India supplies Iopidine as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Essential Pharma Limited

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Indications & Clinical Uses

  • Iopidine (apraclonidine) is used in the management of ocular conditions that involve elevated intra‑ocular pressure.
  • Open‑angle glaucoma: reduces intra‑ocular pressure and helps prevent optic nerve damage.
  • Ocular hypertension: lowers intra‑ocular pressure to reduce risk of progression to glaucoma.
  • Post‑operative pressure spikes: controls transient pressure elevation after eye surgery.

How It Works

  • Apraclonidine selectively stimulates alpha‑2 adrenergic receptors in the ciliary body, decreasing aqueous humor production and enhancing uveoscleral outflow, which together lower intra‑ocular pressure. Its limited alpha‑1 activity minimizes systemic cardiovascular effects while providing ocular pressure control.

Side Effects

Common Side Effects

  • Ocular burning or stinging sensation.
  • Redness of the eye.
  • Blurred vision.
  • Dry eye or foreign‑body feeling.
  • Mild conjunctival hyperemia.
  • Transient pupil dilation.

Serious or Rare Side Effects

  • Severe allergic reaction (angioedema, rash).
  • Significant ocular inflammation or uveitis.
  • Corneal edema.
  • Persistent mydriasis.
  • Systemic hypotension, especially with other alpha‑2 agonists.
  • Vision loss if severe ocular complications occur.

Precautions & Warnings

Before using Iopidine, consider the following precautions:

  • Hypersensitivity: avoid if allergic to apraclonidine or formulation components.
  • Narrow‑angle glaucoma: use with caution; monitor intra‑ocular pressure closely.
  • Cardiovascular disease: be aware of possible systemic hypotensive effects.
  • Pregnancy: category C; only use if benefit outweighs risk.
  • Concomitant ocular adrenergic agents: may increase pressure‑lowering effect.
  • Store at below 25°C: keep in original container, protect from moisture and light.

Avoid Interactions

Iopidine may interact with other medications as follows:

Major Interactions (Avoid)

  • Systemic alpha‑2 agonists (e.g., clonidine, guanfacine): risk of excessive hypotension.
  • MAO inhibitors: potential for hypertensive episodes.

Moderate Interactions (Monitor Closely)

  • Topical beta‑blockers (e.g., timolol): additive intra‑ocular pressure reduction.
  • Carbonic anhydrase inhibitors (e.g., acetazolamide): enhanced pressure‑lowering effect.
  • NSAID eye drops: may increase ocular irritation.
  • Anticholinergic eye drops: possible pupil size changes.
  • Systemic antihypertensives: monitor for additive blood pressure lowering.

Frequently Asked Questions

Iopidine is an ophthalmic solution containing apraclonidine, indicated for the reduction of intra‑ocular pressure in conditions such as open‑angle glaucoma and ocular hypertension, and for managing postoperative pressure spikes. It is prescribed by eye care professionals to help preserve optic nerve function.

Apraclonidine selectively activates alpha‑2 adrenergic receptors in the ciliary body. This activation reduces aqueous humor production and enhances uveoscleral outflow, leading to a decrease in intra‑ocular pressure. Its limited alpha‑1 activity minimizes systemic cardiovascular effects while providing ocular pressure control.

The dosing regimen for Iopidine is determined by the prescribing ophthalmologist based on the patient’s condition and response. Typically, one drop is instilled into the affected eye(s) once or twice daily, but the exact frequency and duration are individualized and should follow the prescriber’s instructions.

Iopidine is classified as pregnancy category C, indicating that risk cannot be ruled out and it should be used only if the potential benefit justifies the potential risk to the fetus. Limited data are available for breastfeeding; therefore, caution is advised and a healthcare professional should be consulted before use.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Iopidine. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details, and any necessary import documentation.

Compared with beta‑blocker eye drops such as timolol, apraclonidine offers a different mechanism by reducing aqueous humor production via alpha‑2 receptor activation, which can be useful when beta‑blockers are contraindicated. It may be used as adjunct therapy or in patients who need an alternative to prostaglandin analogues, but individual response varies.

Iopidine should be stored at temperatures below 25 °C, in its original container, protected from moisture and direct light. The bottle should be kept tightly closed when not in use, and any solution that appears discolored or contains particles should be discarded.

Iopidine is applied topically as an eye drop. The patient should wash hands, tilt the head back, pull down the lower eyelid to create a pocket, and instill one drop into the conjunctival sac of the affected eye(s). The eye should be closed gently for a few seconds to enhance absorption, avoiding blinking or rubbing.

Although uncommon, serious adverse reactions can include severe allergic responses such as angioedema, significant ocular inflammation, corneal edema, or systemic hypotension, especially when used with other systemic alpha‑2 agonists. Patients should seek immediate medical attention if they experience swelling, severe eye pain, vision changes, or signs of low blood pressure.

Iopidine is contraindicated in individuals with known hypersensitivity to apraclonidine or any component of the formulation. It should be used with caution, or avoided, in patients with narrow‑angle glaucoma, severe cardiovascular disease, or those taking systemic alpha‑2 agonists, unless directed by a qualified eye care professional.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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