Product image of Iopidine (Apraclonidine) supplied by GNH India

Iopidine

Active Ingredient:
Apraclonidine
Origin:
EU

Iopidine (Apraclonidine)

Apraclonidine, the active ingredient in Iopidine, is an alpha-2 adrenergic agonist presented as an ophthalmic solution for ocular administration. It selectively stimulates alpha-2 receptors in the eye, decreasing aqueous humor production and enhancing uveoscleral outflow, thereby lowering intra‑ocular pressure in patients with ocular hypertension, open‑angle glaucoma, and postoperative ocular inflammation. The medication is indicated for short‑term control of intra‑ocular pressure and is typically prescribed by ophthalmologists as part of a comprehensive glaucoma management plan.

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

Apraclonidine is used to manage ocular conditions characterized by elevated intra‑ocular pressure.

  • Ocular hypertension: lowers intra‑ocular pressure to reduce the risk of progression to glaucoma.
  • Open-angle glaucoma: decreases aqueous humor production to control pressure and preserve visual field.
  • Post‑operative ocular inflammation: reduces pressure spikes after eye surgery, aiding recovery.
  • Secondary glaucoma: provides additional pressure reduction when first‑line agents are inadequate.

How It Works

  • Apraclonidine acts as a selective alpha‑2 adrenergic receptor agonist in ocular tissues. Activation of these receptors inhibits adenylate cyclase, leading to reduced cyclic AMP levels, which diminishes aqueous humor production. Concurrently, it promotes uveoscleral outflow, together resulting in a net decrease in intra‑ocular pressure.

Side Effects

Common Side Effects

  • Ocular burning or stinging sensation.
  • Redness of the eye.
  • Blurred vision.
  • Dry eye sensation.
  • Transient headache.
  • Mild conjunctival hyperemia.

Serious or Rare Side Effects

  • Allergic reaction with swelling or rash.
  • Severe eye pain or corneal edema.
  • Systemic hypotension.
  • Arrhythmia or cardiac rhythm disturbances.
  • Vision loss.
  • Persistent ocular inflammation.

Precautions & Warnings

Before using Iopidine, consider the following precautions:

  • Monitor intra‑ocular pressure: measure regularly after initiation.
  • Avoid use in patients with known hypersensitivity to apraclonidine or any formulation component.
  • Caution in patients with cardiovascular disease: monitor blood pressure and heart rate.
  • Use with care when combined with other ocular hypotensive agents to prevent excessive pressure reduction.
  • Store at room temperature: keep in the original container, protect from light and moisture.

Avoid Interactions

Apraclonidine may interact with other medicines as follows:

Major Interactions (Avoid)

  • Other ocular alpha‑2 agonists: may cause excessive intra‑ocular pressure reduction.
  • Systemic antihypertensives: may potentiate systemic hypotension.
  • Monoamine oxidase inhibitors: risk of hypertensive crisis.

Moderate Interactions (Monitor Closely)

  • Topical beta‑blockers: additive intra‑ocular pressure‑lowering effect.
  • Carbonic anhydrase inhibitors: enhanced ocular hypotensive effect.
  • NSAID eye drops: may increase ocular irritation.

Frequently Asked Questions

Iopidine contains apraclonidine and is prescribed to lower intra‑ocular pressure in conditions such as ocular hypertension, open‑angle glaucoma, secondary glaucoma, and to manage pressure spikes after ocular surgery. It helps prevent damage to the optic nerve by maintaining pressure within a safe range.

Apraclonidine selectively stimulates alpha‑2 adrenergic receptors in the eye. This reduces the production of aqueous humor and increases uveoscleral outflow, resulting in a net decrease in intra‑ocular pressure. The dual action helps control pressure in glaucoma and related disorders.

The exact dosing regimen is determined by the prescribing ophthalmologist based on the patient’s condition and response. Typically, a single drop is instilled in the affected eye(s) as directed, and the prescriber may adjust frequency according to intra‑ocular pressure measurements.

Safety data for apraclonidine in pregnancy and lactation are limited. It should only be used if the potential benefit justifies any possible risk to the fetus or infant. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their healthcare provider.

To order Iopidine, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. 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.

The most common alternative is timolol, a beta‑blocker that also lowers intra‑ocular pressure but through reduced aqueous humor production alone. Apraclonidine adds a modest increase in uveoscleral outflow and may be preferred when beta‑blockers are contraindicated or when additional pressure reduction is needed.

Store Iopidine at room temperature, below 25 °C. Keep the bottle in its original packaging, protect it from direct light and moisture, and ensure the cap is tightly closed to maintain sterility.

Iopidine is applied as an ophthalmic solution. The patient should wash hands, tilt the head back, pull down the lower eyelid, and place one drop into the conjunctival sac of the prescribed eye(s). Close the eye gently and avoid blinking excessively for a few seconds.

Serious adverse events, although rare, include severe allergic reactions, corneal edema, marked eye pain, systemic hypotension, and cardiac arrhythmias. If any of these occur, the patient should discontinue use immediately and seek medical attention.

Iopidine should not be used by individuals with a known hypersensitivity to apraclonidine or any excipients in the formulation. Caution is also advised for patients with severe cardiovascular disease, uncontrolled hypertension, or those taking interacting systemic medications without medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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