Cequa works by reducing the inflammation of the lacrimal glands (tear-producing glands) in the eyes. The active ingredient, cyclosporine A, targets immune cells known as T-cells that play a central role in the inflammation seen in dry eye disease. By suppressing the activity of these T-cells, Cequa decreases the inflammatory response and allows the tear glands to produce more tears.
Cequa does not work by simply lubricating the eyes, as typical over-the-counter drops do. Instead, it helps to address the root cause of dry eye disease — inflammation — thus providing a more long-term solution to dry eye symptoms. As the inflammation in the tear glands subsides, tear production improves, leading to better eye lubrication and relief from dryness, irritation, and discomfort.
Most people tolerate Cequa well, but as with any medication, side effects can occur. Common side effects include:
- Eye Irritation: A sensation of burning, stinging, or discomfort upon application.
- Redness of the Eyes: Some individuals may experience redness or increased sensitivity in the eyes.
- Temporary Blurry Vision: Some people experience blurred vision immediately after applying the drops, which typically resolves within a few minutes.
- Foreign Body Sensation: Some users report a sensation of something in their eye, which can be a result of the medication or the dry eye itself.
Although rare, more serious side effects may include:
- Severe Allergic Reactions: Such as swelling of the eyelids, itching, or difficulty breathing. These reactions would require immediate medical attention.
- Infection: As with any eye medication, there is a small risk of infection if the dropper tip comes into contact with surfaces that are not sterile.
If you experience any severe side effects or signs of an allergic reaction, seek medical help immediately.
Before using Cequa, inform your healthcare provider about any of the following:
- Eye Infections: Cequa should not be used if you have an active eye infection (such as conjunctivitis or a bacterial eye infection). Your doctor will need to treat the infection first.
- Pregnancy and Breastfeeding: There is limited data on the use of Cequa during pregnancy. It is categorized as Pregnancy Category C, meaning it should be used during pregnancy only if the potential benefits justify the potential risks. Cequa is also excreted in breast milk, so consult your healthcare provider if you are breastfeeding.
- Other Eye Conditions: If you have any other eye conditions (such as glaucoma, cataracts, or herpes simplex eye infections), inform your doctor before using Cequa.
- Use in Children: Cequa is not recommended for children under 18 years of age.
The standard dosage for Cequa is:
- One drop in each affected eye twice daily, approximately 12 hours apart.
- Consistency is important: For optimal results, it is essential to use Cequa regularly and at the same time each day.
Do not exceed the recommended dosage or frequency of administration. If you miss a dose, apply it as soon as you remember, unless it is nearly time for your next dose.
Cequa is available only with a prescription from a healthcare provider. If you are experiencing symptoms of dry eye disease and think Cequa may be appropriate for your condition, schedule an appointment with your doctor. They will evaluate your symptoms, diagnose your condition, and determine if Cequa is a suitable treatment for you.
1. What are Cequa eye drops?
Cequa is a prescription eye drop medication containing cyclosporine, used to treat dry eye disease by increasing tear production and reducing inflammation.
2. How do Cequa eye drops work?
They work by suppressing inflammation in the tear glands and improving the eyes’ natural ability to produce tears.
3. Who should use Cequa eye drops?
Patients with chronic dry eye disease or those whose natural tear production is insufficient may benefit from Cequa eye drops.
4. How often should I apply Cequa eye drops?
Typically, Cequa eye drops are applied twice daily, about 12 hours apart, or as directed by your eye care professional.
5. Can I use Cequa eye drops with contact lenses?
No, remove contact lenses before applying Cequa. Wait at least 15 minutes after application before reinserting lenses.
6. What are the common side effects of Cequa eye drops?
Possible side effects include mild eye burning, stinging, redness, or discomfort immediately after use.
7. How soon can I expect to see improvement with Cequa eye drops?
Improvement may take several weeks, often between 4 to 12 weeks of consistent use.
8. Can Cequa eye drops be used along with artificial tears?
Yes, but artificial tears should be used at least 15 minutes before or after Cequa to avoid dilution.
9. How should I store Cequa eye drops?
Store unopened Cequa in the refrigerator. After opening, it may be stored at room temperature for up to 30 days.
10. Are Cequa eye drops safe for long-term use?
Yes, with medical supervision, Cequa can be used long-term to manage symptoms of dry eye disease.
11. Can children use Cequa eye drops?
Cequa is primarily approved for adults; use in children should only be considered by a doctor.
12. What if I miss a dose of Cequa eye drops?
Use the missed dose as soon as you remember unless it’s near the time of the next dose. Do not double up doses.
13. Can I drive immediately after using Cequa eye drops?
Some patients may experience temporary blurred vision after application, so wait until vision clears before driving.
14. Are there any drug interactions with Cequa eye drops?
Inform your doctor about all eye medications you’re using, as some may interfere with Cequa’s effectiveness.
15. Can Cequa eye drops cause allergic reactions?
Rarely, allergic reactions like swelling, itching, or rash may occur. Seek medical help if symptoms are severe.
16. Can I use Cequa eye drops if I have an eye infection?
No, unless specifically advised by your doctor, as Cequa can worsen infections.
17. Is Cequa eye drops covered by insurance?
Coverage varies; check with your insurance provider or pharmacy for details.
18. How do I properly apply Cequa eye drops?
Wash hands, tilt head back, pull down lower eyelid, apply one drop, close your eyes gently, and avoid blinking excessively.
19. Can I share Cequa eye drops with others?
No, Cequa is a prescription medication for individual use only to prevent contamination and infection.
20. What should I do if I experience severe discomfort after using Cequa?
Stop usage and contact your healthcare provider immediately if you have persistent pain, vision changes, or severe irritation.