Eye drops 1%, 2%, 4%
- A darkly pigmented iris may require a higher concentration of pilocarpine or more frequent administration. Care should be taken to avoid over dosage.
- Fundus examination is advised before starting treatment with a miotic.
- Intra-ocular pressure and visual fields should be monitored in those with chronic simple glaucoma and those receiving long-term treatment with a miotic.
- Miotics should be used with caution in cardiac disease, hypertension, asthma, peptic ulceration, urinary-tract obstruction and Parkinson’s Disease.
- Miotics are contra-indicated in conditions where pupillary constriction is undesirable such as acute iritis, anterior uveitis and some forms of secondary glaucoma.
- Miotics should be avoided in acute inflammatory disease of the anterior segment.