Indications

Nesudil ophthalmic solution is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension.

Pharmacology

Netarsudil is a Rho kinase inhibitor, works at the cellular level within the trabecular outflow pathway to relax actin-myosin. This causes relaxation within the trabecular meshwork and the inner wall of Schlemm's canal and decreases episcleral venous pressure (EVP).

Dosage & Administration

The recommended dosage is one drop in the affected eye(s) once daily in the evening.

Interaction

This eye drops is contraindicated in patients who are hypersensitive to any component of Nesudil.

Side Effects

The most common ocular adverse reaction observed in controlled clinical studies with Nesudil was conjunctival hyperemia, corneal verticillata, instillation site pain, corneal staining and blurred vision.

Pregnancy & Lactation

Pregnancy: There are no adequate and well-controlled studies of Netarsudil ophthalmic solution in pregnant women to inform any drug-associated risk. However, systemic exposure to Netarsudil from ocular administration is low.

Lactation: There are no data on the presence of Netarsudil in human milk, the effects on the breastfed infant, or the effects on milk production.

Pediatric Use: Safety and effectiveness in pediatric patients below the age of 18 years have not been established.

Use in elderly patients: No overall differences in safety and effectiveness have been observed between elderly and other adult patients.

Precautions & Warnings

For ophthalmic use only. To avoid possible contamination of the drops, do not touch the dropper tip or to any surface. Nesudil can be used with other topical eye drug products, but they should be administered at least 5 minutes apart from each other. Contact lenses should be removed prior to instillation of Nesudil and may be reinserted 15 minutes following its administration.

Therapeutic Class

Drugs for miotics and glaucoma

Storage Conditions

Store at 2°-8°C in a dry place, protect from light until opened. After opening the product may be kept at 2°-25°C for upto 6 weeks. Keep out of the reach of children.
Pack Image of Nesudil 0.02% Eye Drop Pack Image: Nesudil 0.02% Eye Drop