Nevanak - instructions and price in pharmacies

Preparation Nevanak( Nepafenac) produces Belgium, the company Alcon Laboratories.

It is used as an anti-inflammatory, preventive treatment for pain after cataract surgery.

Nevanak struggles with pathogens of inflammatory processes in the affected area, reduces swelling, acts as an analgesic.

Instruction for use

Indication

Ophthalmologists appoint Nevanak, if pain and severe swelling occur after eye surgery( cataract removal).Sometimes as a preventive measure.

How to use

Receive Nevanaka start in advance,for the day before the operation. By 1 drop of substance in the conjunctivitis bag, the number of repetitions: three times a day.

After the operation, the treatment lasts up to two weeks, according to the same scheme.

On the day of the operation for half an hour and up to two hours before the beginning, one drop is instilled.

Since absorption in the post-operation period is minimal, there is no need to adjust the dose for people who have a problem with the liver and kidneys.

Be careful not to touch the eye with a pipette to avoid infection from a possible infection. Close the lid firmly after use.

Form

Nevanak is sold in a medium-density polyethylene bottle with a capacity of 5 ml.

Detailed instructions in the official language are attached to the vial with drops;packed in a cardboard box. Description of drops: a suspension of light yellow sometimes light orange in color.

In 1 ml of solution contains:

• Primary substance - 1 mg Nepafenac
• Substances - Na chloride, benzalkonium chloride, hydrochloric acid, disodium edetate, carbomer, water.

Treatment with other

medications The results of the conducted tests of Nepafenac are not affected with other drugs. A joint reception with other ophthalmic preparations of a local administration is possible, but before using another drug, an interval of at least 5 minutes should pass.

It is not recommended to combine with prostaglandin analogues. Exact data on their joint application - no, but if you take into account the mechanism of their actions, there can be a conflict.

Overdose

No cases have been recorded with an overdose at this time. If the drop gets into the eye a little more than the required amount, rinse with warm water.

Side effects of

The big disadvantage of Nevana is that there are too many side effects for a decongestant and anti-inflammatory drug.

• Side effects on the eyes .There is severe itching and pain in the eye, the back of the lens becomes cloudy. The patient often develop conjunctivitis.
• The drug includes benzalkonium chloride, which causes pinpoint keratitis in patients with .Therefore, there must be an attending physician who supervises the patient and his recovery after the operation.
• Vision sharpness falls and becomes .On the eyelids, crusts form, and deposits in the inner part of the eyes. Eyes discharge a large amount of fluid( tear increases).
• Systemic side effects of .Nausea, headache, increased blood pressure, dry mouth. The skin becomes more stretchable.
• Extremely rare cases of side effects were corneal damage, deterioration of the healing of the cornea, a scar on the cornea, the formation of an inflammatory infiltration in the anterior chamber of the eyes.

If the first side effects, namely pain, itching, sensation of the foreign body in the eye are detected, the drops should be discarded in order not to worsen the indices. After the completion of the operation and prima Nevanaka, there is a risk of bleeding from the internal tissues of the eye.

Contraindications

In pharmacies, the drug is sold only on prescription. Persons who have not reached the age of 18 are not allowed to take drops. Do not combine the use of Nepafenac and the use of contact lenses.

People suffering from bronchial asthma, hives, acute rhinitis caused by taking acetylsalicylic acid - taking drops is not recommended. Also, do not take the drug with individual hypersensitivity to the Dysfunction.

In pregnancy,

, the Food and Drug Administration has established a category for fetal action - C.

. There is no precise data on intolerance to pregnant Nevanaka. Experiments on rats have shown that the drug is toxic and adversely affects the fetus. In rats, with a dose of 10 mg / kg, the number of miscarriages increased, and in rabbits from a dose of 30 / kg, the progeny degenerated. But do not forget that the experiments performed on animals do not always predict the results in an adult.

In late pregnancy, Nepafenac is strictly prohibited, as in one of the experiments, the results showed the effects of substances on the cardiovascular system of the fetus.

During milking( lactation), you can take drops, but it is not advisable, since Nevanak in small amounts affects the work of the female glands( milk formation).

Storage conditions and storage times

• Store in an inaccessible place at t 2 - 30 degrees Celsius.
• Do not use after 4 weeks from the time the vial is opened.
• Shelf life 2 years.
• After the expiration date on the box do not apply.

Price

Prices for the drug are very fluctuating, it all depends on the suppliers and cities in which the drops will be sold. But according to statistics, the average price in Russia is 492 rubles, in Ukraine: 299 hryvnia

Analogues

Diclofenac, Diclo F, Indocollir, Dexamethasone.

Do not self-medicate, similar drops, should be prescribed only by your treating ophthalmologist.

Reviews

In general, people's opinion is divided into two parts. Doctors resort to using Nevanak quite often and argue that conducting an operation without drops is not safe.

The opinion of ordinary people is radically different. Many did not notice the result of the drug. With long-term treatment, some people showed strong side effects, the method immediately stopped, and did not achieve the desired result. But the cost of a drop is not cheap.

Olga Nikolaeva, 34, Moscow

My mother was prescribed Nevanak drops after cataract removal, so that there were no inflammations after the operation. Everything went perfectly and perfectly!

Vladimir Nikolaev, 40, Samara

Excellent drops, but after taking Nevanak there is a slight fog in his eyes, but eventually everything passes.

Irina Alekseeva, 25, Cheboksary.

I use droplets for 6 days already. According to the doctor's prescription, 11 days must be dripped. Very worried that there is a veil in the eye. This is very annoying, but the specialist reassured me that everything will pass.

Nikolay Dolgy, 32 years old, Kirov

A medication was prescribed to my grandfather after the cataract removal. They began to dig in the hospital. He was worried about everything and complained that his eyes itch, but the expert reassured that it should be so.

The most important thing is not to go out in the sun without glasses and in the room you need to use tight curtains. Grandfather dripping everything according to the instructions. Already 3 weeks have passed - there are no complications. Everyone was afraid of conjunctivitis, but nothing.

Quick Start Guide

1. During the treatment with Nevanac drops, the patient must protect his eyes from bright sunlight. Since the drug enhances the perception of sunlight.
2. Use with caution in people with a tendency to severe bleeding or von Willebrand disease.
3. If patients have ever had an allergy to acetylsalicylic acid, phenylacetic acid, or are undergoing treatment with them. It is necessary to take a cautious medicine, as there may be cross-sensitivity.
4. These droplets do not apply together with the use of contact lenses. It is recommended to stop using lenses during the treatment period, because benzalkonium chloride is present in the formulation, and it in turn discolours soft contact lenses. In addition, it can cause severe irritation.
5. Nevanac, like corticosteroids, slows healing.
6. If corneal ulcers are seen, the medicine is immediately canceled.
7. In the period after the operation, anti-inflammatory drugs are prescribed, and they can very well hide the presence of infection. Therefore, carefully dig in drops, so that the pipette does not come into contact with the mucous eye, so you can avoid re-infection.
8. Immediately after instillation, do not engage in activities that require increased attention. The drug temporarily reduces visual acuity.
9. The bottle must be stored in the open state for not more than one month.

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