Indications  

Cequa is an ophthalmic solution prescribed for patients with keratoconjunctivitis sicca (dry eye) to enhance tear production. 

Cequa belongs to the class of calcineurin inhibitor immunosuppressants and functions by mitigating ocular inflammation, thereby promoting tear secretion. 

Uses and Dosage 

Before using Cequa, and every time you get a refill, thoroughly review its medication guide and patient information leaflet. If any inquiries arise, do not hesitate to consult your doctor or pharmacist. 

Cequa is for ophthalmic use only. Do not ingest or apply to the skin. 

The usual dosing for Cequa is one drop per eye, using a single-use vial, twice daily with a 12-hour interval. Strictly follow any alternative prescription given by your doctor. 

To properly administer Cequa, follow these steps: 

1. Begin by thoroughly washing your hands with soap and water. 
2. Open the vial and avoid contact with the dropper tip. 
3. Tilt your head back and use the index finger to pull down the lower lid of the eye to form a pocket. 
4. Hold the dropper (tip down) close to your eye without touching it, bracing your remaining fingers against your face. 
5. Gently squeeze the dropper while looking up to release a single drop, then remove your index finger from the lower eyelid. 
6. Close your eye and tip your head down for 2-3 minutes. 
7. Apply gentle pressure to the tear duct with a finger. 
8. Use a tissue to wipe off any excess liquid from your face. 
9. Dispose of the vial out of children’s reach, even if it is not empty. 
10.  Wash your hands to remove any medication residue. 

Allow a 15-minute gap between applying different eye medications, such as drops or ointments. Apply eye drops before ointments to ensure proper absorption. 

For optimal results, use Cequa regularly and adhere to a consistent daily schedule.  

Inform your physician if your condition worsens. 

Side Effects 

Listed below are the potential adverse effects that may arise from using Cequa. Tell your doctor if you encounter any persistent or aggravated side effects. 

Common Side Effects 

• Eye discomfort including pain, redness, or irritation 
• Watery eyes 
• Blurred vision 
• Sensation of a foreign object in the eye 

Serious Side Effects 

• Intense eye pain, burning, or stinging post-drop application 
• Swollen eyelids 
• Indications of eye infection: 
  • Swelling 
  • Redness 
  • Severe discomfort 
  • Crusting 
  • Drainage 

Discontinue the use of Cequa and promptly contact your physician if you experience any of the severe side effects listed above. 

Allergic Reactions 

Occurrence of severe allergic reaction to Cequa is uncommon; however, seek immediate medical assistance if any signs of severe allergic reaction are observed, such as: 

• Rash 
• Facial, tongue, or throat itching or swelling 
• Severe dizziness 
• Trouble breathing 

This is not an exhaustive list of Cequa’s side effects. If you experience any unlisted effects, tell your physician immediately. 

Cautions 

Before using Cequa, inform your doctor and pharmacist if you have any known hypersensitivities, especially to cyclosporine, other medicines, or any ingredients present in this eye solution. 

To ensure Cequa is safe for you, disclose to your physician your medical background, particularly if you have had an eye infection recently. 

While Cequa is not highly susceptible to other medications, the possibility of drug interactions remains. To avoid such interactions, inform your doctor of all current medications, including prescriptions, over-the-counter drugs, vitamins, and herbal supplements. 

Following the application of Cequa, temporary blurred vision may occur. Refrain from activities such as driving, operating machinery, or engaging in tasks that demand clear vision until it is safe to do so. 

Cequa should only be used when necessary during pregnancy. Consult with your doctor to weigh the risks and benefits of using these eye drops. 

Consult with your doctor before breastfeeding since it is uncertain whether cyclosporine is excreted in breast milk.