What Is Cequa and How Does It Work?

Cequa (cyclosporine ophthalmic solution 0.09%) is a prescription eye drop medication manufactured by Sun Pharmaceutical Industries. It's specifically formulated to increase tear production in patients with dry eye disease where the immune system may be suppressing tear secretion.

The active ingredient, cyclosporine, works as an immunomodulator, meaning it modifies the immune response that contributes to dry eye symptoms. Unlike artificial tears that temporarily lubricate, Cequa addresses the underlying inflammation that causes chronic dry eye. The medication uses a nanomicellar technology that enhances the delivery of cyclosporine to affected tissues, potentially improving its effectiveness compared to conventional formulations.

Dosage and Administration Guidelines

According to the Cequa package insert, the recommended dosage is one drop instilled twice daily (approximately 12 hours apart) into each affected eye. For proper administration, patients should follow these steps:

First, wash hands thoroughly before handling the vial. Remove the single-use vial from the pouch and twist open the top. To prevent contamination, do not touch the tip of the vial to any surface. Tilt your head back slightly, pull down the lower eyelid, and place one drop in the pocket formed by the lower eyelid. Close your eyes gently for 1-2 minutes to allow the medication to be absorbed. Each single-use vial should be discarded immediately after use, even if there is solution remaining.

Potential Side Effects and Precautions

The Cequa package insert lists several possible side effects that patients should be aware of. The most common side effect is eye discomfort upon instillation, reported in approximately 22% of patients during clinical trials. Other frequently reported reactions include:

Conjunctival hyperemia (eye redness), which occurs in about 6% of patients. Instillation site pain, reported by approximately 8% of users. Visual acuity reduction, experienced by roughly 2% of individuals using the medication. Patients with known hypersensitivity to any ingredients in the formulation should avoid using Cequa. The package insert also advises against wearing contact lenses during treatment, as Cequa has not been studied in patients wearing contacts. Those who experience persistent or severe eye irritation should consult their healthcare provider immediately.

Comparison of Cyclosporine Eye Drops

When considering treatment options for dry eye disease, patients often compare different cyclosporine formulations. Here's how Cequa compares to other options on the market:

ProductConcentrationDelivery SystemDosing
Cequa0.09%NanomicellarTwice daily
Restasis0.05%EmulsionTwice daily
Xiidra5% (lifitegrast)SolutionTwice daily

The higher concentration of cyclosporine in Cequa (0.09%) compared to Restasis (0.05%) may provide enhanced efficacy for some patients. Additionally, the nanomicellar technology used in Cequa is designed to improve the delivery of the active ingredient to ocular tissues. Xiidra, while not containing cyclosporine, is included as another prescription option for dry eye treatment that works through a different mechanism.

Storage Requirements and Handling

The Cequa package insert provides specific instructions for proper storage and handling to maintain the medication's effectiveness. According to Sun Pharmaceutical, the manufacturer, Cequa should be stored at room temperature, between 68°F to 77°F (20°C to 25°C).

The single-use vials come packaged in pouches, which should remain sealed until ready for use to protect the medication from light and moisture. Once a pouch is opened, the vials should be used within 24 hours. Each vial is designed for one-time use only and should be discarded after application, even if solution remains. This practice helps prevent contamination and ensures proper dosing. The package insert also notes that patients should check the expiration date before use and avoid using medication that has expired or shows signs of discoloration or particulate matter.

Conclusion

Understanding the information contained in the Cequa package insert is crucial for patients to use this medication safely and effectively. By following the recommended dosage instructions, being aware of potential side effects, and adhering to proper storage guidelines, patients can maximize the benefits of this treatment for dry eye disease. Always consult with your healthcare provider about any questions or concerns regarding Cequa or if you experience persistent side effects. The package insert serves as an important reference, but your eye care professional remains the best source for personalized advice about your treatment regimen.

Citations

This content was written by AI and reviewed by a human for quality and compliance.