ALCAINE 0.
5% Eye Drops
                   
Proxymetacaine hydrochloride
CONSUMER MEDICINE INFORMATION
What is in this leaflet              If you have any concerns about      •     Any other local
                                     using this medicine, ask your             anaesthetics
Please read this leaflet             doctor or pharmacist.               •     Any of the ingredients in
carefully before you use                                                       Alcaine (these are listed
Alcaine Eye Drops.                   Keep this leaflet with the                under Product
                                     medicine.                                 Description).
This leaflet answers some
common questions about               You may need to read it again.      Some of the symptoms of an
Alcaine Eye Drops. It does not                                           allergic reaction may include:
contain all of the available         What Alcaine it is used             •   shortness of breath
information. It does not take the    for
place of talking to your doctor or                                       •   wheezing or difficulty
pharmacist.                          Alcaine contains the active             breathing
                                     ingredient proxymetacaine
                                     hydrochloride, which belongs to     •   swelling of the face, lips,
The information in this leaflet                                              tongue or other parts of the
was last updated on the date         a group of medicines called local
                                     anaesthetics.                           body
listed on the final page. More
recent information on the            Alcaine is used, to temporarily     •   rash, itching or hives on the
medicine may be available.           numb or block the feeling               skin.
                                     (anaesthetise) of pain in your      Do not use this medicine after
You should ensure that you           eye(s) during short term medical    the expiry date printed on the
speak to your pharmacist or          procedures. These procedures        pack or if the seal around the
doctor to obtain the most up to      include measuring the pressure      pack is broken or shows signs
date information on the              in your eye, cataract surgery,      of tampering.
medicine.                            removing stitches or a foreign
                                     body from eye e.g. a bit of dirt.   If it is has expired or is
You can also download the most                                           damaged, return it to your
up to date leaflet from              The numbing effect of Alcaine       pharmacist for disposal.
www.medsafe.govt.nz.                 will wear off quickly, usually
                                     about 15 minutes after the last     This medicine has been
                                     drop is put in your eye(s).         developed for use in the eye
The updates may contain
                                                                         only. It is not to be swallowed
important information about the      Ask your doctor if you have         or injected.
medicine and its use of which        any questions about why this
you should be aware.                 medicine has been prescribed        If you are not sure whether
                                     for you.                            you should be given this
All medicines have risks and                                             medicine talk to your doctor.
benefits. Your doctor has            Your doctor may have
weighed the expected benefits of     prescribed it for another reason.   Before you are given it
you using Alcaine against the                                            Tell your doctor if you have
risks this medicine could have       Before you are given                allergies to any other
for you.                             Alcaine                             medicines or any substances
                                                                         such as foods, preservatives or
The information in this leaflet      When you must not be given          dyes.
applies to Alcaine only. This        it
                                                                         Tell your doctor if you have or
information does not apply to        Alcaine should not be given to      have had any medical
similar products, even if they       you if you have an allergy to:      conditions, especially the
contain the same ingredients.
                                     •     Any medicine containing       following:
                                           proxymetacaine                •   Epilepsy
                                           hydrochloride
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•   Heart problems                   health food shop without a          You may put your soft contact
                                     doctor’s prescription.              lenses back into your eyes after
•   Lung or breathing problems                                           the anaesthesia has worn off and
                                     Some medicines and Alcaine
•   Thyroid problems                 may interfere with each other.
                                                                         at least 15 minutes after you
                                                                         have been given Alcaine
•   Myasthenia gravis (a             These include a group of
    disease of the muscles           medicines called “cholinesterase    If you are given too much
    causing drooping eyelids,        inhibitors”.                        (overdose)
    double vision, difficulty in     Your doctor will advise you and     The doctor giving you Alcaine
    speaking and swallowing          decide whether or not to give       will be experienced in the use of
    and sometimes muscle             you Alcaine.                        local anesthetics, so it is unlikely
    weakness in the arms or
                                                                         that you will be given an
    legs).                           How Alcaine is given                overdose.
Tell your doctor if you have         How much is used                    If too many drops have been put
ever experienced a reaction to
                                     Your doctor will put the correct    in accidentally in your eye(s)
any other local anaesthetics.                                            immediately rinse your eye(s)
                                     number of drops of Alcaine into
Tell your doctor if you are          your eye(s) before starting the     with warm water.
pregnant or plan to become           procedure on your eye.              If you think that you or
pregnant.
                                     Your doctor will not write a        someone else has swallowed
Your doctor will only use            prescription for Alcaine for your   too much Alcaine, immediately
Alcaine if necessary.                own use. Alcaine has been           telephone the National
Ask your doctor for advice on        specifically developed to help a    Poisons Centre on 0800
the risks and benefits involved.     doctor numb the feeling in your     POISON or 0800 764 766 or
                                     eye(s) while attending to your      your doctor for advice, or go
Tell your doctor if you are          eye(s).                             to Accident and Emergency at
breast feeding.                                                          the nearest hospital. Do this
                                     The usual dose is one to two        even if there are no signs of
Your doctor will only use
                                     drops into your eye(s) before       discomfort or poisoning.
Alcaine if necessary.
                                     starting the procedure on your
Ask your doctor for advice on        eye. The number of times you        You may need urgent medical
the risks and benefits involved.     will be given Alcaine during the    attention.
                                     procedure will depend on the
If you have not told your
                                     type and length of procedure to
                                                                         After you are given
doctor about any of the above,                                           Alcaine
                                     be performed. For example,
tell them before you are given
                                     your doctor will put one to two
Alcaine.                                                                 Things you must do
                                     drops into your eye(s) just
Long term use may lessen the         before measuring the pressure in    You must protect you
anaesthetic effect so that more of   your eye. However, if you are to    anaesthetised eye from dust
the medicine is needed to            have minor surgery such as          particles, which could cause
produce anaesthesia.                 removal of stitches your doctor     infection.
                                     will put one to two drops in your
Long term use may also damage                                            Things you must not do
                                     eye(s) every 5 to 10 minutes for
the surface of the eye (cornea),
                                     up to three doses.                  Do not touch or rub your
cause an eye infection or
permanent loss of sight.             It is very important that you do    eye(s) while they are numb.
                                     not touch or rub your eye while     You may scratch the surface of
It is very important that you
                                     your eye is numb because you        the eye and damage it. Your
protect your eyes from irritating
                                     may scratch the surface of your     doctor will put a patch over your
chemicals, avoid touching or
                                     eye and damage it. Your doctor      eye after finishing the procedure
rubbing your eye(s) until the
                                     will put a patch over your eye      to protect your eye and stop you
anaesthesia has worn off.
                                     after finishing the procedure to    from touching it.
Taking or using other                protect your eye and stop you
                                     from touching it.                   Things to be careful of
medicines
                                     If you are wearing soft contact     Be careful driving or operating
Tell your doctor or pharmacist if
                                     lenses, you will be asked to        machinery until you know how
you are taking or using any other
                                     remove them prior to instillation   Alcaine affects you and your
medicines, including medicines
                                     of the drops by your doctor.        vision.
that you buy at a pharmacy or
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As with any eye medicines,           You may need urgent medical        New Zealand.
temporary blurred vision or          attention or hospitalisation.
other visual disturbances may                                           PO Box 4079
                                     Tell your doctor if you notice
affect the ability to drive or use
                                     any unwanted effects even if       Auckland 1140
machinery in some people. If
                                     they do not appear in the list
blurred vision occurs, wait until
                                     above.                             New Zealand.
your vision is clear before
driving or operating machinery.      Other side effects not listed
                                     above may also occur in some       Free Phone: 0800 804 079.
Side Effects                         patients.                          Date of Preparation
Tell your doctor as soon as          After using Alcaine                This leaflet was prepared in
possible if you do not feel well
after Alcaine use.                   Storage                            July 2018.
All medicines can have side          Alcaine will be stored by your
effects. Sometimes they are          doctor or pharmacist under         Alcaine® is a trademark of
serious, however most of the         the recommended conditions.        Alcon.
time they are not. You may           It should be stored between 2°
need to medical treatment if you     to 8° C (Refrigerate, do not       ©       Alcon        Laboratories
get some of the side effects.        freeze). Protect from light.       (Australia) Pty Ltd 2018.
Do not feel alarmed the list of      Alcaine should be used in a
possible side effects. You may       single patient only.
not experience any of them.
                                     Product Description
Ask your doctor, nurse, or
pharmacist to answer any             What it looks like
questions you may have.
                                     Alcaine Eye Drops are a sterile,
Tell your doctor, nurse or           clear liquid that comes in a 15
pharmacist if you notice any of      mL dropper bottle.
the following and they worry
you:                                 Ingredients
•   Irritation, stinging and         Alcaine Eye Drops contain
    burning feeling in the eye       proxymetacaine hydrochloride
                                     0.5% (5 mg in 1 mL) as the
•   Redness or watery eyes           active ingredient.
•   Increased winking                Alcaine Eye Drops also contain:
•   Dilated pupils causing           •   glycerol
    blurred vision
                                     •   benzalkonium chloride (as a
•   Drying and splitting of the          preservative)
    skin on fingertips
                                     •   purified water
•   A severe, immediate allergic
    reaction involving the front     •   hydrochloric acid and/or
    layer (the cornea) of the eye.       sodium hydroxide (to adjust
                                         pH).
Occasionally some people notice
untoward effects in the rest of      Supplier
their body as a result of Alcaine    Alcaine is supplied in New
use.                                 Zealand by:
Tell your doctor immediately
or go to Accident and                Pharmaco (NZ) Ltd
Emergency at your nearest
hospital at the first sign of an     4 Fisher Crescent
allergic reaction such skin
                                     Mount Wellington
rash or hives.
                                     Auckland 1060
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