Medine.co.uk

Vexol 10mg/Ml Eye Drops Suspension

Document: leaflet MAH BRAND_PLPI 18799-2489 change

Package Leaflet - Information for the User

Vexol® 10mg/ml eye drops, suspension

(rimexolone)

Read all of this leaflet carefully before you start using this medicine, because it contains important information for you.

•    Keep this leaflet. You may need to read it again.

•    If you have any further questions, ask your doctor or pharmacist.

•    This medicine has been prescribed for you only. Do not pass it on to others.

It may harm them, even if their signs of illness are the same as yours.

•    If you get any of the side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

The name of your medicine is Vexol 10mg/ml eye drops, suspension but will be referred to as Vexol throughout this leaflet.



1.    What Vexol is and what it is used for

2.    What you need to know before you use Vexol

3.    How to use Vexol

4.    Possible side effects

5.    How to store Vexol

6.    Contents of pack and other information

1.


What Vexol is and what it is used for



Vexol belongs to a group of medicines known as corticosteroids.

It is used to prevent or treat eye inflammation following surgery of the eye and to treat inflammation of the eye surface and the front portion inside the eye (anterior segment).

It helps to relieve the symptoms of inflammation such as redness, soreness and swelling.

2.


What you need to know before you use Vexol



Do not use Vexol...

•    If you have any type of infection of the eye that is not being treated. Use of steroids may make infections worse.

•    If you have a red eye that has not been seen by a doctor.

•    If you are allergic to rimexolone or any of the other ingredients of this medicine (listed in section 6).

Ask your doctor for advice.

Vexol is not for use in CHILDREN.

Take special care...

•    If you have a disorder causing a thinning of the eye tissues, such as rheumatoid arthritis, Fuch’s dystrophy or following a corneal transplant.

Steroids may cause further thinning and possible perforation.

•    Steroids applied to the eye may delay the healing of your eye wound.

You may still be able to use Vexol, but discuss it with

your doctor first.

Pregnancy and breast-feeding

If you are pregnant or might get pregnant, or if you are

breast-feeding a baby, talk to your doctor before you

use Vexol

Driving and using machines

If your vision is blurred or your sight is affected in any way following the use of Vexol, you should not drive or operate machinery until your vision is clear.

Other medicines and Vexol,

Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

If you are using more than one eye preparation, wait 15 minutes between each application.

Important information if you wear Contact Lenses

Wearing contact lenses is not advisable during treatment of an eye inflammation as it may make your condition worse.

Do not use the drops while wearing contact lenses. Wait at least 15 minutes after use before putting your lenses back in. There is a preservative in Vexol (benzalkonium chloride) that can discolour soft contact lenses and may cause eye irritation.

3.


How to use Vexol



The usual dose

This will depend on the reason for use.

Inflammation (red, painful eye)

Apply 1 drop in the affected eye 4 times a day or more often, if advised by your doctor.

Inflammation of the inside of the eye (Uveitis)

1st week - Apply 1 drop in the affected eye every hour while awake.

2nd week - Apply 1 drop every 2 hours while awake. 3rd week - Apply 1 drop 4 times a day.

4th week - Apply 1 drop twice daily for the first 4 days and then apply 1 drop once daily for the last 3 days.

Inflammation after eye surgery

Apply 1 drop in the affected eye 4 times a day, beginning 24 hours after your operation and continuing for the first 2 weeks afterwards.

Not for use in CHILDREN.

Remove the loose collar from the cap when the bottle is first opened.

Always use Vexol exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.

3.


How to use Vexol (continued)



How to use

•    Wash your hands before you start.

•    Shake the bottle well.

•    Twist off the bottle cap.

•    Hold the bottle pointing down, between your thumb and fingers.

•    Tilt your head back.

•    Pull down your lower eyelid with a finger, until there is a ‘pocket' between the eyelid and your eye. The drop will go in here (picture 1).



Bring the bottle tip close to the eye. Do this in front of a mirror if it helps.

Do not touch your eye or eyelid, surrounding areas or other surfaces with the dropper. It could infect the drops.

Gently press on the base of the bottle to release one drop at a time (picture 2).

Do not squeeze the bottle, only a gentle press on the bottom is needed.

If you use drops in both eyes, repeat the steps for your other eye. Put the bottle cap firmly back on immediately after use.

•    If a drop misses your eye, try again.

•    If you forget to use Vexol, just use it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your normal dosing schedule. Do not take a double dose to make up.

•    If you use more Vexol than you should, it can be

washed out with luke warm water.

* If treatment with VEXOL is stopped...

A flare-up of inflammation may occur if treatment is discontinued early. Do not suddenly stop using the product without your doctor's advice. Your doctor may want to gradually reduce the amount you use to reduce the chance of unwanted effects.

If you have any further questions on the use of

VEXOL, ask your doctor or pharmacist.


Like all medicines, Vexol can cause side effects, although not everybody gets them.

•    You may experience some or all of the following effects in your eye(s) :

Common (affect 1 to 10 people in 100) : Blurred vision, discharge, discomfort.

Uncommon (affect 1 to 10 people in 1000) :

Redness of the eye or inside the eyelid, pain, itching, dry eyes, swelling, watery eyes, eye staining, irritation, serious infections, increased pressure in the eye, eye surface inflammation or other disorders.

Rare (1 to 10 users in 10,00): Swelling of the back of the eye, eyelid swelling, sensitivity to light, crusting on the eyelids or scarring or other disorders.

Not known (cannot be estimated from the available data): Reduced vision.

•    You may also experience effects in other areas of your body including:

Uncommon (affect 1 in 10 people in 1000):

Headache, redness or soreness of the throat, bad or unusual taste.

Rare (1 in 10 users in 10,000): Allergy, low blood pressure, runny nose.

Not known (cannot be estimated from the available data): Chest pain.

If Vexol is used for a long time this can lead to an increase in pressure inside the eye or the formation of cataracts, both of which can lead to decreased vision. It can also lead to infections, as your natural resistance to these is reduced. The risk of Vexol induced increased pressure inside the eye may be greater in children and may occur earlier than in adults. Vexol is not approved for use in children.

If any of the side effects get serious, or you notice any side effects not listed in this leaflet, tell your doctor or pharmacist.

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard By reporting side effects, you can help provide more information on the safety of this medicine.


•    Do not store above 25°C. Do not freeze.

•    Unopened Vexol: Do not use your eye drops after the expiry date which is stated on the carton/bottle label after ‘Exp'. The expiry date refers to the last day of that month.

•    Discard 28 days after first opening.

• Keep out of the sight and reach of children.

•    Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help in the protection of the environment.

6.


Contents of the pack and other information

What Vexol Contains

•    The active ingredient is rimexolone. Each ml of suspension contains 10mg rimexolone.

•    The other ingredients are benzalkonium chloride, mannitol, carbomer, polysorbate 80, disodium edetate, sodium chloride and sodium hydroxide and/or hydrochloric acid to adjust the pH, purified water.

What Vexol looks like and contents of the pack

Vexol is white to off-white suspension. It comes in a plastic dropper bottle (Droptainer) with dropper and a white screw cap containing 5ml suspension.

Manufactured by: SA Alcon-Couvreur NV,

Rijksweg 14, B-2870 Puurs, Belgium.

Procured from within the EU and repackaged by the Product Licence holder: B&S Healthcare, Unit 4, Bradfield Road, Ruislip, Middlesex, HA4 0NU, UK.

Vexol® 10mg/ml eye drops, suspension;

PL 18799/2489

Leaflet date: 30.11.2015

Package Leaflet - Information for the User

Rimexolone 10mg/ml eye drops, suspension

Read all of this leaflet carefully before you start using this medicine, because it contains important information for you.

•    Keep this leaflet. You may need to read it again.

• If you have any further questions, ask your doctor or pharmacist.

•    This medicine has been prescribed for you only. Do not pass it on to others.

It may harm them, even if their signs of illness are the same as yours.

• If you get any of the side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.


The name of your medicine is Rimexolone 10mg/ml eye drops, suspension but will be referred to as Rimexolone throughout this leaflet.



1.    What Rimexolone is and what it is used for

2.    What you need to know before you use Rimexolone

3.    How to use Rimexolone

4.    Possible side effects

5.    How to store Rimexolone

6.    Contents of pack and other information

1.


What Rimexolone is and what it is used for



Rimexolone belongs to a group of medicines known as It helps to relieve the symptoms of inflammation such corticosteroids.    as redness, soreness and swelling.

It is used to prevent or treat eye inflammation following surgery of the eye and to treat inflammation of the eye surface and the front portion inside the eye (anterior segment).

2.


What you need to know before you use Rimexolone



Do not use Rimexolone...

•    If you have any type of infection of the eye that is not being treated. Use of steroids may make infections worse.

•    If you have a red eye that has not been seen by a doctor.

•    If you are allergic to rimexolone or any of the other ingredients of this medicine (listed in section 6).

Ask your doctor for advice.

Rimexolone is not for use in CHILDREN.

Take special care...

•    If you have a disorder causing a thinning of the eye tissues, such as rheumatoid arthritis, Fuch’s dystrophy or following a corneal transplant.

Steroids may cause further thinning and possible perforation.

•    Steroids applied to the eye may delay the healing of your eye wound.

You may still be able to use Rimexolone, but discuss it

with your doctor first.

Pregnancy and breast-feeding

If you are pregnant or might get pregnant, or if you are

breast-feeding a baby, talk to your doctor before you

use Rimexolone

Driving and using machines

If your vision is blurred or your sight is affected in any way following the use of Rimexolone, you should not drive or operate machinery until your vision is clear.

Other medicines and Rimexolone Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

If you are using more than one eye preparation, wait 15 minutes between each application.

Important information if you wear Contact Lenses

Wearing contact lenses is not advisable during treatment of an eye inflammation as it may make your condition worse.

Do not use the drops while wearing contact lenses. Wait at least 15 minutes after use before putting your lenses back in. There is a preservative in Rimexolone (benzalkonium chloride) that can discolour soft contact lenses and may cause eye irritation.

3.


How to use Rimexolone



The usual dose

This will depend on the reason for use.

Inflammation (red, painful eye)

Apply 1 drop in the affected eye 4 times a day or more often, if advised by your doctor.

Inflammation of the inside of the eye (Uveitis)

1st week - Apply 1 drop in the affected eye every hour while awake.

2nd week - Apply 1 drop every 2 hours while awake. 3rd week - Apply 1 drop 4 times a day.

4th week - Apply 1 drop twice daily for the first 4 days and then apply 1 drop once daily for the last 3 days.

Inflammation after eye surgery

Apply 1 drop in the affected eye 4 times a day, beginning 24 hours after your operation and continuing for the first 2 weeks afterwards.

Not for use in CHILDREN.

Remove the loose collar from the cap when the bottle is first opened.

Always use Rimexolone exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.

3.


How to use Rimexolone (continued)



How to use

•    Wash your hands before you start.

•    Shake the bottle well.

•    Twist off the bottle cap.

•    Hold the bottle pointing down, between your thumb and fingers.

•    Tilt your head back.

•    Pull down your lower eyelid with a finger, until there is a ‘pocket' between the eyelid and your eye. The drop will go in here (picture 1).




Bring the bottle tip close to the eye. Do this in front of a mirror if it helps.

Do not touch your eye or eyelid, surrounding areas or other surfaces with the dropper. It could infect the drops.

Gently press on the base of the bottle to release one drop at a time (picture 2).

Do not squeeze the bottle, only a gentle press on the bottom is needed.

If you use drops in both eyes, repeat the steps for your other eye. Put the bottle cap firmly back on immediately after use.

•    If a drop misses your eye, try again.

•    If you forget to use Rimexolone, just use it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your normal dosing schedule. Do not take a double dose to make up.

•    If you use more Rimexolone than you should, it

can be washed out with luke warm water.

* If treatment with RIMEXOLONE is stopped...

A flare-up of inflammation may occur if treatment is discontinued early. Do not suddenly stop using the product without your doctor's advice. Your doctor may want to gradually reduce the amount you use to reduce the chance of unwanted effects.

If you have any further questions on the use of

RIMEXOLONE, ask your doctor or pharmacist.


Like all medicines, Rimexolone can cause side effects, although not everybody gets them.

•    You may experience some or all of the following effects in your eye(s) :

Common (affect 1 to 10 people in 100) : Blurred vision, discharge, discomfort.

Uncommon (affect 1 to 10 people in 1000) :

Redness of the eye or inside the eyelid, pain, itching, dry eyes, swelling, watery eyes, eye staining, irritation, serious infections, increased pressure in the eye, eye surface inflammation or other disorders.

Rare (1 to 10 users in 10,00): Swelling of the back of the eye, eyelid swelling, sensitivity to light, crusting on the eyelids or scarring or other disorders.

Not known (cannot be estimated from the available data): Reduced vision.

•    You may also experience effects in other areas of your body including:

Uncommon (affect 1 in 10 people in 1000):

Headache, redness or soreness of the throat, bad or unusual taste.

Rare (1 in 10 users in 10,000): Allergy, low blood pressure, runny nose.

Not known (cannot be estimated from the available data): Chest pain.

If Rimexolone is used for a long time this can lead to an increase in pressure inside the eye or the formation of cataracts, both of which can lead to decreased vision. It can also lead to infections, as your natural resistance to these is reduced. The risk of Rimexolone induced increased pressure inside the eye may be greater in children and may occur earlier than in adults. Rimexolone is not approved for use in children.

If any of the side effects get serious, or you notice any side effects not listed in this leaflet, tell your doctor or pharmacist.

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard By reporting side effects, you can help provide more information on the safety of this medicine.


•    Do not store above 25°C. Do not freeze.

•    Unopened Rimexolone: Do not use your eye drops after the expiry date which is stated on the carton/bottle label after ‘Exp'. The expiry date refers to the last day of that month.

•    Discard 28 days after first opening.

• Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help in the protection of the environment.

6.


Contents of the pack and other information

What Rimexolone Contains

•    The active ingredient is rimexolone. Each ml of suspension contains 10mg rimexolone.

•    The other ingredients are benzalkonium chloride, mannitol, carbomer, polysorbate 80, disodium edetate, sodium chloride and sodium hydroxide and/or hydrochloric acid to adjust the pH, purified water.

What Rimexolone looks like and contents of the pack

Rimexolone is white to off-white suspension. It comes in a plastic dropper bottle (Droptainer) with dropper and a white screw cap containing 5ml suspension.

Manufactured by: SA Alcon-Couvreur NV,

Rijksweg 14, B-2870 Puurs, Belgium.

Procured from within the EU and repackaged by the Product Licence holder: B&S Healthcare, Unit 4, Bradfield Road, Ruislip, Middlesex, HA4 0NU, UK.

Rimexolone 10mg/ml eye drops, suspension;

PL 18799/2489

Leaflet date: 30.11.2015