Muro-128 (Ophthalmic)

Hypertonic sodium chloride eye ointment and eye drops help remove excess water from a swollen cornea. Too much water in the cornea can lead to blurry vision. You might also notice halos or rings around bright lights. The cornea is the clear layer that covers the colored part of your eye.

Your eye doctor will check your eyes at regular visits to ensure it is working properly and not causing unwanted effects.

If your symptoms do not improve within a few days or if they become worse, contact your doctor.

While applying the medicine, your eyes may sting or burn for a short time. This is normal.

If you experience eye pain, changes in vision, ongoing redness or irritation of the eye, or if your symptoms last for more than 3 days or worsen, contact your doctor.

Talk with your doctor immediately if you injure your eye, develop an eye infection, or need to have eye surgery. You may need to change your medicine or stop using it.

In deciding to use a medicine, it is important to consider the risks of taking the medicine alongside the benefits it may provide. This decision should be made between you and your doctor. For this medicine, please consider the following:

Allergies

Inform your doctor if you have ever had any unusual or allergic reactions to this medicine or any other medicines. Also, let your healthcare professional know about any other types of allergies, including those to foods, dyes, preservatives, or animals. For non-prescription products, carefully read the label or package ingredients.

Pediatric

There is no information available regarding the effects of sodium chloride eye ointment or eye drops in children. Safety and effectiveness have not been established.

Geriatric

There is no information available regarding the effects of sodium chloride eye ointment or eye drops in older adults.

Interactions with Medicines

Some medicines should not be used together at all, while in other cases, two different medicines may be used together even if there is a possibility of interaction. In such situations, your doctor may adjust the dose or take other precautions. Inform your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicines.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be taken around the time of eating food or specific types of food due to potential interactions. Using alcohol or tobacco with certain medicines may also lead to interactions. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Along with its necessary benefits, a medicine may cause some unwanted effects. Not all of these side effects may happen, but if they do, they might need medical attention.

Check with your doctor right away if any of the following side effects occur:

More common

• Changes in vision
• red eyes

Some side effects may happen that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Additionally, your healthcare professional may be able to tell you about ways to prevent or lessen some of these side effects. Check with your healthcare professional if any of the following side effects continue, are bothersome, or if you have any questions about them:

More common

• Temporary burning sensation of the eye
• temporary eye irritation

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

In the U.S.

• AK-NaCl
• Muro-128
• OcuFresh
• Sochlor

In Canada

• Cordema
• Eye Wash
• In A Wink Daily Cleaner
• In A Wink Neutralizing Rinse

Available Dosage Forms:

• Solution
• Ointment

Therapeutic Class: Eye Wash

Your eye doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to. This medicine is not for long-term use.

Follow the instructions on the medicine label if you are using this medicine without a prescription.

To use the eye drops:

• The bottle is only partially full to provide proper drop control.
• First, wash your hands. Then tilt the head back and pull the lower eyelid away from the eye to form a pouch. Drop the medicine into the pouch and gently close the eyes. Do not blink. Keep the eyes closed for 1 or 2 minutes to allow the medicine to be absorbed.
• If you think you did not get the drop of medicine into your eye properly, use another drop.
• Immediately after using the eye drops, wash your hands to remove any medicine that may be on them.
• To keep the medicine as germ-free as possible, do not touch the applicator tip to any surface (including the eye). Also, keep the container tightly closed. Serious damage to the eye and possible loss of vision may result from using contaminated eye drops.

To use the eye ointment:

• Hold the tip of the tube close to your eye with the other hand.
• Avoid touching the tip of the tube to your eye or finger.
• Squeeze a small amount (1/4 inch) of ointment into the pocket between your lower lid and eyeball. Close your eyes for 1 to 2 minutes.
• Wipe the tip with a clean tissue and close the tube tightly. Keep the tube tightly closed when you are not using it.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For swelling of the cornea: For ophthalmic dosage form (eye drops): Adults—Use 1 or 2 drops every 3 or 4 hours, or as directed by your doctor. Children—Use and dose must be determined by your doctor. For ophthalmic dosage form (eye ointment): Adults—Apply small amount (1/4 inch) to the inside of the eyelids every 3 or 4 hours, or as directed by your doctor. Children—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.