Vuity Eye Drops Side Effects

Presbyopia does not occur in the pediatric population.

Vuity Eye Drops Prescribing Information

Medically reviewed by Drugs.com. Last updated on Nov 1, 2022.

On This Page
  • Indications and Usage
  • Dosage and Administration
  • Dosage Forms and Strengths
  • Contraindications
  • Warnings and Precautions
  • Adverse Reactions/Side Effects
  • Use In Specific Populations
  • Overdosage
  • Description
  • Clinical Pharmacology
  • Nonclinical Toxicology
  • Clinical Studies
  • How Supplied/Storage and Handling
  • Patient Counseling Information

1 INDICATIONS AND USAGE

VUITY is indicated for the treatment of presbyopia in adults.

2 DOSAGE AND ADMINISTRATION

The recommended dosage of VUITY is one drop in each eye once daily.

If more than one topical ophthalmic product is being used, the products should be administered at least 5 minutes apart.

3 DOSAGE FORMS AND STRENGTHS

VUITY (pilocarpine hydrochloride ophthalmic solution) is provided as a 1.25% solution (12.5 mg/mL).

4 CONTRAINDICATIONS

VUITY is contraindicated in patients with known hypersensitivity to the active ingredient or to any of the excipients.

5 WARNINGS AND PRECAUTIONS

5.1 Blurred Vision

Miotics, including VUITY, may cause accommodative spasm. Patients should be advised not to drive or operate machinery if vision is not clear (e.g., blurred vision).

In addition, patients may experience temporary dim or dark vision with miotics, including VUITY. Patients should be advised to exercise caution in night driving and other hazardous activities in poor illumination.

5.2 Risk of Retinal Detachment

Rare cases of retinal detachment and retinal tear have been reported with miotics, including VUITY.

Individuals with pre-existing retinal disease are at increased risk. Therefore, examination of the retina is advised in all patients prior to the initiation of therapy.

Patients should be advised to seek immediate medical care with sudden onset of flashing lights, floaters, or vision loss.

5.3 Iritis

VUITY is not recommended to be used when iritis is present because adhesions (synechiae) may form between the iris and the lens.

5.4 Use with Contact Lenses

Contact lens wearers should be advised to remove their lenses prior to the instillation of VUITY and to wait 10 minutes after dosing before reinserting their contact lenses.

5.5 Potential for Eye Injury or Contamination

To prevent eye injury or contamination, care should be taken to avoid touching the dispensing bottle to the eye or to any other surface.

6 ADVERSE REACTIONS

The following clinically significant adverse reactions are described elsewhere in labeling:

  • Hypersensitivity [see Contraindications ( 4 )]

6.1 Clinical Trials Experience

Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.

VUITY was evaluated in 375 patients with presbyopia in two randomized, double-masked, vehicle-controlled studies (GEMINI 1 and GEMINI 2) of 30 days duration. The most common adverse reactions reported in >5% of patients were headache and conjunctival hyperemia. Ocular adverse reactions reported in 1-5% of patients were blurred vision, eye pain, visual impairment, eye irritation, and increased lacrimation.

6.2 Postmarketing Experience

The following adverse reactions have been identified during postapproval use of VUITY. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to VUITY exposure.

Eye disorders : vitreous detachment, vitreomacular traction, retinal tear, retinal detachment.

8 USE IN SPECIFIC POPULATIONS

8.1 Pregnancy

Risk Summary
There are no adequate and well-controlled studies of VUITY administration in pregnant women to inform a drug-associated risk. Oral administration of pilocarpine to pregnant rats throughout organogenesis and lactation did not produce adverse effects at clinically relevant doses.

Data
Human Data
No adequate and well-controlled trials of VUITY have been conducted in pregnant women. In a retrospective case series of 15 women with glaucoma, 4 patients used ophthalmic pilocarpine either pre-pregnancy, during pregnancy or postpartum. There were no adverse effects observed in patients or in their infants.

Animal Data
In embryofetal development studies, oral administration of pilocarpine to pregnant rats throughout organogenesis produced maternal toxicity, skeletal anomalies and reduction in fetal body weight at 90 mg/kg/day (approximately 970-fold higher than the maximum recommended human ophthalmic dose [MRHOD] of 0.015 mg/kg/day, on a mg/m 2 basis).

In a peri-/postnatal study in rats, oral administration of pilocarpine during late gestation through lactation increased stillbirths at a dose of 36 mg/kg/day (approximately 390-fold higher than the MRHOD). Decreased neonatal survival and reduced mean body weight of pups were observed at ≥18 mg/kg/day (approximately 200 times the recommended human daily dose of VUITY).

8.2 Lactation

Risk Summary
There is no information regarding the presence of pilocarpine in human milk, the effects on the breastfed infants, or the effects on milk production to inform risk of VUITY to an infant during lactation.

Pilocarpine and/or its metabolites are excreted in the milk of lactating rats. Systemic levels of pilocarpine following topical ocular administration are low [see Clinical Pharmacology ( 12.3 ) ] , and it is not known whether measurable levels of pilocarpine would be present in maternal milk following topical ocular administration.

The developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for VUITY and any potential adverse effects on the breastfed child from VUITY.

Data
Animal Data
Following a single oral administration of 14 C-pilocarpine to lactating rats, the radioactivity concentrations in milk were similar to those in plasma.

8.4 Pediatric Use

Presbyopia does not occur in the pediatric population.

8.5 Geriatric Use

Clinical studies of VUITY did not include subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience with ophthalmic pilocarpine solutions have not identified overall differences in safety between elderly and younger patients.

10 OVERDOSAGE

Systemic toxicity following topical ocular administration of pilocarpine is rare, but occasionally patients who are sensitive may develop sweating and gastrointestinal overactivity. Accidental ingestion can produce sweating, salivation, nausea, tremors and slowing of the pulse and a decrease in blood pressure. In moderate overdosage, spontaneous recovery is to be expected and is aided by intravenous fluids to compensate for dehydration. For patients demonstrating severe poisoning, atropine, the pharmacologic antagonist to pilocarpine, should be used.

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11 DESCRIPTION

VUITY (pilocarpine hydrochloride ophthalmic solution) 1.25% is a cholinergic muscarinic receptor agonist prepared as an isotonic, colorless, sterile ophthalmic solution containing 1.25% of pilocarpine hydrochloride. The chemical name for pilocarpine hydrochloride is (3S,4R)-3-ethyl-4-[(1-methyl-1H-imidazol-5-yl)methyl]oxolan-2-one hydrochloride. Its molecular weight is 244.72 and its molecular formula is C 11 H 16 N 2 O 2 · HCl. Its structural formula is:

Vuity Eye Drops Side Effects

Each mL of VUITY contains pilocarpine hydrochloride 1.25% (12.5 mg) as the active ingredient, equivalent to 1.06% (10.6 mg) pilocarpine free-base. Preservative is: benzalkonium chloride 0.0075%. Inactive ingredients in the ophthalmic solution are: boric acid, sodium citrate dihydrate, sodium chloride, purified water, and may also include hydrochloric acid and/or sodium hydroxide for pH adjustment to between 3.5 and 5.5, if necessary.

12 CLINICAL PHARMACOLOGY

12.1 Mechanism of Action

Pilocarpine hydrochloride is a cholinergic muscarinic agonist which activates muscarinic receptors located at smooth muscles such as the iris sphincter muscle and ciliary muscle. VUITY contracts the iris sphincter muscle, constricting the pupil to improve near and intermediate visual acuity while maintaining some pupillary response to light. VUITY also contracts the ciliary muscle and may shift the eye to a more myopic state.

12.3 Pharmacokinetics

Systemic exposure to pilocarpine was evaluated in 22 participants with presbyopia who were administered 1 drop of VUITY in each eye once daily for 30 days. The mean C max and AUC 0- t,ss values on Day 30 were 1.95 ng/mL and 4.14 ng·hr/mL, respectively. The median T max value on Day 30 was 0.3 hours postdose with a range from 0.2 to 0.5 hours postdose.

13 NONCLINICAL TOXICOLOGY

13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility

Pilocarpine did not induce tumors in mice at any dosage level studied (up to 30 mg/kg/day; approximately 160-times the MRHOD). In rats, an oral dose of 18 mg/kg/day (approximately 200 times the MRHOD), resulted in a statistically significant increase in the incidence of benign pheochromocytomas in both male and female rats, and a statistically significant increase in the incidence of hepatocellular adenomas in female rats.

Pilocarpine did not show any potential to cause genetic toxicity in a series of studies that included: 1) bacterial assays (Salmonella and E. coli) for reverse gene mutations; 2) an in vitro chromosome aberration assay in a Chinese hamster ovary cell line; 3) an in vivo chromosome aberration assay (micronucleus test) in mice; and 4) a primary DNA damage assay (unscheduled DNA synthesis) in rat hepatocyte primary cultures.

Impairment of Fertility

Pilocarpine oral administration to male and female rats at a dosage of 18 mg/kg/day (200 times the recommended human daily dose) resulted in impaired reproductive function, including reduced fertility, decreased sperm motility, and morphologic evidence of abnormal sperm. It is unclear whether the reduction in fertility was due to effects on males, females, or both. In dogs, exposure to pilocarpine at a dosage of 3 mg/kg/day for 6 months resulted in evidence of impaired spermatogenesis (approximately 110 times the recommended human daily dose).

14 CLINICAL STUDIES

The efficacy of VUITY for the treatment of presbyopia was demonstrated in two 30‐Day Phase 3, randomized, double‐masked, vehicle‐controlled studies, namely GEMINI 1 (NCT03804268) and GEMINI 2 (NCT03857542). A total of 750 participants aged 40 to 55 years old with presbyopia were randomized (375 to VUITY group) in two studies and participants were instructed to administer one drop of VUITY or vehicle once daily in each eye.

In both studies, the proportion of participants gaining 3 lines or more in mesopic, high contrast, binocular distance corrected near visual acuity (DCNVA), without losing more than 1 line (5 letters) of corrected distance visual acuity (CDVA) with the same refractive correction was statistically significantly greater in the VUITY group compared to the vehicle group at Day 30, Hour 3 (see Table 1).

Table 1: Primary Efficacy Results from GEMINI 1 and GEMINI 2 Studies (Intent-to-Treat Population)

GEMINI 1 GEMINI 2
VUITY
N=163
Vehicle
N=160
p-value VUITY
N=212
Vehicle
N=215
p-value
Proportion of participants gaining 3-lines or more in mesopic DCNVA, without losing more than 1 line (5 letters) of CDVA at Day 30, Hour 3 31% 8% p

26% 11% p

Figures 1 and 2 present the proportion of participants who gained 3-lines or more in mesopic DCNVA at Day 30.

Figure 1: Proportion of Participants Achieving 3-Lines or More Improvement in Mesopic, High Contrast, Binocular DCNVA at Day 30 in GEMINI 1 (Intent-to-Treat Population)

Vuity Eye Drops Side Effects

Figure 2: Proportion of Participants Achieving 3-lines or More Improvement in Mesopic, High Contrast, Binocular DCNVA at Day 30 in GEMINI 2 (Intent-to-Treat population)

Vuity Eye Drops Side Effects

How Supplied/Storage and Handling

VUITY is supplied as a sterile ophthalmic solution in colorless low density polyethylene (LDPE) ophthalmic dispenser bottles and tips, with dark green high impact polystyrene caps as follows:

2.5 mL fill in 5 mL bottle (Box containing 1 bottle) NDC 0074-7098-01
2.5 mL fill in 5 mL bottle (Box containing 3 bottles) NDC 0074-7098-03
2.5 mL fill in 5 mL bottle (Carton) NDC 0074-7098-04

Store at 15°C to 25°C (59°F to 77°F). After opening, VUITY can be used until the expiration date on the bottle.

17 PATIENT COUNSELING INFORMATION

Night Driving
VUITY may cause temporary dim or dark vision. Advise patients to exercise caution with night driving and when hazardous activities are undertaken in poor illumination. [see Warnings and Precautions ( 5.1 )]

Accommodative Spasm
Temporary problems when changing focus between near and distant objects may occur. Advise patients not to drive or use machinery if vision is not clear (e.g., blurred vision). [see Warnings and Precautions ( 5.1 )]

When to Seek Physician Advice
Advise patients to seek immediate medical care with sudden onset of flashing lights, floaters, or vision loss. [see Warnings and Precautions ( 5.2 )]

Contact Lens Wear
Contact lens should be removed prior to the instillation of VUITY. Wait 10 minutes after dosing before reinserting contact lenses. [see Warnings and Precautions ( 5.4 )]

Avoiding Contamination of the Product
Do not touch dropper tip to any surface, as this may contaminate the contents. [see Warnings and Precautions ( 5.5 )]

Concomitant Topical Ocular Therapy
If more than one topical ophthalmic medication is being used, the medicines must be administered at least 5 minutes apart.

Vuity Eye Drops Side Effects

Distributed by: Allergan, an AbbVie company
Manufactured for:
AbbVie Inc.
North Chicago, IL 60064 USA

© 2022 AbbVie. All rights reserved.
VUITY and its design are trademarks of Allergan Sales, LLC, an AbbVie company.

PRINCIPAL DISPLAY PANEL

(pilocarpine HCI ophthalmic solution) 1.25%

Contains one
2.5 mL bottle

For topical
application
in the eye

An AbbVie company

Vuity Eye Drops Side Effects

PRINCIPAL DISPLAY PANEL

(pilocarpine HCI ophthalmic solution) 1.25%

Contains three
2.5 mL bottles

For topical
application
in the eye

An AbbVie company

Vuity Eye Drops Side Effects

PRINCIPAL DISPLAY PANEL

(pilocarpine HCI ophthalmic
solution) 1.25%

For Topical Application in the Eye

An AbbVie company

Vuity Eye Drops Side Effects

PRINCIPAL DISPLAY PANEL

Professional Sample
Not for Resale

(pilocarpine HCI ophthalmic
solution) 1.25%

For Topical Application in the Eye

An AbbVie company

Vuity Eye Drops Side Effects

Product Information
Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:0074-7098
Route of Administration OPHTHALMIC DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
Pilocarpine Hydrochloride (Pilocarpine) Pilocarpine Hydrochloride 12.5 mg in 1 mL
Inactive Ingredients
Ingredient Name Strength
BORIC ACID
TRISODIUM CITRATE DIHYDRATE
SODIUM CHLORIDE
WATER
HYDROCHLORIC ACID
SODIUM HYDROXIDE
BENZALKONIUM CHLORIDE
Packaging
# Item Code Package Description
1 NDC:0074-7098-01 1 BOTTLE in 1 BOX
1 NDC:0074-7098-02 2.5 mL in 1 BOTTLE
2 NDC:0074-7098-03 3 BOTTLE in 1 BOX
2 NDC:0074-7098-02 2.5 mL in 1 BOTTLE
3 NDC:0074-7098-04 1 BOTTLE in 1 CARTON
3 NDC:0074-7098-02 2.5 mL in 1 BOTTLE
4 NDC:0074-7098-05 1 BOTTLE in 1 CARTON
4 1.5 mL in 1 BOTTLE
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
NDA NDA214028 10/28/2021
Labeler – AbbVie Inc. (078458370)

AbbVie Inc.

More about Vuity (pilocarpine ophthalmic)

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  • Pricing & coupons
  • Latest FDA alerts (1)
  • Side effects
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Patient resources

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  • Prescribing Information
  • Pilocarpine Eye Drops (FDA)

Vuity Side Effects

Medically reviewed by Drugs.com. Last updated on Oct 12, 2022.

Note: This document contains side effect information about pilocarpine ophthalmic. Some dosage forms listed on this page may not apply to the brand name Vuity.

Applies to pilocarpine ophthalmic: ophthalmic solution.

Serious side effects of Vuity

Along with its needed effects, pilocarpine ophthalmic (the active ingredient contained in Vuity) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking pilocarpine ophthalmic:

More common

  • Increased sweating
  • muscle tremors
  • nausea, vomiting, or diarrhea
  • redness of the white part of the eyes or inside of the eyelids
  • trouble breathing
  • watering of mouth

Less common

  • Blurred vision
  • eye irritation or pain
  • watering of the eyes

Incidence not known

  • Chest tightness
  • fast heartbeat
  • fever
  • hives, itching, skin rash
  • irritation
  • joint pain, stiffness, or swelling
  • redness of the skin
  • seeing flashes or sparks of light
  • seeing floating spots before the eyes, or a veil or curtain appearing across part of vision
  • swelling of the eyelids, face, lips, hands, or feet
  • trouble breathing

Other side effects of Vuity

Some side effects of pilocarpine ophthalmic may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  • Decrease in night vision
  • headache

For Healthcare Professionals

Applies to pilocarpine ophthalmic: compounding powder, ophthalmic gel, ophthalmic insert, ophthalmic solution.

Ocular

Common (1% to 10%): Accommodative change, blurred vision, eye irritation, visual impairment, eye pain

Frequency not reported: Ciliary spasm, itching, smarting/burning, sensitization of the lids and conjunctival vascular congestion, transient myopia, lens changes with chronic use, decrease in visual acuity in poor illumination, increased pupillary block, vitreous hemorrhaging, retinal detachment [Ref]

General

The most commonly reported side effects were accommodative change, blurred vision, eye irritation, visual impairment, and eye pain. [Ref]

Cardiovascular

Frequency not reported: Changes in blood pressure, cardiac rhythm [Ref]

Dermatologic

Frequency not reported: Sweating, increased salivation, lacrimation [Ref]

Nervous system

Common (1% to 10%): Headache, browache

Frequency not reported: Tremor [Ref]

Respiratory

Frequency not reported: Bronchial spasm, pulmonary edema [Ref]

Gastrointestinal

Frequency not reported: Nausea, vomiting, diarrhea [Ref]

More about Vuity (pilocarpine ophthalmic)

  • Check interactions
  • Pricing & coupons
  • Latest FDA alerts (1)
  • Dosage information
  • During pregnancy
  • FDA approval history
  • Breastfeeding
  • En español

Patient resources

Other brands

Professional resources

References

1. “Product Information. Pilopine-HS (pilocarpine ophthalmic).” Alcon Laboratories Inc

2. Cerner Multum, Inc. “UK Summary of Product Characteristics.” O 0

3. Cerner Multum, Inc. “Australian Product Information.” O 0

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Some side effects may not be reported. You may report them to the FDA.

Vuity Side Effects Center

Vuity (pilocarpine hydrochloride ophthalmic solution) is a cholinergic muscarinic receptor agonist indicated for the treatment of presbyopia in adults.

What Are Side Effects of Vuity?

Side effects of Vuity include:

  • headache and
  • eye redness.

Vuity may cause serious side effects including:

  • hives,
  • difficulty breathing,
  • swelling of your face, lips, tongue, or throat,
  • blurred vision,
  • eye pain,
  • visual impairment,
  • eye irritation, and
  • excessive tearing or watering of the eye

Get medical help right away, if you have any of the symptoms listed above.

Seek medical care or call 911 at once if you have the following serious side effects:

  • Serious eye symptoms such as sudden vision loss, blurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights;
  • Serious heart symptoms such as fast, irregular, or pounding heartbeats; fluttering in your chest; shortness of breath; and sudden dizziness, lightheartedness, or passing out;
  • Severe headache, confusion, slurred speech, arm or leg weakness, trouble walking, loss of coordination, feeling unsteady, very stiff muscles, high fever, profuse sweating, or tremors.

This document does not contain all possible side effects and others may occur. Check with your physician for additional information about side effects.

Dosage for Vuity

The dose of Vuity is one drop instilled in each eye once daily. If more than one topical ophthalmic product is being used, the products should be administered at least 5 minutes apart.

Vuity In Children

Presbyopia does not occur in the pediatric population.

What Drugs, Substances, or Supplements Interact with Vuity?

Vuity may interact with other medicines.

Tell your doctor all medications and supplements you use.

Vuity During Pregnancy and Breastfeeding

Tell your doctor if you are pregnant or plan to become pregnant before using Vuity; it is unknown how it might affect a fetus. It is unknown if Vuity passes into breast milk. Consult your doctor before breastfeeding.

Additional Information

Our Vuity (pilocarpine hydrochloride ophthalmic solution) 1.25%, for Topical Ophthalmic Use Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Vuity Eye Drops Side Effects

SLIDESHOW

Vuity Professional Information

PATIENT INFORMATION

Night Driving

VUITY may cause temporary dim or dark vision. Advise patients to exercise caution with night driving and when hazardous activities are undertaken in poor illumination. [see WARNINGS AND PRECAUTIONS]

Accommodative Spasm

Temporary problems when changing focus between near and distant objects may occur. Advise patients not to drive or use machinery if vision is not clear (e.g., blurred vision). [see WARNINGS AND PRECAUTIONS]

When To Seek Physician Advice

Advise patients to seek immediate medical care with sudden onset of flashing lights, floaters, or vision loss. [see WARNINGS AND PRECAUTIONS]

Contact Lens Wear

Contact lens should be removed prior to the instillation of VUITY. Wait 10 minutes after dosing before reinserting contact lenses. [see WARNINGS AND PRECAUTIONS]

Avoiding Contamination Of The Product

Do not touch dropper tip to any surface, as this may contaminate the contents. [see WARNINGS AND PRECAUTIONS]

Concomitant Topical Ocular Therapy

If more than one topical ophthalmic medication is being used, the medicines must be administered at least 5 minutes apart.

Vuity Eye Drops Side Effects

QUESTION

© Vuity Patient Information is supplied by Cerner Multum, Inc. and Vuity Consumer information is supplied by First Databank, Inc., used under license and subject to their respective copyrights.

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Alex Koliada, PhD

Alex Koliada, PhD

Alex Koliada, PhD, is a well-known doctor. He is famous for his studies of ageing, genetics and other medical conditions. He works at the Institute of Food Biotechnology and Genomics NAS of Ukraine. His scientific researches are printed by the most reputable international magazines. Some of his works are: Differences in the gut Firmicutes to Bacteroidetes ratio across age groups in healthy Ukrainian population [BiomedCentral.com]; Mating status affects Drosophila lifespan, metabolism and antioxidant system [Science Direct]; Anise Hyssop Agastache foeniculum Increases Lifespan, Stress Resistance, and Metabolism by Affecting Free Radical Processes in Drosophila [Frontiersin].
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