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Xalatan vs. Pilocarpine

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Latanoprost (Xalatan, Xelpros) and pilocarpine (Salagen) are both medications used to treat conditions related to the eyes, but they work in different ways and treat different conditions. Latanoprost is a prostaglandin eye drop used to lower high pressure in the eye caused by ocular hypertension or open-angle glaucoma. It is applied once daily in the evening. Pilocarpine, on the other hand, is a cholinergic agonist taken orally to treat dry mouth due to radiation therapy for head and neck cancer or Sjögren's syndrome. It is taken 3 to 4 times a day. Latanoprost can cause changes in eye color and eyelash growth, while pilocarpine can cause sweating, nausea, and runny nose. Latanoprost is available as a generic, but Xelpros does not have a generic version. Pilocarpine is available as a lower-cost generic. Latanoprost is stored in the fridge until opened, while pilocarpine is taken by mouth and does not require refrigeration. Both medications require a prescription and are not controlled substances.

Latanoprost

(Xalatan)

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Pilocarpine

(Salagen)

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Summary for Xalatan

Prescription only

Latanoprost (Xalatan) is an eye drop medication. It's used in adults to treat conditions related to high pressure in the eye, such as glaucoma. It works as a prostaglandin to help with high eye pressure. The typical dosage is 1 drop in the affected eye(s) once each night. Side effects include feeling like there's something in the eye, burning, and stinging. Unopened bottles need to be refrigerated. But once opened, you keep the medication at room temperature. Latanoprost (Xalatan) is available as a brand-name and generic medication.

Indications for Xalatan

Pros and Cons for Xalatan

Pros

Cons

  • Can permanently change the color of your eye
  • Need to take out any soft contact lenses before using

Common Side Effects for Xalatan

  • Feeling like there's something inside the eye (13%)
  • Stinging (9%)
  • Eye redness (8%)
  • Blurry vision (8%)
  • Itchy eye (8%)
  • Burning (7%)
  • Changes in eye color (7%)

Warnings for Xalatan

  • Darker eyes or eyelids
  • Eyelash changes
  • Eye inflammation
  • Swelling of the retina (macular edema)
  • Caution use in people with a history of a herpes eye infection
  • Risk of bacterial eye infection when using contaminated medication
  • Don't use while wearing soft contact lenses

Summary for Pilocarpine

Prescription only

Pilocarpine (Salagen) is a cholinergic agonist that's used to help certain adults with dry mouth. It's a tablet that's taken by mouth 3 to 4 times per day. Side effects can include sweating, nausea, and runny nose. It's important to tell your provider and pharmacist about your medical history and your other medications because pilocarpine (Salagen) can sometimes worsen certain medical conditions and interact with many different medications.

Indications for Pilocarpine

Pros and Cons for Pilocarpine

Pros

  • Works well to help with dry mouth
  • Can start to work quickly (about 20 minutes)
  • Available as a lower-cost, generic medication

Cons

  • Need to take 3 or 4 times a day
  • Can take several weeks to get the most benefit from the medication
  • Can have a lot of side effects since the medication can reach and affect many parts of your body

Common Side Effects for Pilocarpine

Treatment of dry mouth from radiation:

  • Sweating (up to 68%)
  • Nausea (up to 15%)
  • Chills (up to 15%)
  • Runny nose (up to 14%)
  • Flushing (up to 13%)
  • Frequent urination (up to 12%)
  • Weakness (up to 12%)
  • Dizziness (up to 12%)

Treatment of dry mouth from Sjögren's syndrome:

  • Sweating (40%)
  • Frequent urination (10%)
  • Flushing (9%)
  • Chills (4%)

Warnings for Pilocarpine

  • Possible worsening of medical conditions
  • Vision changes
  • Dose too high

Prices with our coupons for Xalatan vs. Pilocarpine

Price Card Drug Icon
Latanoprost1 eye dropper / 2.5ml of 0.005%
$13.85$18.13
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Price Card Drug Icon
Pilocarpine1 eye dropper / 15ml of 2%
$33.43$96.99
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