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Zioptan vs. Pilocarpine

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

Zioptan

(tafluprost)

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pilocarpine eye drops

 

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Summary for Zioptan

Prescription only

Zioptan (tafluprost) is an eye drop medication used to treat high pressure in the eye, such as glaucoma. It works as a prostaglandin to help relieve pressure in the eye. Zioptan (tafluprost) is for adults and is used once each night. Side effects include feeling like there's something in the eye, burning, and stinging. Zioptan (tafluprost) is available as a brand-name and now also a generic medication.

Indications for Zioptan

Pros and Cons for Zioptan

Pros

  • A first-choice option for lowering eye pressure
  • Only used once a day
  • Is preservative free, which might be less irritating to the eye

Cons

  • Often causes some eye redness
  • Can permanently darken the color of your eye over time
  • Must use eye drop vials inside the foil pouch within 30 days after opening the pouch

Common Side Effects for Zioptan

  • Eye redness (up to 20%)
  • Eye stinging or irritation (7%)
  • Headache (6%)
  • Itchy eye (5%)

Warnings for Zioptan

  • Darker eyes or eyelids
  • Eyelash changes
  • Eye inflammation
  • Swelling of the retina (macular edema)

Summary for Pilocarpine

Prescription only

Generic pilocarpine eye drops, formerly known by the brand name Isopto Carpine, are used to treat and prevent high eye pressure. They're also used to shrink the pupil (the black part of your eye), typically before certain eye procedures. This medication belongs to the drug class called cholinergic agonists. The usual dosage is 1 drop in the eye(s) up to 4 times a day. Side effects can include headache, temporary blurry vision, and eye irritation.

Indications for Pilocarpine

  • High pressure in the eye
  • Glaucoma (open-angle or acute angle-closure)
  • Prevention of high eye pressure due to laser eye surgery
  • Shrinking the size of the pupils (miosis)

Pros and Cons for Pilocarpine

Pros

  • Lowers eye pressure to prevent long-term damage, such as blindness
  • Can use for adults and children
  • Available as a lower-cost generic

Cons

  • Not a first-choice medication for treating glaucoma long term
  • Sometimes need to use up to 4 times a day
  • Can make it hard to see clearly at night or to focus on objects at different distances, so might not be safe for you to drive after you use the eye drops

Common Side Effects for Pilocarpine

Side effects occurring in 5% or more of people:

  • Headache or eyebrow ache
  • Difficulty focusing when looking at objects at different distances
  • Blurry vision
  • Eye irritation
  • Worse vision
  • Eye pain

Note: Side effects listed were reported by people who used the 2% strength of pilocarpine eye drops with Betoptic-S (betaxolol) 0.25% eye drops.

Warnings for Pilocarpine

  • Worse vision
  • Retinal detachment
  • Not recommended for people with inflamed iris
  • Higher eye pressure in children
  • Don't wear soft contact lenses when you use pilocarpine eye drops

Prices with our coupons for Zioptan vs. Pilocarpine

Price Card Drug Icon
Tafluprost1 carton / 30 single-use containers of 0.0015%
$59.09$232.96
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Price Card Drug Icon
Pilocarpine1 eye dropper / 15ml of 2%
$31.31$96.99
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