Latoprost RT BKC Free Eye Drop: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Sudden loss of vision or severe eye pain.
- Severe redness, swelling, or discharge from the eye.
- Chest pain, difficulty breathing, or severe allergic reaction.
- Signs of uveitis such as eye pain, light sensitivity, or blurred vision.
- Sudden increase in eye pressure with headache and nausea.
- Yellowing of skin or eyes, or dark urine.
- Decreased urine output or swelling in the legs.
If experiencing severe symptoms, call emergency services immediately.
What is 9 PM Eye Drop used for?
This medicine is a preservative-free eye drop containing latanoprost 0.005% w/v. It is used once daily in the evening to lower eye pressure in people with open-angle glaucoma or ocular hypertension. It works by increasing the outflow of fluid from the eye, helping to prevent vision loss.
- Generic Name: Latanoprost (0.005% w/v)
- Manufacturer: Cipla Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 9 PM Eye Drop के बारे में (Hindi Summary)
उपयोग: यह दवा लैटानोप्रोस्ट 0.005% w/v युक्त एक बिना प्रिज़र्वेटिव वाली आई ड्रॉप है। इसका उपयोग ओपन-एंगल ग्लूकोमा और ऑक्यूलर हाइपरटेंशन में आंखों के अंदर के दबाव को कम करने के लिए किया जाता है। यह आंखों में तरल पदार्थ के निकास को बढ़ाकर काम करती है, जिससे ऑप्टिक नर्व को नुकसान से बचाया जा सकता है। यह दवा आमतौर पर रात में दिन में एक बार डाली जाती है। इसे डॉक्टर के बताए अनुसार ही इस्तेमाल करें।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में आंखों में जलन, खुजली, लालिमा, धुंधली दृष्टि और आंखों में कुछ महसूस होना शामिल है। कुछ लोगों में आइरिस का रंग गहरा हो सकता है और पलकें लंबी, मोटी और काली हो सकती हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आंखों में तेज दर्द, अचानक दृष्टि में कमी, या चेहरे पर सूजन हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा का उपयोग डॉक्टर के निर्देशानुसार ही करें। ड्रॉप डालने से पहले हाथ धोएं। आंख के अंदर ड्रॉप डालने के बाद आंख को धीरे से बंद करें और नाक के पास वाले कोने पर हल्का दबाव डालें। कॉन्टैक्ट लेंस पहनने से पहले ड्रॉप निकालें और 15 मिनट बाद ही दोबारा पहनें। दवा की बोतल को ठंडी जगह पर रखें और ढक्कन कसकर बंद करें। बिना डॉक्टर की सलाह के दवा बंद न करें।
💊 9 PM Eye Drop Uses & Benefits
[{"condition":"Open-angle glaucoma","description":"This medicine lowers intraocular pressure by increasing uveoscleral outflow, helping to prevent progressive optic nerve damage and visual field loss.","evidence":"Well-established"},{"condition":"Ocular hypertension","description":"It is used to reduce elevated intraocular pressure in patients who have high eye pressure but no detectable optic nerve damage yet.","evidence":"Well-established"},{"condition":"Preservative-sensitive glaucoma","description":"The benzalkonium chloride-free formulation is chosen for patients with ocular surface disease or intolerance to preserved eye drops.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Eyelash enhancement","description":"Latanoprost has been used off-label to promote eyelash growth, but this is not an approved indication and should only be done under medical supervision.","evidence":"Limited"},{"condition":"Periorbital hyperpigmentation","description":"Some clinicians have used latanoprost off-label for skin darkening, but evidence is weak and the effect is unpredictable.","evidence":"Limited"}]
Primary treatment for: Open-angle glaucoma
Also treats: Ocular hypertension, Preservative-sensitive glaucoma
📋 Drug Information
| Generic Name(s) | Latanoprost (0.005% w/v) |
| Brand Name | 9 PM Eye Drop |
| Manufacturer | Cipla Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | |
| Action Class | |
| Route of Administration | Ophthalmic |
| Storage | Store at 2°C to 8°C (36°F to 46°F) in a refrigerator before opening. After opening, the bottle may be stored at room temperature up to 25°C (77°F) for up to 6 weeks. Protect from light and keep the bottle tightly closed when not in use. |
| Shelf Life | 24 months from the date of manufacture. After opening, discard the bottle after 6 weeks. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
Latanoprost is a selective prostanoid FP receptor agonist. It is an isopropyl ester prodrug that penetrates the cornea and is hydrolyzed by esterases to the active acid form. The active acid binds to FP receptors in the ciliary muscle and sclera, leading to remodeling of the extracellular matrix and relaxation of the ciliary muscle. This increases aqueous humor outflow through the uveoscleral pathway, which is independent of the trabecular meshwork. The result is a sustained reduction in intraocular pressure without significantly affecting aqueous humor production or pupil size.
Mechanism Steps
💡 How to Take 9 PM Eye Drop
Strength: Latanoprost 0.005% w/v ophthalmic solution (preservative-free).
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one drop in the affected eye(s) once daily in the evening. The dose is the same for adults of all ages, but it must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and response to therapy. Do not use more than once daily, as more frequent dosing may reduce the intraocular pressure-lowering effect. If you are using other eye drops, wait at least 5 minutes between instillations. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatric ophthalmologist for guidance. |
| Elderly Dosage | No dose adjustment is required for elderly patients. However, elderly patients may be more sensitive to the side effects of this medicine, and regular monitoring by an eye doctor is recommended. |
| Renal Impairment | No dose adjustment is required for patients with renal impairment. Systemic absorption is minimal. |
| Hepatic Impairment | No dose adjustment is required for patients with hepatic impairment. Systemic absorption is minimal. |
| Maximum Daily Dose | One drop in the affected eye(s) once daily. Do not exceed this dose. |
Dosage Timeline
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of 9 PM Eye Drop
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Bimatoprost eye drops | Major | |
| Timolol eye drops | Moderate | |
| Dorzolamide eye drops | Moderate | |
| Brimonidine eye drops | Minor | |
| Pilocarpine eye drops | Minor | |
| Thimerosal-containing drops | Major |
🚨 Major Interactions
- Other prostaglandin analogues (e.g., bimatoprost, travoprost, tafluprost)
- Thimerosal-containing eye drops
⚡ Moderate Interactions
- Beta-blockers (e.g., timolol eye drops)
- Carbonic anhydrase inhibitors (e.g., dorzolamide eye drops)
🍷 Alcohol Interaction
There is no known direct interaction between this medicine and alcohol. However, alcohol can cause dehydration and may affect eye pressure indirectly. It is best to limit alcohol intake while using this medicine and discuss with your doctor if you drink regularly.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to latanoprost or any component of this medicine.","Active intraocular inflammation (e.g., uveitis) unless specifically directed by an ophthalmologist.","Active herpes simplex keratitis.","Use in patients with a history of macular edema risk factors without specialist supervision.","Not for intraocular injection or oral use."]
⚠️ Warnings & Precautions
["This medicine may cause increased pigmentation of the iris, which can be permanent. Inform your doctor if you notice a change in eye color.","Eyelash changes are common and usually reversible after stopping the medicine.","Remove contact lenses before use and wait at least 15 minutes before reinserting them.","If you have a history of uveitis or macular edema, use this medicine only under close ophthalmologic supervision.","Do not touch the dropper tip to any surface to avoid contamination.","If you are using other eye drops, wait at least 5 minutes between applications.","Do not use this medicine if the solution is cloudy or discolored.","Keep out of reach of children.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.","Do not stop using this medicine without consulting your eye doctor."]
🤱 Lactation Safety
It is not known whether latanoprost is excreted in human breast milk. Because many drugs are excreted in human milk, caution should be exercised when this medicine is administered to a breastfeeding woman. Consult your doctor to weigh the benefits and risks.
💊 Overdose Management
Overdose with this medicine is unlikely due to its topical ophthalmic route. If accidental ingestion occurs, contact a poison control center or seek medical attention. If excessive eye drops are instilled, rinse the eye with warm water and consult your doctor if you experience severe irritation.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Use this medicine exactly as prescribed by your eye specialist. Wash your hands before and after instilling the drop. Tilt your head back, pull down the lower eyelid to form a small pocket, and place one drop inside without touching the dropper tip to your eye, eyelid, or any surface. Close your eye gently for one to two minutes and press the inner corner of your eye near the nose to reduce drainage into the throat. If you wear contact lenses, remove them before use and wait at least 15 minutes before reinserting them, although this preservative-free formulation is generally better tolerated. Do not use this medicine if the solution is cloudy, discolored, or contains particles. Keep the bottle tightly closed when not in use and store it as directed on the label. Do not share your eye drops with anyone else. Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding. Do not stop or change the dose without consulting your eye doctor, because sudden discontinuation can lead to a rise in eye pressure.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients can use this medicine safely, but they may be more sensitive to its side effects. Regular monitoring of eye pressure and eye health is recommended. No dose adjustment is needed.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, discuss with your doctor before continuing this medicine. Your doctor may consider alternative treatments that are safer during pregnancy. Do not stop the medicine on your own.
🏥 Post-Surgery Considerations
If you have eye surgery, inform your surgeon that you are using this medicine. You may need to stop it temporarily before surgery, as advised by your doctor. Do not resume until your surgeon says it is safe.
🦷 Dental Procedures
This medicine is unlikely to affect dental procedures. However, inform your dentist about all medicines you are taking, including eye drops.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Regular exercise is good for overall health, but avoid activities that increase intraocular pressure, such as inverted yoga poses, heavy weightlifting, or straining. Consult your eye doctor before starting any new exercise routine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause temporary blurred vision right after instillation. Wait until your vision is clear before driving or operating heavy machinery. Otherwise, it should not significantly affect your daily work or lifestyle. If you experience persistent eye discomfort or vision changes, consult your doctor.
🛑 When to Stop This Medicine
Do not stop using this medicine without consulting your eye doctor. If you experience serious side effects such as severe eye pain, sudden vision loss, or allergic reactions, stop the medicine and seek immediate medical attention. Your doctor may adjust or change your treatment based on your response and side effects.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe and effective for controlling eye pressure. The most notable long-term effects are increased pigmentation of the iris, which may be permanent, and changes in eyelashes, which are usually reversible after stopping. Regular monitoring by an eye doctor is important to assess eye pressure, optic nerve health, and any side effects. In rare cases, long-term use may be associated with uveitis or macular edema, especially in patients with risk factors. Do not stop the medicine without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A laser procedure that can improve drainage of fluid from the eye and lower eye pressure.
Evidence: Well-establishedBeta-blockers, alpha-agonists, or carbonic anhydrase inhibitors may be used alone or in combination.
Evidence: Well-establishedTrabeculectomy or drainage implants may be considered if eye drops are not effective.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. You can receive vaccinations as recommended by your doctor.
📦 Storage Guide
✅ DO
Store in the refrigerator at 2°C to 8°C before opening.
❌ DON'T
Do not freeze the bottle.
✅ DO
After opening, store at room temperature up to 25°C for up to 6 weeks.
❌ DON'T
Do not use after 6 weeks of opening.
✅ DO
Keep the bottle tightly closed and protected from light.
❌ DON'T
Do not transfer to another container.
✅ DO
Keep out of reach of children.
❌ DON'T
Do not use if the solution is cloudy or discolored.
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging with the prescription label intact. Bring a copy of your prescription or a letter from your doctor, especially for international travel. Store the bottle in a cool, dry place; if refrigeration is not available, keep it away from direct sunlight and heat. If you are crossing time zones, continue taking your dose in the evening local time. Do not pack it in checked luggage if you need it during the flight; keep it in your carry-on bag.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts lowering eye pressure within 3 to 4 hours after the first dose, but it may take a few weeks to achieve the full effect. Your doctor will monitor your eye pressure regularly.
A: Remove your contact lenses before using this medicine and wait at least 15 minutes before reinserting them. This preservative-free formulation is generally better tolerated, but always follow your doctor's advice.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
A: No, do not stop using this medicine without consulting your eye doctor. Stopping suddenly can cause eye pressure to rise again and may damage your optic nerve.
A: This medicine is classified as Pregnancy Category C. It should be used during pregnancy only if the potential benefit justifies the potential risk. Consult your doctor if you are pregnant or planning pregnancy.
🤔 Common Patient Concerns
🔄 Substitutes for 9 PM Eye Drop
View AllAlternative brands with exact same active ingredient:
-
davaindia latanoprost 0.005% eye dropDavaindia Generic Pharmacy ₹140.00 69.8% CHEAPER
-
auroprost-rt eye dropAurolab ₹200.00 56.8% CHEAPER
-
ioprost eye dropFDC Ltd ₹207.62 55.2% CHEAPER
-
latochek eye dropIndoco Remedies Ltd ₹211.53 54.3% CHEAPER
-
last time eye dropNeiss Labs Pvt Ltd ₹255.00 44.9% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure glaucoma.
Fact: This medicine controls eye pressure but does not cure glaucoma. You need to use it regularly and monitor your eyes. - Myth: More frequent use will lower eye pressure faster.
Fact: Using this medicine more than once daily may actually reduce its effectiveness. Follow your doctor's instructions. - Myth: It is safe to stop using this medicine once eye pressure is normal.
Fact: Stopping suddenly can cause eye pressure to rise again and may damage the optic nerve. Always consult your doctor before stopping. - Myth: This medicine is the same as other eye drops for glaucoma.
Fact: This medicine contains latanoprost, a prostaglandin analogue. Other eye drops may have different active ingredients and mechanisms.
🔄 Alternative Options
Generic Alternatives
- Latanoprost 0.005% w/v ophthalmic solution (preservative-free)
Brand Alternatives
- Latoprost RT BKC Free Eye Drop