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At a glance

Trifluridine 1% Eye prep is indicated for the treatment of primary keratoconjunctivitis and recurrent epithelial keratitis due to herpes simplex virus, type 1 and 2.

Indications
  • Primary keratoconjunctivitis due to herpes simplex virus
  • Recurrent epithelial keratitis due to herpes simplex virus
Pharmacology

Trifluridine is a fluorinated pyrimidine nucleoside analog which interferes with DNA synthesis of herpes simplex virus, type 1 and 2 and vaccinia virus. It stops replication of herpes viral DNA in 3 ways: competitive inhibition of viral DNA polymerase, incorporation into and termination of the growing viral DNA chain, and inactivation of the viral DNA polymerase.

Dosage

Adult and Child (>6 years) Dose (Ophthalmic):

  • Instill 1 drop into affected eye every 2 hours; max 9 drops daily until complete re-epithelialisation
  • After re-epithelialisation: 1 drop every 4 hours (min 5 drops daily) for 7 days
  • Treatment should not exceed 21 days
Side effects

Common Side Effects:

  • Transient burning or stinging upon instillation
  • Irritation
  • Hyperemia
  • Palpebral oedema
  • Dry eye
  • Superficial punctate keratopathy
  • Epithelial keratopathy
  • Hypersensitivity reaction
  • Increased intraocular pressure
Use in pregnancy

Use in Pregnancy: Category C; no adequate studies; use only if potential benefit justifies potential risk.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Caution in pregnancy
  • Not recommended for children under 6 years
  • Use under close supervision of an ophthalmologist
  • Avoid continuous administration for more than 21 days (risk of ocular toxicity)
Overdose effects

Overdose is not applicable (ophthalmic application).

Storage conditions

Store between 2-8°C. Do not use longer than 30 days after first opening. Keep out of reach of children.

Trifluridine 1% Eye prep — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.