Netarsudil
Netarsudil is a novel rho kinase inhibitor used as an ophthalmic solution to lower intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. It works by increasing the outflow of aqueous humor through the trabecular meshwork, the eye’s conventional drainage pathway, and also by lowering episcleral venous pressure. This unique mechanism offers a significant new tool for IOP reduction. Netarsudil is essential for patients needing alternative or additive therapy.
What is Netarsudil?
Netarsudil is an innovative ophthalmic medicine widely used to lower high eye pressure in people with open-angle glaucoma or ocular hypertension. It is popular in the USA due to its targeted action, once-daily dosing, and ability to control pressure effectively when used alone or with other eye drops. This guide explains how the medicine works, how to use it safely, and what to expect during treatment.
Netarsudil Used For
Netarsudil is used to reduce elevated intraocular pressure (IOP), which is a key risk factor for glaucoma-related vision loss. Doctors prescribe it for adults diagnosed with open-angle glaucoma or ocular hypertension who need stable and long-term pressure control. It may be used alone or along with other glaucoma medications when additional lowering is required.
Chemical Composition
Netarsudil ophthalmic solution contains netarsudil, a Rho-kinase inhibitor. The solution is typically formulated at a concentration of 0.02%, along with stabilizers and a sterile liquid base suitable for eye administration.
Netarsudil Mechanism
Netarsudil works by inhibiting the Rho-kinase pathway in the eye. This action relaxes the trabecular meshwork, the main drainage channel for eye fluid. As drainage improves, pressure inside the eye decreases. The medicine also reduces fluid production and lowers venous pressure, providing a three-way approach to managing high IOP.
How Netarsudil Helps in Glaucoma Management
High IOP can gradually damage the optic nerve, leading to vision changes. Netarsudil helps prevent this by allowing fluid to drain more efficiently, which reduces pressure buildup. With regular use, patients often experience improved pressure control and better long-term protection of their vision. Because it works through a unique pathway, it can be beneficial for those who did not respond well to other treatments.
What Are the Other Benefits?
-
Useful for both newly diagnosed and long-term glaucoma patients
-
Works well as a single agent or in combination therapy
-
Once-daily dosing improves convenience and adherence
-
May help people who have not responded adequately to traditional eye drops
-
Provides targeted action with minimal systemic side effects
Dosages
Available Strengths or Dosage
Useful for both newly diagnosed and long-term glaucoma patients
Works well as a single agent or in combination therapy
Once-daily dosing improves convenience and adherence
May help people who have not responded adequately to traditional eye drops
Provides targeted action with minimal systemic side effects
Available Strengths or Dosage
Netarsudil is commonly available as:
Most patients are advised to use one drop in the affected eye(s) once daily, usually in the evening, unless otherwise directed by their eye specialist.
How and When to Take It
-
Wash your hands before applying the eye drops
-
Tilt your head back and place one drop in the lower eyelid pocket
-
Close the eye gently for 1–2 minutes without blinking
-
Avoid touching the dropper tip to your eye or fingers
-
If using other glaucoma eye drops, separate doses by at least 5–10 minutes
Because high eye pressure often has no symptoms, consistent daily use is important for maintaining long-term vision health.
Overdose Caution
Using more than the prescribed dose may cause increased redness, irritation, or tearing. If an accidental overdose occurs, rinse your eye gently with clean water and return to your usual dosing schedule. Seek medical help if symptoms worsen or do not go away.
Who Can Use/Take Netarsudil?
Netarsudil is usually recommended for:
-
Adults diagnosed with open-angle glaucoma
-
Individuals with ocular hypertension needing long-term IOP management
-
Patients who require additional pressure lowering alongside other treatments
This medicine is not typically used in children unless a specialist specifically recommends it.
People with severe eye inflammation, recent eye surgery, known hypersensitivity to ingredients, or active infections should talk to their doctor before using Netarsudil.
Pregnant or breastfeeding individuals should also consult their eye specialist to confirm safety.
Side Effects & Precautions
What Are the Side Effects?
Some users may experience mild and temporary effects, such as:
-
Eye redness
-
Burning or stinging after application
-
Mild blurred vision
-
Tearing
-
Eye irritation or discomfort
-
Small deposits or color changes on the cornea (rare)
Most side effects improve as the eye adjusts, but persistent or worsening symptoms should be evaluated by an eye specialist.
What Are the Precautions to Avoid Side Effects?
-
Use the drops exactly as prescribed
-
Avoid rubbing your eyes after application
-
Do not wear contact lenses immediately after using the drops
-
Keep the bottle clean and tightly closed
-
Inform your doctor about all other eye medicines you use
-
Report sudden vision changes or severe discomfort right away
Use the drops exactly as prescribed
Avoid rubbing your eyes after application
Do not wear contact lenses immediately after using the drops
Keep the bottle clean and tightly closed
Inform your doctor about all other eye medicines you use
Report sudden vision changes or severe discomfort right away
Always consult your eye specialist before starting the dose. If prescribed, you can order Netarsudil ophthalmic solution online safely from trusted pharmacy sources and maintain regular refills for consistent glaucoma control.