Using Refresh Tears with Restasis for Comprehensive Dry Eye Relief
For many who suffer from chronic dry eye, the path to relief often involves a combination of different treatments. Restasis (cyclosporine ophthalmic emulsion) is a prescription medication that works over time to address the underlying inflammation causing decreased tear production. On the other hand, over-the-counter (OTC) lubricants like Refresh Tears provide immediate, temporary soothing for irritated and dry eyes. The question for many patients is, 'Can I use Refresh Tears with Restasis?' The short answer is yes, with the critical detail of proper timing to ensure both medications are fully effective.
The Critical Difference: Restasis vs. Refresh Tears
Understanding the fundamental difference between these two products is the first step toward using them effectively together. They serve different functions in managing dry eye disease:
- Restasis: This is an immunomodulatory prescription medication. It treats chronic dry eye by reducing ocular inflammation, which allows your body's natural tear glands to function more effectively. Because it addresses the root cause of inflammation-related dry eye, it takes several weeks to months of consistent use to see the full benefits.
- Refresh Tears: This is a non-prescription artificial tear. It functions as a lubricant to provide immediate moisture and temporary relief from the burning, stinging, and irritation of dry eyes. It does not treat the underlying cause of chronic dry eye, only the symptoms.
Combining these two is a common strategy. Restasis works on the long-term solution, while Refresh Tears offers instant symptomatic relief, which is especially useful during the initial months as Restasis begins to take effect.
The Importance of a 15-Minute Interval
The most important rule for using Refresh Tears with Restasis is to separate the doses by at least 15 minutes. This interval prevents one medication from washing out the other before it has had a chance to be absorbed by the eye's surface. Here is a recommended routine:
- Apply Restasis first: Instill one drop of Restasis in each affected eye. Because Restasis is treating the underlying inflammation, it should be the priority drop.
- Wait for 15 minutes: Use this time to wash your hands and ensure the Restasis has absorbed properly. It is crucial not to add any other drops during this window.
- Apply Refresh Tears: After the waiting period, you can apply Refresh Tears to provide additional lubrication and temporary relief as needed throughout the day.
Following this protocol ensures that Restasis is not diluted or flushed from the eye, allowing it to work effectively. Refresh Tears can then be used multiple times a day as necessary for comfort.
Practical Tips for Combining Eye Drops
To get the most out of your combination therapy, keep the following in mind:
- Start with clean hands: Always wash your hands before and after applying eye drops to prevent contamination.
- Remove contact lenses: If you wear contact lenses, remove them before using Restasis and wait at least 15 minutes after the dose before reinserting them. This is because Restasis contains a preservative that can interact with soft lenses. Refresh Tears has both preserved and preservative-free options, but it's a good practice to follow this rule for all eye drops.
- Discard single-use vials: If using single-use vials of Restasis, discard them immediately after applying the drops, even if liquid remains. They are not intended for multiple uses.
- Maintain a schedule: Consistency is key with Restasis. Use it twice a day, about 12 hours apart, as prescribed by your doctor. Refresh Tears can be used more frequently as needed for symptom relief.
Comparison of Restasis and Refresh Tears
| Feature | Restasis (cyclosporine) | Refresh Tears (carboxymethylcellulose sodium) |
|---|---|---|
| Classification | Prescription Immunosuppressant | Over-the-Counter Lubricant (Artificial Tear) |
| Primary Function | Reduces inflammation to increase natural tear production over time. | Provides immediate, temporary lubrication and moisture. |
| Mechanism | Targets and reduces ocular inflammation, addressing a root cause of dry eye. | Supplements the tear film, offering instant soothing and relief. |
| Effect Timeline | Takes weeks to months to see significant improvement. | Offers fast-acting, immediate relief for symptoms. |
| Contact Lenses | Remove before use; wait 15 minutes before reinserting. | Can often be used with contact lenses, depending on the specific formula (check label). |
| Long-Term Goal | Heal the eyes and potentially reduce reliance on artificial tears. | Manage and soothe daily dry eye symptoms. |
Conclusion
In summary, it is not only possible but often recommended to use Refresh Tears with Restasis to effectively manage chronic dry eye disease. This dual-pronged approach tackles both the underlying inflammatory cause of the condition with Restasis and the immediate, irritating symptoms with Refresh Tears. The key to success lies in proper timing—leaving a 15-minute buffer between applications—to maximize the efficacy of both products. As with any medication, always consult with your eye care professional to confirm the best treatment plan for your specific needs.
Further Reading
For additional information on Restasis and its use, consult the official manufacturer website: https://www.restasis.com/
