Cequa

Cequa is a prescription-only ophthalmic (eye drop) medication used to increase tear production in patients with keratoconjunctivitis sicca (dry eye) associated with inflammation. It contains cyclosporine 0.09%, a calcineurin inhibitor immunosuppressant that helps reduce inflammation of the ocular surface.

Cequa is for eye use only and should be used under the supervision of a healthcare provider. Some patients choose licensed Canadian pharmacies to obtain Cequa safely and affordably with a valid prescription.

According to FDA prescribing information, Cequa 0.09% is approved for:

• Increasing tear production in patients with keratoconjunctivitis sicca (dry eye disease)

Review the following safety information before starting your chronic dry eye treatment with Cequa (cyclosporine).

Cequa Warnings

• For ophthalmic use only. Do not swallow or inject.
• To avoid contamination, do not allow the vial tip of the single-use vial to touch the eye or any surface.
• Cequa might cause temporary blurred vision after instillation. Do not drive or operate any machinery until vision clears.

Cequa Precautions

• Remove contact lenses before using Cequa. Wait at least 15 minutes before reinserting.
• Use caution if you have an active eye infection. Consult your healthcare provider before use.
• Increased tear production may take several weeks of consistent use.
• Inform your provider if you are pregnant or breastfeeding.

Who Should Not Use Cequa?

Do not use Cequa if you:

• Are allergic to cyclosporine or any component of the formulation.

Cequa (cyclosporine) ophthalmic solution may cause mild to moderate eye-related side effects. Most reactions are transient and occur at the site of application. Serious side effects are rare. This is not a complete list. Consult your provider if symptoms worsen or persist.

Cequa contains cyclosporine 0.09%, a calcineurin inhibitor that targets inflammation associated with chronic dry eye disease. It works by:

• Inhibiting the activation of T-cells, which play a key role in ocular surface inflammation
• Reducing inflammatory damage to the tear-producing glands
• Improving the eye’s ability to produce natural tears over time

By controlling inflammation on the ocular surface, Cequa helps restore tear production.

Follow these steps carefully to use Cequa 0.09% ophthalmic solution:

Wash Hands

• Always wash your hands thoroughly before handling the vial.

Prepare the Vial

• Cequa comes in single‑use vials.
• Twist off the cap carefully.
• Do not touch the vial tip to any surface, including your eye.

Instill the Drop

• Tilt your head back & pull down the lower eyelid to create a small pocket.
• Hold the vial above the eye & squeeze one drop into the pocket.
• Avoid blinking or rubbing the eye immediately after instillation.

If Using Contact Lenses

• Remove contact lenses before use.
• Wait at least 15 minutes before reinserting your contact lenses.

Discard the Vial

• Each vial is for single use only.
• Discard it immediately after use, even if some solution remains.

• Recommended Dose: One drop of 0.09% Cequa in the affected eye(s) twice daily, approximately 12 hours apart.
• Duration: Use as prescribed by your ophthalmologist; increasing tear production may take several weeks.

Cequa Missed Dose

• If you miss a Cequa dose, use it as soon as you remember.
• If it is almost time for your next Cequa dose, skip the missed dose.
• Do not use extra drops to make up for a missed dose.

Cequa is for ophthalmic (eye) use only. Because it is applied topically and systemic absorption is minimal, the risk of serious overdose is low. Using more Cequa eye drops than the prescribed amount may cause:

• Increased eye irritation
• Eye redness
• Burning or stinging sensation
• Watery eyes
• Temporary blurred vision

If a large amount is accidentally instilled into the eye, rinse with clean water if needed and monitor for irritation.

If Cequa is accidentally swallowed, contact your provider or local poison control center for guidance, although significant systemic toxicity is unlikely.

• Store eye drops at 20-25°C (68-77°F) (controlled room temperature).
• Keep vials in their original foil pouch until use.
• Protect from light and moisture.
• Each vial is for one‑time use only. Discard immediately after instillation in both eyes, even if the solution remains.
• Do not freeze Cequa 0.09% eye drops.
• Store it out of reach of children and pets.

According to FDA prescribing information:

• No formal drug interaction studies have been conducted with Cequa.
• Because Cequa is a topical ophthalmic formulation of cyclosporine, clinically significant systemic drug interactions are not expected.
• Systemic absorption is minimal, so the risk of drug–drug interactions is considered negligible.

If Cequa is unavailable or unsuitable for you, your healthcare provider may prescribe other prescription treatments for dry eye disease (keratoconjunctivitis sicca). The alternatives to Cequa ophthalmic solution include:

• Restasis (cyclosporine ophthalmic emulsion 0.05%)
• Xiidra (lifitegrast ophthalmic solution 5%)
• Tyrvaya (varenicline solution nasal spray 0.03 mg/actuation)

Both Cequa and Restasis are FDA-approved to help increase tear production in patients with chronic dry eye disease. Although they contain the same active ingredient (cyclosporine), they differ in concentration and formulation. Below is a quick overview of the differences.

Which medication is better depends on individual tolerance, preferred formulation, and your healthcare provider’s guidance.

Many patients buy Cequa from Canada because prices are often significantly lower than U.S. retail prices. At Polar Bear Meds, we source Cequa eye drops from a trusted network of licensed Canadian and international pharmacies that follow strict safety and quality regulations.

When you buy Cequa online from Polar Bear Meds, you can save up to 80% compared to U.S. retail prices, without compromising on authenticity or safety.

First-time customers can save an additional 10% by applying the Cequa coupon code “WELCOMEPB10” to their order. Plus, with Xpress Post shipping, you can expect your Cequa delivery within 3–5 business days.

For those looking for a reliable and cost-effective way to buy Cequa online, Polar Bear Meds is a trusted choice.

• https://www.drugs.com/cequa.html
• https://www.webmd.com/drugs/cequa-cyclosporine
• https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/210913s000lbl.pdf