RESTASIS

Font Size : Normal | Large

Are you a health care professional?
Please visit our practitioners’ site

Do You Have Chronic Dry Eye?
Fill Out the Dry Eye Actionnaire.

If you've used several artificial tears, every day, for a long time, you may have decreased tear production due to inflammation caused by Chronic Dry Eye. This ACTIONNAIRE may be able to help you find out. Answer ALL the questions below…and click the "FINISH ACTIONNAIRE" button at the bottom of the page. Make sure you take this with you when you visit your eye doctor.

Remember: only your eye doctor can determine what treatment is the best choice for managing your dry eye condition. So the more information you provide for your eye doctor, the more it will help your doctor select the treatment that works best for you.

1.Have you been using artificial tears for a long time?

Tell your eye doctor exactly how long:

2.Have you tried many types of artificial tears?

Tell your eye doctor exactly how many:

Tell your eye doctor their names: (Check all that apply)

  • Clear eyes®
  • GenTeal®
  • REFRESH® OPTIVE™ Lubricant Eye Drops
  • REFRESH® Lubricant Eye Drops
  • Soothe® XP
  • Systane® Brand
  • Tears Naturale®
  • Thera®Tears
  • Visine Tears®
  • Other (please specify)

3.Are you using artificial tears often?

Tell your eye doctor exactly how often:

4.Do you feel like your use of artificial tears has increased over time?

Tell your eye doctor exactly how much:

5.Are your dry eyes affecting your daily activities?

 

If you answered "yes," please let your doctor know what activities are affected:

6.Are you concerned about your dry eyes?

 

If you answered "yes," tell your doctor how your eyes feel:

7.Are you satisfied with your current dry eye treatment?

 

If you answered "no," make sure you tell your eye doctor.

8.Are you ready to discuss treatment options for your dry eye with your doctor?


If you answered “yes,” don’t wait for your annual appointment. Contact your eye doctor TODAY and make an appointment to discuss treatment options for your type of dry eye.

 

FINISH QUESTIONNAIRE

If you don't currently have an eye doctor, use our physician locator to find an eye doctor in your area.

REGISTRATION AND TRADEMARK INFORMATION
® and ™ marks owned by Allergan, Inc.
Clear eyes® is a registered trademark of Prestige Brands, Inc.; GenTeal® is a registered trademark of Novartis Pharmaceuticals Corporation; Soothe® XP is a registered trademark of Bausch & Lomb, Inc.; Systane® and Tears Naturale® are registered trademarks of Alcon, Inc.; Thera®Tears is a registered trademark of Advanced Vision Research, Inc.; Visine® is a registered trademark of Pfizer, Inc.

 

Indication:

RESTASIS® Ophthalmic Emulsion helps increase your eyes’ natural ability to produce tears, which may be reduced by inflammation due to Chronic Dry Eye. RESTASIS® did not increase tear production in patients using anti-inflammatory eye drops or tear duct plugs.

Important Safety Information:

RESTASIS® Ophthalmic Emulsion should not be used by patients with active eye infections and has not been studied in patients with a history of herpes viral infections of the eye. RESTASIS® should not be used while wearing contact lenses. If contact lenses are worn, they should be removed prior to use.

The most common side effect is a temporary burning sensation. Other side effects include eye redness, discharge, watery eyes, eye pain, foreign body sensation, itching, stinging, and blurred vision.

Please see product information for RESTASIS® Ophthalmic Emulsion.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

E-mail this page
Allergan, Inc.

© 2010 Allergan, Inc. All rights reserved | Privacy Statement | FAQs | Terms of Use | Site Map | Contact Us
This information is intended for residents of the United States. ® and ™ marks owned by Allergan, Inc.