HomeAnswersOphthalmology (Eye Care)eye strainAre there any cooling eye drops to help with my eye strain?

Can Neostigmine be used to relieve eye strain?

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Published At July 10, 2023
Reviewed AtAugust 24, 2023

Patient's Query

Hello doctor,

I have been dealing with eye strain for a couple of months now and cannot find any solution. I got my eyes tested and got glasses with anti-glare coating. I work from home and spend more than eight hours a day on a computer. I take breaks and I have changed my monitor thrice. Besides, I have changed the location where I sit, and also tried blue light filters. The only thing that helps is painkillers. As a last resort, I looked into the concept of cooling eye drops however, I did not want any eye drops that contained a decongestant like Tetrahydrozoline since I do not have red eyes but purely sore eye muscles. I just wanted something that would provide a cooling effect similar to how people would use a cooling cream on sore muscles. I bought a product containing D-alpha-Tocopherol acetate 0.05%, Vitamin B6 0.1%, Chondroitin sulfate sodium 0.1%, Potassium L-aspartate 1%, Neostigmine methyl sulfate 0.005%, and Chlorpheniramine maleate 0.03%. It says that these eye drops provide four important nutrients directly to the eyes and improves eye fatigue and blurred vision. Natural vitamin E promotes blood circulation and relieves eye fatigue. Vitamin B6 promotes the metabolism of eye cells and improves tired eyes. In addition, Chondroitin sulfate ester sodium protects the corneal surface of the eyes and prevents eye diseases and L-aspartic acid potassium takes in oxygen to the eyes and heals eyestrain. But I am concerned about Neostigmine as it appears to be prescription-based in most countries. Would this be dangerous to use even a few times a day? Please help.

Thank you.

Answered by Dr. Vaibhev Mittal

Hello,

Welcome to icliniq.com.

I understand your concern. Neostigmine helps to relax eye muscles however, it should only be used under the guidance of an ophthalmologist. There is no single method to provide relief from eye strain. You are already doing everything to reduce eye strain. You can however add cold compresses and start a lubricant that contains Sodium hyaluronate. You are already using eyedrops with electrolytes. These electrolyte reduces the osmolality of the tear film and reduces inflammation. If eye strain does not go away, then you must visit a local cornea specialist for proper evaluation and treatment. I hope your queries are resolved and any further queries are welcome.

Patient's Query

Thank you doctor for the reply,

Actually, I am not using these eye drops with Neostigmine currently. The eye drops I am currently using contain the active ingredients which are, Potassium chloride 0.03%, Sodium chloride 0.49%, Calcium chloride hydrate 0.01%, and Taurine 0.2%. Additives such as Povidone, Hypromellose, Boric acid, Borax, Sodium hyaluronate, Polysorbate 80, Polyoxyethylene polyoxypropylene glycol a poloxamer, L-menthol, Zinc chloride, Sodium citrate hydrate, and a pH adjuster. I think these do not contain any ingredients like Neostigmine that need supervision under an ophthalmologist. What do you think?

Answered by Dr. Vaibhev Mittal

Hello,

Welcome back to icliniq.com.

These are normal electrolytes and do not require supervision by an ophthalmologist. Thank you for consulting me.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vaibhev Mittal
Dr. Vaibhev Mittal

Ophthalmology (Eye Care)

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