Cequa (Cyclosporine)

Prescription medicineOnly Available By Prescription
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Strength Pack Size Qty
Strength
0.09%
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Qty

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What if I find a lower price with another pharmacy?

We guarantee the lowest price on all of our prescription products. If you find your medications cheaper at any other recognized licensed mail order pharmacy, we will not only match their price, we will beat it by 25% of the difference. It is our 125% price match guarantee!

Example: If you find a product on Canada Drugs Direct for $50.00 and find the same product for $40.00 at another mail order pharmacy, we will provide you with a $12.50 discount, bringing your total to $37.50.

To get the discount please make sure to mention the price match to the customer service team when they call to collect payment for your order. Or call toll free at 1-888-904-8467 to place the order through the phone.

Terms & Conditions of Program

  • Guaranteed lowest price is only valid at the time of sale.
  • We will only match the current advertised price.
  • Products must be identical and in stock at the time of placing an order with a licensed mail order pharmacy. They must be an online Canadian pharmacy with an address in Canada.
  • Products must be authentic in brand and size (same manufacturer, same country of manufacture, same pack size, same strength and same quantity).
  • Products must be new. We cannot match the price of any used, short expiry or expired product.
  • Price match can only be issued over the phone with our customer service team. Please note at this time we cannot offer price matching for the products Ozempic or Saxenda.
What is a Generic Drug?

A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (eg. different shape or color), as trademarks laws prevent a generic from looking exactly like the brand-name drug.

Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.

Description

Your doctor may prescribe Cequa to treat dry eye disease, which is also known as keratoconjunctivitis sicca. This chronic condition is characterized by persistent dryness, inflammation, and eye discomfort, often leading to irritation and blurred vision.

Cequa contains cyclosporine, an immunomodulatory agent that helps increase tear production and reduce inflammation, thereby alleviating the symptoms of dry eye disease.

Cequa benefits patients who have not responded well to artificial tears or other over-the-counter treatments. By improving tear production, Cequa aids in maintaining a healthier ocular surface.

Fact Table
Formula C62H111N11O12
License FDA approved
Bioavailability Approximately 20-50% (oral formulations; not directly applicable to ophthalmic use)
Legal status Prescription only
Chemical Name Cyclosporin A
Elimination half-life Approximately 19 hours (oral); varies with route and formulation
Dosage (Strength) 0.09% ophthalmic solution
Pregnancy Consult a healthcare provider; limited data available
Brands Cequa, Restasis (another cyclosporine ophthalmic product)
Protein binding Approximately 90%
PubChem CID 5284373
MedlinePlus a601207
ChEBI 4031
ATC code S01XA18
DrugBank DB00091
KEGG D00183
Routes of administration Ophthalmic (eye drops)

Directions

Instill one drop into each affected eye twice daily as long as your doctor prescribes. The drops should be administered about 12 hours apart.

Do not stop taking Cequa or adjust the dosage without consulting your healthcare provider. Use Cequa as directed for the best results.

Ingredients

The active ingredient in Cequa is cyclosporine.

Interactions

  • Bosentan
  • Colchicine
  • Dronedarone
  • Elagolix
  • Eliglustat
  • Ezetimibe
  • Grazoprevir
  • Lercanidipine
  • Levoketoconazole
  • Mifepristone
  • Pitavastatin
  • Simvastatin
  • Sitaxsentan

Cautions

To avoid contamination, do not touch the dropper tip to any surface, including the eye or hands.

Before starting Cequa, inform your doctor if you have any history of eye infections, herpes keratitis, or other eye conditions.

Do not use Cequa if you are allergic to cyclosporine or any other ingredients in the solution.

Do not wear contact lenses during treatment unless your healthcare provider advises otherwise.

If you wear contact lenses, remove them before applying Cequa and wait at least 15 minutes before reinserting them.

Side Effects

The common side effects of Cequa may include:

  • Application site reaction
  • Blepharitis
  • Burning sensation in eye
  • Conjunctival hyperemia
  • Disease caused by Polyomavirus
  • Drug-induced gingival hyperplasia
  • Encephalopathy
  • Eye irritation
  • Headache
  • Hemolytic uremic syndrome
  • Hepatotoxicity
  • Hirsutism
  • Hyperkalemia
  • Hypomagnesemia
  • Hypertension
  • Infectious disease
  • Nephrotoxicity
  • Pain in eye
  • Progressive multifocal leukoencephalopathy
  • Seizure
  • Tremor

References

Cequa [package insert]. Cranbury, NJ: Sun Pharmaceutical Industries; Aug 2018.



IMPORTANT NOTE: The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

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