Cequa® Ophthalmic Solution for Dry Eye Disease

Cequa® is a prescription eye drop used to help increase tear production in adults with dry eye disease. You can explore safe access, compare options, and arrange US delivery from Canada, even if you are paying without insurance. This page explains how the treatment works, who it suits, and how to use it.

What Cequa Is and How It Works

Cequa® contains cyclosporine, an immunomodulator for the ocular surface. It helps reduce inflammation that can disrupt the tear glands. By calming this inflammation, the treatment may support natural tear production and ease dryness symptoms over time. Many people use it long term as directed by their prescriber.

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On the label, it is described as Cyclosporine 0.09% ophthalmic solution. The single-dose vials help limit contamination and support consistent dosing. The medicine is designed for the surface of the eye and has minimal systemic absorption.

Who It’s For

This therapy is indicated to increase tear production in adults with dry eye disease, also called keratoconjunctivitis sicca. People with symptoms like burning, stinging, gritty sensation, or fluctuating vision may be candidates after evaluation. Some patients use preservative-free artificial tears as needed alongside their prescription drops, with separation between products.

Those with a known allergy to cyclosporine or any component should avoid this medicine. Do not use during an active eye infection unless a clinician advises. Safety in pediatric patients has not been established. If you are pregnant, planning pregnancy, or breastfeeding, discuss potential risks and benefits with your healthcare professional. Some will ask specifically about Cequa for dry eyes; eligibility depends on your diagnosis and the clinician’s judgment.

Dosage and Usage

The usual schedule is one drop in each affected eye twice daily, approximately 12 hours apart. Use one single-dose vial for a dose, then discard any remaining liquid. Do not reuse vials.

Administration tips:

• Wash hands and open one vial just before use.
• Tilt your head back, gently pull down the lower eyelid, and instill a drop without touching the tip to the eye or skin.
• Close your eyes gently for a minute; avoid blinking hard or rubbing.
• Remove contact lenses before instilling; wait at least 15 minutes before reinsertion.
• If you use other eye medicines, separate dosing by at least 15 minutes. Apply ointments last.

Follow the dosing plan on your prescription label. If your prescriber changes your therapy, rely on their guidance and the official product information.

Strengths and Forms

This product is supplied as sterile, preservative-free single-dose vials in foil pouches. Each vial contains a white-to-off-white topical solution for ocular use. Commonly available strength is 0.09%. Pack sizes may vary by market and manufacturer packaging. Your order may include multiple pouches for longer durations, subject to prescription directions.

Some people refer to these as Cequa eye drops because they are used directly on the eye surface. Packaging can differ between countries, so availability and appearance may vary.

Missed Dose and Timing

If you miss a dose, use it when you remember, then return to your regular schedule. If it is almost time for the next dose, skip the missed one. Do not use extra drops to make up for a missed dose. Try to space doses evenly, such as morning and evening, to build a routine.

Storage and Travel Basics

Store vials at room temperature as directed on the label and keep them in the foil pouch to protect from light until use. Do not freeze. Keep out of reach of children. Discard each single-dose vial immediately after dosing, even if some liquid remains. Avoid touching the tip to any surface to prevent contamination.

For travel, carry vials in their pouches within your hand luggage. Bring a copy of your prescription and your prescriber’s directions. Protect from excessive heat or cold, and avoid leaving the medicine in a parked car. Keep the box and leaflet for reference when away from home. If you pass through airport security, having medicines in original packaging usually helps.

For broader eye wellness tips, you may find seasonal guidance in our article Healthy Vision Month.

Benefits

This medicine targets the underlying inflammation that can reduce tear production in dry eye disease. With continued use, the treatment may help stabilize the tear film, which can reduce burning and irritation. Single-dose, preservative-free packaging supports sensitive eyes and can be convenient for people who prefer not to track bottle-opening dates. Twice-daily dosing fits many routines.

Side Effects and Safety

Common effects are usually mild and short-lived. They may include:

• Temporary eye irritation or burning
• Redness of the eye or eyelid
• Watery eyes
• Blurred vision after instillation
• Foreign body sensation

More serious reactions are uncommon. Seek medical care if you have signs of an allergic reaction, severe eye pain, vision changes that do not clear, or symptoms of an eye infection such as increasing redness and discharge. Discuss any persistent discomfort with your healthcare professional. People sometimes ask about Cequa side effects; your prescriber can help separate expected, short-term sensations from signs that need attention.

Drug Interactions and Cautions

Systemic drug interactions are unlikely due to minimal systemic absorption. However, timing matters with other eye medicines. Separate this drop from artificial tears, antihistamine drops, or other prescriptions by at least 15 minutes. Use ointments after solutions. Do not wear contact lenses during instillation. Your clinician may recommend avoiding contact lenses if you have significant surface inflammation.

If you have had eye surgery, trauma, or active ocular infections, inform your prescriber before starting or continuing therapy. Always read the leaflet for additional cautions.

What to Expect Over Time

Relief can build gradually. Many people continue consistent dosing for months as advised by their prescriber to maintain tear production support. Keep a simple routine, such as aligning doses with morning and evening habits. Track symptoms in a short log to discuss at check-ins. If your plan changes, your clinician will guide the next steps. For family-focused eye wellness reminders, see our piece on Childrens Eye Health.

Compare With Alternatives

Another prescription option for signs and symptoms of dry eye disease is Xiidra Ophthalmic Solution, a different class that targets inflammation at a distinct receptor. Some clinicians may also use short courses of anti-inflammatory eye treatments, such as Lotemax Ophthalmic Ointment, for flare management when clinically appropriate. Your prescriber will determine the best option based on your history and exam findings.

Pricing and Access

We provide Canadian pricing with transparent checkout for prescribed quantities. If you are comparing Cequa price across sources, remember that pack size and the number of vials can differ by market. You can review availability and see options before placing an order.

Deliveries are arranged to the United States and Ships from Canada to US after a valid prescription is received. You may browse related items in Ophthalmology or learn more about the condition in Dry Eye. If you are looking for seasonal offers, visit our Promotions page. Prescription required and verified.

Availability and Substitutions

Stock can vary. If this item is temporarily unavailable, your prescriber may recommend a suitable alternative based on your treatment goals. We cannot guarantee restock dates. Your order will reflect what is available under your prescription at the time of processing.

Patient Suitability and Cost-Saving Tips

Good candidates usually have a confirmed diagnosis of dry eye disease and a plan for ongoing surface care. People with a history of hypersensitivity to cyclosporine or any component should avoid this medicine. If you often miss doses, set alarms or use a daily checklist. Keep spare vials in a clean, accessible place at home and in your travel bag.

To manage out-of-pocket costs, consider multi-month fills when your prescriber authorizes them. Fewer fee events can improve overall value. Align refills with upcoming trips to avoid gaps. If your eyes are particularly sensitive, pair your regimen with preservative-free artificial tears between doses as advised, which may reduce the need to restart after irritation-related breaks.

Questions to Ask Your Clinician

• Is this the right prescription drop for my type of dry eye?
• How should I coordinate this with my other eye medicines?
• What signs mean I should contact the clinic promptly?
• Can I wear contact lenses during treatment, and when can I reinsert them?
• How long should I continue before reassessing the plan?
• Are there non-drug measures that support the regimen?

Authoritative Sources

FDA DailyMed

Health Canada Drug Product Database

Manufacturer Information

Ready to proceed? You can place your request with prompt, express shipping and US shipping from Canada, with temperature-controlled handling when required. This information is educational and not a substitute for professional medical advice.