Cequa® cyclosporine eye drops 0.09% for dry eye disease

What Cequa® Is and How It Works

Cequa® is a prescription cyclosporine ophthalmic solution 0.09% used to increase tear production in people with dry eye disease. These cequa eye drops come as preservative-free, single-use vials. They are dosed twice daily. If cost is a concern, many patients look up cequa cost without insurance to plan their therapy.

Cequa® uses a nanomicellar formulation that helps deliver cyclosporine to the ocular surface. Cyclosporine is a calcineurin inhibitor. It reduces ocular surface inflammation, which supports natural tear production over time. Improvement builds gradually with regular use.

YouDrugstore is a licensed Canadian pharmacy based in Manitoba that follows Canadian pharmacy standards. Prescriptions are reviewed by licensed pharmacists before dispensing, and our team is available with friendly customer-service chat during posted hours.

We source authentic brand medicines through licensed and vetted international partner pharmacies, keeping a wide selection available at competitive Canadian pricing.

Dosage and Usage

Usual dose: one drop in each affected eye twice daily, about 12 hours apart. Cequa® is for ophthalmic use only.

• Wash hands before opening a single-use vial.
• Tilt head back. Pull down the lower eyelid to form a pocket.
• Hold the vial without touching the eye or lashes. Instill one drop.
• Discard the vial right after use. Do not save leftover solution.
• Remove contact lenses before dosing. Wait at least 15 minutes before reinserting.
• If using other eye products, separate by at least 15 minutes.
• Missed dose: instill when remembered, then resume the regular schedule. Do not double doses.

Storage and Travel

• Store at room temperature. Keep vials in the foil pouch to protect from light.
• Do not refrigerate or freeze.
• When traveling, keep vials in the original pouch inside a clean carry case.
• Avoid heat and direct sunlight. Do not use if the pouch or vial is damaged.

Benefits and Savings

Cequa® helps increase tear production by addressing ocular surface inflammation. Patients often notice reduced dryness, burning, and foreign-body sensation over time. The unit-dose, preservative-free format can be helpful for sensitive eyes. Twice-daily dosing is simple to follow.

Buying through a Canadian pharmacy can deliver meaningful savings. Many customers report 60–80% lower prices compared with typical US pharmacy prices. If paying without insurance, transparent pricing and multi-month options can lower the per-month cost further. Customer-service chat can help with ordering questions during posted hours.

You can order online or by phone (where applicable). Pharmacists can address medication questions before dispensing.

Side Effects and Safety

Most effects are mild to moderate and lessen with continued use.

• Common: eye pain or burning on instillation, redness, irritation, watery eyes, blurred vision, and headache.
• Less common: eyelid swelling, discharge, light sensitivity, taste disturbance.
• Serious but rare: hypersensitivity reactions. Stop use and seek care if severe eye pain, marked swelling, or vision changes occur.

Do not use with active eye infections. Contacts should be removed before dosing and reinserted after 15 minutes. If pregnant, nursing, or considering pregnancy, speak with a clinician. Systemic absorption is minimal, but medical review is advised. Safety and efficacy in pediatric patients have not been established. Report persistent or worsening symptoms to a prescriber.

Onset Time

Relief is gradual. Some patients notice improvement within 4–6 weeks. Benefits can continue to build over 3 months and beyond with steady use. Keep using as prescribed, even if immediate relief is limited in the first weeks.

Compare With Alternatives

Restasis (cyclosporine 0.05%) is another calcineurin inhibitor for dry eye disease. Cequa® delivers a higher concentration (0.09%) in a nanomicellar vehicle that may enhance ocular surface penetration. Both are preservative-free and dosed twice daily.

Xiidra (lifitegrast 5%) is a lymphocyte function-associated antigen-1 (LFA-1) antagonist. It targets a different step in the inflammatory pathway. Some patients respond better to one option than another. Taste disturbance can be more common with lifitegrast.

Tyrvaya (varenicline nasal spray) is a non-drop option that stimulates the trigeminal parasympathetic pathway to increase basal tear production. It avoids ocular surface instillation but may cause sneezing or throat irritation. Choice depends on response, tolerability, and clinician guidance.

Combination Therapy

Many dry eye regimens use supportive measures along with Cequa®. Preservative-free artificial tears can be used between doses, spacing products by at least 15 minutes. Warm compresses and eyelid hygiene may help meibomian gland function. Omega-3 intake, humidifiers, and screen-time breaks can support comfort. Punctal plugs are another option in select cases. Always confirm product compatibility and timing when combining therapies.

Patient Suitability and Cost-Saving Tips

Cequa® is intended for patients with signs and symptoms of dry eye disease where increasing tear production is appropriate. It is not for contact lens insertion or acute eye infections. Share your medical and ocular history with a prescriber, including recent surgeries and concurrent eye products.

To manage costs, consider larger quantities when appropriate, since multi-month supplies can lower the per-month price. Set up simple reorder reminders so you do not run out. For current promotions and bulk options, see our cequa coupon page. Customers often compare prices when paying without insurance to select the best refill rhythm.

For ordering, you can upload a prescription and checkout online at YouDrugstore. Customer-service chat is available during posted office hours if you need help with your order, shipping, or account. Pharmacists review prescriptions before dispensing and can address medication questions.

Authoritative Sources

Sun Pharma Cequa product information

FDA Prescribing Information for cyclosporine ophthalmic solution 0.09% (Cequa)

Health Canada Drug Product Database

Order Cequa® from YouDrugstore, a licensed Canadian pharmacy offering brand and generic medicines at Canadian prices. Count on prompt, express, cold-chain shipping when needed, careful packaging, and attentive support from our team.

Disclaimer: This page is for product information only and does not replace medical advice. Use only as prescribed. Always read the label and consult a healthcare professional about your specific situation.