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Diquafosol is an active ingredient used to treat dry eye disease. It stimulates tear fluid production and improves the stability of the tear film.
Diquafosol is an active ingredient used to treat dry eye disease. It stimulates tear fluid production and improves the stability of the tear film.
Diquafosol is a synthetic active substance administered as eye drops for the treatment of dry eye disease (keratoconjunctivitis sicca). It belongs to the pharmacological class of P2Y2 receptor agonists and works by stimulating the natural production of tear fluid and mucin (a gel-like substance) on the ocular surface. Under the brand name Diquas, it is widely used in Japan and other Asian countries, and is also available in various European markets.
Diquafosol selectively binds to P2Y2 purinergic receptors located on the epithelial cells of the conjunctiva and cornea, as well as on goblet cells. This binding triggers two key secretory processes:
This dual mechanism sets Diquafosol apart from simple artificial tears, which merely passively moisten the eye surface without promoting the eye's own secretory capacity.
Diquafosol is primarily used in the following conditions:
Diquafosol eye drops are available in a 3% concentration. The standard dosage is 1 drop 6 times daily in each affected eye. The drops are applied directly to the ocular surface. When using multiple eye drops simultaneously, a minimum interval of 5 minutes should be maintained between different preparations. Exact dosing and duration of treatment should always be determined by an ophthalmologist.
Diquafosol is generally well tolerated. Possible side effects include:
Serious systemic side effects are very rare due to the local application to the eye.
Diquafosol should not be used in patients with known hypersensitivity to the active substance or any of the excipients. Contact lens wearers should remove their lenses before applying the eye drops and should wait at least 15 minutes before reinserting them. Data on use during pregnancy and breastfeeding are limited; the decision to use this medication should be made in consultation with the treating physician.
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