What should I discuss with my healthcare provider before using P4E1 (epinephrine and pilocarpine ophthalmic)?

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What should I discuss with my healthcare provider before using P4E1 (epinephrine and pilocarpine ophthalmic)?

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Epinephrine and pilocarpine ophthalmic should not be used to treat narrow- or shallow-angle glaucoma. Rarely, pilocarpine ophthalmic may cause retinal detachment. Tell your doctor if you have any type of retinal disease, if you have had a retinal tear, if you are nearsighted, or if you have had cataract surgery. These conditions may increase the risk of retinal detachment. Before using this medication, tell your doctor if you have • heart failure, • high or low blood pressure, • ever had a heart attack, • asthma, • a stomach ulcer or stomach spasms, • epilepsy, • hyperthyroidism (an overactive thyroid), • blockage of your urinary tract or difficulty urinating, or • Parkinson’s disease. You may not be able to use epinephrine and pilocarpine ophthalmic, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. If you wear contact lenses, remove them before applying epinephrine and pilocarpine ophthalmic. Ask your doctor

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