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This medication has specific safety warnings and potential risks that must be considered before use. It is important to discuss any concerns with your healthcare provider to ensure safe and effective treatment.

• Lowered Eye Pressure: This medication is used to treat high eye pressure, such as in glaucoma cases. However, using it on the eyelids might also lower eye pressure, albeit not significantly. If used alongside other eye pressure-reducing drops, like bimatoprost (Lumigan) or latanoprost (Xalatan), it may alter their effectiveness. Inform your healthcare provider and optometrist about all eye medications you are using before starting this treatment.

• Changes in Eye and Skin Color: Prolonged use can lead to a darkening of the eyes, eyelids, and eyelashes. While brown eye coloring might be permanent, changes in skin and eyelashes typically reverse upon discontinuation. These changes are generally non-harmful, but regular check-ups with your prescriber are recommended to monitor eye health.

• Unwanted Hair Growth: Application might cause hair growth in unintended areas, particularly if the medication spreads beyond the intended application site. Use the provided applicators to apply the medication only to the upper eyelid at the base of the eyelashes, and remove excess solution to avoid contact with other skin areas.

• Eye Inflammation and Swelling: This medication may cause or exacerbate inflammation and swelling in the eye, particularly affecting the macula. Persons with pre-existing eye inflammation or those with damaged or missing eye lenses are at increased risk. Immediate consultation with an optometrist is advised if you experience eye discomfort or vision changes.

Contraindications: This medication should not be used if you have an allergy to bimatoprost-based products, such as the Durysta eye implant or bimatoprost eye drops (Lumigan). Consult your healthcare provider if you have concerns about an allergic reaction.

When using this medication, some common side effects you may encounter include itchy or irritated eyes, redness, and dryness. The area of skin where the medication is applied might also darken. These effects are generally mild, but if they persist or become bothersome, it’s advisable to consult your healthcare provider.

There are other side effects that might occur, such as the sensation of something being in your eye, unusual hair growth, or a change in eye color. If you notice these, particularly if they are severe, reaching out to your healthcare provider is recommended.

In rare cases, serious side effects can occur and require immediate medical attention. These include allergic reactions characterized by rashes, itching, hives, or swelling of the face, lips, tongue, or throat. Additionally, any changes in vision or new or worsening eye pain, redness, irritation, or discharge should prompt urgent medical care. It’s important to be aware that while some side effects like eyelid skin darkening may fade after discontinuing use, others, such as changes in iris color, could be permanent.