Xiidra Vs Restasis: Which is better?

[@DoctorEyeHealth]

💥QOTD: Have ever used Xiidra or Restasis? What has your experience been?

[@ytsux9259]

I've used all 3 and prefer Cequa and Xiidra. Restasis burned too much.

[@ytsux9259]

Cequa and Xiidra seemed to work. I stopped Restasis after a month because of the burning sensation, so it wasn't enough time to know if it worked. I'm still using Cequa every day now.

[@bonnieramsey9042]

I have serious dry eye. I used Xidra for almost 2 years. I was told it was better than Restasis. It is very expensive even with insurance it really burns. The taste didn't pass , it lasted all day

[@spiridondimaris465]

No I haven't this is something new to me do you need prescription? Or you can get it of the counter

[@user-mp9id6yt1p]

On Xiidra, mild stinging upon application but, keeping in fridge helps with that. Also, blocking tear ducts and applying right before brushing teeth helps with metallic taste. My eyes are definitely brighter and my lids no longer "cling" to my eyes.

[@marydarcangelo2907]

I have been using Restasis for 8 years. They do help my dry eye symptoms but I always think I should try Xidra. I live in Nevada where the air conditioners run full time in the summer. My symptoms are much worse in the summer and my eyes get extremely irritated and red. I always look forward to cooler weather.

[@DoctorEyeHealth]

That dry desert air can for sure be a problem. The corneal nerves are more sensitive to the cold.

[@EchelonBritt]

I tired all 3 and I found cequa works the best for me! I have extremely dry eyes and did not get much relief from cequa drops until about 3 months in

[@DoctorEyeHealth]

Thanks for sharing!! Yes, it may still take time for cequa to work, although I think in general I see people having faster success with it compared to Restasis. However, I have heard some people here in the comments say they experience more burning with cequa.

[@sl8460]

It took me 6 months of Cequa before I had significant improvement. Very happy with it now

[@lizditaranto2249]

I have learned so much about dry eyes from this channel. It’s simply the best eye doctor channel out there. Thank you for your dedication for bringing us these in depth videos. I currently have been a contact wearer for the past 15 years and due to over wearing a monthly pair, experienced one of the WORST dry eye flares. My vision has been blurry and I work from home so the screens definitely do not help. After some talk with my insurance, I was able to get my Xiidra covered. I’ve been on it for about 6 weeks and it’s the only thing that’s helping me get through this flare. I started to be able to actually see clearly after about 2 weeks on it. I couldn’t imagine dealing with symptoms for 3-6 months before things got better. Thanks again for the informative vid!

[@Churrow]

Hey I have a very similar situation as you. I over wore monthly contacts for years and I’m thinking that’s a reason I got dry eyes. Any tips you got for me? I get very bad fare ups. I’m thinking of trying xiidra or restasis. I how you can respond soon as I’m very tired of this feeling ): been feeling like this for the past 5 months ): it’s terrible ):

[@lizditaranto2249]

@@Churrow hi!! I would say try Xiidra first as the medication seems to start helping in 2 weeks versus months with Restasis. I was on Xiidra for a few months and then finally got in with a dry eye specialist. She recommended Lipiflow because after getting my eyes examined, I have MGD. I did the treatment and now I’m still currently on the Xiidra, and Pataday (allergy drop). My symptoms are almost fully gone and I’m able to wear my contacts again. However, I don’t wear them as much and they are daily disposable versus monthly. The best advice I can give you is find a good dry eye specialist, as my regular eye doctor really did not know how to treat it. Dry eye is usually caused by more than one thing and a typical eye doctors office does not have the needed tests and equipment to fully diagnose. Hope this helps

[@Churrow]

@@lizditaranto2249 thank you soooo much you’re the best. I will look for a dry eye specialist

[@DoggyDog420]

@@lizditaranto2249how was the LipiFlow treatment? I am scheduled for one in 3 weeks. Did it help?

[@21972012145525]

​@@DoggyDog420if you're wfh and have sensitive eyes it doesn't make sense to wear contacts imo

[@markholm7050]

I used Xiidra for four months. It gave me terrible sinusitis. It did seem to make some improvement in dry eye symptoms, but the sinusitis was way too bad to keep going with it. Now on Restasis about 4 months. Also the Dr. installed lower punctal plugs. Still have some sinus problems, but not nearly as bad. Dry eye symptoms seem modestly improved.

[@philmedeiros2497]

You probably didn't block the ducts after putting them in

[@Jeri_C11]

I used Restasis after being Dx with severe dry eyes. I used it for 2 years & kept telling my Opthamologist it not only wasn’t working but seemed to make it worse. I went to a dry eye specialist and was put on Xiidra which helped the inflammatory process within a month to 6 weeks. Before this I was getting eye infections and had to go on Steroids intermittently which as a Nurse worried me. Since using Xiidra I haven’t had to use Steroids in 6 months or more. It is expensive and I wasn’t aware there was a generic. Is there more then one generic? I will check out your link for the mask. Thanks so much for sharing this with us. 😊❤

[@susanlong8978]

Good Luck with telling KAISER THAT U NEED IT#

[@Jeri_C11]

@@susanlong8978 ?? I can always use what I’m using. Insurance pays about 1/3 to 1/2.

[@maryw3973]

I have been on Restasis for years and this works well for me. However, I want to warn patients to have your eye doctor only prescribe the vials; I was prescribed the bottle with the green cap once. The bottle is very hard to open and squeezing drops out is very difficult., thus you waste half of it! After picking up from the pharmacy, you cannot return a prescription . This was about a $200 mistake!

[@stephenlee7029]

This is an underrated topic. Appreciate your expertise and for the video!

[@DoctorEyeHealth]

Wow! Thank you. Much appreciated!

[@personplacething]

Cequa has been my game changer so far!

[@DoctorEyeHealth]

happy to hear!

[@mtmary3931]

I use both Cequa and Xiidra in my eye with DED and corneal neuropathy. Only one medication is used in the eye with just DED, and both drugs work equally well in that eye, . Xiidra seems to give me more relief and greater tear production.

[@marywidener1409]

I was on Restassis for 5 mi the with no notable do. I’ve been on Xiidra for a few days and my eyes are starting to feel less dry already. I’m very grateful ❣️

[@healthylife4eva]

Are you still using Xiidra? Im thinking of switching from Restasis

[@neilmartin99]

Restais takes around 60 days to be effective.

[@donaldpeck3192]

I use the generic restasis and I can definitely tell it helps. It's not a life saver but I can definitely tell when I don't use it for a whole day. I'll keep using it for sure

[@DoctorEyeHealth]

Thanks for sharing that Donald!

[@tss0816]

What is the generic of Restasis and how much does it cost? I live in Spain and I cannot get Restasis, it was the only thing with which I have been able to control the problem with my eyes. Thank for help me.

[@jessicaann9027]

I started with Cequa back in 2019. Used it for 6 months and seemed to help. Recently went back with dry eyes and found out I have oil duct issues, murky oil, and a thin aqueous layer. Just started on Xiidra today!

[@DoctorEyeHealth]

Wishing you the best of luck!

[@Cooliewhistles]

Did xiidra work Jessica?

[@natemac8473]

How was the xiidra? I've been on it for a few days. I don't notice much yet but how was your experience?

[@scriptwriter1268]

​Good luck. 0% chance it will work on MGD. Miebo is the only drop for MGD. Hard to get because it just came out. And no I don't work for Bausch & Lomb

[@jessicaann9027]

@@Cooliewhistles Xiidra has helped but it hasn’t cured it. I have since been also prescribed Miebo drops but they work in tandem for relief until I can get in for laser.

[@BdwyMTI]

I used Restasis, brand, for six months. Other than stinging when it first was applied, I didn't notice any difference in dryness. I discontinued it in consultation with my ophthalmologist. Tear Restore twice a day seems to be helping in conjunction with Refresh drops.

[@dmydesigns72]

I saw my ophthalmologist today for my DED. He gave my a trial of xiidra. Hoping this works. Thank you for your videos. I follow you.

[@amangrover3278]

It worked for u

[@dmydesigns72]

I still have issues with eyes but xiidra does help. 😢

[@christysowers9047]

I have MGD and was on Restasis for a couple of years. My eye doctor did switch me to Xiidra for awhile and I didn’t notice a difference so I went back on the Restasis. Recently I started seeing a dry eye specialist and was switched to Cequa. It burned my eyes terribly and they actually got worse so I’m back on Restasis. I’ve also had lipiflow, the opti light therapy, Tear Care, Tyrvaya nose spray and nothing has really helped me. I’ve spent thousands of dollars. It is so frustrating. 😢

[@DoctorEyeHealth]

I hear you Christy! Finding the right mix of treatments can be very frustrating...and expensive. It does make me happy you found a clinic that hopefully is able to help. Did opti light do anything at all for you? (btw I know there are some really big dry eye treatments in the research pipeline so hopefully there will be something for you soon). Thinking of you and sending you healing thoughts.

[@christysowers9047]

@@DoctorEyeHealth thank you for your response. The opti light did take away some inflammation, which is good. The oil in my MG just doesn’t seem to keep flowing. It seems to harden very quickly. My specialist has told me there are promising treatments coming in the near future, I’m trying to stay hopeful. Love your videos!

[@Alix777.]

Azura Ophtalmics end of 2025...for the Us.

[@snowbike8032]

@@Alix777. Thank you for this... I googled it and am wondering how we can join one of their trial groups?

[@Alix777.]

@@snowbike8032 I really don't know. I'm not in the us, maybe try the sub reddit dry eyes and do a search "azura" or "azr-001" maybe you would find your answer or could ask some people about trials.

[@Broommaker19]

Seen Xiidra commercials. I'm 58 dry eye for several yrs. Dec 2021, developed CNV in left, dry issue got worse after two Avastin injections for CNV, now stable scans since March, back to 20/20 ,thank God caught it early. Still it was followed by PVD, fun, all in left eye. Right is normal, just dry. Opthomologist has me using OTC Refresh Celluvisc gel. It helps some but after listening to your review, I'm thinking I need to ask about the more healing properties of Xiidra. Current is not giving much relief overnight, seems lid extra dry to a bit and scratchy when waking. Sounds like stepping up to a prescription might be worth a try. I'm very vested in my eye health and learning all I can. Thanks for the comprehensive review. Subscribed.

[@DoctorEyeHealth]

Wow thank you! I appreciate you sharing the info. Happy to hear your doctors caught everything early and you are back to 20/20. Super grateful for that. Celluvisc gel is great, works really well despite being an "older drop". We even use it in clinic for some procedures. It makes me happy to hear you are being such a good advocate for your own health.

[@andreanah8614]

I liked Xiidra, it took I believe a week for my eyes to feel better but it worked. I got a free trial and wanted more but they are expensive.

[@DoctorEyeHealth]

Glad to hear they helped! I know they are just being purchased by another company so perhaps the price will come down?

[@tarikasamuels9317]

I’m so excited I am seeing this. My dr just gave me Xiidra. I’m watching

[@_alysonh]

How are you eyes?

[@Schrogs]

How does it work for you

[@bronsonwrightwolfe]

I really enjoy watching your videos Dr. Allen. You're very helpful when it comes to caring about the eyes. I do have one question for you and I hope you can answer it. Have you ever thought about making a video explaining the differences between ophthalmology and optometry? I remember you talking a little bit about this in a video on why you chose optometry. I think you and an ophthalmologist should get together and make a video explaining the differences between ophthalmology and optometry. I hope all of this makes sense to you as well.

[@thebuzzkiller69]

I got two treatments of IPL and have been on Restasis about two months. Also do a warm compress twice a day, Zocushield gel at night, daily lid scrub, and preservative free drops. For some reason my left eye always feels fine but my right eye is always feeling dry or irritated.

[@nirvonna]

Thank you for this educational video. I’m going to change my eye drop regime based on it. I was motivated to research Xiidra benefits versus ill effects because I can’t take the extreme BURNING Xiidra causes anymore. Based on the information you provided I will stop cyclosporine (Restasis), throw my Xiidra away, and go back to Cequa. I’ve been using both Xiidra and Restasis twice a day for years. I also used to use Cequa (yes, I used to use all three every day). Interesting that you say that Restasis burns for some people but make no mention of Xiidra burning. My experience is the opposite. Restasis never burns. I HATE Xiidra for that reason-I dread the burning so much that lately I’ve been foregoing it. And it’s not just burning on contact-the burning then persists. No other side effects. I wonder why no one else has mentioned how severely Xiidra BURNS. For a while I also used Cequa. Nothing stops my symptoms completely. I’ve been using both Xiidra and Restasis for years (I stopped the Cequa years ago just because I was sick of juggling so many medications every day). I have no issues with Restasis at all but can’t tell if it actually helps or not because my eyes still bother me incessantly even though I also use Serum tears frequently plus eye gel at night and sometimes use both heat and cold applications. For years I’ve been doing eyelid scrubs with baby shampoo. Dry eyes can have such a negative impact on quality of life it can be bad enough to want to poke your eyes out-since I don’t want to do that, it seems that checking out might be the best alternative.

[@DoctorEyeHealth]

Hey thanks so much for sharing! I plan to do a video soon on Serum vs PRP tears. But I hope you can find some relief soon

[@alisonhall800]

I was just prescribed restasis for my mgd. Going to start first thing tomorrow!

[@DoctorEyeHealth]

Hope it goes well!

[@سلمانخان-ع6ت]

كيف كان وهل هو ممتاز او فيها آثار جانبية

[@jamesiblond]

And what are the results?

[@mikefussell8450]

I was diagnosed with Bells Palsy in 2015. That has resulted in severe dry syndrome. I was on Xiidra for a couple years and I absolutely hated it. First off it is expensive, burned my eyes like a Branding iron, left the nasty taste in your mouth and the little vial is not resealable. I could not read my cell phone or emails for about an hour after I put drops in my eye. Big negative in my case. Plus it did not help or relieve my eye pain. I do not recommend Xiidra, but you do you. I asked my ophthalmologist about any other meds. He put me on Restasis which is only slightly higher than Xiidra. Restasis has a cooling effect immediately when placed in my eyes. It is resealable which is big plus for me, no nasty taste in my mouth, plus I can read immediately after putting drops in my eyes. My eye have improved in making my own tears with Restasis. I have not tried the Cequa drops. I recommend Restasis to everyone.

[@NandaKarine]

Estou começando a usar restasis hoje!

[@21972012145525]

My Dr recommended to keep drops in the fridge to reduce stinging and burning

[@fauziasulaiman]

Nice to see you and listen you.Both are good seeing you and listening you.God bless you my dearest doctor Allen.Thanks for such a nice and informative video.🌹

[@DoctorEyeHealth]

So nice of you! Thank you!

[@fauziasulaiman]

@@DoctorEyeHealth Most welcome ❣️❣️❣️ I like you.

[@eo4822]

Thank you, doctor, for the information and for the individual comments.

[@DoctorEyeHealth]

You are very welcome

[@camban]

I have something in my eyes whenever I watch Doctor Eye Health, but it’s not eye drops 😍

[@DoctorEyeHealth]

😊

[@StephanieSchantz]

I was in Xiidra for 3 years. All of sudden it made my eyes itch after putting in the drops. It became painful. I then tried Cequa which was great but my insurance did not cover it. Now I am on Restasis. It’s been 1 month and seems ok. I guess I have to wait for 4-6 months to see real improvement.

[@max-cs9ko]

I had used Restasis for 6 month, but it's hasn't worked for me. I am currently using Trehalube along with CMC, and it's much better

[@DoctorEyeHealth]

Great info! I will look up Trehealube and see what it's all about. Thanks

[@hoose6391]

Great video! What are your thoughts on both of theses drops not being approved in Europe?

[@Alix777.]

Here in France we had Restasis but it has been discontinued and now we have Ikervis which is way stronger and a lot of people complaining that they can't stand it.

[@fabian_2323]

I tried both Xiidra and Restasis and Xiidra definitely worked best for me. I do get that nasty aftertaste from Xiidra every time I use it.

[@DoctorEyeHealth]

Thanks for sharing! Have you tried either blocking the ducts or brushing your teeth at the same time?

[@tonimattox6976]

Both. My dry eye specialist prescribed me to use them for MGD (R) dry eye disease (L).

[@neilmartin99]

I tried Xiidra and it gave me bad headaches. Will try another product.

[@jakec5618]

Great video. Always wondered more about this....as far as I know, there are no major trials comparing xiidra vs restasis. What's your thoughts on whats better in lasik dry eye/complications. Thanks...

[@tracythomas-bell9418]

I’ve been using Restasis over two years and now starting to develop red eyes!!!

[@abeach5420]

FABULOUS as always doc. Thank you.

[@DoctorEyeHealth]

Glad you enjoyed it! Thank you!

[@goktekiisklightinthesky9650]

​@@DoctorEyeHealthhi doc! Is it possible for antidepressents to block the benefits of dry eye medications due to its related side-effects when used together?

[@partialartsblackbelt8384]

My dr gave me a month supply of xiidra and it worked for me but unfortunately my insurance barely covers any of the monthly cost leaving me with a car note left to pay. I used xiidras coupon code for another month, but unfortunately my search continues. I’d love your thoughts or videos on MSM drops and\or regener-eyes. Thanks for all the info you give us.

[@DoctorEyeHealth]

Price is a huge factor for people. For medications that are designed to be used long term it seems a bit ridiculous that they are so expensive yet, very safe. I am looking more into MSM eye drop research and hope to have some info on it soon. I did speak a bit on regener-eyes in a previous video kzbin.info/www/bejne/jqKtf4aifN6grqc

[@abeach5420]

@@DoctorEyeHealth Thank you for keeping us apprised doc.

[@partialartsblackbelt8384]

@@DoctorEyeHealth thank you!

[@teresawalters447]

I have been using restasis for years. Yes, it works for me. I tried Xidra as well but went back to restasis because these drops yield more lol . Once I open the restasis blister I can put the little cap on. With Xidra this wasn't possible and ended wasting medication. These 2 meds are around $600 .

[@DoctorEyeHealth]

So true! I never realized this about the bottles until recently. I did a small post about it on instragram. The restasis vials have more medication and the top can be put back on (although they don't want you to) and the xiidra bottles have less and they engineered the vials so you can put the top back on. Kinda lame.

[@Nickfdz95]

It might sound sketchy but I got Restasis in Guadalajara, Mexico for 2000 pesos (100 usd). And they seem to be exactly the same as the ones I was using in San Diego (600 usd) lol.

[@johngregory9168]

$600 each or combined? Per month, per year?

[@teresawalters447]

@@johngregory9168 $600 a box of 30 vials which can yield more than 30 days ...

[@BB-yw1ez]

I just got Restasis today and paid almost $180. for 3 month supply.

[@benlaine400]

Just started using Cequa a few weeks ago and was curious why it and Restasis can take so long before someone notices results (3- 6 months). Your explanation that it simply stops new inflammation from occurring was very helpful as every time I googled it just told how long it takes, but not why it takes so long. Can you do a video comparing Tyrvaya to these medications?

[@dangasik27]

My understanding is that Tyrvaya helps you to produce more of your own tears, but it does not address the inflammation.

[@maryannebyoga]

My Dr prescribed Cequa 2 years ago. Cured my dry eye in about 3 months and continually worked well. 2 months ago my insurance "removed it from the formulary" and would only cover xiidra which has been awful. My eyes are drier, red and irritated all the time. The drops painfully sting for several minutes, and my vision is blurry for several minutes. Trying to hang in there but after 2 months I am considering discontinuing them. (Side note: my dr appealed to my insurance to get me back on Cequa but was refused.

[@nicolasgarcia4073]

I wish you were my eye doctor! You’re more on point with my dry eye questions through a screen than when I ask my doctors in person. I’ve had lasik surgery, and have been having severe dry eye ever since. It gets to the point where it irritates my eye and causes my vision to fluctuate. Throughout my first 8 months of lasik I’ve tried many many manyyy dry eye products and have found that Oasis Tears Plus and Refresh Relieva PF have worked best for me. I have been given the Xiidra Prescription recently so it’s nice to see the best Eye doctor Review them !

[@sabrinakeepingjesusfirst7108]

Thank you for sharing this information 💕😇

[@DoctorEyeHealth]

No problem 😊

[@unlikelycritic9356]

I love Restasis! Unfortunately, my eye doctors kept putting me on Xidra, which I hate! It burns like fire. I just couldn't do it. I was finally able to get the generic and am thrilled with it. I think it may be better than Restasis.

[@DoctorEyeHealth]

Great! I think the generic is a slightly higher concentration. What makes you think the generic is better?

[@unlikelycritic9356]

I think the solution is thicker and it may be a placebo effect, but my eyes see whiter/brighter.

[@antoinecollins7771]

Unlikely critic, hello. Question(s): You mentioned you tried Xiidra (I’m currently on it for two weeks now) and it burned bad? How long did the burn last. Im also experiencing burning after I put in eyes.. it seems to go away about 2-3 min. 2. When you mentioned generic,are you speaking about a generic for the Xiidra? If so,is there a name for it? Thnx

[@21972012145525]

My Dr said you can keep it in the fridge to reduce stinging and burning

[@eileengabellini6935]

I have hashimoto which ihas caused severe dry. Years ago I try Restasis, but it didn’t have any beneficial effect Lacrisert’s were my saving grace.as well as punctal plugs, heat oacks and so much more. I just got a new doctor and he recommended the xiidra drops. Wow! Less than 2 weeks and ny eyes require less gel by about 50%. I am elated with this new treatment. It’s winter so the heats on and even with my humidifier the air is dry. In the morning I woke up and I went two hours with no eye goggles and no Lubriderm p.m. in my eyes and felt pretty good after that I did my drops and got into my regular care, but still, that was amazing.

[@theadityasahu07]

Can you please make a video on how to read and interpret the corneal topography report .

[@DoctorEyeHealth]

For any specific condition? or using any specific device?

[@theadityasahu07]

@@DoctorEyeHealth for Keratoconus

[@jaycamacho3983]

I use Xiidra and it’s working fine for me thankfully. Understand it’s not the same for everyone tho, good luck to everyone

[@DoctorEyeHealth]

Thanks Jay!

[@deborahboudreaux1310]

Lookk

[@ZFerguson]

Is it possible that the inflammation is causing the dryness and not the other way around? Then using a warm compress makes the inflammation worse, hence the cycle continues? Find the source of the inflammation, and stop the cycle; maybe diet related etc.?

[@21972012145525]

I think the warm compress is to liquify the oil

[@jakec5618]

What's your thoughts on clinical effectiveness between the two, including both subjective and objective signs? Have you seen one to work better?

[@marleneflaherty4843]

My vision is fuzzy for up to 30 minutes after use of Xiidra which was advised after Lasik procedure. Omnivision.

[@paulsinnott4422]

I have had MGD for decades, with all the attendant issues, well before all this information and all these helpful products were available. I seemed to gat a very slight rash from Restasis on the skin area just at the end of the outer eye so my Dr gave me samples of Xiidra. However, from your explanation of the two medications, it would seem that Restasis is more appropriate for my eye condition. Would you comment on that? BTW, I have gotten more information from this site than I have received in the last 40+ yrs of treatments. Thank you.

[@couchpotatter]

Do these pharmaceutical treatments permanently cure dry eyes (for some people, I'm guessing) after a few years of taking them? (Because that's what it sounds like.) Or, do patients need to take it fo a long time, maybe even to the point of depending on these drugs for dry eyes and can't go without.

[@DoctorEyeHealth]

The pharma companies probably want people to stay on them forever. I like to think of them similar to "anti-depressants", You can use them indefinitely, but they are best when used in conjunction with other therapy to solve the root issue. Once the root issue is addressed, then maybe you can let off the medication. Does that make sense?

[@amberorth9272]

I could not get pass the taste of xiidra it would upset my stomach so bad tried all the tricks and some times would taste it for 2-6 hours later!! The taste would go away then all of a sudden would get a new rush of it. my doc just switched me to Restasis and I didn't think it was working as well but with you saying can take 3 months to see significant improvement that has me more confident to keep trying and hope it helps (just switched last week)

[@spiridondimaris465]

WONDERFUL to know DR I don't know some times I have dry eye and some times takes long time to use any drops how can you explain this I use blink eye drops thanks Dr for the wonderful videos

[@DoctorEyeHealth]

So your symptoms are inconsistent? Or is the question why the eye drops sometimes take a long time to come out of the bottle?

[@madeleine1313]

Once on these medications, do you have to stay on them for the rest of your life or can these medications help and actually cure your dry eye??

[@DoctorEyeHealth]

OOh that is the important question now isn't it. The companies that make them of course, want people to stay on them haha. But for my patients who have success, if they are able to modify their lifestyle then I have been able to ween people off of them. I think Xiidra may be easier to ween off and restart if someone fails without it, as cyclosporine takes time to be effective.

[@DoctorEyeHealth]

However., at this time, dry eye technically cannot be cured, only managed :-(

[@madeleine1313]

@@DoctorEyeHealth Thank you 🙂

[@shakenbacon-vm4eu]

Once you get to a comfortable level, can you get off these meds? Or is there a rebound effect upon stopping? Is it more likely a lifelong medication?

[@DoctorEyeHealth]

the medications were designed to be a lifelong medication, but I have successfully weened patients off of them as they developed better lifestyle changes to help manage their disease and flare ups. It can be challenging, depending on the severity of the disease, but can be done.

[@Lukiel666]

I had VERY severe dry eye with inflamation and swelling of my eyes to where they were half closed and extremely light sensitive. Couldn't go out in sunlight or look at a computer screen. Kelowna BC. Allergies, drought with extremely dry air, heat wave where one day temps got to 50C. (122 Fahrenheit). And if that wasn't enough, smoke from forest fires thick in the air. Six different prescriptions later, including allergy eye drops and steroids my eyes were much better, and finally I went on Xiidra. Well the smoke, dry air and heat were gone by that time and one month on Xiidra I was to the point where I went off all medication except omega 3 oral capsules and Systane eye drops very occasionally.

[@DoctorEyeHealth]

WOW this is was great to read!!! It makes me so happy to hear you were able to fight through all of that. Also very happy you were able to heal up and now only on a few treatments. I hope more people can read your story and feel some hope.

[@Lukiel666]

@@DoctorEyeHealth Thanks. Honestly was probably the smoke put me over the edge. Like sitting at a campfire and smoke constantly blowing into your eyes. Well and the heat... OK like trying to cook a marshmellow in a fork with the wind blowing the smoke in your face.

[@jillmoore3073]

Cequa made my eyes burn badly. Couldn't use. Have used xidra for the past couple of years with no problems until recently. Now they seem to dry my eyes out even more and lots of pain.

[@21972012145525]

My Dr said to keep it in the fridge to reduce stinging and burning

[@JessicaMorrisHealth]

Love your videos! Keep up the amazing content-- very educational and fun to watch.

[@lisavandermeer6859]

Fantastic information thank you so much 😊

[@DoctorEyeHealth]

You are so welcome! Thank you!

[@planelvr07]

After watching another one of your vids, I have either dry eye or ocular rosacea. I was prescribed Restasis for dry eye, but both it & Xiidra are prohibitively expensive for my budget. So I have followed other tips with some success, not where I want to be yet.

[@DoctorEyeHealth]

Hope you can find some solutions that work for you!

[@bridgetvollmer6337]

I have both dry eye and ocular rosacea. Currently on generic restasis for dry eye and erythromycin eye ointment for ocular rosacea. I still use eye drops and sometimes gel lubricant, but feel so much better

[@jeannieb.]

​@bridgetvollmer6337 hi there! Is the eye ointment helping your ocular rosacea?

[@corteltube]

I have been on xxidra for three weeks now…I am finding relief from very severe dry eye for years now…I can actually read an entire article and my light sensitivity seems better. I just feel brighter in the eye area after years of squinting at the slightest glare or light. I am not positive but something is happening. The slight taste in the back of the throat is not a big deal at all and only lasts a few moments…not bad at all nor the stinging compared to the severity of my condition. It also only lasts moments and I actually feel better relief wise within 5 minutes after applying. Maybe that is just the liquid soothing the eye once burn is gone. Again. It’s not bad at all. So…we will see. I am hopeful for the first time in a decade now.

[@21972012145525]

My Dr said to keep it in the fridge to reduce stinging and burning

[@fortyfour6626]

My doctor told me I didn’t have inflammation so Restasis wasn’t going to work. Should I see another doctor? Watching this video sort of confirms that but maybe not directly? If the dry eye is not with inflammation, then these drops are a waste?

[@DoctorEyeHealth]

Not necessarily, the drops could help prevent future inflammation from dryness. Plus cyclosporine may have benefits for goblet cell development and tear production. But perhaps there are better options for you if you don't have inflammation going on.

[@tss0816]

​@@DoctorEyeHealth Hi, I have severe dry eye disease, I've been with Restasis for 10 years and it's the only thing I could lead a normal life with, but now I can't get it anywhere, I only have two boxes left and I'm desperate, I live in Spain and my only option here is to use the magistral formula of cyclosporine, do you think it can work? Thank you

[@JasonEisenberg81]

Watched this video to find out which is better like the title promises. Never discussed.

[@DoctorEyeHealth]

I personally like Cequa the best, but it still depends on the case.

[@melodydawn]

Well I personally liked Xidra unfortunately my ins would not pay for it, but my Ins did pay for Restasis. I have bad gritnes that looks like glitter, floaters, dry eye syndrome, some light Caterax in right eye, photophobia all bright lights give me migraines especially all LED lights & those florescent lights. Tinted windows do help & tinted windows are a pain in the butt, they have to be kept clean, dust free, RainX 12 coats per window, as having an exemption It has reduced migraines for night time driving & to prevent further damage in the future. Thanks you , for going over both medications. Xidra seemed to work immediately for me when my eye DR gave me some samples, no dry eyes after about the fourth day in a weeks packet, so I picked up the Restasis 15-4-23 , so I will not know the full benefits of Restasis tell a few months from now, as I got a a full year supply. Hopefully I can come back to this video, and let you know how the Restasis works 3-4 months from now. :) Most importantly keeping our bodies hydrated with lots of filtered clean water, great non GMO Vitamins & Minerals.

[@jamescraggs7764]

I initially was put on cequa through samples and had great results. Unfortunately my insurance wouldn’t cover it so I was forced to be put on generic Restasis. Health insurance is a joke.

[@niellalien]

How is the generic Restasis working for you?

[@jamescraggs7764]

@@niellalien it’s working but I hate that it makes my eyes sting. I initially started using it because retinoid use in my under eye area was contributing to gland issues, it seems to have resolved the issue.

[@21972012145525]

​@@jamescraggs7764my Dr said to keep it in the fridge to reduce stinging and burning

[@nicholas9886]

I just started Xiidra three days ago and my eyes seem worse. They sting all day long. Even when I close them they hurt. It’s just this constant burning sensation. I thought it was just the dry eye flaring up but now I don’t know. I did get a little taste in throat from the drops but wasn’t bad. I had the blurry vision at first and would be clear then I blink and blurry again but would go away after 20 minutes. Now it doesn’t seem as bad. I was thinking of skipping tonight and tomorrow dose to see if the burning goes away. This whole dry eye thing sucks so bad 😭. I’m so over it.

[@Volcomlancer]

Cequa seems to be working better for me then xiidra, but will ultimately need surgery i assume due to my eyes not fully closing when i blink

[@DoctorEyeHealth]

Do you know what surgery they plan to do?

[@supergenie888]

Thank you for the great information!

[@WWarthog798]

Restasis was useless....it did nothing at all for me. Tyrvaya has been great. Noticeable improvement almost immediately. Will ask my eye physician about Xiidra...

[@DoctorEyeHealth]

I love tyrvaya too! It works great for me

[@joetatoesniff9525]

Been on Restasis generic for 5 months. Have noticed a little improvement so far

[@lolitarobinson2131]

My doctor wanted to prescribe Cequa for me but my insurance wouldn't cover it ,so I've been using Xiidra. Sometimes it just doesn't work for me and my eyes feel dryer after I put the drops in.

[@DoctorEyeHealth]

Yeah, working with insurance is a B. I have had one patient who really struggled with the Xiidra side effects and switching to Cylcosporine did help. I think Cequa just launched a thing where if you don't get approved you can get it for a cash price of like 90 dollars i think? It may depend on where you live.

[@lolitarobinson2131]

@@DoctorEyeHealth Thanks, that's good to know. My tears disintegrate but I also have inflammation so I'm really confused as to what will work best, or maybe a combination of drops. 🤷‍♂️

[@naemae7506]

I am currently using Restasis but I am not sure if I see results yet. For the eye compress, it is a good idea but if you are wearing glasses how does it work?

[@DoctorEyeHealth]

That is true! I have suggested to the makers of it to consider making a spot on the nose so that frames could be worn over it. I have been able to do it, but the lenses are really far out from your face. It does work, just not ideal.

[@emmawest5688]

I really need a prescription I think. My eyes get so dry I’ve had ocular abrasions as a result, even with using eye drops. I have a checkup with my ophthalmologist this week and will ask her about that.

[@editle]

I had the Bruder mask that was recommended by my eye doc. After seeing a other eye doctor I was diagnosed with ocular rosacea and using warm compresses are awful for this diagnosis!

[@21972012145525]

Can I have yours 😅

[@tuncaysar5707]

Hi Doctor Eye Health. I heard some people healed their years lasting dry eyes with Autoimmune Protocol Diet (AIP). As Restasis is an immunosuppressive drug, can we conclude that if Restasis works for someone, AIP may work as well?

[@DoctorEyeHealth]

I don't think that is a bad idea at all. I have also heard people have great success on a plant based vegan diet. I also know some dry eye specialists who recommend the Whole 30 diet. Eliminating processed foods I think is key.

[@Raulski78]

Im waiting for approval from the V.A. hospital, for mine ,im going through alot of desperation and anxiety, my left eye is on fire 🔥..

[@markwalker3484]

A somewhat tangential question, what are your opinions on the various ant-cataract eye drops? Are they completely bogus, or is there some actual positive data?

[@DoctorEyeHealth]

You know, I had a lot of people ask about those a few years back. I dug into the research then, maybe 2019. The little data out there was based on animal studies that some eye drops could prevent or maybe eliminate some clouding of the crystalline lens. However, the research I had read did not show too much promise, and I did not see anything specific for humans. I will look into it again though, maybe some new research has come out. But be sure, if it ever becomes a real thing, a pharma company will buy it for billions of dollars and charge thousands of dollars for it. It will not be a 15 dollar drop sold on amazon. (sad truth)

[@cheesestik1190]

Where can I clean my eye, like I did and out , and this yellow and red thing on ma eye?? Pls reply I’m in Florida

[@DoctorEyeHealth]

I would find the nearest Eye Clinic. They should be able to help.

[@cheesestik1190]

@@DoctorEyeHealth thank you cuz when I was a child I got hit on ma eye with something back in Haiti now I see a little blurry, but when I wear glasses it make ma eye red and won’t stop watering

[@cheesestik1190]

@@DoctorEyeHealth also if I clean ma eye will I get ma eye back at normal

[@sabrinakeepingjesusfirst7108]

Can you use either of these medications with glaucoma❓

[@DoctorEyeHealth]

Yep, either. They do not increase the eye pressure.

[@alexzhylinskyi]

Dr . Allen, I thanks for your work . I am 17 and I have been suffering from dry eye for two years . Now I use almost all treatment methods that you recommended ( Omega-3, good sleep , blinking, physical activity, oil based drops and ointments , warm compresses , glasses against wind ) . I have lost about 40 % of meobian glands. Can I restore my glands ? You actually told a lot of about managing this disease , long term battle. I understand that is life long disease, but are there at least some studies that show that meobian glands can be grow back?

[@ccgg1183]

Does xiidra address inflammation? I heard it doesn’t and that’s why restasis is better.

[@DoctorEyeHealth]

Xiidra and Restasis both address inflammation, but through different mechanisms.

[@beverlystoner9286]

How long should you use restadis or xxidrs? Any dangers?

[@lisamacophoto]

I have been using Xiidra since it came out, I think. I think it he,so some but it’s not a miracle. I have every single side effect. I keep using it but I am not sure if it’s worth the money, since this is a very expensive prescription.

[@anthonyb1426]

What are your thoughts on red light therapy for dry eye? I did seven treatments of IPL and unfortunately did not have any positive results. If you do recommend it, do you recommend any of the devices you can purchase or only the ones that you can go into a medical office or medical spa?

[@barbarak8158]

Hey ... I started Restasis 5 days ago. I now have a rash that won't go away! Plus cyclosporin has some bad side effects! I guess I need to stop!

[@wendyschnapa7582]

Hey Dr. Allen! I am a new subscriber to your channel. I started watching your video about Sjogren's Syndrome, which I was recently diagnosed with. I have been using Restasis for 10 years or more. Not sure if it is really effective anymore. I may ask my eye doctor about Cequa. Where would I find the generic Restasis? I think you said it is over the counter? If it is, what is the name of it? Thank you!

[@aneeshvora4287]

Please can anyone tell me which monthly contact lenses brand are best and comfort.

[@DoctorEyeHealth]

I like the Precision 1 lens as my go to. works for about 90% of the time. The total 1 is also fantastic. The new B&L Infuse is great too. If you have a chance to try the Eyeris lens its a great value. Acuvue just released the new MAX lens but I have not been able to try it yet.

[@aneeshvora4287]

@@DoctorEyeHealth thanks for replying. What about B&L iconnect ??

[@Hiyo240]

I have insurance they don’t cover because it’s so expensive

[@ranjitdhiraj9974]

Thankyou 👍👍👍👍

[@dianesimmons8537]

I tried Xiidra first but developed red irritation to eyes and eyelid corners. The irritation got pretty bad. I’m using Restasis, but am starting to have the same problem now. My Dr. prescribed Cequa but insurance won’t cover it.

[@DoctorEyeHealth]

I heard Cequa is now offering a cash price for people who dont get coverage. I think its less than 100USD for a month. But that may depend on where you live.

[@rreddy4640]

Hi, I have been following you for a year and you present very valuable information. Thanks🙏 a lot. I was thinking if you Could share any checklist or a diagnosis checklist that addresses medicine solution needs. And a dry eye test diagnosis checklist that addresses symptoms in a format. Hope it helps All to better understand & learn dry eye symptoms and solutions. You should introduce an educating practical course on Dry eye management practices. Wherein people learn and heal better with dry eyes. My feedback may be right or not effective.

[@DoctorEyeHealth]

Wow thank you for suggesting the dry eye course. I will consider that as I hear KZbin is looking to launch a "courses" section of the site. I do indeed have a checklist/ guide for dry eye, it is not 100% fully comprehensive but I think it does a good job overall. I will see if i can offer that in our newsletter and here in the community. Stay tuned! And thank you again.

[@dancrumbo5922]

Doc, does Cyclosporine eye drop cause cancer? I was reading packet of info and got scared when it was talking about mice getting cancer.

[@ccgg1183]

Would it be possible to use both? Restasis is okay not great but xiidra works better. I think both together would be great but idk if long term use is okay.

[@DoctorEyeHealth]

Great question. Yes, it is possible to be on both and there really isn't a negative to do so, except for cost. They could have a synergistic effect.

[@racheljavier9968]

Love your informative videos! I've been using restasis in response to some adverse effects of taking dupilumab for atopic dermatitis. My understanding is that dupixent's mechanism of action may impact goblet cells, so it makes sense, based on your video, that restasis actually has been working for me. My ophthalmologist has been seeing a huge influx of patients coming in with eye issues after starting dupixent. Have you been seeing this trend in your clinic as well? If so, I would definitely be interested in a video about this topic and what you've been recommending to such patients.

[@DoctorEyeHealth]

Wow that is excellent stuff Rachel! yes, I have seen a flux of patients after starting Dupixent. The research shows that people who use dupixent for atopic dermatitis is most likely to have conjunctivitis as a side effect. I have found cyclosporine and topical steroids get things back under control. Perhaps I can do a video report on that sometime!

[@reyesk12]

Dr do you recommend using Dupixent as a good tx for extreme eczema? My brothers dermatologist suggested it but my brother is still hesitant. I believe in second opinions !

[@21972012145525]

Yes eyes are often impacted on dupixent. Love to hear your results as well because I'm due to start it if patch testing doesn't show any conclusive results

[@snowbike8032]

I have MGD and some Blepharitis. I'm 58 yo female and active in the outdoors on a daily basis. If there is any wind at all, even wind that I create when I bike ride, my eyes are red and sore the rest of the day. I have tried many natural interventions now for two weeks in addition to heat packs at the end of each day (for several months now) and have not seen a change so am thinking that I'll end up on medication. I live in Alaska and winter bike and/or xc ski nearly every day. Do you have a medication recommendation? I'm looking for wind goggles but I am very small and have a small face. Many of these are quite large.

[@DoctorEyeHealth]

I have tried Eye Eco moisture chambers that had a small option (although it was probably medium), but they did bend around the nose making them smaller. Perhaps those could help while biking ? As far as medication recommendations, the videos on the channel here can hopefully provide you with education about what is available and what the medications do, but ultimately, your local doctor is going to have to help you with that. This video is pretty comprehensive if you have not seen it : kzbin.info/www/bejne/jqKtf4aifN6grqc

[@mariebarker4499]

Thank you!

[@mednador8226]

Good job ,

[@harishguna4191]

Hlo doctor, my ophthalmologist prescribed chloroquine phosphate 0.03% instead of cyclosporine 0.05% for my aqueous deficiency dry eye treatment. Can you please say about effectiveness of chloroquine phosphate for aqueous deficiency dry eye treatment

[@DoctorEyeHealth]

hey thanks for asking! Super interesting question. Chloroquine phosphate has been shown in some studies to help as an adjunct treatment for dry eye. It is believed to also help by reducing inflammation. I will see if I can dig more up on it. How is it helping?

[@harishguna4191]

@@DoctorEyeHealth Thank you soo much doctor

[@Ketovore-Karen]

@@harishguna4191 the doctor also asked you “how is it helping” when he replied to your comment. Please answer back as I’m interested too.

[@harishguna4191]

@@DoctorEyeHealthHey doctor , I used chloroquine phosphate for just around one month. I feel chloroquine phosphate works better than cyclosporin for me. Thank you for your reply doctor

[@21972012145525]

​@@DoctorEyeHealthis chloroquine phosphate immunosuppressive like restasis?

[@KCCorbeil]

I just took my first dose of Xidra after Restasis didn't work for me after 2 months. Awful taste in the back of my throat.. I don't understand why they cannot make an eye drop with minimal side effects that works.