FRESHKOTE (PF) Lubricant Eye Drops The Clear Solution, 10mL What it is: Freshkote Eye Drops is a temporary relief for dry eye symptoms using a phospholipid blend that combats tear evaporation. Some products contain preservatives that may damage contact lenses or cause irritation in persons with allergies. comfort drops have been advertised for use in contact lens wearers. Based on the above evidence, it appears that SH-based artificial tears may be useful in a wide variety of patients with dry eye. Now that the drops are no longer prescription, I hope Focus Laboratories will come up with more appropriate pricing for the over-the-counter consumerespecially low or fixed-income consumers suffering from chronic dry eye! FRESHKOTE PF is a lubricant eye drop designed to support all layers of the tear film.1,2. Do not drive, use machinery, or do any activity that requires clear vision until you can do it safely. Check the package to see if you can wear your contact lenses while using your product. We believe in choosing every day to be extraordinary. Several brands of artificial tears, such as Tears Naturale and Bion Tears (Alcon), GenTeal (Novartis) and Visine Tears (Pfizer) are hydroxypropyl methylcellulose (HMC) based. A waste of $80. CLAO J 1995;21(4):221-32. https://eyewire.news/articles/eyevance-pharmaceuticals-acquires-freshkote-lubricant-eye-drop-family-of-products/. I used the product a few times, but now the dropper seems to be clogged - the bottle is mostly full, but I cannot dispense any product. See the complete list. We comply with the HONcode standard for trustworthy health information. If you have any questions about storage, ask your pharmacist. I will order it again. We believe in living with intention and purpose and making a difference in peoples lives. These used to be prescription only. Tell your doctor about all your current medicines, including prescription and over-the-counter medicines, vitamins, and herbal products. They sting a tiny bit initially and leave a slight sandy residue afterwards which I simply clean off gently. It has been shown that the mid-viscosity (1.0% CMC) Refresh Liquigel promotes significant reduction in the signs and symptoms of dry eye compared to lower viscosity agents.9 So, CMC-based artificial tears may be indicated in patients who demonstrate ocular surface staining with vital dyes. You should not use an FreshKote to treat or prevent an eye infection. The active ingredients in FRESHKOTE PF work to ensure complete wetting of the eye. More than 100 eye drops, gels and ointments under 14 brands have been recalled by the manufacturer. By Freshkote PF. FreshKote are the greatest lubricant eye drops I have tried so far for my dry eyes, although I wish they were a little easier to apply. This brand of artificial tears has been shown to increase the thickness of the lipid layer of the tear film.27 So, Soothe XP eye drops can also be considered for use in evaporative dry eye patients who have a poor quality of the lipid layer.27, FreshKote eyedrops (Focus Laboratories) are the only brand of artificial tears that require a prescription. Blink Tears and AQuify comfort drops have been advertised for use in contact lens wearers. Carboxy methylcellulose (CMC, discussed below) and hydroxypropyl methylcellulose (discussed later) are polysaccharides known as mucilages.8 The methyl and hydroxpropyl cellulose derivatives are widely used in artificial tear formulations. 22. Is Discontinued By Manufacturer: No: Package Dimensions: 7.17 x 3.39 x 1.61 inches; 2.4 Ounces: Use for: Eyes: Specific Uses For Product: . Properly discard this product when it is expired or no longer needed. The lowest GoodRx price for the most common version of Freshkote Preservative Free is around $32.93, 20% off the average retail price of . For those of you with dry eyes this may very well help. Cornea 2007;26(2):175-81. Keep all medications away from children and pets. TFOS DEWS II tear film report. They also help to nurture dry eyes by keepin The recent International Dry Eye WorkShop (DEWS) defined dry eye disease as follows: Dry eye is a multifactorial disease of the tears and ocular surface that results in symptoms of discomfort, visual disturbance, and tear film instability with potential damage to the ocular surface. Bion Tears is preservative free and has been suggested for use in patients with severe dry eye.10 GenTeal is available in three different formulations, one each for mild, moderate or severe dry eye.11 Visine Tears is available with or without preservatives. Things to remember when you fill your prescription. Hyperosmolarity is a common feature of most forms of dry eye disease. Boric acid, Edetate disodium, Ethanol, Glycerin, Lecithin, Phospholipids,Polysorbate-80, Potassium chloride, Purified water, Sodium chloride. - Buy More Save More when you Stock Up! Read more 27 people found this helpful Search Sort by Top reviewsMost recentTop reviews Filter by A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. Khanal S, Tomlinson A, Pearce EI, et al. Delivery Frequency Auto-Ships Every Month . Images. Prabhasawat P, Tesavibul NKasetsuwan N. Performance profile of sodium hyaluronate in patients with lipid tear deficiency: randomised, double-blind, controlled, exploratory study. The active ingredients work to ensure complete wetting of the eye. Bion Tears, Blink Contacts, Blink Gel Tears, Blink Tears, Blink-N-Clean, Celluvisc, Clear Eyes CLR, Clear Eyes Tears, Dry Eye Relief, FreshKote, FreshKote Preservative Free, GenTeal, GenTeal Mild, GenTeal PF Tears Moderate, GenTeal Tears Moderate, GenTeal Tears Night-Time, GenTeal Tears Severe, Hypotears, ImproVue, Isopto Tears, Lacri-Lube S.O.P., Lacrisert, Liquitears, Lubricant Eye Drops, Moisture Drops, Oasis Tears, Opti-Free Rewetting Drops, optive, optive Sensitive, Refresh, Refresh Contacts, Refresh Digital, Refresh Digital PF, Refresh Dry Eye Therapy, Refresh Endura, Refresh Liquigel, Refresh Optive, Refresh Optive Advanced, Refresh Optive Mega-3, Refresh Optive Mega-3 Preservative Free, Refresh Plus, Refresh PM, Refresh Relieva, Refresh Relieva PF, Refresh Repair, retaine PM, Rohto Dry-Aid, Soothe, Soothe Night Time, Soothe XP, Sterile Lubricating Tears, Stye Sterile Lubricant, Systane, Systane Balance, Systane Complete Optimal Dry Eye Relief, Systane Complete Preservative Free Dry Eye Relief, Systane Hydration Preservative Free, Systane Nighttime, Systane Overnight Therapy, Systane Preservative Free, Systane Ultra, Systane Ultra Preservative Free, Tears Again, Tears Naturale, Tears Naturale Forte, Tears Naturale II, Tears Naturale PM, TheraTears, TheraTears Contact Lens, Ultra Fresh, Ultra Fresh P.M., Ultra Lubricating Eye Drops, Visine for Contacts, Visine Tears, Viva-Drops 5. Additionally, these eyedrops are designed to achieve better wetting by aiding the combination of all three layers of the tear film. Best drops ever! FRESHKOTE (PF) Lubricant Eye Drops The Clear Solution, 10mL What it is: Freshkote Eye Drops is a temporary relief for dry eye symptoms using a phospholipid blend that combats tear evaporation. This document does not contain all possible drug interactions. Efficacy and safety of 0.18% sodium hyaluronate in patients with moderate dry eye syndrome and superficial keratitis. . I was first given this as a prescription some years ago and then for whatever reason when I ran out I didn't replace it. 6. Eye Contact Lens 2008;34(6):331-4. It is a bit pricy; I do admit that. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Ocul Surf 2007;5(2):93-107. Willcox MDP, Argeso P, Georgiev GA, et al. FRESHKOTE PF offers patients nurturing relief from dry eye symptoms while reducing further irritation1,2 21. For general information, Learn About Clinical Studies. FreshKote has a high oncotic pressure, which helps in increasing ocular surface integrity. For more information, check your product package or talk with your health care professional. Adv Exp Med Biol 1998;438:693-704. There is no single brand of artificial tears that works well for every form of dry eye. Therefore, Blink Tears become preservative free upon instillation in the eye. The main ingredients of FreshKote include PVA as well as polyvinyl pyrrollidone. Because the manufacturer of FreshKote describes Amisol Clear as a phospholipid, FreshKote functions somewhat akin to the oil-based tears. Version: 6.01. cyclosporine ophthalmic, Restasis, varenicline, Xiidra, Systane, Artificial Tears. Holly FJ. To avoid contamination, be careful not to touch the dropper or top of the ointment tube or let it touch your eye. Simmons PA, Vehige JG. show all 80 brands Disabling it will result in some disabled or missing features. Unfortunately, the production of Refresh Endura was discontinued as of December 2008. If you think there has been an overdose, call your poison control center or get medical care right away. Soothe XP Emollient eye drops, on the other hand, are mineral oil-based. Hyperosmolarity is a common feature of most forms of dry eye disease.1 Therefore, the hypotonic TheraTears solution may provide comfort in dry eye patients. (Clinical Trial), Efficacy of FreshKote and Systane for the Treatment of Dry Eye and Improvement of Osmolarity, 18 Years and older (Adult, Older Adult), Principal Investigator: Mitch Jackson, MD, Best Corrected Visual Acuity [TimeFrame:Three months], Dry eye patients with Level 2 disease or greater as defined by the Delpi Panel, Willing to provide written informed consent, If currently using ocular lubricants, must complete a 10-14 day washout, Presence of any active ocular disease other than dry eye. I use them twice a day, once in the morning and once before bed. 5. Sequential changes of lipid tear film after the instillation of a single drop of a new emulsion eye drop in dry eye patients. Tilt your head back, look up, and pull down the lower eyelid to make a pouch. Freshkote PF is used to treat dry eye. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. However, if you suffer from dry eye like I do, you will pay as much as you can afford for any kind of relief. Signs of an allergic reaction, like rash; Be sure you know how long you can store Freshkote (artificial tears eye drops) before you need to throw it away. Tell your doctor if you are pregnant, plan on getting pregnant, or are breast-feeding. A very serious allergic reaction to this drug is rare. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. So it should form a even shield across the eye and protect it. while using this product. Ousler GW, Michaelson C, Christensen MT. Estimates of the prevalence of dry eye vary considerably between different populations of the world. with your doctor, nurse, pharmacist, or other health care provider. It's been doing nothing. Discount code must be used during checkout. However, the FreshKote drops also tend to leave a residue. This epithelium gains thichness in an irregular fashion, and the FreshKote reduces that swelling; thus you see more crisply. Study Design Go to Resource links provided by the National Library of Medicine Drug Information available for: Systane U.S. FDA Resources Arms and Interventions Go to Outcome Measures Go to Primary Outcome Measures : View this study on Beta.ClinicalTrials.gov, U.S. Department of Health and Human Services, The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. The effect of two novel lubricant eye drops on tear film lipid layer thickness in subjects with dry eye symptoms. I have been so very desperate for help with my eyes and I had dried virtually everything to help with severe dry eye syndrome and MGD. 7. Instill drop in the affected eye(s) as needed. Freshkote is only available as a brand name drug. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. 2023 Bryn Mawr Communications, LLC.All Rights Reserved Privacy Policy. Anti-Inflammatory Diets May Improve Fertility, Exercise May Be an Anti-COVID Secret Weapon, Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox. These drops have helped my eyes feel so much better. They do sting a bit. Worth the money! FRESHKOTE Preservative Free (PF) Lubricant Eye Drops How do you spell relief? Refresh Endura (Allergan) and Soothe XP Emollient eye drops (Bausch & Lomb) are the two brands that use oils in their composition. These are not all of the side effects that may occur. FreshKote sample has been very compatible and desired results established. They increase the residence time of tears as well as increase the viscosity of tears.8 Interestingly, the refractive index of 1% methylcellulose is 1.336, which closely matches that of human tears.8, Commonly available CMC artificial tears include the Refresh brand of tears (Allergan) as well as TheraTears (Advanced Vision Research). However, many people have no side effects or only have minor side effects. An overdose of ocular lubricant is not expected to be dangerous. I gave 5 Stars because FreshKote drops have been a lifesaver for me. Canada residents can call a provincial poison control center. DiPascuale MA, Goto E, Tseng SC. New artificial tear developments. Were a fast growing company built on the desire to lead change. Due to the complex nature of the tear film, it is difficult to design an artificial tear solution that is identical to human tears. E.g. Some of these drugs need to be shaken before use. Restasis comes as the following two products: It was great to find them online at Amazon and to have them delivered so promptly. Last updated on Sep 13, 2022. Novartis-Opthalmics. Been using systane for years per optometrist then saw opthmolist and he recommended fresh kote . Colloidal Osmosis Oncotic Pressure. The active ingredients in FRESHKOTE PF work to ensure complete wetting of the eye. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, 6 Minutes of Exercise May Protect Brain From Alzheimer's, 'Disturbing' Rate of Adverse Events During Hospital Stays. Generic name: Artificial Tears Eye Drops [ar-ti-FISH-il-tears] FreshKote has a high oncotic pressure, which helps in increasing ocular surface integrity.28 And, FreshKote can be used daily on an as needed frequency.28. Why Should I Register and Submit Results? is backordered and will ship as soon as it is back in stock. FRESHKOTE PF is a lubricant eye drop designed to support all layers of the tear film.1,2, The active ingredients in FRESHKOTE PF are a patented polymer blend with a unique ratio of polyvinyl alcohol and povidone1,2, HIGH ONCOTIC PRESSURE CMC-based artificial tears may protect the integrity of the ocular surface.9. If you are also using another kind of eye medication (such as drops or ointments), wait at least 5 minutes before applying other medications. WE LOVE EYES IS HERE (click here for details), PRN De3 Dry Eye Omega Benefits - 90 Soft gels, FRESHKOTE Preservative Free (PF) Lubricant Eye Drops, Free Shipping Across the U.S. on ALL Orders, - Patented polymer blend supports all layers of the tear film, - Triple-acting formula reduces evaporation and increases stability of the tear film while high oncotic pressure draws excess water from epithelial cells, - State-of-the-art multidose bottle provides more than a months worth of preservative free drops when dosed 4 times a day. Weight Loss for Health and Longevity, Science Reveals How Red Meat Harms the Heart, Flavored Vapes Still in Stores Despite Federal Ban, New COVID Antiviral Pills: What You Need to Know, Dr. Whyte's Book: Take Control of Your Cancer Risk, WebMD Loses Cherished Leader Kristy Hammam, Health News and Information, Delivered to Your Inbox, Treating Opioid Use Disorder With Medications, Constipated? I do know that if I needed a drop to keep me moisturized more than 3 times a day this would probably end up irritating me. I had failed Restasis, punctual plugs, fish oil, and all the other typical drops and ointments until now and I was started to get very depressed. Temporary relief from dry eye symptoms Gentle, preservative-free drops can be used with contact lenses Exclusive patented formulation Unique phospholipid blend combats tear evaporation Safe to use as needed How to use Remove one vial . Tell all of your health care providers that you take Freshkote (artificial tears eye drops). Terms of the deal were not disclosed. Refresh Endura is a preservative-free castor oil-based formulation. It came from Amazon, through another source (pharmacy), and it arrived at my home in less than a week. Usually, drops may be used as often as needed. Save $20.04. I use ointment at bedtime. (That was actually kinda awesome cuz they charged me $10 and told me to have a nice day.) FRESHKOTE Preservative Free is the clear solution for the temporary relief of dry eye symptoms. If you have any health problems, consult your doctor or pharmacist before using this product. Tell your After doing a ton of research, I happened upon this product. Dwelle, Freshkote, HypoTears, LiquiTears, Moisture Eyes, Murine Tears, NutraTear, Optics Mini Drops, Refresh, Soothe, Soothe Hydration, Soothe XP, Systane, Systane Balance, Systane Contacts, Systane Preservative Free, Systane Ultra, Systane Ultra Home-Away Pack, Systane Ultra PF, Tears Again, Tears Naturale Forte, Tears Naturale II, Tears Pure, Ultra Lubricant Eye Drops, Viva-Drops. Reproduction in whole or in part without permission is prohibited. Medically reviewed by Drugs.com on Dec 9, 2022. Refresh Endura is a preservative-free castor oil-based formulation. Tell your doctor if your condition lasts or gets worse after 3 days. Freshkote makes my eyes feel moist and comfortable all day, even with my . Accessed March 14, 2019. Now that the drops are no longer prescription, I hope Focus Laboratories will come up with more appropriate pricing for the over-the-counter consumer.especially low or fixed-income consumers suffering from chronic dry eye! Diagnosis and Management of Carotid Artery Disease, If FDA Reclassifies Hydrocodone Pain Meds, Most ODs Wont be Able to Rx. It is worth every penny of the $30 I paid for it. A little pricey but worth every penny! A clinical evaluation of Systane. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. The lowest price I could find was this 2-pack from Pharmapacks through Amazon at $65 with $3 shipping for the 2 bottles, so $34 eachstill rediculously expensive! In the US - Call your doctor for medical advice about side effects. Sign up to our newsletter and get 10% off your first order! Lot Number Expiration Date Manufacturer Initial Ship Date; 17290: . May contain hydrochloric acid and/or sodium hydroxide to adjust pH. I love that you can use it with contacts. Gifford P, Evans BJ, Morris J. Eye drops recall at Walmart, CVS, Walgreens Altaire Pharmaceuticals issued voluntary recalls for eye drops and ointments sold at CVS, Walgreens, Walmart and through Perrigo. Bion Tears is preservative free and has been suggested for use in patients with severe dry eye. Focus Laboratories (1 product, 1 lot of a discontinued eye drop) Grandall (3 products, 8 lots of OTC drops) Prestige/Clear Eyes (5 products, 28 lots of OTC drops) Details. My eye doctor recommended this eye drop for my dry eyes. Sign up for exclusive offers, events and more. Brand names: Advanced Eye Relief Dry Eye, Akwa Tears, Alcon Tears, Artelac Nighttime, Artificial Tears, Reviewed in the United States on April 30, 2016. Available at: www.freshkote.com/about_freshkote.asp (Accessed January 2009). Do not take Freshkote (artificial tears eye drops) by mouth. AQuify. Do not use a solution that has changed color or is cloudy. FRESHKOTE PF offers a fresh approach to treating dry eye symptoms; Patented polymer blend supports all layers of the tear film; Triple-acting formula reduces evaporation and increases stability of the tear film Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. 28 And, FreshKote can be used daily on an as needed frequency. They also help to nurture dry eyes by keeping the eyes tear film (lubricating layers) wet, so eyes stay moist. The diagnostic challenge is further increased for dry eye disease because no single test is available to correctly diagnose its various forms. McCabe E, Narayanan S. Advancements in anti-inflammatory therapy for dry eye syndrome. 19. Therefore, Blink Tears become preservative free upon instillation in the eye. FreshKote Lubricant Eye Drops NDC#: 15821-101-15 Product Size: 15 mL. Clinical performance of a mid-viscosity artificial tear for dry eye treatment. FreshKote may cause blurred vision. I would advise putting them in and going about your morning and evening hygiene which would include rinsing of you face to eliminate this. Freshkote PF combats evaporation on the ocular surface with a patented polymer blend formulated to mimic the lipid layer of the tear film. Drug class: Ophthalmic lubricants and irrigations. In the United States, it is thought that dry eye occurs in 5% to 30% of the population.3 As practitioners, we are well aware that this disease affects women more than men and also increases in incidence in the older population.3, Dry eye disease does cause significant economic burdens on the patient through the costs for obtaining treatment, follow-up visits, additional testing and loss of working hours.4 Furthermore, it has been shown that dry eye disease affects the quality of life of a patient.5. I was unable to find them locally. Acute or chronic disease or illness that would increase risk or confound study results (e.g., uncontrolled diabetes mellitus, immunocompromised, etc. Castor oil-based eye drops also improve tear stability and aid in the treatment of meibomian gland disease.26 So, it is evident that the use of castor oil-based artificial tears is indicated in evaporative dry eyes. I'm very pleased. I was not told about these by anyone but inquired about them when I saw them on a shelf during my daughters eye exam. Eyevances acquisition of theFreshkote family of products follows the announcement of an exclusive licensing agreement with Nicox Ophthalmics for prescription-only Zerviate (cetirizine ophthalmic solution 0.24%) for the treatment of ocular itching associated with allergic conjunctivitis. I wasted a good bit of the pricey liquid learning how to put them in on a slant. Bion Tears, Blink Contacts, Blink Gel Tears, Blink Tears, Blink-N-Clean, Celluvisc, Clear Eyes CLR, Clear Eyes Tears, Dry Eye Relief, FreshKote, FreshKote Preservative Free, GenTeal, GenTeal Mild, GenTeal PF Tears Moderate, GenTeal Tears Moderate, GenTeal Tears Night-Time, GenTeal Tears Severe, Hypotears, ImproVue, Isopto Tears, Lacri-Lube S.O.P., Lacrisert, Liquitears, Lubricant Eye Drops, Moisture Drops, Oasis Tears, Opti-Free Rewetting Drops, optive, optive Sensitive, Refresh, Refresh Contacts, Refresh Digital, Refresh Digital PF, Refresh Dry Eye Therapy, Refresh Endura, Refresh Liquigel, Refresh Optive, Refresh Optive Advanced, Refresh Optive Mega-3, Refresh Optive Mega-3 Preservative Free, Refresh Plus, Refresh PM, Refresh Relieva, Refresh Relieva PF, Refresh Repair, retaine PM, Rohto Dry-Aid, Soothe, Soothe Night Time, Soothe XP, Sterile Lubricating Tears, Stye Sterile Lubricant, Systane, Systane Balance, Systane Complete Optimal Dry Eye Relief, Systane Complete Preservative Free Dry Eye Relief, Systane Hydration Preservative Free, Systane Nighttime, Systane Overnight Therapy, Systane Preservative Free, Systane Ultra, Systane Ultra Preservative Free, Tears Again, Tears Naturale, Tears Naturale Forte, Tears Naturale II, Tears Naturale PM, TheraTears, TheraTears Contact Lens, Ultra Fresh, Ultra Fresh P.M., Ultra Lubricating Eye Drops, Visine for Contacts, Visine Tears, Viva-Drops. I use the computer a lot and my eyes get dried out. There are currently no generic alternatives for Freshkote PF. All rights reserved. to you and the baby. Tears Again is available in the eyedrop as well as the gel formulation. Use the medicine exactly as directed. If you have any questions about Freshkote (artificial tears eye drops), please talk Eyevance Pharmaceuticals announced the acquisition of Freshkotea family of lubricant eye drops from Focus Laboratories. If you are not satisfied with your order, simply return them for a FULL REFUND. Look down and gently close your eye for 1 or 2 minutes. It's available in one strength: 0.5 mg/mL. He retired and my new optometrist asked me to try FreshKote. What a wonderful relief. Tell your doctor if you are pregnant or breastfeeding. Preservative Free (PF) in Multi-dose Bottle, Preservative Free (PF) in Individual Vials, Rigid Gas Permeable Lenses (RGP) products, Gentle, preservative-free drops can be used with contact lenses, Unique phospholipid blend combats tear evaporation. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Blot away any extra ointment from around the eye with a clean tissue. All rights reserved. Reddy P, Grad O, Rajagopalan K. The economic burden of dry eye: a conceptual framework and preliminary assessment. My Dr. told me to still use the thick Vaseline type at bedtime, then upon weakening I use FreshKote. Aragona P, Di Stefano G, Ferreri F, et al. Product Type. FreshKote has a high oncotic pressure, which helps in increasing ocular surface integrity. These properties of HP guar improve recovery of the ocular surface due to possible increased retention time of the artificial tear drop.12. Only used it 3 times a day . as systane I had use every 30 min. Sold out. Available at: www.tearsnaturale.com/tears-naturale-bion-tears.asp (Accessed January 2009). FRESHKOTE Preservative Free Lubricant Eye Drops 10 ml. This will prevent the medication from draining away from the eye. Medications for dry eye syndrome: a drug-therapy review. Route of Administration. (800) 553-5340. The HP guar in this artificial tear brand is gel-forming and offers a unique mechanism to approach the problem. Recent studies have shown that SH eye drops are useful in improving subjective symptoms (as well as the ocular health) of dry eye patients, treating lipid tear-deficient patients and managing Sjgrens syndrome patients.16-20 Sodium hyaluronate also seems to have protective effects on the corneal epithelium.21 Based on the above evidence, it appears that SH-based artificial tears may be useful in a wide variety of patients with dry eye. But alas, I degress. Use eye drops before ointments to allow the eye drops to enter the eye. Reviewed in the United States on February 11, 2013. 15ml Freshkote (1 eye dropper) edit. Quantity . But before finding these, I wasted so much money on every over-the-counter eye drop promise and nothing worked. Carboxy methylcellulose (CMC, discussed below) and hydroxypropyl methylcellulose (discussed later) are polysaccharides known as mucilages. Ask a doctor or pharmacist if it is safe for you to use FreshKote if you have any type of infection in your eye. The epidemiology of dry eye disease: report of the Epidemiology Subcommittee of the International Dry Eye WorkShop (2007). FRESHKOTE Preservative Free (PF) offers nurturing relief from dry eye symptoms while providing comfort that lasts, even with contact lenses.