Counseling patients
The following information helps the office prepare for questions eyelash hypotrichosis
patients may have about LATISSE®.
A: Only LATISSE® has been approved by the FDA as
a prescription treatment to grow eyelashes in people with inadequate or not enough
eyelashes.
A: LATISSE® is believed to prolong the anagen (active
growth) phase.1 The exact way it works is unknown.
A: Patients should be informed that LATISSE® should
be applied every night using only the accompanying sterile applicators. They should
start by ensuring their face is clean, all makeup is removed, and their contact
lenses removed (if applicable). Then carefully place one drop of LATISSE®
solution on the disposable sterile applicator and brush cautiously along the skin
of the upper eyelid margin at the base of the eyelashes. If any LATISSE®
solution gets into the eye proper, it will not cause harm. The eye should not be
rinsed. Patients should be informed not to apply to the lower eyelash line. Any
excess solution outside the upper eyelid margin should be blotted with a tissue
or other absorbent material.
A: Patients should be instructed that the LATISSE®
bottle must be maintained intact and to avoid allowing the tip of the bottle or
applicator to contact surrounding structures, fingers, or any other unintended surface
in order to avoid contamination of the bottle or applicator by common bacteria known
to cause ocular infections. Patients should also be instructed to only use the applicator
supplied with the product once and then discard since reuse could result in using
a contaminated applicator. Serious infections may result from using contaminated
solutions or applicators.
A: Hypotrichosis is another name for having inadequate or not enough
eyelashes.
A: Patients should not use LATISSE® solution if
they are allergic to one of its ingredients.
A: Patients should tell their physician they are using LATISSE®
especially if they have a history of eye pressure problems. They should also tell
anyone conducting an eye pressure screening that they are using LATISSE®
solution.
A: LATISSE® solution is intended for
use on the skin of the upper eyelid margins at the base of the eyelashes. DO NOT
APPLY to the lower lid. If patients are using LUMIGAN®
or other products in the same class for elevated intraocular pressure (IOP), or
if they have a history of abnormal IOP, they should only use LATISSE®
under the close supervision of their physician.
LATISSE® use may cause darkening of the eyelid skin, which may be
reversible. LATISSE® use may also cause increased brown pigmentation
of the colored part of the eye, which is likely to permanent.
It is possible for hair growth to occur in other areas of the skin that LATISSE®
frequently touches. Any excess solution outside the upper eyelid margin should be
blotted with a tissue or other absorbent material to reduce the chance of this from
happening. It is also possible for a difference in eyelash length, thickness, fullness,
pigmentation, number of eyelash hairs, and/or direction of eyelash growth to occur
between eyes. These differences, should they occur, will usually go away if the
patient stops using LATISSE® solution.
A: The most frequently reported adverse events were eye pruritus,
conjunctival hyperemia, skin hyperpigmentation, ocular irritation, dry eye symptoms,
and erythema of the eyelid. These events occurred in less than 4% of patients.
A: Increased iris pigmentation has occurred when bimatoprost solution
was administered. Patients should be advised about the potential for increased brown
iris pigmentation, which is likely to be permanent.
A: Patients’ lashes are expected to return to their previous appearance
over several weeks to months.
A: LATISSE® solution is available by prescription
only and is distributed by Allergan to healthcare professionals’ offices and retail
pharmacies.
A: It’s recommended that patients remove their contact lenses because
LATISSE® contains benzalkonium chloride (BAK), and this may be absorbed
by soft contact lenses. Contacts may be reinserted 15 minutes following LATISSE®
administration.
A: Yes, patients can use mascara in addition to LATISSE®
solution.
A: It’s important for patients to remember that LATISSE®
solution works gradually. While they may start seeing longer lashes after 4 weeks,
to reach maximum fullness and darkness, they must use LATISSE® every
day for 16 weeks. They should not reduce or stop daily application of LATISSE®
when they first notice results, as they have yet to achieve full, dramatic effects.
After 16 weeks, they should talk to their doctor about ongoing use. Individual results
may vary.
A: No, LATISSE® should only be used with its FDA-approved
sterile applicators, designed to help patients properly apply the product.
A: It is not expected to cause harm. Patients don’t need to rinse
their eye. Reinforce the proper application instructions.
To learn more, see the Patient Counseling Information section of the LATISSE® Prescribing
Information.
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