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ARTIFICIAL TEAR PREPARATIONS: PRESERVATIVE-FREE*
| Trade Name (single unit dose) | Distributor / Mfr. |
| Bion Tears | Alcon |
| Celluvisc | Allergan |
| Hypo Tears PF | Ciba Vision Ophthalmics |
| Moisture Eyes-Preservative Free | Bausch & Lomb |
| Nature's Tears | Rugby |
| Refresh; Refresh Plus | Allergan |
| Tears Natural Free | Alcon |
| Thera Tears ATF Formula | Advanced Vision Research |
| Trade Name (multidose bottle) | Distributor / Mfr. |
| GenTea) | Ciba Vision Ophthalmics |
| Refresh Tears | Allergan |
Note regarding preservatives: Members of the Foundation's Medical Advisory Board often advise those who repeatedly use artificial tear preparations to avoid products that contain preservatives and to use only those labeled "preservative-free." Consult your physician to determine whether the use of preservative-free products is necessary for your condition. Commonly used preservatives in artificial (ear preparations include chlorobutanol, benzalkonium and thimerosal. Read labels carefully; preservative-free and preserved products often have similar names, e.g. HypoTears (containing preservative) and HypoTears PF (Preservative-free).
ARTIFICIAL TEAR INSERT – PRESERVATIVE – FREE
| Trade Name | Comments | Distributor /Mfr. |
| Lacrisert (Rx) | Water soluble insert | Merck |
TEAR DUCT (PUNCTAL) PLUGS
| Trade Name | Comments | Distributor /Mfr. |
| Collage Implant (Rx) | collagen | Lacrimedics |
| Herrick Lacrimal Plug (Rx) | silicone | Lacrimedics |
| Punctum Plugs (Rx) | silicone | Eagle Vision |
| Temporary Punctal / Canalicular Collagen Implants (Rx) | collagen | Eagle Vision |
OCULAR LUBRICANTS - PRESERVATIVE-FREE
| Trade Name (multidose bottle) | Distributor / Mfr. |
| Lanolin-Free | |
| Hypo Tears (ointment) | Ciba Vision Ophthalmics |
| Moisture Eyes PM (ointment) | Bausch & Lomb |
| OcuCoat PR (drops) | Storz / Lederle Ophthalmic Pharmaceuticals |
| Puralube (ointment) | Fougera |
| Tears Renewed (ointment) | Akom |
| Containing Lanolin | |
| Artificial Tears (ointment) | Rugby |
| Akwa-Tears (ointment) | Akorn |
| Duratears Naturale (ointment) | Alcon |
| Refresh PM (ointment) | Allergan |
OPHTHALMIC SOLUTIONS
| Trade Name | Comments | Distributor /Mfr. |
| LIVING WATER Eye Lotion | eye wash, irrigating solution to cleanse the eye | La Jolla Diagnostics. Inc. |
PREPARATIONS FOR SPECIAL EYE CONDITIONS
| Trade Name | Drug Class | Indication | Distributor /Mfr. |
| Acular (Rx) | NSA1D (anti-inflammatory) | seasonal allergic conjunctivitis | Allergan |
| Livostin (Rx) | antihistamine | seasonal allergic conjunctivitis | Ciba Vision Ophthalmics |
| Alomide (Rx) | mast cell stabilizer | treatment of ocular disorders including vernal conjunctivitis, keratitis and keratoconjunctivitis | Alcon |
| Muro 128 | hypertonic sodium chloride | corneal edema | Bausch & Lomb |
| AK-NaCI | pulsed water stream | corneal edema | Akorn |
MOISTURE SHIELDS FOR THE EYE
| Trade Name | Component | Comments | Distributor /Mfr. |
| Flat Eye Shields | clear self-adhesive shields | may be used to keep moisture in overnight or during the day | Eagle Vision, Inc. |
| Moist Eye Moisture Panels | soft, pliable, clear panels | can be fined to the sides of most eye wear to create a moisture chamber | Eagle Vision, Inc. |
| NITEYE | clear plastic bubble | attaches over the eye area | Best Health, Inc. |
EYELID CLEANSERS
| Trade Name | Component | Comments | Distributor /Mfr. |
| l-Scrub | Sterile eyelid cleanser | lotion | Spectra |
| Lid Wipes-SPF | Sterile eyelid cleanser | moistened pads | Akorn |
| OcuClenz | Sterile eyelid cleanser | lotion | Storz / Lederle Ophthalmic Pharm. |
| OCuSOFT | Sterile eyelid cleanser | lid scrub lotion and pads | Cynacon / OCuSOFT |
ORAL MOISTURIZERS
| Trade Name | Comments | Distributor /Mfr. |
| Entertainer's Secret (spray) | replaces mucosal coating of the nostrils, throal and larynx; apply via the mouth or nose | KLI Corp. |
| Moi-Stir (spray, swabs); Moi-Stir 10 (solution) | Kingswood Lab | |
| Mouthhkote (spray) | Scandiphann, Inc. | |
| Optimoist (solution and spray) | does not cause demineralization | Colgate Oral Pharmaceuticals |
| Oral Balance (gel) | soothes and protects mouth and gums | Laclede Professional Products |
| Orex (spray) | Young Dental | |
| Salivart (spray) | pressurized container | Gebauer Company |
SPECIAL TOOTHPASTES & MOUTHWASHES
| Trade Name | Comments | Distributor /Mfr. |
| Biotene Toothpaste, Squigle Toothpaste | toothpaste for dry mouth | Laclede Professional Products, Squigle, Inc. |
| Toothpastes: Aquafresh For Kids, Crest For Kids, Colgate Jr., Oral B | mild flavored toothpaste | Smith Kline Beecham.Procter & Gamble, Colgate Oral Pharmaceuticals. Oral B Laboratories |
| Act For Kids (rinse) | alcohol-free, decay-preventing | Johnson & Johnson |
| Alkalol | mouth rinse and nasal douche | The Alkalol Co. |
| Biotene Mouthwash | mouth rinse; alcohol-free | Laclede Professional Products |
| Saline Solution | as a mouth rinse; breaks up thick mucus |
PRODUCTS & DEVICES FOR CLEANING TEETH
| Trade Name | Product Type | Attributes | Distributor /Mfr. |
| Glide Colgate Total Floss | dental floss | non-shredding | W. L. Gore & Associates, Inc. Colgate Oral Pharmaceuticals |
| Oral B Ultrafloss | dental floss | interlocking network of spongy nylon that adapts to spaces between teeth | Qral-B Laboratories |
| Plaque Removers e.g., Interplak, Rota-Dent, Oral B, Gingibrush | electric toothbrushes | for those unable to properly brush with regular toothbrushes | |
| Proxabrushes: Py-Co-Twin; Oral B | interdental brushes | for cleaning between teeth, particularly when unable to floss | John 0. Butler Co. Block Drug Co |
| Waterpik Oral Irrigator | pulsed water stream | removes particles from gums & teeth | Teledyne |
PREPARATIONS TO PROTECT AND/OR REMINERALIZE TEETH
| Trade Name | Comments | Distributor /Mfr. |
| Fluoride Gels/Liquids: Gel-Kam Homecare (Rx) gel Gel-Tin (Rx) liquid Omnii gel PreviDent Brush-On (Rx) gel, PreviDent 5000 Plusv Revive (Rx) gel | helps protect tooth enamel; brush on or use with dental trays remineralizing gel | Scherer Young Dental Mfg. Omnii International Colgate Oral Pharmaceuticals Dental Resources Inc. |
PRODUCTS & DEVICES THAT STIMULATE SALIVARY FLOW
| Trade Name | Product Type | Comments | Distributor /Mfr. |
| Biotene. Carefree, Extra, Trident, Xylifresh | sugarless chewing gums | various sweeteners: aspartame, hydrogenated glucose syrup, mannitol, saccharin, sorbitol and xylitol | Laclede Professional Products; Nabisco Foods, Inc., Wm Wrigley Jr. Co., Warmer Lambert, Leaf Specialty Products |
| Salix SST | sugarless tablets | citrus-flavored | Scandinavian Natural Products, Inc |
| Salagen (Rx) | pilocarpine tablets | for treatment of dry mouth from Sjogren's syndrome and from radiation induced dry mouth in head & neck cancer patients | MGI Pharma, Inc. |
| Salitron (Rx) | electrical stimulator | limited to patients-who respond to trial stimulation in doctor's office | Biosonics , Inc. |
PRODUCTS TO SOOTHE LIPS
| Trade Name (single unit dose) | Distributor / Mfr. |
| Blistex Up | Warner Lambert |
| Boric Acid Ointment | various brands |
| Borofax | Burroughs Wellcome |
| Lip Medex | Blistex |
| Orabase Up Healer | Colgate Oral Pharmaceuticals |
| Petroleum Jelly | various brands |
| Trade Name | Comments | Distributor /Mfr. |
| Afrin Saline Mist, Ayr, Nasal, Na-Zone, Ocean, Pretz, Saline X | saline nasal sprays; helps prevent nosebleeds; moisturizes nasal mucosal tissue; spray bottle | Schering-Plough, B.F. Ascher & Co., Winthrop, Snuva, Fleming & Co, Parnell, Muro Pharm. |
| Saline Solution | various brands | |
| Ayr Gel | contains aloe; moisturizes nasal mucosal tissue | B.F. Ascher & Co. |
Note: Physicians often recommend that petroleum-based products should be used sparingly, if at all, in the nose to avoid the risk of chemical pneumonia. Consult your physician to determine whether this risk applies to you.
| Trade Name | Comments | Distributor /Mfr. |
| Carmol •20- 20% Urea | for rough, dry skin | Syntex Laboratories |
| Dorm-ApplyTM Moisturizing Lotion | Snuva,Inc. | |
| Dermal Therapy – Heel Care - 25% Urea | moisturizes and softens hard, dry callused heels and feet | Bayer Corporation |
| Dermal Therapy - Finger Care - 20% Urea | moisturizes and softens callused fingertips, nails and cuticles | Bayer Corporation |
| Ultra Mide 25 - 25% Urea | for extra dry skin | Baker-Cummins |
| Trade Name | Comments | Distributor /Mfr. |
| Astroglide | provides light lubrication | Biofilm, Inc. |
| Maxilube Personal Lubricant | thick lubricant | Mission |
| Lubrin Vaginal Inserts | unscented, colorless pre-coital suppositories; prolonged lubrication Upscher-Smith | |
| Gyne-Moistrin | vaginal lubricant & moisturizing gel | Schering-Plough |
| Replens | unit dose filled applicator | Warner Lambert |
| Feminease | moisturizing and lubricating cream | Parnell Pharmaceuticals |
| Estrace Vaginal Cream (Rx) | Mead Johnson | |
| Premarin Vaginal Cream (Rx) | Wyeth-Ayerst | |
| Vitamin E Oil, Cream, Capsules | topical application to labia; capsules must be pierced, but are least expensive form | various brands |
The products included in this listing are those reported to be most frequently used by our members, or are newly developed products. There are, of course, many other products that may be of help to Sjögren's syndrome patients. Also, new products are constantly being developed about which we may not have been informed.
| Whether a product is or is not listed in no way reflects on its efficacy. This listing is intended to be informative and does not represent an endorsement by the Sjögren's Syndrome Foundation. |
Sjögren's Syndrome Foundation Headquarters: 333 N. Broadway • Jericho, NY 11753 • 516-933-6365 • FAX 516-933-6368
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Advanced Vision Research Akorn Inc. Alcon Laboratories 6201 South Freeway Ft.Worth. Alkalol Co., The Allergan B.F. Ascher & Co. Baker-Cummins Dermatologicals Bausch & Lomb, Inc. Best Health, Inc. Biofilm, Inc. Biosonics Inc. Blistex, Inc. Block Drug Co. Burroughs-Wellcome Research John 0. Butler Co. |
CIBA Vision Ophthalmics Colgate Oral Pharmaceuticals Dental Resources Inc. Eagle Vision, Inc. Fleming & Co. E. Fougera & Co. Gebauer Co. W. L. Gore & Associates, Inc. Johnson & Johnson KLI Corp. Laclede Professional Products La Jolla Diagnostics, Inc. Leaf Specialty Products MGI Pharma |
Mead Johnson Merck Sharp & Dohme Mission Pharmacal Co. Muro Pharmaceuticals Nabisco Foods, Inc. OCuSOFT Inc. Omnii International Oral-B Laboratories Procter & Gamble Rhone-Poulenc Rorer Pharm. Inc. Rugby Labs, Inc. Scandipharm, Inc. Scandinavian Naturals Scherer Labs, Inc. |
Schering-Plough Health Care Smith Kline Bcecham Snuva,Inc. Spectra Pharmaceuticals, Inc Squigle, Inc. Storz/Lederle Ophthalmic Syntex Laboratories Teledyne Upsher-Smith Labs, Inc. Wamer Lambert William Wrigley Jr. Co. W yeth-Ayerst Young Dental Mfg. |