Mirvaso

Open-angle glaucoma, Rosacea, Glaucoma + 4 more

Treatment

6 FDA approvals

20 Active Studies for Mirvaso

What is Mirvaso

Brimonidine

The Generic name of this drug

Treatment Summary

Brimonidine is a medication that was approved by the FDA in 1996 to lower eye pressure and treat glaucoma. It is also used to reduce facial redness caused by rosacea. Brimonidine works by targeting the alpha-2 adrenergic receptors in the eyes, which helps to reduce the production of aqueous humor and increase uveoscleral outflow. It is less likely to cause allergic reactions in the eyes compared to other medications in its class. It is not associated with cardiopulmonary side effects like nonselective beta-blockers, making it a safer option for people with or at risk

Alphagan P

is the brand name

image of different drug pills on a surface

Mirvaso Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Alphagan P

Brimonidine

2001

43

Approved as Treatment by the FDA

Brimonidine, commonly known as Alphagan P, is approved by the FDA for 6 uses including Increased Intra Ocular Pressure (IOP) and Open Angle Glaucoma .

Increased Intra Ocular Pressure (IOP)

Helps manage Increased Intra Ocular Pressure (IOP)

Open Angle Glaucoma

Helps manage Open Angle Glaucoma (OAG)

Glaucoma

Helps manage Increased Intra Ocular Pressure (IOP)

Open Angle Glaucoma (OAG)

Helps manage Open Angle Glaucoma (OAG)

Ocular Hypertension

Helps manage Ocular Hypertension

Ocular Hypertension

Helps manage Ocular Hypertension

Effectiveness

How Mirvaso Affects Patients

Brimonidine is a drug that helps lower eye pressure and reduce inflammation. It works by targeting certain parts of the body, like the alpha-2 adrenergic receptor, which helps reduce the risk of unwanted side effects such as low blood pressure, slower heart rate, and drowsiness. It also reduces the risk of ocular side effects like red eyes and pupil constriction. After taking brimonidine, the maximum effect is usually seen two hours later with a 23% reduction in eye pressure. Studies have also shown that it can be used to reduce facial redness from rosacea and inflammation from injury. When taken systemically,

How Mirvaso works in the body

Brimonidine works by activating alpha-2 adrenoceptors found in the eye. This causes a decrease in the production of aqueous humor, a fluid that can increase pressure within the eye. By reducing this pressure, brimonidine helps to prevent and slow the progression of vision loss caused by glaucoma. It can also be used topically on skin to reduce redness, as it causes vasoconstriction of the small arteries and veins.

When to interrupt dosage

The suggested dosage of Mirvaso is contingent upon the diagnosed condition, such as Open Angle Glaucoma, facial erythema and Ocular Hypertension. The amount of dosage is subject to the method of delivery outlined in the table down below.

Condition

Dosage

Administration

Ocular Hypertension

, 1.5 mg/mL, 1.0 mg/mL, 2.0 mg/mL, 2.0 mg/mg, 0.2 %, 0.15 %, 0.33 %, 0.003 mg/mg, 0.005 mg/mg, 0.25 mg/mL, 0.0025 mg/mg, 0.025 %

, Ophthalmic, Solution / drops, Solution / drops - Ophthalmic, Suspension / drops - Ophthalmic, Suspension / drops, Solution, Solution - Ophthalmic, Liquid - Ophthalmic, Cutaneous, Gel, Gel - Cutaneous, Topical, Gel - Topical, Liquid, Suspension, Suspension - Ophthalmic

Glaucoma

, 1.5 mg/mL, 1.0 mg/mL, 2.0 mg/mL, 2.0 mg/mg, 0.2 %, 0.15 %, 0.33 %, 0.003 mg/mg, 0.005 mg/mg, 0.25 mg/mL, 0.0025 mg/mg, 0.025 %

, Ophthalmic, Solution / drops, Solution / drops - Ophthalmic, Suspension / drops - Ophthalmic, Suspension / drops, Solution, Solution - Ophthalmic, Liquid - Ophthalmic, Cutaneous, Gel, Gel - Cutaneous, Topical, Gel - Topical, Liquid, Suspension, Suspension - Ophthalmic

Open Angle Glaucoma

, 1.5 mg/mL, 1.0 mg/mL, 2.0 mg/mL, 2.0 mg/mg, 0.2 %, 0.15 %, 0.33 %, 0.003 mg/mg, 0.005 mg/mg, 0.25 mg/mL, 0.0025 mg/mg, 0.025 %

, Ophthalmic, Solution / drops, Solution / drops - Ophthalmic, Suspension / drops - Ophthalmic, Suspension / drops, Solution, Solution - Ophthalmic, Liquid - Ophthalmic, Cutaneous, Gel, Gel - Cutaneous, Topical, Gel - Topical, Liquid, Suspension, Suspension - Ophthalmic

Open-angle glaucoma

, 1.5 mg/mL, 1.0 mg/mL, 2.0 mg/mL, 2.0 mg/mg, 0.2 %, 0.15 %, 0.33 %, 0.003 mg/mg, 0.005 mg/mg, 0.25 mg/mL, 0.0025 mg/mg, 0.025 %

, Ophthalmic, Solution / drops, Solution / drops - Ophthalmic, Suspension / drops - Ophthalmic, Suspension / drops, Solution, Solution - Ophthalmic, Liquid - Ophthalmic, Cutaneous, Gel, Gel - Cutaneous, Topical, Gel - Topical, Liquid, Suspension, Suspension - Ophthalmic

Rosacea

, 1.5 mg/mL, 1.0 mg/mL, 2.0 mg/mL, 2.0 mg/mg, 0.2 %, 0.15 %, 0.33 %, 0.003 mg/mg, 0.005 mg/mg, 0.25 mg/mL, 0.0025 mg/mg, 0.025 %

, Ophthalmic, Solution / drops, Solution / drops - Ophthalmic, Suspension / drops - Ophthalmic, Suspension / drops, Solution, Solution - Ophthalmic, Liquid - Ophthalmic, Cutaneous, Gel, Gel - Cutaneous, Topical, Gel - Topical, Liquid, Suspension, Suspension - Ophthalmic

Glaucoma

, 1.5 mg/mL, 1.0 mg/mL, 2.0 mg/mL, 2.0 mg/mg, 0.2 %, 0.15 %, 0.33 %, 0.003 mg/mg, 0.005 mg/mg, 0.25 mg/mL, 0.0025 mg/mg, 0.025 %

, Ophthalmic, Solution / drops, Solution / drops - Ophthalmic, Suspension / drops - Ophthalmic, Suspension / drops, Solution, Solution - Ophthalmic, Liquid - Ophthalmic, Cutaneous, Gel, Gel - Cutaneous, Topical, Gel - Topical, Liquid, Suspension, Suspension - Ophthalmic

facial erythema

, 1.5 mg/mL, 1.0 mg/mL, 2.0 mg/mL, 2.0 mg/mg, 0.2 %, 0.15 %, 0.33 %, 0.003 mg/mg, 0.005 mg/mg, 0.25 mg/mL, 0.0025 mg/mg, 0.025 %

, Ophthalmic, Solution / drops, Solution / drops - Ophthalmic, Suspension / drops - Ophthalmic, Suspension / drops, Solution, Solution - Ophthalmic, Liquid - Ophthalmic, Cutaneous, Gel, Gel - Cutaneous, Topical, Gel - Topical, Liquid, Suspension, Suspension - Ophthalmic

Warnings

Mirvaso Contraindications

Condition

Risk Level

Notes

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Severe Hypersensitivity Reactions

Do Not Combine

Brimonidine may interact with Pulse Frequency

There are 20 known major drug interactions with Mirvaso.

Common Mirvaso Drug Interactions

Drug Name

Risk Level

Description

Oliceridine

Major

The risk or severity of hypotension, sedation, death, somnolence, and respiratory depression can be increased when Brimonidine is combined with Oliceridine.

Acebutolol

Minor

Brimonidine may increase the antihypertensive activities of Acebutolol.

Aliskiren

Minor

Brimonidine may increase the antihypertensive activities of Aliskiren.

Alprenolol

Minor

Brimonidine may increase the antihypertensive activities of Alprenolol.

Ambrisentan

Minor

Brimonidine may increase the antihypertensive activities of Ambrisentan.

Mirvaso Toxicity & Overdose Risk

The toxic dose of brimonidine in mice is 50 mg/kg and 100 mg/kg in rats. If a person takes too much brimonidine, they may experience low blood pressure, weakness, vomiting, drowsiness, slow heart rate, abnormal heart rhythm, constricted pupils, difficulty breathing, reduced body temperature, and seizures. Treatment for an overdose includes supportive care. Studies have found that brimonidine is not linked to birth defects when taken during pregnancy, and no effects on fertility have been seen so far. However, it is not recommended for pregnant or breastfeeding women, infants under 2 years old, or

image of a doctor in a lab doing drug, clinical research

Mirvaso Novel Uses: Which Conditions Have a Clinical Trial Featuring Mirvaso?

114 active clinical trials are currently being conducted to assess the potential of Mirvaso to reduce inadequately controlled intraocular pressure and Open Angle Glaucoma.

Condition

Clinical Trials

Trial Phases

Open-angle glaucoma

53 Actively Recruiting

Not Applicable, Phase 3, Phase 4, Early Phase 1, Phase 1, Phase 2

Glaucoma

0 Actively Recruiting

facial erythema

0 Actively Recruiting

Rosacea

0 Actively Recruiting

Glaucoma

0 Actively Recruiting

Ocular Hypertension

14 Actively Recruiting

Phase 1, Phase 2, Not Applicable, Phase 4, Phase 3

Open Angle Glaucoma

7 Actively Recruiting

Not Applicable, Phase 4, Phase 1, Phase 2

Mirvaso Reviews: What are patients saying about Mirvaso?

5

Patient Review

5/21/2018

Mirvaso for Acne Rosacea

I found that Mirvaso worked much better for me when I mixed it with an over-the-counter hydrocortisone cream.

5

Patient Review

1/7/2019

Mirvaso for Acne Rosacea

Mirvaso has really helped me when I need to get rid of redness quickly. A little goes a long way with this product, and it's definitely worth the price tag.

5

Patient Review

11/9/2018

Mirvaso for Acne Rosacea

I've been using this for a while now, and it's helped me a lot. I take it every morning and it's just become part of my routine.

5

Patient Review

8/23/2022

Mirvaso for Acne Rosacea

I've been using Mirvaso for a while now and it's the only medication that has reliably helped reduce the redness on my face.

5

Patient Review

4/28/2017

Mirvaso for Acne Rosacea

This is the only treatment that has been effective in reducing the redness on my skin.

5

Patient Review

5/23/2017

Mirvaso for Acne Rosacea

Mirvaso is an effective treatment for me. I've been using it on and off for a few years now.

5

Patient Review

8/17/2017

Mirvaso for Acne Rosacea

Mirvaso was very effective for me, though it took some experimentation to get the dosage and application right.

3

Patient Review

5/25/2016

Mirvaso for Acne Rosacea

I used this product for about a week with little flushing that I initially thought was just the rosacea. However, I then had the worst rebound flushing of my life. My cheeks were red and purple, and I felt like I was on fire! It took about a week to subside.

2.3

Patient Review

9/28/2016

Mirvaso for Acne Rosacea

I had great results for the first week, but then on days 10 and 11 I started to experience adverse reactions. My skin would become hot, tingly, and flushed after only 5 hours of use. It's been incredibly uncomfortable, and I'm glad I didn't spend any money on this product since it was only a sample size.

2.3

Patient Review

6/16/2022

Mirvaso for Acne Rosacea

Worked well for the first two days, but then I had a really bad reaction on the third morning. My face was burning and bright red. Avoid this product.

1.7

Patient Review

4/8/2022

Mirvaso for Acne Rosacea

I was initially excited for this treatment, but then started experiencing some very unpleasant side effects. My face is now constantly flared up and boiling, and it's even effecting areas that weren't noticeable before! I'm hoping these side effects will go away soon.

1

Patient Review

10/18/2020

Mirvaso for Acne Rosacea

I had a mild case of rosacea with redness on my nose and cheeks. Today, on the third day of using Mirvaso, I woke up to find that everywhere I applied the gel now had red bumps and my face was even more red than before. Needless to say, I won't be continuing use of this product.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about mirvaso

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Can I buy Mirvaso gel over the counter?

"Can I buy Mirvaso (brimonidine) without a prescription?

No, the medication is available by prescription only. If you're looking for over-the-counter treatments for rosacea, Prosacea gel may help with redness, but talk to your provider first to see if it is the right treatment for you."

Answered by AI

How effective is Mirvaso for rosacea?

"Facial redness caused by rosacea can be significantly reduced by using MIRVASO® (brimonidine) topical gel, 0.33%. In clinical trials, subjects who used the gel saw their redness diminished for up to 12 hours. For many, the redness began to fade fast—often in as little as 30 minutes. However, results can vary from person to person."

Answered by AI

What does Mirvaso do?

"Brimonidine is a medication used to treat rosacea, a skin disorder. It works by narrowing blood vessels to reduce redness. Brimonidine belongs to a class of drugs known as alpha agonists."

Answered by AI

How long should you use Mirvaso?

"Begin treatment with a small amount of gel and slowly increase the amount based on how the patient tolerates it and how they respond to the gel. There is limited experience with Mirvaso in patients over 65 years old."

Answered by AI

Clinical Trials for Mirvaso

Image of Retina Consultants of Delmarva in Easton, United States.

Iopidine for Intraocular Pressure in Eye Conditions

18+
All Sexes
Easton, MD

This is a prospective, randomized, controlled, open-label, single-site investigator-initiated clinical trial. A total of 120 participants will be randomized in a 1:1 ratio either to receive one drop of apraclonidine 1% ophthalmic solution (Iopidine) approximately 20-30 minutes before a clinically indicated intravitreal injection of Eylea HD or Syfovre, or to a control group that will receive no pre-injection study medication. The intravitreal injection is part of the participant's routine clinical care. The research-specific intervention for participants assigned to the Iopidine group is administration of Iopidine. Participants assigned to the control group will receive no pre-injection study medication. Both groups will undergo post-injection IOP assessments at 5, 15, and 30 minutes post-injection and transient-vision-loss assessments.

Phase 4
Waitlist Available

Retina Consultants of Delmarva

Image of Indiana University School Of Optometry in Bloomington, United States.

Netarsudil vs Timolol for Glaucoma

18+
All Sexes
Bloomington, IN

The purpose of this study is to compare how two FDA-approved eye drops: netarsudil (Rhopressa) and timolol, protect nerve cells in the eye of adults with open-angle glaucoma. Both medications lower pressure inside the eye, but researchers want to learn if Rhopressa is more effective at slowing down or preventing the loss of retinal ganglion cells. These cells are essential for sight because they carry visual signals from the eye to the brain. Participants in this study will complete a total of 6 study visits over 12 months: * Participants will spend 6 months using Rhopressa eye drops and 6 months using Timolol eye drops. The order of the two eye drops will be chosen randomly. * At scheduled study visits, researchers will examine participants' eyes and measure eye pressure. * Researchers will take detailed pictures of the back of the eye using a specialized high-resolution camera called adaptive optics optical coherence tomography (AO-OCT). * Participants will also complete specialized visual field testing to measure eye function. Researchers will count and track individual nerve cells over time to determine if one medication offers better protection against cell loss than the other.

Phase 4
Recruiting

Indiana University School Of Optometry

Alcon Research

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REGN22530 for Glaucoma

18+
All Sexes
Deerfield Beach, FL

This study will test an experimental drug called REGN22530 ("study drug") to see if it can help treat people with primary open angle glaucoma or ocular hypertension. REGN22530 is an experimental drug that is designed to bind with a protein in the eye that has been shown to cause a buildup of fluid inside the eye and cause increased Intraocular Pressure (IOP). REGN22530 attaches to this protein and stops it from working which may allow more fluid to drain out of the eye and decrease the pressure. The study is looking at: * What side effects REGN22530 might cause * How much REGN22530 is in the blood and eye fluid at different times * If the body has any reactions to REGN22530 (which may cause REGN22530 to not work as well) * How the body and eye pressure respond after having REGN22530, which can help researchers understand why REGN22530 works better in some people than others * How well REGN22530 works

Phase 1 & 2
Recruiting

Advanced Research

Clinical Trial Management

Regeneron Pharmaceuticals

Image of Indiana Universtiy School of Optometry in Bloomington, United States.

Netarsudil for Glaucoma and Ocular Hypertension

18+
All Sexes
Bloomington, IN

This study evaluates the effects of netarsudil (Rhopressa) on the trabecular meshwork in subjects with ocular hypertension or open-angle glaucoma. Participants will be randomized to receive either netarsudil or placebo (artificial tears). High-resolution imaging using adaptive optics gonioscopy, anterior segment optical coherence tomography (AS-OCT), and OCT gonioscopy will be performed at baseline and after approximately 14 days of treatment. The primary objective is to assess changes in trabecular meshwork lamellae spacing, with secondary measures including trabecular meshwork height, width, and Schlemm's canal diameter.

Phase 4
Recruiting

Indiana Universtiy School of Optometry

Alcon Research

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Rocklatan for Glaucoma

18+
All Sexes
Beaumont, TX

This is a randomized, double-masked, single-site, prospective, contralateral eye study designed to evaluate the outcomes of Direct Selective Laser Trabeculoplasty (DSLT) followed by the addition of combination netarsudil and latanoprost (Rocklatan) versus latanoprost monotherapy. The study will be conducted at one investigational site. The primary endpoint is the change in mean diurnal intraocular pressure (IOP) from baseline (post DSLT and post washout) at visit 3 between the two groups. Secondary endpoints include the change in mean IOP from baseline at each timepoint (8am, 12pm, 4pm) at visit 3 between groups, and the mean percentage decrease in IOP from baseline for each group. Assessments will be conducted at three key visits: Visit 1 (Screening Phase and DSLT Procedure on Day 0), Visit 2 (Baseline Visit post washout at Week 8), and Visit 3 (Follow-Up Visit 1 at Week 12). Each visit will include specific examinations and measurements such as visual field and OCT imaging, diurnal IOP measurements, and documentation of adverse events.

Phase 4
Recruiting

Eye Centers of Southeast Texas

Kevin Talbot, MD

Sengi

Image of University Health Network/ Toronto Western Hospital in Toronto, Canada.

Biofeedback Training for Glaucoma

Any Age
All Sexes
Toronto, Canada

This randomized controlled clinical trial evaluates the efficacy of visual biofeedback training on visual function and quality of life in individuals with glaucoma. Glaucoma is a progressive optic neuropathy that can lead to irreversible vision loss, including impaired fixation stability, reduced retinal sensitivity, and decreased functional vision. Biofeedback training is a visual rehabilitation technique designed to help patients improve fixation stability and optimize use of remaining visual function by training eye movements toward retinal areas with better sensitivity. Seventy participants with glaucoma will be randomized to either a biofeedback training intervention group or a control group. Visual function outcomes, including fixation stability, retinal sensitivity, visual acuity, reading speed, contrast sensitivity, and quality of life, will be assessed at baseline and follow-up visits. This study aims to determine whether biofeedback training can improve visual function and quality of life in patients with glaucoma.

Recruiting
Has No Placebo

University Health Network/ Toronto Western Hospital

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We made a collection of clinical trials featuring Mirvaso, we think they might fit your search criteria.
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