Alcon Tears Naturale II Artificial Tears

Alcon Tears Naturale II is an artificial tear eye drop formulated as a sterile ophthalmic lubricant solution. Each millilitre contains two active ingredients, Dextran 70 (0.1%) and Hypromellose 2910 (0.3%), combined to form a solution with a viscosity and composition designed to resemble the eye’s natural tear film. It belongs to the broader category of ocular lubricants, also known as artificial tears, and is classified as an Over-the-Counter (OTC) eye care product in Malaysia, meaning it can be purchased without a doctor’s prescription.

The dual-polymer combination of Dextran 70 and Hypromellose is a distinguishing feature of this formulation compared to single-ingredient artificial tear products, as the two polymers interact with the eye surface and tear film in different ways to form a more even film layer. Tears Naturale II is supplied in a standard multi-dose dropper bottle with a preservative system, which allows the bottle to remain in use for a period after opening. This distinguishes it from the preservative-free, single-use vial formats also sold under the Tears Naturale range.

In Malaysia, Alcon Tears Naturale II is commonly sold in a 15ml dropper bottle through pharmacies and online platforms such as DoctorOnCall. The product is manufactured by Alcon, a long-established ophthalmic pharmaceutical company, and the formulation is widely available and well established across Malaysia, Singapore, and other regional markets.

• Wash your hands thoroughly before use.
• Tilt your head back and gently pull down the lower eyelid to form a small pocket.
• Hold the bottle upside down and instil 1 to 2 drops into the pocket of the affected eye(s).
• Avoid letting the dropper tip touch the eye, eyelid, fingers, or any other surface, to prevent contaminating the solution.
• Close the eye gently for a few moments after instilling the drop so the solution spreads across the eye surface.
• Replace the cap tightly on the bottle immediately after use.
• If using another eye drop or ointment at the same time, wait at least 5 minutes between products.

For adults and children, the typical dose of Alcon Tears Naturale II is 1 to 2 drops instilled into the affected eye(s) as needed throughout the day, or as directed by a pharmacist or eye care professional. There is no fixed maximum daily frequency stated on the product label, as artificial tears are generally applied as often as comfort requires. If a dose is missed, simply instil the next drop at the next convenient time rather than doubling the amount. If dryness or irritation does not improve with regular use, or if symptoms worsen, stop use and consult a doctor or pharmacist rather than continuing to self-treat indefinitely.

Use Alcon Tears Naturale II before the expiry date printed on the bottle and outer carton. Once the bottle has been opened, discard it after the in-use period stated on the packaging (commonly around 4 weeks for multi-dose ophthalmic solutions), even if some solution remains, as the preservative system is only designed to maintain sterility for a limited time after first opening. Always check the specific in-use period printed on your pack, as this can vary by batch and market.

Store Alcon Tears Naturale II at room temperature, away from direct sunlight and excessive heat, and out of the reach of children. Keep the bottle tightly capped between uses to reduce the risk of contamination and evaporation. Do not store the bottle in a bathroom cabinet or car where temperature and humidity fluctuate significantly, and do not use the solution if it has changed colour or appears cloudy.

• Common: Temporary mild stinging, burning, or a feeling of something in the eye immediately after instilling the drop.
• Common: Brief blurring of vision for a few seconds to a minute after application.
• Common: Mild eye redness or watering shortly after use.
• Serious: Signs of an allergic reaction such as eyelid swelling, marked redness, itching, or rash around the eye, which require prompt medical attention.
• Serious: Eye pain, significant vision changes, or irritation that does not settle within a short period, which should be assessed by a doctor or pharmacist.

• Known hypersensitivity or allergy to Dextran 70, Hypromellose, or any other ingredient in the formulation.
• Active eye infection or inflammation that has not been assessed by a doctor or pharmacist.
• Instillation directly over soft contact lenses without first removing them, as the product is not labelled for that use.

• No clinically significant food interactions are known for Alcon Tears Naturale II, as it is applied directly to the eye and not taken orally.
• If using more than one type of eye drop or eye ointment, space each product at least 5 minutes apart so one product does not dilute or wash out another before it settles.
• Tell your pharmacist if you are using other prescription eye medications, so the order and timing of application can be planned appropriately.

• Keep the bottle cap on tightly between uses and avoid touching the dropper tip to any surface.
• Wash your hands before each application to reduce the risk of introducing bacteria into the bottle.
• Note the date you first opened the bottle so you know when to discard it per the in-use period on the label.
• Remove contact lenses before instilling the drops unless your eye care professional has advised otherwise.
• Store the bottle upright at room temperature rather than in a hot car or humid bathroom.
• If using more than one eye product, apply them in the order recommended by your pharmacist and space them apart.

Precautions: Avoid touching the dropper tip to the eye or any other surface to prevent contamination of the solution. If you wear contact lenses, remove them before use and check with your eye care professional on reinsertion timing. Discontinue use and seek advice if you experience eye pain, changes in vision, continued redness, or irritation lasting longer than 72 hours.

When to See a Doctor or Pharmacist: Seek professional advice if dryness or irritation persists or worsens despite regular use, if you notice any signs of infection such as discharge or increasing redness, or if you have an underlying eye condition that has not been previously assessed. Pregnant or breastfeeding women, and parents considering use in young children, should check with a pharmacist or doctor before use.