Cequa® Eye Drops for Dry Eye Disease

Cequa is a prescription eye drop for chronic dry eye disease. It helps your tear glands produce more natural tears by calming ocular surface inflammation. This guide explains how it works, how to use it, and what to discuss with your clinician.

What Cequa Is and How It Works

Cequa® contains cyclosporine in a clear solution designed for the eye. Cyclosporine ophthalmic solution 0.09% is indicated to increase tear production in people whose tear production is presumed suppressed due to ocular inflammation associated with dry eye disease. Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing. With US delivery from Canada, many patients explore Canadian pricing when paying without insurance.

This medicine works by targeting T-cell driven inflammation on the ocular surface. By reducing inflammatory activity in the lacrimal functional unit, the treatment can help restore the glands’ ability to produce tears. It does not provide instant lubrication like artificial tears. Instead, it supports your eye’s own tear production over time.

If you use multiple eye products, separate administrations by at least 15 minutes. Use this therapy last if applying artificial tears, unless your prescriber advises otherwise.

Who It’s For

Cequa for dry eyes may be appropriate for adults with signs and symptoms of keratoconjunctivitis sicca who need prescription support for tear production. It is not intended for temporary irritation from environmental causes alone. People with known hypersensitivity to cyclosporine or any component of the formulation should not use it.

Do not apply while wearing contact lenses. Remove lenses before instillation and wait at least 15 minutes before reinserting. If you have an active eye infection, inform your healthcare professional before starting therapy.

Dosage and Usage

The standard schedule is one drop of Cequa solution in each affected eye twice daily, approximately 12 hours apart. Use consistently at the same times each day to support adherence.

Administration tips:

• Wash hands, then open a single-use vial.
• Tilt head back, gently pull down the lower eyelid.
• Avoid touching the dropper tip to the eye or any surface.
• Instill one drop, then close eyes gently for 1–2 minutes.
• Discard the opened vial immediately after use; do not save any leftover liquid.

Allow at least 15 minutes between this therapy and other eye medicines. If your clinician adds a corticosteroid pulse for flare management, follow their timing guidance carefully.

Strengths and Forms

This treatment is supplied as preservative-free, single-use vials in foil pouches. Common packaging includes cartons with multiple pouches to support twice-daily dosing. Cequa 0.09% eye drops are widely published; availability may vary by fulfillment source and time.

Missed Dose and Timing

If you miss a dose, use it as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose and resume your regular schedule. Do not use extra drops to make up for a missed dose.

Storage and Travel Basics

Keep vials in the original foil pouch to protect from light. Store at typical room conditions as directed on the label, and avoid excessive heat or freezing during travel. Do not refrigerate unless your pharmacist or the official label specifically instructs it.

For trips, pack enough single-use vials for your time away plus a small buffer. Carry your prescription details and keep vials in your hand luggage to limit exposure to extreme temperatures. Use a clean case to prevent crushing or contamination. For home safety, keep out of reach of children and pets, and discard opened vials after one use.

Online orders use encrypted checkout; temperature-controlled handling when required is supported for appropriate products.

Benefits

As an immunomodulatory therapy, this medicine can help restore your eye’s natural tear production. Many people value preservative-free, single-use vials, which reduce contamination risk and simplify daily routines. The twice-daily schedule is straightforward and can be paired with morning and evening habits. Symptom relief may include less burning, stinging, or gritty sensation as tear production improves.

Artificial tears can still be useful for immediate moisture. However, they do not treat underlying inflammatory pathways. This treatment addresses that pathway and can be combined with lubricants under clinician guidance.

Side Effects and Safety

Common effects are usually mild and temporary:

• Burning or stinging
• Eye redness
• Tearing or discharge
• Blurred vision after instillation
• Foreign body sensation
• Eye pain or itching

Serious reactions are uncommon but can include hypersensitivity. Stop using the drops and seek medical care if you experience significant swelling, rash, or severe eye pain. If you develop signs of ocular infection, contact a clinician promptly. Temporary blurred vision can occur after use; wait until vision clears before driving or operating machinery.

For related reading on prescription tear agents and tolerability, see Side Effects Of Restasis.

Drug Interactions and Cautions

Systemic exposure with ophthalmic cyclosporine is minimal. Clinically meaningful drug interactions are unlikely. When using multiple eye products, separate administrations by at least 15 minutes to avoid washout. Remove contact lenses prior to use and wait before reinsertion.

Tell your prescriber about any eye surgeries, ocular surface diseases, or recent infections. If you are pregnant or breastfeeding, discuss risks and benefits. For background on combination eye therapies and spacing, you can review Combigan Eye Drops and Azopt Eye Drops.

What to Expect Over Time

Relief builds gradually. This therapy supports tear production over weeks as inflammation is controlled. Some people notice early symptom changes, while others may need consistent use before benefits are evident. Keep using it as directed unless your prescriber advises stopping. Lubricating drops can supplement comfort while the prescription therapy takes effect.

To understand where this class fits among other options, see Xiidra Eye Drops and the overview Restasis vs Xiidra.

Compare With Alternatives

Other prescription options for chronic dry eye include cyclosporine 0.05% and lifitegrast. For supportive care, preservative-free artificial tears can help with immediate moisture. If you and your clinician are comparing choices, consider your symptom pattern, tolerability, and dosing preferences, along with any contact lens use.

We offer alternatives such as Restasis and Tears Naturale. Discuss which option aligns with your goals and your prescriber’s plan.

Pricing and Access

BorderFreeHealth shares Canadian pricing so you can compare options. Check current Cequa coupon opportunities on our site and see typical cash-pay approaches from partners. We also list coverage notes when available and explain how to submit a valid prescription. Ships from Canada to US is available for eligible orders, subject to verification.

To explore offers, visit our Promotions page. You can also browse related categories, including Dry Eye, Ophthalmology, and items sourced from Canada. For estimated Cequa pricing details and availability, start your order and follow the prompts in checkout.

Availability and Substitutions

Supply can vary. If this item is unavailable, a prescriber may recommend an alternative from the same therapeutic class or adjunctive lubricants based on your history. We do not post restock dates; your clinician can guide temporary substitutions if needed.

Patient Suitability and Cost-Saving Tips

Good candidates include adults with chronic dry eye disease who need a prescription option focused on tear production. People with allergies to cyclosporine should avoid this treatment. Those with recent eye surgeries or active infections should speak with a prescriber before use.

Cost-saving strategies include choosing multi-month quantities when appropriate, setting refill reminders to prevent gaps, and comparing Canadian pricing through BorderFreeHealth. If you rely on coupons, check our promotions page periodically. Consider pairing prescription therapy with preservative-free lubricants to limit overuse of more expensive products for comfort.

Questions to Ask Your Clinician

• Diagnosis fit: Is inflammatory dry eye driving my symptoms?
• Goals: What signs will show the medicine is helping?
• Timing: How long should I try it before reassessing?
• Adjuncts: Which artificial tears work well alongside this therapy?
• Lenses: How should I manage contact lens use during treatment?
• Plan B: If I cannot tolerate it, what are the next options?

Authoritative Sources

FDA DailyMed: Cequa Prescribing Information

Manufacturer: Sun Pharma – Cequa

Health Canada Drug Product Database

Ready to get started? Begin your order for US shipping from Canada with prompt, express shipping. This page is informational and does not replace your prescriber’s advice or the official label.