{"id":18114,"date":"2022-02-11T09:16:32","date_gmt":"2022-02-11T09:16:32","guid":{"rendered":"https:\/\/zeepedia.com\/?p=18114"},"modified":"2022-02-12T11:22:43","modified_gmt":"2022-02-12T11:22:43","slug":"mirvaso","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/mirvaso\/","title":{"rendered":"Mirvaso &#8211; Brimonidine uses, dose and side effects"},"content":{"rendered":"\n<p>3 mg \/ g&nbsp;gel<br>brimonidine<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Mirvaso is and what it is used for<\/h2>\n\n\n\n<p>Mirvaso contains the active substance brimonidine, which belongs to a group of medicines commonly referred to as &#8220;alpha-agonists&#8221;.<\/p>\n\n\n\n<p>Mirvaso is used on the skin of the face to treat&nbsp;redness&nbsp;due to&nbsp;rosacea&nbsp;in adult patients.<\/p>\n\n\n\n<p>Redness&nbsp;of the face due to&nbsp;rosacea&nbsp;is caused by heavy blood flow in the skin of the face, which is due to enlargement (enlargement) of the small blood vessels in the skin.<\/p>\n\n\n\n<p>When Mirvaso is used, it works by narrowing these blood vessels again, which reduces the excess blood flow and\u00a0redness.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Mirvaso<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Mirvaso<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to brimonidine or any of the other ingredients of this medicine (listed in section 6).<\/li><li>to children under 2 years, as they may be at greater risk of&nbsp;side effects&nbsp;from the drugs that are absorbed through the skin.<\/li><li>if you are taking certain medicines used to treat depression or&nbsp;Parkinson&#8217;s disease&nbsp;, including so-called&nbsp;monoamine oxidase inhibitors&nbsp;(MAOIs, eg&nbsp;selegiline&nbsp;, or moclobemide),&nbsp;tricyclic antidepressants&nbsp;(such as imipramine) or tetracyclic antidepressants (such as maprotiline, mianserin or mirtazapine).&nbsp;Using Mirvaso while you are taking these medicines may cause your&nbsp;blood pressure&nbsp;to drop .<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before using Mirvaso in particular about:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>the skin of your face is irritated or has open sores.<\/li><li>you have problems with your heart or blood circulation.<\/li><li>you have depression, decreased blood flow to the brain or heart, decreased blood pressure when standing, decreased blood flow in the hands, feet or skin, or&nbsp;Sj\u00f6gren&#8217;s syndrome&nbsp;(a&nbsp;chronic&nbsp;disease in which the body&#8217;s natural defenses &#8211; the immune system &#8211; attack the glands that produce moisture).<\/li><li>you have or have previously had kidney or liver problems.<\/li><li>you have undergone or are planning to undergo a laser treatment of the skin of your face.<\/li><\/ul>\n\n\n\n<p>It is important to start treatment with a small amount of\u00a0gel, increase the\u00a0dose\u00a0gradually but do not exceed the maximum\u00a0dose\u00a0of 1 gram (about 5 pea-sized clicks).\u00a0See also the instructions in &#8220;How to use Mirvaso&#8221;.<\/p>\n\n\n\n<p>Do not apply Mirvaso more than once a day and do not exceed the maximum daily&nbsp;dose&nbsp;of 1 gram (approximately 5 pea-sized clicks).&nbsp;See also the instructions in &#8220;How to use Mirvaso&#8221;.<\/p>\n\n\n\n<p><strong>Exacerbated skin redness, the sudden feeling of heat often with\u00a0flushing\u00a0or\u00a0a burning sensation in the\u00a0skin<\/strong><\/p>\n\n\n\n<p>Up to 1 in 6 patients experience that their\u00a0redness\u00a0is worse when it returns compared to before treatment.\u00a0This usually occurs during the first two weeks of treatment and usually disappears if treatment is stopped, in most cases within a few days.\u00a0Before resuming treatment with Mirvaso\u00a0topical\u00a0gel, test it on a small area of \u200b\u200bthe face for a day when you have the opportunity to stay at home.\u00a0If you do not experience a worsening of\u00a0redness\u00a0or burning sensation, you can continue with the usual treatment (see section 3).<\/p>\n\n\n\n<p>If you experience an aggravated&nbsp;redness&nbsp;or if an unexpected&nbsp;redness&nbsp;occurs, stop treatment and consult a doctor.<\/p>\n\n\n\n<p>Talk to your doctor if any of the above apply to you, as this medicine may not be suitable for you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Do not give this medicine to children or adolescents under 18 years of age as the safety and efficacy have not been established for this age group.&nbsp;This is especially important for children under 2 years of age (see &#8220;Do not use Mirvaso&#8221;).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Mirvaso<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, as these medicines may affect your treatment with Mirvaso, or Mirvaso may affect your treatment with these medicines.<\/p>\n\n\n\n<p>Do not use Mirvaso with\u00a0selegiline, moclobemide, imipramine, mianserin, or maprotiline, which are medicines that can be used for depression or\u00a0Parkinson&#8217;s disease, as this may lead to changes in the effectiveness of Mirvaso or may increase the risk of\u00a0side effects\u00a0such as a drop in blood pressure. Mirvaso).<\/p>\n\n\n\n<p>Also, tell your doctor if you are taking any of the following medicines:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>medicines used to treat pain, sleep disorders or anxiety disorders<\/li><li>medicines used to treat mental disorders (chlorpromazine), used for hyperactivity (methylphenidate) or used for high&nbsp;blood pressure&nbsp;(reserpine).<\/li><li>drugs that act in the same way in the body as Mirvaso (other alpha &#8211;&nbsp;agonists&nbsp;, eg clonidine; so-called alpha-blockers or alpha-&nbsp;antagonists&nbsp;, eg prazosin,&nbsp;isoprenaline&nbsp;, which are commonly used to treat high&nbsp;blood pressure&nbsp;, slow heartbeat or&nbsp;asthma&nbsp;).<\/li><li>cardiac glycosides (eg&nbsp;digoxin&nbsp;) used to treat heart problems.<\/li><li>antihypertensive drugs such as beta-&nbsp;blockers&nbsp;or calcium channel blockers (eg propranolol, amlodipine).<\/li><\/ul>\n\n\n\n<p>Talk to your doctor if any of the above apply to you, or if you are unsure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Mirvaso with alcohol<\/h2>\n\n\n\n<p>Tell your doctor if you drink alcohol regularly as it may affect your treatment with this medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>The use of Mirvaso is not recommended during pregnancy.\u00a0This is because its effects on your unborn baby are unknown.\u00a0You should not use this medicine while breastfeeding, as it is not known if this medicine passes into breast milk.<\/p>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before using this medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Mirvaso has no significant effect on the ability to drive and use machines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Mirvaso contains:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>methyl&nbsp;<\/strong><strong>parahydroxybenzoate (E218)<\/strong>&nbsp;which may cause allergic reactions (possibly delayed).<\/li><li><strong>Propylene glycol&nbsp;<\/strong><strong>(E1520)<\/strong>&nbsp;which may cause skin irritation.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Mirvaso<\/h2>\n\n\n\n<p>Always use this medicine exactly as your doctor has told you.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<p><strong>Important:<\/strong>\u00a0Mirvaso is for adults only and use on the skin of the face only.\u00a0Do not use this medicine on other parts of the body, especially moist body surfaces such as the eyes, mouth, nose, or vagina.<\/p>\n\n\n\n<p>Do not swallow.<\/p>\n\n\n\n<p>Keep Mirvaso\u00a0Gel\u00a0out of the reach of children.<\/p>\n\n\n\n<p><strong>How to use Mirvaso<\/strong><\/p>\n\n\n\n<p>Mirvaso is recommended to be used on the face once a day.<\/p>\n\n\n\n<p>Start treatment with a small amount of&nbsp;gel&nbsp;(a pea-sized click) during the first week, as shown by your doctor or nurse.<\/p>\n\n\n\n<p>If your symptoms persist or only improve slightly, you can gradually increase the amount of\u00a0gel\u00a0after the first week.\u00a0Spread it evenly and evenly in a very thin layer in the way that your doctor or nurse has shown you.\u00a0You mustn&#8217;t take more than the maximum daily\u00a0dose\u00a0of 1 gram (5 pea-sized clicks applied to the entire face).<\/p>\n\n\n\n<p>Wash hands immediately after the application of this medicine.<\/p>\n\n\n\n<p>If your symptoms worsen during treatment with Mirvaso (increased&nbsp;redness&nbsp;or burning sensation), stop treatment and consult a doctor &#8211; see also section 2 &#8220;Warnings and precautions&#8221;.<\/p>\n\n\n\n<p>You need to avoid eyes, eyelids, lips, mouth, and the inside of the nose.\u00a0If a\u00a0gel\u00a0ends up in any of these areas, wash it off immediately with plenty of water.\u00a0If you experience an aggravated\u00a0redness\u00a0or burning sensation, stop using Mirvaso and consult a doctor if necessary.<\/p>\n\n\n\n<p>Do not apply any other dermatological or cosmetics immediately before the daily application of Mirvaso.\u00a0You should use such products only after applying Mirvaso has dried.<\/p>\n\n\n\n<p>Be careful when opening the tube\/pump for the first time so that you do not spill more\u00a0gel\u00a0than necessary.\u00a0If this happens, discard the excess\u00a0gel\u00a0so that you do not apply more than the recommended\u00a0dose.\u00a0See the section &#8220;How to use Mirvaso&#8221; above<\/p>\n\n\n\n<p><strong>To open the tube with a child-resistant lid:<\/strong><\/p>\n\n\n\n<p>To avoid spillage, do not squeeze the tube while opening or closing it.<\/p>\n\n\n\n<p>Push the lid down and turn counterclockwise (turn left).&nbsp;Then pull off the lid.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20121208000013#\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/www.fass.se\/res\/RootMedia\/Galderma20Nordic\/Media\/Mirvaso\/Mirvaso201.jpg\" alt=\"Picture 1\" title=\"Picture 1\"\/><\/a><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20121208000013#\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/www.fass.se\/res\/RootMedia\/Galderma20Nordic\/Media\/Mirvaso\/Mirvaso202.jpg\" alt=\"Picture 2\" title=\"Picture 2\"\/><\/a><\/figure>\n\n\n\n<p><strong>To close the tube with a child-resistant lid:<\/strong><\/p>\n\n\n\n<p>Press down and turn clockwise (turn right).<\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20121208000013#\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/www.fass.se\/res\/RootMedia\/Galderma20Nordic\/Media\/Mirvaso\/Mirvaso204.jpg\" alt=\"Picture 4\" title=\"Picture 4\"\/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Mirvaso than you should<\/h2>\n\n\n\n<p>If you use more than the maximum daily\u00a0dose\u00a0of 1 gram within 24 hours, it may lead to skin irritation or other\u00a0side effects\u00a0at the application site.\u00a0Repeated\u00a0doses\u00a0within the same 24-hour period can lead to\u00a0side effects\u00a0such as\u00a0low\u00a0blood pressure, drowsiness, or fatigue.<\/p>\n\n\n\n<p>Contact your doctor for advice on what to do.<\/p>\n\n\n\n<p><strong>If someone, especially a child, accidentally swallows Mirvaso, it may cause serious&nbsp;side effects&nbsp;that need to be treated in a hospital.<\/strong><\/p>\n\n\n\n<p>Contact a doctor immediately or see an emergency room immediately if you, a child, or someone else swallows this medicine and has any of these symptoms: feeling dizzy from low\u00a0blood pressure, vomiting, tiredness or drowsiness, weakened or irregular heartbeat, narrow\u00a0pupils\u00a0( pupil\u00a0contraction\u00a0), difficulty breathing or slow breathing, lethargy, low body temperature and cramps (seizures).\u00a0Bring the medicine pack so that the doctor can see what the person has swallowed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use Mirvaso<\/h2>\n\n\n\n<p>Mirvaso works daily, starting on the first day of treatment.\u00a0Therefore, if you miss a daily\u00a0dose,\u00a0redness\u00a0will not decrease that day.\u00a0Do not use a double\u00a0dose\u00a0to make up for a forgotten\u00a0dose\u00a0and continue your treatment as\u00a0prescribed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using Mirvaso<\/h2>\n\n\n\n<p>A possible consequence that can occur if the treatment is stopped before the treatment regimen is completely completed is that the disease returns to its original state.<\/p>\n\n\n\n<p>Contact your doctor before ending your treatment, who can advise you on a suitable replacement treatment if necessary.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p>If you get less common\u00a0side effects\u00a0like severe irritation or\u00a0inflammation\u00a0of the skin, rash, pain or discomfort in the skin, dry skin, feeling hot in the skin, tingling or swelling or swollen face, or common\u00a0side effects\u00a0such as aggravated\u00a0rosacea, discontinue treatment and contact your doctor as this medicine may not be suitable for you.\u00a0In some cases, the symptoms may extend beyond the skin area being treated.\u00a0See also section 2 &#8220;Warnings and precautions&#8221;.<\/p>\n\n\n\n<p>If you get a contact allergy (eg an\u00a0allergic reaction, rash), or rare\u00a0angioedema\u00a0(a rare severe\u00a0allergic reaction, usually with swelling of the face, mouth, or tongue), stop using Mirvaso and see a doctor immediately.<\/p>\n\n\n\n<p>Mirvaso can also cause the following other side effects:<\/p>\n\n\n\n<p>Common&nbsp;side effects&nbsp;(may affect up to 1 in 10 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>sudden feeling of heat often with&nbsp;flushing&nbsp;of&nbsp;the&nbsp;skin<\/li><li>noticeable pallor where&nbsp;gel&nbsp;is applied<\/li><li>redness&nbsp;of the skin, burning sensation in the skin or&nbsp;itching<\/li><\/ul>\n\n\n\n<p>Uncommon&nbsp;side effects&nbsp;(may affect up to 1 in 100 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>acne<\/li><li>dry mouth<\/li><li>feeling of cold in hands and feet<\/li><li>feeling of warmth<\/li><li>headache<\/li><li>nasal congestion<\/li><li>swollen eyelids<\/li><li>hives<\/li><li>dizziness<\/li><\/ul>\n\n\n\n<p>Rare&nbsp;side effects&nbsp;(may affect up to 1 in 1,000 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>lowered&nbsp;blood pressure<\/li><li>decreased heart rate (slow heart rate called&nbsp;bradycardia&nbsp;).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Mirvaso<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton, tube, and pump after EXP.\u00a0The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>No special storage instructions.<\/p>\n\n\n\n<p>Do not freeze.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is brimonidine.&nbsp;One gram of&nbsp;gel&nbsp;contains 3.3 mg of brimonidine, which is equivalent to 5 mg of brimonidine tartrate.<\/li><li>The other ingredients are carbomer, methyl parahydroxybenzoate (E218), phenoxyethanol,&nbsp;glycerol&nbsp;, titanium dioxide, propylene glycol (E1520), sodium hydroxide and purified water.&nbsp;See section 2 for information on methyl parahydroxybenzoate and propylene glycol.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p>Mirvaso is a white to light yellow, opaque\u00a0gel.\u00a0It is provided in tubes containing 2, 10, or 30 grams of\u00a0gel, or in a non-ventilated pump system containing 30 g of\u00a0gel.<\/p>\n\n\n\n<p>Pack size 1 tube or 1 pump.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder<\/strong><\/p>\n\n\n\n<p>Galderma International<\/p>\n\n\n\n<p>Tour Europlaza, 20 avenue Andr\u00e9 Prothin &#8211; La D\u00e9fense 4<\/p>\n\n\n\n<p>La Cedex Defense 92927<\/p>\n\n\n\n<p>France<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Galderma Laboratories<\/p>\n\n\n\n<p>ZI Montd\u00e9sir<\/p>\n\n\n\n<p>74540 Alby sur Ch\u00e9ran<\/p>\n\n\n\n<p>France<\/p>\n\n\n\n<p>or<\/p>\n\n\n\n<p>Galderma Laboratorium GmbH<\/p>\n\n\n\n<p>Toulouser Allee 19a-23a<\/p>\n\n\n\n<p>D-40211 D\u00fcsseldorf<\/p>\n\n\n\n<p>Germany<\/p>\n\n\n\n<p>Contact the representative of the marketing authorization holder to find out more about this medicine:<\/p>\n\n\n\n<p>Galderma Nordic AB<\/p>\n\n\n\n<p>Tel: + 46 18 444 0330<\/p>\n\n\n\n<p>e-mail: nordic@galderma.com<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mirvaso contains the active substance brimonidine, which belongs to a group of medicines commonly referred to as &#8220;alpha-agonists&#8221;.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,15580],"tags":[17802,6747,17795,17797,17800,17801,17794,6748,17798,17799],"class_list":["post-18114","post","type-post","status-publish","format-standard","hentry","category-medicines","category-m","tag-benefits-of-mirvaso","tag-brimonidine","tag-brimonidine-gel","tag-mirvaso","tag-mirvaso-gel","tag-mirvaso-side-effects","tag-what-brimonidine-is-used-for","tag-what-is-brimonidine","tag-what-is-mirvaso","tag-what-mirvaso-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/18114","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=18114"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/18114\/revisions"}],"predecessor-version":[{"id":18171,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/18114\/revisions\/18171"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=18114"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=18114"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=18114"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}