section name header

Pronunciation

var-EN-i-kleen

Classifications

Therapeutic Classification: none assigned

Pharmacologic Classification: cholinergics

Indications

REMS


Action

  • Acts as an agonist at nicotinic acetylcholine receptor, which activates the trigeminal parasympathetic pathway, leading to enhanced basal tear film production.
Therapeutic effects:
  • Increased tear film production.

Pharmacokinetics

Absorption: Minor systemic absorption.

Distribution: Minimal tissue distribution.

Metabolism/Excretion: Undergoes minimal metabolism. 92% excreted unchanged in the urine.

Half-Life: 19 hr.

Time/Action Profile

(plasma concentrations)

ROUTEONSETPEAKDURATION
Intranasalunknown2 hrunknown

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

EENT: sneezing, throat irritation, nasal irritation

Resp: cough

Interactions

Drug-drug:

Route/Dosage

Availability

Assessment

Implementation

Patient/Family Teaching

Evaluation/Desired Outcomes

US Brand Names

Tyrvaya

Code

NDC Code