What is the Right Dosege for Lopidine for Botox-caused Drooping?

asked 2 years ago by 4056anon in California
Latest answer by Joseph A. Eviatar, MD
Question viewed 749 times

I got Botox on April 29, 70 units from crow feet to cf. Six days later I noticed my right eye drooped. The doctor prescribe Lopidine one drop morning and one night. I used for 2 days no improvement, so I increase the dosage 2 drops am, 1 at noon and 2 pm. It been 7 days and I only feel improvment when I put the drops and then it wears off. Could I overdose and make it worse. Very depressing :(( When will I see results?

6 answers to What is the Right Dosege for Lopidine for Botox-caused Drooping?

Usually the drop is used twice a day if necessary

Usually the drop is used twice a day if necessary. For more information on BOTOX visit my website.

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

Botox for crow's feet

I used between 7.5-10 units of botox per side for crow's feet. The eydrops can help for true ptosis but it is a temporary fix for something that may last a few months.

Steven Wallach, MD
Manhattan Plastic Surgeon

Right dosege for lopidine.

20 to 30 units bilaterally. It does not work any better or faster at higher dosages. Nice try. Remember in the next few weeks it will resolve. From MIAMI Dr. B

Darryl J. Blinski, MD
Miami Plastic Surgeon

Lopidine for Eyelids Affected by Botox

Hi, 70 Units is a little on the high side for the treatment of crow's feet ( I usually use about 12 units per side, 24 total). You may continue to use Lopidine as you are without overdosing. Unfortunately it does take some time for the Botox to wear off in the affected muscles, usually a few weeks. Good luck and be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

It is hard to believe you were injected with 70 units with BOTOX for crows feet.

This dose would be unusually high. The dose for the iopodine is twice per day. Now here is the bad news. The initial subjective response to the iopodine predicts when the ptosis will resolve. When the drops work in the first week, it generally means that the amount of BOTOX that is weakening the muscle that raises the eyelid was small and the effect typically resolves in 4 to 6 weeks. When the drop does not improve the eyelid ptosis, it implies a more profound... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Iopidine to help with eyelid droop after Botox

Iopidine 0.5% can help to improve eyelid drooping (blepharoptosis) induced by botulinum toxin A (Botox). It works by stimulating one of the muscles that lifts the eyelid (Mueller's muscle). This medication can raise the eyelid several millimeters and it can last for a few hours. Using Iopidine in this manner is considered an "off-label" use, meaning it is not approved by the FDA. The most common dosing is 1 or 2 drops at a time, either several times a day... more

Brett S. Kotlus, MD
Rochester Oculoplastic Surgeon

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