OUR STORY
Driven by a mother’s need, grounded in medicine
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HOW IT STARTED

Complaints about tired eyes are nothing new for ophthalmologists. For red eyes, medicated drops could provide relief. If you have eye strain, it may be time for new glasses. But when it comes to drooping eyelids, the options haven't always been great for people who don't want to go under the knife.

Luckily, there's nothing like motherly motivation to inspire innovation in eyecare.

When Dr. Mark Silverberg's mom came to him complaining about her sleepy eyes, the ophthalmologist (and future son of the year) realized that she had the same problem that many other patients are living with—heavy eyelid drooping, medically referred to as acquired ptosis (or low-lying lids).

A mild version of this condition, which can sometimes come with aging, may not affect vision enough for doctors to treat it. So, millions of people are walking around with untreated droopy eyelids that make them look older.

In his search for a non-surgical treatment to give his mom the lift she was looking for, Dr. Silverberg made a breakthrough. He discovered the potential eyelid lifting effect of a well-known eye drop product — oxymetazoline. This key ingredient causes the muscles of the upper eyelid to contract and lift, causing more of the iris and white of the eye to become visible.

SOLUTION

Staring at a possible solution, rigorous clinical trials with patients came next, with multiple studies conducted to determine the effectiveness of Dr. Silverberg’s eye drop. The results were what he hoped to see.

In as fast as 5 minutes, one drop lifted the upper eyelid an average of 1 mm, opening the eye for a more awake look that lasted up to 8 hours.

As for side effects, the most common adverse events (occurring in 1-5% of patients) were eye inflammation, eye redness, dry eye, blurred vision, eye pain at time of use, eye irritation, and headache. See Important Safety Information below.

More than 90% of patients in clinical trials reported that the eye drops caused no discomfort.

FDA APPROVAL

In 2020, Upneeq® (oxymetazoline hydrochloride ophthalmic solution), 0.1% hit the market as the first and only FDA-approved prescription eye drop that lifts the eyelid to open the eye.

The eye drop is indicated for daily use in the affected eye(s) with acquired ptosis. To date, more than 20,000 eye doctors have written a prescription for Upneeq and 6,000 medical aesthetic practices now carry the product.

But, the success of a treatment like Upneeq can only truly be measured by how satisfied the patients are. And who better to give their stamp of approval than the woman who started it all?

When Dr. Silverberg’s mom looked in the mirror after using the eye drop for the first time, she was amazed to see visibly lifted eyelids that gave her the lively look that she was searching for. Fortunately, she would be just the first of many patients to experience the eye-opening effects of Upneeq.

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YEARS OF POSITIVE FEEDBACK

With years of feedback, it’s become clear that this eyedrop is performing as promised by lifting low-lying lids.

In fact, in clinical trials 84% of patients report improvement in eyelid lift with Upneeq.

So whether they use it daily or want a refreshed look before an important work presentation or a date night, people with drooping eyelids are turning to Upneeq to give them more awake-looking eyes for the moments that matter.

Learn More About Upneeq

IMPORTANT SAFETY INFORMATION


What is UPNEEQ?

UPNEEQ® (oxymetazoline hydrochloride ophthalmic solution), 0.1% is a prescription eyedrop used to treat acquired blepharoptosis (low-lying lids) in adults.


What warnings and precautions are associated with UPNEEQ?

  • Low-lying lids may be related to conditions such as stroke and/or brain aneurysm, Horner syndrome, myasthenia gravis, loss of the ability to move eye muscles, eye infection and eye tumors. Tell your doctor if you have any of these conditions.
  • UPNEEQ is a type of medication that may affect your blood pressure. If you have heart disease, uncontrolled high or low blood pressure, or feel faint at rest or when quickly standing up, you should call your doctor if your symptoms get worse.
  • Patients with reduced blood flow to the brain or heart, or patients who experience eye or mouth dryness due to an immune system disorder (Sjögren’s syndrome), should use care when taking UPNEEQ. Call your doctor immediately if you feel your symptoms may be getting worse.
  • UPNEEQ may increase the risk of eye pressure due to fluid buildup (angle-closure glaucoma) in patients with untreated narrow-angle glaucoma. Call your doctor immediately if you feel increased pressure in your eye after using UPNEEQ.
  • Do not let the tip of the UPNEEQ vial touch your eye or any other surface. This can help prevent eye injury or contamination. Each UPNEEQ vial is for one-time use and should be discarded after being used.

What are the most common side effects of UPNEEQ?

The most common adverse reactions with UPNEEQ (occurring in 1-5% of patients) were eye inflammation, eye redness, dry eye, blurred vision, eye pain at time of use, eye irritation, and headache.


What should my doctor know about before prescribing me UPNEEQ?


  • Your doctor should review your full medical history before prescribing UPNEEQ.
  • UPNEEQ belongs to a class of medication (alpha-adrenergic agonists) that may affect your blood pressure. Use UPNEEQ carefully if you currently take an alpha-adrenergic agonist medication to treat heart disease or an enlarged prostate. Patients taking beta-blockers, or other medications to treat hypertension or an abnormal heartbeat, should also be careful when using UPNEEQ.
  • Patients who use a certain class of antidepressant medication (monoamine oxidase inhibitors) should also be careful when using UPNEEQ, as it may affect the way your body absorbs the medication.

These are not all of the possible side effects of UPNEEQ. Tell your doctor if you have any side effect that bothers you or does not go away. Call your doctor for medical advice about side effects.
To report side effects or product complaints, contact RVL Pharmaceuticals at 1-877-482-3788. You may also report side effects to the FDA by calling 1-800-FDA-1088 or visit www.fda.gov/medwatch.
This is a summary of the most important safety information for UPNEEQ. For more in-depth safety information, please review the full Prescribing Information for UPNEEQ.

IMPORTANT SAFETY INFORMATION


What is UPNEEQ?

UPNEEQ® (oxymetazoline hydrochloride ophthalmic solution), 0.1% is a prescription eyedrop used to treat acquired blepharoptosis (low-lying lids) in adults.


What warnings and precautions are associated with UPNEEQ?

  • Low-lying lids may be related to conditions such as stroke and/or brain aneurysm, Horner syndrome, myasthenia gravis, loss of the ability to move eye muscles, eye infection and eye tumors. Tell your doctor if you have any of these conditions.
  • UPNEEQ is a type of medication that may affect your blood pressure. If you have heart disease, uncontrolled high or low blood pressure, or feel faint at rest or when quickly standing up, you should call your doctor if your symptoms get worse.
  • Patients with reduced blood flow to the brain or heart, or patients who experience eye or mouth dryness due to an immune system disorder (Sjögren’s syndrome), should use care when taking UPNEEQ. Call your doctor immediately if you feel your symptoms may be getting worse.
  • UPNEEQ may increase the risk of eye pressure due to fluid buildup (angle-closure glaucoma) in patients with untreated narrow-angle glaucoma. Call your doctor immediately if you feel increased pressure in your eye after using UPNEEQ.
  • Do not let the tip of the UPNEEQ vial touch your eye or any other surface. This can help prevent eye injury or contamination. Each UPNEEQ vial is for one-time use and should be discarded after being used.

What are the most common side effects of UPNEEQ?

The most common adverse reactions with UPNEEQ (occurring in 1-5% of patients) were eye inflammation, eye redness, dry eye, blurred vision, eye pain at time of use, eye irritation, and headache.


What should my doctor know about before prescribing me UPNEEQ?


  • Your doctor should review your full medical history before prescribing UPNEEQ.
  • UPNEEQ belongs to a class of medication (alpha-adrenergic agonists) that may affect your blood pressure. Use UPNEEQ carefully if you currently take an alpha-adrenergic agonist medication to treat heart disease or an enlarged prostate. Patients taking beta-blockers, or other medications to treat hypertension or an abnormal heartbeat, should also be careful when using UPNEEQ.
  • Patients who use a certain class of antidepressant medication (monoamine oxidase inhibitors) should also be careful when using UPNEEQ, as it may affect the way your body absorbs the medication.

These are not all of the possible side effects of UPNEEQ. Tell your doctor if you have any side effect that bothers you or does not go away. Call your doctor for medical advice about side effects.
To report side effects or product complaints, contact RVL Pharmaceuticals at 1-877-482-3788. You may also report side effects to the FDA by calling 1-800-FDA-1088 or visit www.fda.gov/medwatch.
This is a summary of the most important safety information for UPNEEQ. For more in-depth safety information, please review the full Prescribing Information for UPNEEQ.