Cystadrops
3.5 mg/mL · Solution
- Prescription only
- Cystine Depleting Agent
- Active substance
- Cysteamine Hydrochloride
- Made by
- RECORDATI RARE DISEASES, INC.
- Source
- Official label
Quoted from the official source. Not yet reviewed by Mediclarum — the leaflet in your pack is authoritative.
At a glance
Quoted from the official label · 2025-06-06
Cystine Depleting Agent
- CYSTADROPS is a cystine-depleting agent indicated for the treatment of corneal cystine crystal deposits in
- Prescription only
- FDA enforcement reports list no ongoing recall, and none from the last two years, for this product code · checked 2026-10-02
Every line above is selected, not written, from the official label. Nothing is reworded. DailyMed
What it is for
- CYSTADROPS is a cystine-depleting agent indicated for the treatment of corneal cystine crystal deposits in
- adults and children with cystinosis.
- CYSTADROPS is a cystine-depleting agent indicated for the treatment of corneal cystine crystal deposits in
- adults and children with cystinosis.
- ( 1 )
From the official label · 2025-06-06 · DailyMed
How it works
From this product’s own US prescribing label.
Cysteamine acts as a cystine-depleting agent by converting cystine to cysteine and cysteine-cysteamine mixed disulfides and reduces corneal cystine crystal accumulation.
Quoted from the prescribing label, sections “Mechanism of Action” and “Pharmacokinetics”. DailyMed · 2025-06-06
Do not take it if
None. None. ( 4 )
Quoted from the official label, section “Contraindications”.
How to take it
These directions are for this exact strength and form. Another one is different.
- Instill one drop of CYSTADROPS in each eye, 4 times a day during waking hours.
- ( 2.1 )
- 2.1 Dosage Information Instill one drop of CYSTADROPS in each eye, 4 times a day during waking hours.
- Do not touch dropper tip to the eyelids, surrounding areas, or any surface, as this may contaminate the solution.
- In case of concomitant therapy with other topical ocular products, an interval of 10 minutes should be allowed between successive applications.
- Eye ointments should be administered last.
- If the patient misses an instillation, the patient should be told to administer a dose as soon as feasible and then continue the treatment with the next scheduled instillation.
- Discard bottle 7 days after first opening.
- 2.2 Preparation for Administration Patients should be advised to store new unopened CYSTADROPS bottles in the refrigerator in the original carton between 36°F to 46°F (2°C to 8°C).
- Each week, one new bottle should be removed from the refrigerator.
- Patients are to write the date the bottle was opened in the space on the carton.
- After first opening, store opened CYSTADROPS at room temperature between 68°F to 77°F (20°C to 25°C).
- Do not refrigerate after opening.
- Patients are to wash their hands carefully in order to
- avoid microbiological contamination of the content in the bottle.
- Remove the green protective cap (see Figure A ).
- Remove the metal seal (see Figure B ).
- Remove the gray stopper (see Figure C ) from the bottle.
- Do not touch the opening of the bottle after removing the gray stopper.
- Take the dropper out of its packaging, without touching the end intended to be attached to the bottle, attach it (see Figure D ) to the bottle and do not remove it.
- Patients should be advised not to lose the small white cap that comes on the top of the dropper (see Figure E ).
- Keep the small white cap tightly closed when not in use.
- Instill one drop of CYSTADROPS in each eye, 4 times a day during waking hours.
- At the end of 7 days, patients should discard the bottle.
- There may be medication left in the bottle; however, the bottle must be discarded by the patient because the medication is only stable for 7 days after first opening.
Quoted from the official label, section “Dosage & Administration”.
Other warnings
- To minimize the risk of contamination, do not touch the dropper tip to any surface.
- Keep bottle tightly closed when not in use.
- ( 5.1 )
- 5.1 Contamination of Tip and Solution To minimize contaminating the dropper tip and solution, care should be taken not to touch the eyelids or surrounding areas with the dropper tip of the bottle.
- Keep bottle tightly closed when not in use.
- 5.2 Benign Intracranial Hypertension There have been reports of benign intracranial hypertension (or pseudotumor cerebri) associated with oral cysteamine treatment that has resolved with the addition of diuretic therapy.
- There have also been reports associated with ophthalmic use of cysteamine; however, all of these patients were on concurrent oral cysteamine.
- 5.3 Contact Lens Use CYSTADROPS contains benzalkonium chloride, which may be absorbed by soft contact lenses.
- Contact with soft contact lenses should be avoided.
- Contact lenses should be removed prior to application of solution and may be reinserted 15 minutes following its administration [see Patient Counseling Information ( 17 )] .
Quoted from the official label, section “Warnings”.
Pregnancy and breastfeeding
- Risk Summary There are no adequate and well-controlled studies of ophthalmic cysteamine in pregnant women to inform any drug associated risks.
- Oral administration of cysteamine to pregnant rats throughout the period of organogenesis was teratogenic at doses 240 to 960 times the recommended human ophthalmic dose (based on body surface area) [ see Data ] .
- CYSTADROPS should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
- The estimated background risk of major birth defects and miscarriage for the indicated population is unknown.
- All pregnancies have a background risk of birth defect, loss, or other adverse outcomes In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2% to 4% and 15% to 20%, respectively.
- Data Animal data Teratology studies have been performed in rats at oral doses in the range of 37.5 mg/kg/day to 150 mg/kg/day (240 to 960 times the recommended human ophthalmic dose based on body surface area) and have shown cysteamine bitartrate to be teratogenic.
- Observed teratogenic findings were intrauterine death, cleft palate, kyphosis, heart ventricular septal defects, microcephaly, exencephaly, and growth deficits.
- IN SPECIFIC POPULATIONS
- 8.1 Pregnancy Risk Summary There are no adequate and well-controlled studies of ophthalmic cysteamine in pregnant women to inform any drug associated risks.
- Oral administration of cysteamine to pregnant rats throughout the period of organogenesis was teratogenic at doses 240 to 960 times the recommended human ophthalmic dose (based on body surface area) [ see Data ] .
- CYSTADROPS should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
- The estimated background risk of major birth defects and miscarriage for the indicated population is unknown.
- All pregnancies have a background risk of birth defect, loss, or other adverse outcomes In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2% to 4% and 15% to 20%, respectively.
- Data Animal data Teratology studies have been performed in rats at oral doses in the range of 37.5 mg/kg/day to 150 mg/kg/day (240 to 960 times the recommended human ophthalmic dose based on body surface area) and have shown cysteamine bitartrate to be teratogenic.
- Observed teratogenic findings were intrauterine death, cleft palate, kyphosis, heart ventricular septal defects, microcephaly, exencephaly, and growth deficits.
- 8.2 Lactation Risk Summary There is no information regarding the presence of cysteamine in human milk, the effects on the breastfed infants, or the effects on milk production.
- Cysteamine administered orally is present in milk of lactating rats.
- It is not known whether measurable levels of cysteamine would be present in maternal milk following topical ocular administration of CYSTADROPS.
- The developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for CYSTADROPS and any potential adverse effects on the breastfed child from CYSTADROPS or from the underlying maternal conditions.
- 8.4 Pediatric Use The safety and effectiveness of CYSTADROPS has been established in pediatric patients.
- Use of CYSTADROPS is supported by adequate and well controlled trials in pediatric patients and additional experience supporting the safety of CYSTADROPS.
- 8.5 Geriatric Use Clinical studies of CYSTADROPS did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects.
- Other reported clinical experience has not identified differences in responses between the elderly and younger patients.
- 8.6 Renal Impairment The effect of renal impairment on the pharmacokinetics of cysteamine following ophthalmic administration of cysteamine ophthalmic solution has not been evaluated.
- Clearance of cysteamine from the conjunctival sac of the eye is not dependent on renal function and the total systemic dose is negligible, so impaired renal function is unlikely to affect total body clearance.
- The total daily ophthalmic dose is less than 4% of the recommended oral daily dose of cysteamine; thus, the systemic exposure following ophthalmic administration is expected to be negligible compared to oral administration.
Quoted from the official label, section “OTC — Pregnancy or Breast Feeding”.
Use in children
The safety and effectiveness of CYSTADROPS has been established in pediatric patients. Use of CYSTADROPS is supported by adequate and well controlled trials in pediatric patients and additional experience supporting the safety of CYSTADROPS.
Quoted from the official label, section “Pediatric Use”.
Use in older people
- Clinical studies of CYSTADROPS did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects.
- Other reported clinical experience has not identified differences in responses between the elderly and younger patients.
Quoted from the official label, section “Geriatric Use”.
Side effects
- The most common adverse reactions (≥ 10%) are eye pain, vision blurred, eye irritation, ocular hyperaemia, instillation site discomfort, eye pruritus, lacrimation increased, and ocular deposits.
- ( 6 ) To report SUSPECTED ADVERSE REACTIONS, contact Recordati Rare Diseases Inc. at 1-888-575-8344, or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
- 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.
- The most common adverse reactions (≥ 10%) reported during clinical trials were eye pain, vision blurred, eye irritation, ocular hyperaemia, instillation site discomfort, eye pruritus, lacrimation increased, and ocular deposits.
Quoted from the official label, section “Adverse Reactions”.
What to discuss with your doctor
- Advise the patient to read the FDA-approved patient labeling (Instructions for Use).
- Preparation for Administration and Storage of Bottles Advise patients to store new unopened bottles in the refrigerator in the original carton.
- Each week, one new bottle should be removed from the refrigerator.
- Advise patients to write the date the bottle was opened in the space on the carton.
- After first opening, keep the bottle tightly closed and
- store at room temperature in the original carton.
- Patients are to wash their hands carefully in order to
- avoid microbiological contamination of the content in the bottle.
- Remove the green protective cap (see Figure A).
- Remove the metal seal (see Figure B).
- Remove the gray stopper (see Figure C) from the bottle.
- Do not touch the opening of the bottle after removing the gray stopper.
- Take the dropper out of its packaging, without touching the end intended to be attached to the bottle, attach it (see Figure D) to the bottle and do not remove it.
- Patients should be advised not to lose the small white cap (see Figure E) that comes on the top of the dropper.
- Keep the small white cap tightly closed when not in use.
- Instill one drop of CYSTADROPS in each eye, 4 times a day during waking hours.
- Instruct patients to discard the bottle at the end of 7 days.
- There may be medication left in the bottle; however, the bottle must be discarded by the patient because the medication is only stable for 7 days after first opening.
- Risk of Contamination Advise patients not to touch the eyelid or surrounding areas with the dropper tip of the bottle.
- The cap should remain on the bottle when not in use.
- Contact Lens Use Advise patients that contact lenses should be removed prior to application of CYSTADROPS.
- Contact lenses may be reinserted 15 minutes following CYSTADROPS administration [see Warnings and Precautions ( 5.3 )] .
- Topical Ophthalmic Use Advise patients that CYSTADROPS is for topical ophthalmic use.
- Missed Dose If the patient misses an instillation, instruct the patient to administer a dose as soon as feasible and then to continue the treatment with the next scheduled instillation.
- Manufactured by:
- Baccinex SA, 2822 Courroux, Switzerland Manufactured for:
- Recordati Rare Diseases Inc., Bridgewater, NJ 08807, U.S.A.
- This product label may have been updated.
- For the most recent prescribing information, please visit www.recordatirarediseases.com/us.
Quoted from the official label, section “Patient Counseling Information”.
Strengths and forms
FORMS AND STRENGTHS Ophthalmic solution containing 3.8 mg/mL of cysteamine (0.37%). Ophthalmic solution containing 3.8 mg/mL of cysteamine (0.37%). ( 3 )
Quoted from the official label, section “Dosage Forms & Strengths”.
What it looks like and how it is packed
- CYSTADROPS (cysteamine ophthalmic solution) 0.37% is supplied as a 5 mL sterile viscous solution in a 10 mL amber glass bottle closed by a bromobutyl stopper and sealed with an aluminum tear-off cap.
- A PVC dropper applicator with HDPE closure is packed separately and included in each carton box.
- Each carton box (NDC 55292-410-05) contains 1 bottle (NDC 55292-410-05) and 1 dropper applicator individually wrapped.
- Before First Opening :
- Before opening, store new, unopened CYSTADROPS in the refrigerator between 36°F to 46°F (2°C to 8°C).
- Keep the bottle in the outer carton in order to protect from light.
- After First Opening :
- After opening, store opened CYSTADROPS at room temperature between 68°F to 77°F (20°C to 25°C).
- Do not refrigerate after opening.
- Keep the dropper bottle tightly closed in the outer carton in order to protect from light.
- Discard 7 days after first opening.
Quoted from the official label, section “How Supplied”.
What is in it
- CYSTADROPS is a sterile, viscous, ophthalmic solution containing 3.8 mg/mL of cysteamine (0.37%) equivalent to 5.6 mg/mL of cysteamine hydrochloride (0.55%).
- Cysteamine is a cystine- depleting agent which lowers the cystine content of cells in patients with cystinosis.
- Molecular Formula: C 2 H 7 NS HCl Molecular Weight:
- 113.61 Each milliliter of CYSTADROPS contains:
- Active:
- cysteamine 3.8 mg (equivalent to cysteamine hydrochloride 5.6 mg);
- Preservative: benzalkonium chloride 0.1 mg;
- Inactive Ingredients:
- carmellose sodium, citric acid monohydrate, disodium edetate dihydrate, hydrochloric acid and sodium hydroxide (to adjust pH to 4.6-5.4), and water for injection.
Quoted from the official label, section “Description”.
Ingredients people check for
Lactose, gluten, dyes, sugars and other ingredients that matter with an allergy, intolerance or diet — as this product’s FDA label lists them.
This label’s list of inactive ingredients names none of: lactose, wheat or gluten, colour dyes, sugars, sugar alcohols, alcohol (ethanol), aspartame (phenylalanine), gelatin, peanut oil, soy, parabens, sulfites, titanium dioxide.
Quoted from the FDA label. A label that does not name an ingredient is not a guarantee that the product is free of it, and formulations change. With an allergy, check the pack and ask a pharmacist.
Same active substance, strength and form in other countries
Matched on active substance, strength and kind of form only. This is not a statement that the products are equivalent or interchangeable: other ingredients, release and approved uses can differ — ask a pharmacist before swapping.
Medicine passport: one printable page to show a pharmacist abroad
CanadaNo exact match for this strength and form
Details
| Made by | RECORDATI RARE DISEASES, INC. |
|---|---|
| Active substance | Cysteamine Hydrochloride |
| Strength | 3.5 mg/mL |
| Form | Solution |
| Route | Ophthalmic |
| Packs | 1 BOTTLE, GLASS in 1 BOX / 5 mL in 1 BOTTLE, GLASS |
| NDC | 55292-410 |
Source: NDC Directory · 2026-09-13 · not reviewed by a clinician
Source: US Food and Drug Administration, NDC Directory. Reuse terms: US government work (FDA).
Same active substance
These contain the same substance. That does not mean one can replace another — ask a pharmacist.