FreshKote (15mL bottle)



About FreshKote

  • 15mL (0.5 oz) bottle
  • Unique blending of polymers
  • Improves ocular surface wettability & tear film osmolarity

Description (by Rebecca)

Freshkote is the last available of "Dr. Holly's Drops", as we used to call them in the 'old' days. Dr Holly's Drops were the first thing to get me comfortable after I got dry eye from LASIK in 2001. Dr. Holly is a brilliant scientist and he used to participate so helpfully and kindly in the online forums where so many of us folks congregated desperately looking for solutions in those days. The timeframe of his main work and research on dry eye dates to an era I think of as having been more about the science and less about the commerce than either the 90's or the Restasis era that followed. Thankfully we are once again heading back into 'real science' but we had a lot of dark years in between, in terms of lack of differential diagnosis and useful therapeutics.

 

Back in the day, there were actually four drops. Dwelle was the original. I will always consider that Dwelle was the finest drop ever made for severe symptoms - both for folks with severe dry eye and with recurrent corneal erosions. Then there were two variations on the theme. Dwelle plus Vitamin A was called Dakrina (both drops, now, sadly, long since off the market), and Dwelle plus a lipid ingredient was called FreshKote. There was also in those days a wonderful little pink drop called NutraTear, much lighter weight, my favorite drop ever for daily use and the only drop I ever liked for use over scleral gas perm lenses. Sigh. (As a matter of fact, when I first started The Dry Eye Company, it was specifically to resurrect these drops, which were not on the market at the time. That worked, for some years, till the $ ran out. Another story for another day.) 

 

So FreshKote is the only one of Dr. Holly's drops on the market today. Not having ever been marketed by one of the huge ophthalmic pharmaceuticals, it's not as well known as the brands commanding most of the shelf space at the drugstore. I wish it had the full recognition in the medical community that it deserves, but I'm grateful there are so many doctors who have recognized its outstanding efficacy and continue to support it.

 

FreshKote was sold by prescription only for quite some time, but is now available as an OTC drop. And while it has always had an extremely mild preservative, I'm told it will be coming out in preservative free form soon, which is an exciting development.

 

You may also wonder what's 'special' about the ingredients. At a superficial reading, nothing. So much of this polymer and so much of that, big deal. Actually there are details of grades of polymers and other substances that aren't reflected in standard FDA product labeling that can play a really important role. With this product, it is the blending of particular grades of the polymers (not used in any other drops you have tried) that makes the difference to how it works and what it achieves.

 

Suggested best uses

Severe symptoms and/or recurrent corneal erosions. I have to emphasize that's based on anecdotal (and personal) experience, not studies. Just giving suggestions to help narrow it down. It's rare that people with milder symptoms are motivated to use a drop that costs this much.

 

Limitations

Stinging, and residue. Freshkote has a high concentration of polymers and for that reason, when it goes on a very dry eye it can sting. As long as there is no other issue going on (such as an ingredient allergy or sensitivity), motivated users can prevent this like any other drop that stings, by wetting the eye 5-10 minutes before application. As for residue, the drop will tend to crystallize on and around the base of the lashes especially if you apply a lot. Use small drops and wipe the lashes after application if this is a problem.

Alternatives to consider

Oasis Tears Plus is another I would recommend for severe symptoms. Mileage with drops is so very individual though - and it's rare that just a drop does everything one wants it to in any case. Make sure you're looking at the bigger picture of your dry eye care needs and considering the full arsenal of therapeutic and palliative remedies.

Description (from the manufacturer's literature)

TBA - we are waiting on new labeling from the manufacturer. 

Drug Facts

Active Ingredients

  • Polyvinyl pyrrolidone 2.0% (Lubricant)
  • Polyvinyl alcohol 2.7% (Lubricant) 

Uses

  • For use as a lubricant to prevent further irritation or to relieve dryness of the eye. 
  • For the temporary relief of discomfort due to minor irritations of the eye or to exposure to wind or sun

Warnings

For external use only.

Do not use

  • if solution changes color or becomes cloudy
  • if you are sensitive to any ingredient in this product
  • When using this product
  • do not touch tip of container to any surface
  • replace cap after using
  • Stop use and ask a doctor if
  • if you experience eye pain
  • you experience change in vision
  • you experience continue redness
  • the condition worsens
  • symptoms last more than 72 hours 

Keep out of reach of children. 

If swallowed, get medical help or contact a Poison Control Center right away. 

Directions

  • Instill 1 or 2 drop(s) in the affected eye(s) 3 or 4 times daily. 
  • Other Information
  • Store at 15-30C (59-86F)
  • Retain outer carton for full product drug facts

Inactive Ingredients

Boric acid, Disodium edetate dihydrate, Ethanol, Glycerin, Lecithin, Polixetonium, Polysorbate-80, Potassium chloride, Purified water, Sodium chloride. 

Questions 

call toll-free 1-866-752-6006 www.freshkote.com 

About FreshKote

  • 15mL (0.5 oz) bottle
  • Unique blending of polymers
  • Improves ocular surface wettability & tear film osmolarity

Description (by Rebecca)

Freshkote is the last available of "Dr. Holly's Drops", as we used to call them in the 'old' days. Dr Holly's Drops were the first thing to get me comfortable after I got dry eye from LASIK in 2001. Dr. Holly is a brilliant scientist and he used to participate so helpfully and kindly in the online forums where so many of us folks congregated desperately looking for solutions in those days. The timeframe of his main work and research on dry eye dates to an era I think of as having been more about the science and less about the commerce than either the 90's or the Restasis era that followed. Thankfully we are once again heading back into 'real science' but we had a lot of dark years in between, in terms of lack of differential diagnosis and useful therapeutics.

 

Back in the day, there were actually four drops. Dwelle was the original. I will always consider that Dwelle was the finest drop ever made for severe symptoms - both for folks with severe dry eye and with recurrent corneal erosions. Then there were two variations on the theme. Dwelle plus Vitamin A was called Dakrina (both drops, now, sadly, long since off the market), and Dwelle plus a lipid ingredient was called FreshKote. There was also in those days a wonderful little pink drop called NutraTear, much lighter weight, my favorite drop ever for daily use and the only drop I ever liked for use over scleral gas perm lenses. Sigh. (As a matter of fact, when I first started The Dry Eye Company, it was specifically to resurrect these drops, which were not on the market at the time. That worked, for some years, till the $ ran out. Another story for another day.) 

 

So FreshKote is the only one of Dr. Holly's drops on the market today. Not having ever been marketed by one of the huge ophthalmic pharmaceuticals, it's not as well known as the brands commanding most of the shelf space at the drugstore. I wish it had the full recognition in the medical community that it deserves, but I'm grateful there are so many doctors who have recognized its outstanding efficacy and continue to support it.

 

FreshKote was sold by prescription only for quite some time, but is now available as an OTC drop. And while it has always had an extremely mild preservative, I'm told it will be coming out in preservative free form soon, which is an exciting development.

 

You may also wonder what's 'special' about the ingredients. At a superficial reading, nothing. So much of this polymer and so much of that, big deal. Actually there are details of grades of polymers and other substances that aren't reflected in standard FDA product labeling that can play a really important role. With this product, it is the blending of particular grades of the polymers (not used in any other drops you have tried) that makes the difference to how it works and what it achieves.

 

Suggested best uses

Severe symptoms and/or recurrent corneal erosions. I have to emphasize that's based on anecdotal (and personal) experience, not studies. Just giving suggestions to help narrow it down. It's rare that people with milder symptoms are motivated to use a drop that costs this much.

 

Limitations

Stinging, and residue. Freshkote has a high concentration of polymers and for that reason, when it goes on a very dry eye it can sting. As long as there is no other issue going on (such as an ingredient allergy or sensitivity), motivated users can prevent this like any other drop that stings, by wetting the eye 5-10 minutes before application. As for residue, the drop will tend to crystallize on and around the base of the lashes especially if you apply a lot. Use small drops and wipe the lashes after application if this is a problem.

Alternatives to consider

Oasis Tears Plus is another I would recommend for severe symptoms. Mileage with drops is so very individual though - and it's rare that just a drop does everything one wants it to in any case. Make sure you're looking at the bigger picture of your dry eye care needs and considering the full arsenal of therapeutic and palliative remedies.

Description (from the manufacturer's literature)

TBA - we are waiting on new labeling from the manufacturer. 

Drug Facts

Active Ingredients

  • Polyvinyl pyrrolidone 2.0% (Lubricant)
  • Polyvinyl alcohol 2.7% (Lubricant) 

Uses

  • For use as a lubricant to prevent further irritation or to relieve dryness of the eye. 
  • For the temporary relief of discomfort due to minor irritations of the eye or to exposure to wind or sun

Warnings

For external use only.

Do not use

  • if solution changes color or becomes cloudy
  • if you are sensitive to any ingredient in this product
  • When using this product
  • do not touch tip of container to any surface
  • replace cap after using
  • Stop use and ask a doctor if
  • if you experience eye pain
  • you experience change in vision
  • you experience continue redness
  • the condition worsens
  • symptoms last more than 72 hours 

Keep out of reach of children. 

If swallowed, get medical help or contact a Poison Control Center right away. 

Directions

  • Instill 1 or 2 drop(s) in the affected eye(s) 3 or 4 times daily. 
  • Other Information
  • Store at 15-30C (59-86F)
  • Retain outer carton for full product drug facts

Inactive Ingredients

Boric acid, Disodium edetate dihydrate, Ethanol, Glycerin, Lecithin, Polixetonium, Polysorbate-80, Potassium chloride, Purified water, Sodium chloride. 

Questions 

call toll-free 1-866-752-6006 www.freshkote.com