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689 Tank Farm Rd., Ste. 100 San Luis Obispo, CA 93401 (805) 781-3937 • fax (805) 781-9013 234 Heather Court Templeton, CA 93465 (805) 434-5970 • fax (805) 434-5973 An Essay on the Periodic Unavailability of GenTeal Gel® enTeal Gel® is a water-based gel-like ocular lubricant widely used for the treatment of dry eye syndrome, dysfunctional tear syndrome, keratitis sicca, Sjögren’s syndrome, and other ocular surface diseases. It has numerous advantages over other products on the market, including price, long duration of lubricant effect, water solubility, and a lesser degree of visual blurring than petrolatum or lanolin-based products. Many of our patients have come to depend on this product to maintain their visual acuity, comfort and ocular health. G Every year or so, GenTeal Gel® will become in short supply or disappear completely from the marketplace, sometimes for months at a time. At these times, even the wholesalers and drug distributors appear unable to get the product. Our office has been told that the manufacturer will typically make up a large batch intended to last about a year. However, patient demand will often deplete the supply before the manufacturer is scheduled to make another batch. In the event that you are unable to find GenTeal Gel® on the shelf at your local pharmacy, we recommend you speak to the pharmacist directly. In order to prevent hoarding of the product, some pharmacies will keep Genteal Gel® behind the counter. Some pharmacies also tend to keep a smaller supply on hand than demand would warrant. So if you can’t find it, don’t hesitate to ask your pharmacist. If the product is available from their wholesaler they can order it for you and have it on hand in a day or two. And make sure you are purchasing the correct stuff. There are several other products by the same manufacturer that have almost the same name. Genteal Gel® is the only one that will come in a tube rather than a bottle. Also, Genteal Gel® has a secondary label stating SEVERE in white letters on an orange or red background. If it says anything but SEVERE on the secondary label, it’s not Genteal Gel®. Should you wish to contact Novartis Pharmaceuticals and express your opinion, you may call their customer service department at (888) 669-6682, Monday - Friday, 8:30am - 5:00pm EST, or you may write to them at: Customer Interaction Center, Novartis Pharmaceuticals Corporation, One Health Plaza, East Hanover, New Jersey 07936-1080. In the event that Genteal Gel® truly is not available, the following list of products can be tried as possible substitutes. We prefer lanolin-free ointments because of the potential for lanolin allergy. Company Product name Comments Allergan Refresh Liquigel drops Runnier than Genteal Gel, effect not as long-lasting Allergan Refresh Celluvisc drops Similar to Refresh Liquigel but preservative-free TheraTears LiquidGel drops Runnier than Refresh LiquiGel and Celluvisc, not really a gel B&L Moisture-Eyes PM ointment Petrolatum-based ointment, lanolin-free Ciba HypoTears PM ointment Petrolatum-based ointment, lanolin-free Ocumed Ocu-Lube ointment petrolatum-based ointment, lanolin-free Alcon DuraTears ointment petrolatum-based ointment, contains lanolin Allergan Lacri-Lube ointment petrolatum-based ointment, contains lanolin Allergan Refresh-PM ointment petrolatum-based ointment, contains lanolin 020206