Dry Eye Medications: What Works, What to Avoid, and How to Choose

When your eyes feel gritty, burning, or like they’re full of sand, you’re not just uncomfortable—you’re dealing with dry eye medications, treatments designed to restore moisture and reduce inflammation in the eyes. Also known as artificial tears, these products range from simple lubricants to prescription anti-inflammatories, and picking the wrong one can make things worse. Many people grab the first bottle off the shelf, but not all eye drops are created equal. Some contain preservatives that irritate sensitive eyes. Others mask symptoms without fixing the real problem—like poor tear production or inflammation from autoimmune conditions.

OTC eye drops, over-the-counter solutions available without a prescription. Also known as artificial tears, they’re the first line of defense for most people. But even these can backfire. Drops that promise to "get the red out" often contain vasoconstrictors like tetrahydrozoline. They shrink blood vessels temporarily, making eyes look less red—but over time, they cause rebound redness and dependency. If you’ve been using them for weeks and your eyes feel worse, that’s why. Meanwhile, preservative-free single-use vials are gentler for daily use, especially if you wear contacts or have sensitive eyes.

Some dry eye cases aren’t just about lack of moisture—they’re caused by anticholinergics, medications that block acetylcholine, a chemical that helps trigger tear production. Also known as dry mouth drugs, they include common pills like diphenhydramine, oxybutynin, and even some antidepressants. If you’re taking one of these and your eyes are dry, it’s not a coincidence. Your body is literally being told to stop making tears. In these cases, switching meds (with your doctor’s help) or using stronger prescription drops like cyclosporine or lifitegrast may be the only real solution.

And here’s the thing: dry eye isn’t just an eye problem. It’s linked to other conditions—like Sjögren’s syndrome, diabetes, or even long hours on screens. That’s why some of the best advice comes from posts about how dry eye medications interact with other drugs, how aging affects tear production, and why generic substitutions sometimes fail to deliver the same relief. You don’t just need drops—you need a strategy. The posts below cover exactly that: what works for mild cases, what’s needed for chronic inflammation, how to avoid worsening symptoms with the wrong products, and how medications you’re already taking might be silently making your eyes worse. No fluff. Just what you need to know to stop the burn and start feeling better.