In addition to its original formulation, Visine is available in several varieties of eye drops for different types of eye irritation. These include formulas with antihistamines for allergy-induced irritation, to moisturizing formulations for eye dryness.[6] These formulations use active ingredients ranging from oxymetazolinetonaphazoline.[7][8] Some Visine products cater specifically to contact lens wearers or to those who require artificial tears.[9]
Visine has been observed to cause stinging and burning upon application, and has a rebound effect that may cause eye redness to worsen.[10][11] Prolonged use has been observed to cause blood vessels to be dilated for an extended period of time. Because of this risk, Visine usage has been recommended to be limited, unless specified by a doctor.[12] Some formulations of Visine are not advised for contact lens wearers as the decreased blood flow to counter eye redness could further lower oxygen levels to the eye.[12] Some Visine products are not recommended to be used by patients with glaucoma, since stimulation from lubrication can contribute to high pressure within the eye. Certain underlying health conditions that cause eye irritation are not able to be relieved by Visine and require prescription-grade eye drops.[13]
There have been multiple high-profile murder cases that have been alleged to utilize Visine's active ingredient tetrahydrozoline hydrochloride as a poison. In 2018, a South Carolina nurse was accused of killing her husband by adding Visine to his drinks over a period of three days.[16][17] In 2019, a North Carolina paramedic was similarly accused of murdering his wife, with Visine misuse asserted as the probable cause.[18]
In the film Wedding Crashers, the character Sack Lodge, portrayed by Bradley Cooper, is drugged with Visine eye drops, and is depicted as having severe gastrointestinal upset afterwards. The character John Beckwith, portrayed by Owen Wilson, uses Visine several times over the course of the film to feign crying. The movie gained notoriety for misrepresenting the effects of Visine consumption, which in actuality can be lethal.[19]
The urban legend about Visine inducing severe diarrhea is perpetuated in the film I Hope They Serve Beer in Hell. In the movie, the main character Tucker Max, portrayed by Matt Czuchry, offends two women at a bar, prompting one of the women to squirt Visine into his beer bottle without his knowledge. After consuming the drugged liquid, Tucker, and another character, are then depicted as having severe diarrhea.
In Season 4, Episode 3 of Orange Is the New Black, an inmate poisons a fellow inmate using Visine, and the poisoned inmate is depicted as experiencing severe diarrhea shortly after.[19]
In Season 1, Episode 5 of "Dead Boy Detectives," a high school girl poisons her boyfriend and another boy using Visine, expecting them to pass out. Instead, they convulse, bleed from their eyes, and die.
^Skilling, FC Jr; Weaver, TA; Kato, KP; Ford, JG; Dussia, EM (2005). "Effects of two eye drop products on computer users with subjective ocular discomfort". Optometry. 76 (1). St. Louis, Mo.: 47–54. doi:10.1016/s1529-1839(05)70254-2. PMID15682562.
