Treatment

Qlosi

Also known as Pilocarpine 0.4%, Pilocarpine Presbyopia Drops, Reading Vision Drops, Near Vision Drops, Presbyopia Eye Drops

Updated May 18, 2026For educational purposes only. Not a substitute for medical advice. See our terms.

Bottom Line

Qlosi is a prescription drop for age-related blurry near vision. It can improve near focus for a limited time by making the pupil smaller.

Qlosi is pilocarpine hydrochloride ophthalmic solution 0.4%. The label lists it for treatment of presbyopia in adults 1.

Pilocarpine makes the pupil smaller. A smaller pupil can help near focus, but it can also make dim light harder.

The label allows daily or as-needed use up to twice each day 1.

How It Works

Qlosi uses pilocarpine to make the pupil smaller. A smaller pupil can increase depth of focus for near tasks.

The effect is temporary. It does not reverse aging changes in the natural lens.

Who It Helps

Qlosi may help adults whose main problem is age-related near blur.

  • You need temporary help for reading or phone use.
  • You can accept dim-light tradeoffs.
  • Your retina exam is safe for pilocarpine.
  • You understand glasses may still be needed.

Side Effects and Safety

The label warns about blurred vision, dim-light trouble, retinal detachment risk, iritis, and vial contamination 1.

Do not drive at night until you know how the drop affects you. Call right away for sudden flashes, floaters, or vision loss.

Cost and Insurance

Qlosi is a brand-name prescription drop. Coverage varies by pharmacy plan.

  • Some plans treat presbyopia drops as lifestyle medicine.
  • Coupons may lower cost for eligible patients.
  • Reading glasses are usually cheaper.
  • Ask how many single-patient vials come with each fill.

Common Questions About Qlosi

No. It gives temporary near vision help for some adults. It does not make the natural lens young again.

Next Steps

  1. 1Get a full eye exam before starting presbyopia drops.
  2. 2Ask whether your retina history makes pilocarpine risky.
  3. 3Use caution with night driving and dim-light tasks.
  4. 4Call right away for flashes, floaters, or vision loss.
  5. 5Compare cost and convenience with readers or contact lenses.

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