Fluorouracil 1% Ophthalmic Solution Preservative-Free

Fluorouracil (5-FU) 1% Preservative-Free Ophthalmic Solution

Fluorouracil 1% Preservative Free Eye Drops

Quantity: 7 mL

Price: $90

Sterile compounded ophthalmic preparation available by prescription. The FDA does not review any compounded medication for safety or efficacy. 

What is Fluorouracil 1% Preservative-Free Ophthalmic Solution?

Fluorouracil 1% ophthalmic solution is a compounded sterile, preservative-free eye drop formulated for topical ophthalmic use.

Fluorouracil (5-FU) is a pyrimidine analog that interferes with DNA synthesis, making it effective at inhibiting the growth of rapidly dividing cells. In ophthalmology, this property is leveraged to:

  • Target abnormal epithelial cell growth
  • Reduce fibroblast proliferation
  • Support treatment strategies where controlled inhibition of healing is beneficial

Compounding allows for a patient-specific, preservative-free formulation suitable for ophthalmic use.

What is the Mechanism of Action?

Fluorouracil works by:

  • Inhibiting thymidylate synthase, a key enzyme in DNA synthesis
  • Disrupting RNA and DNA production
  • Preventing replication of rapidly dividing cells

In ophthalmic applications, this mechanism is used to:

  • Suppress abnormal epithelial proliferation
  • Inhibit fibroblast activity
  • Reduce scar formation following certain procedures

These effects make fluorouracil a useful adjunct in managing conditions where cellular overgrowth or scarring impacts outcomes.

Clinical Scenarios Where Ophthalmologists Explore Fluorouracil 1% Ophthalmic Solution

Ophthalmologists may consider this compounded formulation in scenarios such as:

  • Ocular surface neoplasia (e.g., conjunctival intraepithelial neoplasia)
  • Adjunctive therapy in glaucoma filtration procedures to reduce scarring
  • Conjunctival fibrosis or scarring management
  • Postoperative care where modulation of wound healing is desired
  • Cases requiring preservative-free formulations for sensitive ocular surfaces

Use is determined by the treating ophthalmologist based on diagnosis, treatment goals, and patient-specific factors.

Why Ophthalmologists Choose Massey Drugs

  • Sterile compounding laboratory experienced in ophthalmic preparations
  • Preservative-free formulations tailored for ocular use
  • Direct pharmacist access for clinical questions
  • Fast turnaround with patient shipment typically within 24–48 hours
  • Experience working with corneal specialists and surgical practices
  • NABP Accredited Compounding Pharmacy

States We Serve

States where Massey Drugs ships compounded medications.

Massey Drugs is a sterile ophthalmic compounding pharmacy licensed to ship ophthalmic solutions to patients in: Alabama, Tennessee, Mississippi, Louisiana, Georgia, Florida, North Carolina, South Carolina, Kentucky, Illinois, Indiana, Ohio, Pennsylvania, New York, Connecticut, and Texas.

How to Prescribe Fluorouracil 1% Ophthalmic Solution

Download Rx Blank from the Practitioner Portal and send to Massey Drugs:

FAX: 800.637.2601
Phone: 833.540.3500
OR

e-Scribe: NPI#: 1295756245 | NCPCP#: 0127553
Massey Drugs | Cloverdale Road 

Upon receipt of prescription, Massey Drugs contacts the patient to confirm shipping address and credit card payment. 

Medication ships to patient in 24-48 hours once processed.

Massey Drugs provides competitively priced compounded ophthalmic eye drops with transparent, prescriber-accessible pricing. All compound pricing can be viewed in our Practitioner Portal so costs can be communicated to patients before prescribing.

Speak with a Pharmacist

If you have questions about ophthalmic compounding, formulation options, or whether this therapy may be appropriate for a specific clinical scenario, our pharmacists are available to consult. Call 833-540-3500 or contact us.

Frequentley Asked Questions

Is fluorouracil a chemotherapy drug?

It interferes with DNA replication in rapidly dividing cells, helping suppress abnormal growth and reduce fibroblast-driven scarring.

Fluorouracil may be used to reduce postoperative scarring, which can impact the success of filtration procedures.

No. Preservative-free fluorouracil ophthalmic solutions are typically compounded for patient-specific use.

Additional Ophthalmic Compounding Capabilities

We compound additional sterile ophthalmic therapies used for: 

  • Post-operative Care
  • Emergency & Infection Management
  • Emergency & Corneal Scarring Support
  • Glaucoma Compounding
  • Myopia Management

Explore our full range of ophthalmic compounding capabilities.