Hay Fever · Allergic Conjunctivitis · Eye Drops
Opatanol Eye Drops: Using Olopatadine for Allergic Conjunctivitis
Medically authored & reviewed by
Dr Abdishakur M Ali
General Practitioner · Telehealth Expert · Clinical Director
Last reviewed: March 2026
GPhC Registered Pharmacy
✓ GPhC-registered pharmacy #9011198·✓ Pharmacist independent prescribers·✓ Discreet next-day delivery·✓ UK-regulated online consultation
Medical disclaimer: This article is for informational purposes only. Opatanol is a prescription-only medicine. Our prescribers are GPhC-registered pharmacist independent prescribers.
Opatanol eye drops (olopatadine 1mg/ml) are a prescription-only antihistamine eye treatment for allergic conjunctivitis — the red, itchy, watery eyes that many hay fever sufferers experience during pollen season. As one of the most effective targeted treatments for hay fever eye symptoms, Opatanol works directly in the eye to block the histamine response responsible for inflammation, providing meaningful relief from seasonal allergic conjunctivitis caused by pollen and other allergens.
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Access Doctor provides Opatanol following a GPhC-regulated online consultation. Pharmacist independent prescribers. Discreet next-day delivery.
Order Opatanol →✓ GPhC-registered pharmacy #9011198 ✓ Pharmacist independent prescribers ✓ Discreet next-day deliveryUnderstanding Allergic Conjunctivitis
The conjunctiva is the thin, transparent tissue that lines the inside of your eyelids and covers the white part of your eye. When allergens — particularly pollen during hay fever season — come into contact with the eye, they trigger an immune response in the conjunctiva. Mast cells in the conjunctiva release histamine, which causes vasodilation and inflammation, producing the familiar symptoms:
- Intense itching of the eyes
- Redness and injection of the whites of the eyes
- Watering or discharge from the eyes
- Swelling of the conjunctiva (chemosis)
- A gritty or burning sensation in the eyes
This condition affects the majority of hay fever sufferers. For a broader overview of all hay fever treatments, see our guide to hay fever: is treatment needed?
Types of Conjunctivitis: Why Diagnosis Matters
| Type | Cause | Key Features | Treatment |
|---|---|---|---|
| Allergic conjunctivitis | Allergens (pollen, dust mites, pets) | Itching, watering, redness; both eyes usually affected; seasonal pattern | Antihistamine eye drops (Opatanol); nasal corticosteroids for associated hay fever |
| Viral conjunctivitis | Adenovirus (cold-related) | Watery discharge; very contagious; often one eye first | Usually self-limiting; hygiene essential |
| Bacterial conjunctivitis | Staphylococcus, Streptococcus | Sticky yellow/green discharge; crusting on lashes | Antibiotic eye drops (prescription) |
Important: Opatanol treats allergic conjunctivitis only. It will not treat bacterial or viral conjunctivitis. If you have a sticky discharge, significant crusting, or rapidly worsening eye symptoms, see a doctor to rule out infection before using Opatanol.
How Opatanol Works: Olopatadine Antihistamine Action
Olopatadine — the active ingredient in Opatanol — is a selective H1 histamine receptor antagonist. It works directly in the eye by:
- Blocking H1 histamine receptors in the conjunctiva, preventing histamine from producing the inflammatory response
- Stabilising mast cells — reducing the release of additional inflammatory mediators beyond histamine
- Providing dual antihistamine and mast cell-stabilising action for comprehensive allergic eye symptom control
Opatanol has been licensed for medical use in Europe since 2002 and has an established evidence base. Clinical studies lasting up to 14 weeks demonstrated that Opatanol significantly reduced itching and redness in allergic conjunctivitis, showing efficacy comparable to cromolyn sodium and levocabastine.
How to Use Opatanol Eye Drops Correctly
1
Wash hands: Wash hands thoroughly before using the eye drops.
2
Remove contact lenses: Remove soft contact lenses before application. Wait at least 15 minutes before reinserting.
3
Tilt head back: Tilt your head back slightly and look up.
4
Pull down lower eyelid: Gently pull down the lower eyelid to form a small pocket.
5
Apply 1 drop: Instil 1 drop into the conjunctival sac of each affected eye.
6
Close eye gently: Close your eye gently for 1–2 minutes after applying the drop.
7
Repeat for other eye: Apply to the other eye if both are affected.
8
8-hour interval: Repeat twice daily, leaving at least 8 hours between doses.
9
Other eye medications: If using other eye medications, leave at least 5 minutes between applications. Apply eye ointments last.
Opatanol can be used safely for up to 4 months as required during the allergic season. Always follow your prescriber’s instructions on duration.
Opatanol and Contact Lenses
Opatanol contains benzalkonium chloride as a preservative. This substance can cause discolouration of soft contact lenses (both soft and RGP lenses). Always remove contact lenses before applying Opatanol and wait at least 15 minutes before reinserting them. If you develop conjunctivitis and wear contact lenses, stop wearing your lenses until symptoms resolve — continuing to wear lenses can lead to secondary infections that require more intensive treatment.
Getting Opatanol from Access Doctor
Access Doctor provides Opatanol eye drops as part of our comprehensive hay fever treatment range. Complete a short online consultation, reviewed by our GPhC-registered pharmacist independent prescribers, and your prescription is dispensed and dispatched the same day — arriving the next working day in discreet packaging.
For complete hay fever management including nasal symptoms, you may also wish to consider Avamys nasal spray alongside Opatanol for both nasal and eye symptom control.
More Hay Fever & Allergy Guides from Access Doctor
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Get Opatanol →✓ GPhC-registered pharmacy #9011198 ✓ Pharmacist independent prescribers ✓ Discreet next-day deliveryFrequently Asked Questions
What is Opatanol and what does it treat?
Opatanol (olopatadine 1mg/ml) is a prescription-only antihistamine eye drop used to treat allergic conjunctivitis — inflammation of the conjunctiva (the thin tissue covering the front of the eye) triggered by allergens such as pollen, dust mites, and pet dander. It is particularly effective for the itching, redness, and watering associated with hay fever eye symptoms.
How do Opatanol eye drops work?
Olopatadine — the active ingredient in Opatanol — is a selective antihistamine that blocks H1 histamine receptors in the eye. By preventing histamine from binding to these receptors, Opatanol reduces the allergic inflammatory response in the conjunctiva — decreasing itching, redness, and swelling.
What is the correct dose for Opatanol eye drops?
The recommended dose is 1 drop into each affected eye, twice daily. The two doses should be given 8 hours apart. Opatanol can be used safely for up to 4 months if needed, but always follow your prescriber’s instructions on duration.
Can I use Opatanol with contact lenses?
Opatanol contains benzalkonium chloride, which can discolour soft contact lenses. Remove contact lenses before applying Opatanol and wait at least 15 minutes before reinserting them. If you develop conjunctivitis while wearing contact lenses, stop wearing them until the condition has cleared.
Is Opatanol safe for children?
Opatanol is licensed for use in adults and children aged 3 years and over. The dosing is the same for children as adults — 1 drop per affected eye, twice daily, 8 hours apart.
How quickly does Opatanol work for allergic conjunctivitis?
Opatanol provides relatively rapid relief of eye itching and redness. Many users notice improvement within 30–60 minutes of the first dose. For ongoing hay fever eye symptoms, consistent twice-daily use throughout the allergen season provides the best protection.
References
- NICE. Allergic rhinitis. CKS 2023. cks.nice.org.uk
- NHS. Conjunctivitis. nhs.uk/conditions/conjunctivitis
- Berdy GJ et al. Olopatadine: an overview of ocular antihistamine activity. Adv Ther. 2005. pubmed.ncbi.nlm.nih.gov
- GPhC. Standards for registered pharmacies. pharmacyregulation.org
Access Doctor is a GPhC-registered online pharmacy (registration number 9011198). All prescriptions are issued by GPhC-registered pharmacist independent prescribers. Medicines are MHRA-compliant UK-licensed products.


