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. 2022 Oct 5;82(14):1481–1488. doi: 10.1007/s40265-022-01782-4
nAChR agonist administered via a preservative-free, low-volume (0.05 mL), aqueous nasal spray
Increases endogenous tear film production by stimulating the NLR/TPP
Improves signs and symptoms of DED in 4- and 12-week studies
Most common adverse events are non-ocular (sneezing and cough)