Roclanda is a once-daily fixed-combination eye drop that combines netarsudil 0.02% (a Rho-kinase inhibitor) with latanoprost 0.005% (a prostaglandin analogue) to lower intraocular pressure in open-angle glaucoma and ocular hypertension. It is used when a single-agent drop has not lowered pressure enough, replacing two separate bottles with one evening drop. Our consultant glaucoma specialists confirm suitability, prescribe it and monitor your pressure and optic nerve.
What Roclanda is
Roclanda (known as Rocklatan in some countries) pairs two pressure-lowering medicines with complementary actions. Latanoprost increases the natural outflow of fluid through the uveoscleral route, while netarsudil — a Rho-kinase (ROCK) inhibitor — increases outflow through the trabecular meshwork and lowers the pressure of blood in the episcleral veins. Because the two work in different ways, the combination lowers eye pressure more than either drop alone.
It is prescribed for adults with open-angle glaucoma or ocular hypertension whose pressure stays too high on a single medicine, as a convenient one-bottle alternative to a prostaglandin plus a separate second drop.
How to use it
The dose is one drop in the affected eye(s) once daily, in the evening. If you use other eye drops, leave at least five minutes between them, and remove contact lenses before instilling the drop. Taking it at the same time each evening gives the steadiest control. Do not exceed once-daily dosing — with prostaglandins, more frequent use can actually reduce the pressure-lowering effect.
Pressure not controlled on a single drop? A consultant can review whether a fixed combination like Roclanda suits you.
Book your assessmentSuitability & side effects
Roclanda suits people who need more pressure reduction than one drop provides, who want to avoid laser or surgery for now and who can tolerate a prostaglandin. The most common effect is conjunctival hyperaemia (eye redness), which often settles with time. Netarsudil can cause tiny, harmless corneal deposits (cornea verticillata) and occasional small conjunctival haemorrhages; latanoprost can gradually darken the iris and the skin around the eye and lengthen the lashes. Your consultant weighs these against the benefit of avoiding surgery and reviews alternatives — including SLT laser and glaucoma surgery — if drops are not tolerated or not enough.
Cost of private Roclanda treatment
The drop itself is a standard prescription medicine dispensed at pharmacy cost; the main private cost is the specialist care around it. A consultant glaucoma assessment from £240 covers your pressure check, optic-nerve and visual-field assessment, the prescription and a monitoring plan. Because glaucoma needs lifelong follow-up, most patients arrange periodic reviews. See the full glaucoma price guide or the overall price guide.
Frequently asked questions
What is Roclanda used for?
Roclanda is a once-daily eye drop for adults with open-angle glaucoma or ocular hypertension. It combines netarsudil (a Rho-kinase inhibitor) and latanoprost (a prostaglandin) to lower intraocular pressure, used when a single-agent drop has not reduced pressure enough.
How does Roclanda lower eye pressure?
It works in two complementary ways. Latanoprost increases fluid drainage through the uveoscleral pathway, while netarsudil increases drainage through the trabecular meshwork and lowers episcleral venous pressure, so it lowers pressure more than either drug alone.
When should I take Roclanda?
One drop in the affected eye(s) once daily in the evening. Leave at least five minutes between Roclanda and any other eye drops, and remove contact lenses first. Using it more than once daily is not recommended and can reduce its effect.
What are the side effects of Roclanda?
The most common is eye redness (conjunctival hyperaemia). Netarsudil can cause harmless corneal deposits and small conjunctival haemorrhages; latanoprost can gradually darken the iris and eyelid skin and lengthen the lashes. Your consultant will discuss these and monitor you.
What if drops do not control my glaucoma?
If pressure stays high or drops are not tolerated, options include SLT laser trabeculoplasty and glaucoma surgery such as MIGS or trabeculectomy. A consultant assessment determines the best next step for your eyes.