Timoptic Ocudose

Name: Timoptic Ocudose

What should I discuss with my healthcare provider before using Timoptic Ocudose (timolol ophthalmic)?

You should not use this medicine if you are allergic to timolol, or if you have:

  • asthma or severe chronic obstructive pulmonary disease (COPD);

  • certain serious heart conditions, especially "sick sinus syndrome" or 2nd or 3rd degree "AV block";

  • severe heart failure; or

  • slow heartbeats that have caused you to faint.

To make sure timolol ophthalmic is safe for you, tell your doctor if you have ever had:

  • heart disease, a stroke, a blood clot, or circulation problems;

  • breathing problems;

  • diabetes;

  • a thyroid disorder;

  • narrow-angle glaucoma;

  • allergies; or

  • a muscle disorder such as myasthenia gravis.

It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

Timolol ophthalmic can pass into breast milk and may harm a nursing baby. You should not breast-feed while using this medicine.

Timolol ophthalmic is not approved for use by anyone younger than 2 years old.

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

Before Using Timoptic Ocudose

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of timolol eye drops in children 2 years of age and older. However, safety and efficacy have not been established in children younger than 2 years of age.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of timolol eye drops in the elderly.

Pregnancy

Pregnancy Category Explanation
All Trimesters C Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Clonidine
  • Crizotinib
  • Diltiazem
  • Dronedarone
  • Epinephrine
  • Fenoldopam
  • Fingolimod
  • Indacaterol
  • Lacosamide
  • Oxymetazoline
  • Rivastigmine
  • Verapamil

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Acarbose
  • Aceclofenac
  • Acemetacin
  • Acetyldigoxin
  • Albiglutide
  • Alfuzosin
  • Alogliptin
  • Amiodarone
  • Amtolmetin Guacil
  • Arbutamine
  • Aspirin
  • Bromfenac
  • Bufexamac
  • Bunazosin
  • Canagliflozin
  • Celecoxib
  • Chlorpropamide
  • Choline Salicylate
  • Cimetidine
  • Clonixin
  • Dapagliflozin
  • Deslanoside
  • Dexibuprofen
  • Dexketoprofen
  • Diclofenac
  • Diflunisal
  • Digitoxin
  • Digoxin
  • Dipyrone
  • Doxazosin
  • Droxicam
  • Dulaglutide
  • Empagliflozin
  • Etodolac
  • Etofenamate
  • Etoricoxib
  • Exenatide
  • Felbinac
  • Fenoprofen
  • Fepradinol
  • Feprazone
  • Floctafenine
  • Flufenamic Acid
  • Flurbiprofen
  • Glimepiride
  • Glipizide
  • Glyburide
  • Ibuprofen
  • Indomethacin
  • Insulin Aspart, Recombinant
  • Insulin Degludec
  • Insulin Detemir
  • Insulin Glargine, Recombinant
  • Insulin Glulisine
  • Insulin Human Inhaled
  • Insulin Human Isophane (NPH)
  • Insulin Human Regular
  • Insulin Lispro, Recombinant
  • Ketoprofen
  • Ketorolac
  • Linagliptin
  • Liraglutide
  • Lixisenatide
  • Lornoxicam
  • Loxoprofen
  • Lumiracoxib
  • Meclofenamate
  • Mefenamic Acid
  • Meloxicam
  • Metformin
  • Methyldopa
  • Metildigoxin
  • Mibefradil
  • Miglitol
  • Morniflumate
  • Moxisylyte
  • Nabumetone
  • Naproxen
  • Nateglinide
  • Nepafenac
  • Niflumic Acid
  • Nimesulide
  • Nimesulide Beta Cyclodextrin
  • Oxaprozin
  • Oxyphenbutazone
  • Parecoxib
  • Phenoxybenzamine
  • Phentolamine
  • Phenylbutazone
  • Piketoprofen
  • Pioglitazone
  • Piroxicam
  • Pramlintide
  • Pranoprofen
  • Prazosin
  • Proglumetacin
  • Propyphenazone
  • Proquazone
  • Repaglinide
  • Rofecoxib
  • Rosiglitazone
  • Salicylic Acid
  • Salsalate
  • Saxagliptin
  • Sitagliptin
  • Sodium Salicylate
  • St John's Wort
  • Sulindac
  • Tamsulosin
  • Tenoxicam
  • Terazosin
  • Tiaprofenic Acid
  • Tolazamide
  • Tolbutamide
  • Tolfenamic Acid
  • Tolmetin
  • Trimazosin
  • Urapidil
  • Valdecoxib
  • Vildagliptin

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Asthma, or history of or
  • Bradycardia (slow heartbeat) or
  • Cardiogenic shock (shock caused by heart attack) or
  • Chronic obstructive pulmonary disease (COPD), severe or
  • Heart block or
  • Heart failure—Should not use in patients with these conditions.
  • Allergic reaction (eg, anaphylaxis, atopy), or history of—May increase risk of an allergic reaction to occur again.
  • Blood vessel disease (especially blood vessels of the brain) or
  • Lung disease or
  • Myasthenia gravis (muscle weakness) or
  • Stroke, history of—Use with caution. May make these conditions worse.
  • Diabetes or
  • Hyperthyroidism (overactive thyroid) or
  • Hypoglycemia (low blood sugar)—May cover up some of the signs and symptoms of these diseases, such as a fast heartbeat.

Timoptic Ocudose Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common
  • Blurred vision
  • burning or stinging in the eye
Less common
  • Arm, back, or jaw pain
  • blisters, hives, welts, or itching
  • blue lips, fingernails, or skin
  • burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
  • change in vision
  • chest pain or discomfort
  • chest tightness or heaviness
  • confusion about identity, place, and time
  • continuing ringing or buzzing or other unexplained noise in ears
  • coughing that sometimes produces a pink frothy sputum
  • depression
  • difficult, fast, noisy breathing
  • difficulty with chewing, swallowing, or talking
  • dilated neck veins
  • discharge, excessive tearing
  • disturbed color perception
  • dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
  • double vision
  • drooping eyelids
  • dry or itching eyes
  • extreme fatigue
  • false sense of well-being
  • fast, slow, irregular, pounding, or racing heartbeat or pulse
  • fear or nervousness
  • feeling of having something in the eye
  • fever and chills
  • flashes of light, floaters in vision
  • general feeling of discomfort or illness
  • hair loss
  • halos around lights
  • headache
  • inability to speak
  • increased sweating
  • irregular, fast or slow, or shallow breathing
  • large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
  • lightheadedness, dizziness, or fainting
  • loss of vision
  • memory loss
  • mood swings
  • muscle or joint pain
  • muscle weakness
  • nausea
  • night blindness
  • no blood pressure or pulse
  • overbright appearance of lights
  • pain, tension, and weakness upon walking that subsides during periods of rest
  • pale skin
  • paleness or cold feeling in the fingertips, toes, hands, and feet
  • personality changes
  • pounding in the ears
  • puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
  • redness of the skin
  • redness, pain, swelling or irritation of the eye, eyelid, or inner lining of the eyelid
  • seeing double
  • seeing, hearing, or feeling things that are not there
  • seizures
  • severe numbness, especially on one side of the face or body
  • severe or sudden headache
  • severe tiredness
  • skin irritation or rash, including rash that looks like psoriasis
  • slurred speech
  • sore throat
  • stopping of heart
  • sweating
  • swelling of the face, fingers, feet, lower legs, and ankles
  • swollen glands
  • temporary blindness
  • tingling or pain in the fingers or toes when exposed to cold
  • tunnel vision
  • unconsciousness
  • unusual tiredness or weakness
  • weakness in arm and/or leg on one side of the body, sudden and severe
  • weight gain

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common
  • Acid or sour stomach
  • belching
  • body aches or pain
  • diarrhea
  • dry mouth
  • ear congestion
  • hearing loss
  • heartburn
  • indigestion
  • lack or loss of strength
  • loss of appetite
  • loss of voice
  • nightmares
  • runny nose
  • sleepiness or unusual drowsiness
  • sneezing
  • stomach discomfort, upset, or pain
  • stuffy nose
  • trouble sleeping
  • weight loss

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Uses of Timoptic Ocudose

  • It is used to treat glaucoma.
  • It is used to lower high eye pressure.

What are some things I need to know or do while I take Timoptic Ocudose?

  • Tell all of your health care providers that you take this medicine. This includes your doctors, nurses, pharmacists, and dentists.
  • Use care when driving or doing other tasks that call for clear eyesight.
  • This medicine may hide the signs of low blood sugar. Talk with the doctor.
  • Have your eye pressure and eyesight checked as you have been told by the doctor.
  • Tell your doctor if you have an eye infection, eye injury, or will be having eye surgery.
  • Very bad and sometimes deadly breathing problems have happened with Timoptic Ocudose in patients with asthma. Talk with the doctor.
  • Very bad heart problems like heart failure and deadly heart attack have happened with this medicine. Talk with your doctor.
  • This medicine may make it harder to tell if you have signs of an overactive thyroid like fast heartbeat. If you have an overactive thyroid and stop taking Timoptic Ocudose all of a sudden, it may get worse and could be life-threatening. Talk with your doctor.
  • If you have had a very bad allergic reaction, talk with your doctor. You may have a chance of an even worse reaction if you come into contact with what caused your allergy. If you use epinephrine to treat very bad allergic reactions, talk with your doctor. Epinephrine may not work as well while you are taking this medicine.
  • Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using Timoptic Ocudose while you are pregnant.
  • Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight.
  • Change in eyesight, eye pain, or very bad eye irritation.
  • Shortness of breath, a big weight gain, or swelling in the arms or legs.
  • Very bad dizziness or passing out.
  • Very bad headache.
  • Slow heartbeat.
  • A heartbeat that does not feel normal.
  • Chest pain.
  • Trouble breathing.
  • Muscle weakness.

What are some other side effects of Timoptic Ocudose?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

  • Burning.
  • Stinging.
  • Eye irritation.
  • Headache.
  • Dizziness.
  • Signs of a common cold.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

How do I store and/or throw out Timoptic Ocudose?

  • Store foil pouch at room temperature. Throw away any unused portion of opened pouch after 30 days.
  • Store unused containers in foil pouch until use.
  • Do not freeze.
  • Protect from light.
  • Store in a dry place. Do not store in a bathroom.
  • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
  • Check with your pharmacist about how to throw out unused drugs.
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