Generic Name: brimonidine (bri-MON-i-deen)
Brand Name: Mirvaso
Brimonidine gel is used for:
Treating persistent redness due to rosacea.
Brimonidine gel is an alpha-adrenergic agonist. It works by constricting blood vessels, which reduces redness.
Do NOT use brimonidine gel if:
- you are allergic to any ingredient in brimonidine gel
Contact your doctor or health care provider right away if any of these apply to you.
Before using brimonidine gel:
Some medical conditions may interact with brimonidine gel. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have depression, heart or blood vessel problems, circulation problems (eg, Raynaud phenomenon), autoimmune problems (eg, Sjogren syndrome, scleroderma), or low blood pressure or dizziness
- if you have irritated skin or open sores
Some MEDICINES MAY INTERACT with brimonidine gel. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Beta-blockers (eg, propranolol), digoxin, monoamine oxidase inhibitors (MAOIs) (eg, selegiline), or medicines for high blood pressure because the risk of low blood pressure may be increased
- Barbiturates (eg, phenobarbital) or opiate pain medicines (eg, oxycodone) because the risk of their side effects may be increased by brimonidine gel
This may not be a complete list of all interactions that may occur. Ask your health care provider if brimonidine gel may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use brimonidine gel:
Use brimonidine gel as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- An extra patient leaflet with instructions for use is available with brimonidine gel. Talk to your pharmacist if you have questions about this information.
- Apply a pea-size amount onto each of the 5 areas of your face (forehead, chin, nose, each cheek) and spread evenly as a thin layer across the entire face, avoiding the eyes and lips.
- Do not apply brimonidine gel to irritated skin or open wounds.
- Wash your hands immediately after using brimonidine gel.
- If you miss a dose of brimonidine gel, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.
Ask your health care provider any questions you may have about how to use brimonidine gel.
Important safety information:
- Brimonidine gel is for external use only. Do not get it in your eyes, nose, or mouth. If you get it in any of these areas, rinse at once with cool water.
- Brimonidine gel may cause harm if it is swallowed. If you may have taken it by mouth, contact your poison control center or emergency room right away.
- Brimonidine gel may lower blood pressure in some patients with heart or blood pressure problems. Talk with your doctor.
- If you use topical products too often, your condition may become worse.
- Talk with your doctor before you use any other medicines or cleansers on your skin.
- Do NOT use more than the recommended dose or use more often than prescribed without checking with your doctor.
- Brimonidine gel should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using brimonidine gel while you are pregnant. It is not known if brimonidine gel is found in breast milk after topical use. Do not breast-feed while using brimonidine gel.
Possible side effects of brimonidine gel:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur:
Flushing, mild burning, redness, or irritation at the application site.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blurred vision or other vision changes; burning, numbness, or tingling; depression; fainting; severe or persistent dizziness; severe or persistent flushing, burning, redness, or irritation at the application site.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.Proper storage of brimonidine gel:
Store brimonidine gel at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep brimonidine gel out of the reach of children and away from pets.
- If you have any questions about brimonidine gel, please talk with your doctor, pharmacist, or other health care provider.
- Brimonidine gel is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
- Check with your pharmacist about how to dispose of unused medicine.
This information should not be used to decide whether or not to take brimonidine gel or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about brimonidine gel. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to brimonidine gel. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using brimonidine gel.
Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.