Generic Name: levobunolol (lee-voe-BYOO-noe-lole)
Brand Name: Betagan
Levobunolol drops are used for:
Lowering eye pressure and treating glaucoma. It may also be used for other conditions as determined by your doctor.
Levobunolol drops are an ophthalmic beta-blocker. It is unknown exactly how levobunolol drops works to reduce the fluid pressure inside the eye, but it appears to reduce the amount of liquid produced.
Do NOT use levobunolol drops if:
- you are allergic to any ingredient in levobunolol drops
- you have severe chronic obstructive pulmonary disease (COPD), heart failure, complete or second-degree heart block, heart shock, a resting heart rate less than 60 beats/minute, or a heart rate less than 45 beats/minute after a heart attack
- you have a history of asthma
Contact your doctor or health care provider right away if any of these apply to you.
Before using levobunolol drops:
Tell your health care provider if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are 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 had an allergic reaction to other beta-blockers (eg, propranolol)
- if you have bronchitis, breathing or lung problems, COPD, diabetes, first-degree heart block, overactive thyroid, low blood sugar levels, blood flow or blood vessel problems, or a history of heart failure
Some MEDICINES MAY INTERACT with levobunolol drops. Tell your health care provider if you are taking any of the following medicines.
- Beta-blockers (eg, propranolol), bupivacaine, calcium channel blockers (eg, diltiazem), catecholamine-depleting agents (eg, reserpine), digoxin, disopyramide, flecainide, insulin, ketanserin, phenothiazines (eg, chlorpromazine), quinazolines (eg, alfuzosin), or verapamil because their actions and side effects may be increased by levobunolol drops
- Clonidine because when given with levobunolol drops, if it is suddenly stopped, it may cause rebound high blood pressure
This may not be a complete list of all interactions that may occur. Ask your health care provider if levobunolol drops 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 levobunolol drops:
Use levobunolol drops as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Levobunolol drops contains benzalkonium chloride, a preservative that may be absorbed by soft contact lenses. Contact lenses should be removed before using levobunolol drops. Ask your doctor or pharmacist how long you should wait before putting your contacts back in after you use levobunolol drops.
- To use levobunolol drops, wash your hands. Tilt your head back. Using your index finger, pull the lower eyelid away from the eye to form a pouch. Drop the medicine into the pouch and gently close your eyes. Immediately use your finger to apply pressure to the inside corner of the eye (unless you recently had eye surgery) and continue to apply pressure for 1 or 2 minutes after using the medicine. Do not blink. Keep your eyes closed for 1 or 2 minutes. Remove excess medicine around your eye with a clean tissue, being careful not to touch your eye. Wash your hands to remove any medicine that may be on them.
- To prevent germs from entering your medicine, do not touch the dropper tip to any surface, including your eye. Keep the container tightly closed.
- Continue to use levobunolol drops even if you feel well. Do not miss any doses.
- If you miss a dose of levobunolol drops, 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 levobunolol drops.
Important safety information:
- Levobunolol drops may cause blurred vision and, infrequently, drowsiness or dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to levobunolol drops. Using levobunolol drops alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
- Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using levobunolol drops.
- Diabetes patients - Levobunolol drops can hide signs of low blood sugar (such as a rapid heart rate) and change blood sugar levels. Your health care provider may need to change the amount of diabetes medicines you are taking.
- Some of these products contain sulfites, which can cause allergic reactions in certain individuals (eg, asthma patients). If you have previously had allergic reactions to sulfites, contact your pharmacist to determine if the product you are taking contains sulfites.
- LAB TESTS, including checking for intraocular pressure, may be performed to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.
- Use levobunolol drops with extreme caution in CHILDREN. Safety and effectiveness have not been confirmed.
- PREGNANCY and BREAST-FEEDING: If you become pregnant, discuss with your doctor the benefits and risks of using levobunolol drops during pregnancy. It is unknown if levobunolol drops are excreted in breast milk. If you are or will be breast-feeding while you are taking levobunolol drops check with your doctor to discuss the benefits and risks to your baby.
Possible side effects of levobunolol drops:
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:
Blurred vision; brow ache; increased tearing; sensitivity to light; temporary burning or stinging.
Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); changes in heart rate; chest pain; eye or eyelid swelling; headache; muscle weakness; one-sided weakness; shortness of breath; slow or irregular heartbeat; slurred speech; swelling of the hands, ankles, or feet; vision changes.
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. Symptoms may include dizziness; fainting; slow heartbeat. Levobunolol drops may be harmful if swallowed.Proper storage of levobunolol drops:
Store levobunolol drops upright at room temperature, between 59 and 86 degrees F (15 and 30 degrees C), in a tightly closed container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep levobunolol drops out of the reach of children and away from pets.
- If you have any questions about levobunolol drops, please talk with your doctor, pharmacist, or other health care provider.
- Levobunolol drops are 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 levobunolol drops 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 levobunolol drops. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to levobunolol drops. 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 levobunolol drops.
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.