Carteolol Side Effects

Please note - some side effects for Carteolol may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.

Side Effects of Carteolol - for the Consumer

Carteolol 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 when using Carteolol Drops:

Blurred vision; increased tear production; sensitivity to light; temporary burning or stinging.

Seek medical attention right away if any of these SEVERE side effects occur when using Carteolol Drops:

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 or irritation; 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.

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Carteolol Side Effects - for the Professional

Carteolol

The following adverse reactions have been reported in clinical trials with Carteolol Hydrochloride Ophthalmic Solution.

Ocular: Transient eye irritation, burning, tearing, conjunctival hyperemia and edema occurred in about 1 of 4 patients. Ocular symptoms including blurred and cloudy vision, photophobia, decreased night vision, and ptosis and ocular signs including blepharoconjunctivitis, abnormal corneal staining, and corneal sensitivity occurred occasionally.

Systemic: As is characteristic of nonselective adrenergic blocking agents, Carteolol may cause bradycardia and decreased blood pressure. The following systemic events have occasionally been reported with the use of Carteolol Hydrochloride Ophthalmic Solution: cardiac arrhythmia, heart palpitation, dyspnea, asthenia, headache, dizziness, insomnia, sinusitis, and taste perversion.

The following additional adverse reactions have been reported with ophthalmic use of beta1 and beta2 (nonselective) adrenergic receptor blocking agents:

Body As a Whole: Headache

Cardiovascular: Arrhythmia, syncope, heart block, cerebral vascular accident, cerebral ischemia, congestive heart failure, palpitation.

Digestive: Nausea

Psychiatric: Depression

Skin: Hypersensitivity, including localized and generalized rash

Respiratory: Bronchospasm (predominantly in patients with pre-existing bronchospastic disease), respiratory failure

Endocrine: Masked symptoms of hypoglycemia in insulin-dependent diabetics

Special Senses: Signs and symptoms of keratitis, blepharoptosis, visual disturbances including refractive changes (due to withdrawal of miotic therapy in some cases), diplopia, ptosis.

Other reactions associated with the oral use of nonselective adrenergic receptor blocking agents should be considered potential effects with ophthalmic use of these agents.

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Side Effects by Body System - for Healthcare Professionals

General

Carteolol is generally well-tolerated. Side effects are usually mild and transient.

Nervous system

Nervous system side effects include headache in up to 1% to 17%, asthenia in 8%, insomnia in 5%, dizziness in 8%, paresthesias in 2%, and vertigo, nervousness, headache or fatigue in 1% of patients.

Cardiovascular

Cardiovascular problems include chest pain in 2% and edema in 1% of patients. Carteolol may cause or worsen AV heart block. In the rare cases of new or worsened congestive heart failure that are associated with carteolol, a cause-and-effect relationship is not established.

The etiology of "chest pain" was not described in studies and reviews from the medical literature.

Gastrointestinal

Gastrointestinal complaints of abdominal or epigastric pain in 1% to 7% and diarrhea or nausea in 2% of patients is reported.

Respiratory

Respiratory side effects are rare. Cough, pharyngitis, or sinusitis are reported in 1% to 5% of patients. Dyspnea is reported rarely. Patients with a history of reactive airways disease may be more likely to become short of breath while taking carteolol, as during therapy with any beta-blocker.

Musculoskeletal

Musculoskeletal pain is reported in approximately 3% to 13% of patients.

Carteolol and pindolol, beta-adrenergic receptor antagonists with intrinsic sympathomimetic activity (ISA), have more commonly been associated with muscle cramps and elevated serum creatine phosphokinase (CK) levels than beta-blockers without ISA.

Genitourinary

Genitourinary complaints of impotence are reported in less than 1% of male patients.

Psychiatric

Psychiatric side effects including reports of depression have been associated with carteolol.

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