Ocupress Side Effects

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

Ocupress Side Effects - for the Professional

Ocupress

The following adverse reactions have been reported in clinical trials with Ocupress 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, Ocupress may cause bradycardia and decreased blood pressure. The following systemic events have occasionally been reported with the use of Ocupress: 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.

Side Effects by Body System - for Healthcare Professionals

General

Carteolol is generally well-tolerated. Side effects are usually mild and transient. Although carteolol ophthalmic solution has not been detected in the plasma following ocular administration, it may be absorbed systemically and side effects similar to systemically administered carteolol or other beta-blockers may be experienced.

Ocular

Ocular side effects have included transient eye irritation, burning, tearing, conjunctival hyperemia, and edema in approximately 25% of patients. Ocular stinging, dry eyes, pain, and pruritus have also been reported. Blurred and cloudy vision, photophobia, decreased night vision, ptosis, blepharoconjunctivitis, abnormal corneal staining, and corneal sensitivity have been reported rarely.

Ocular side effects associated with ophthalmic beta blockers have included signs and symptoms of keratitis, blepharoptosis, visual disturbances including refractive changes, diplopia, and ptosis. In some instances visual disturbances may be caused by withdrawal of miotic therapy.

Cardiovascular

Cardiovascular side effects have included cardiac arrhythmia, heart palpitations, syncope, cerebral vascular accident, and cerebral ischemia. Carteolol may cause or worsen AV heart block.

Congestive heart failure has been reported with other topical ophthalmic beta-blockers.

Respiratory

Respiratory side effects have rarely included dyspnea and sinusitis. As with other beta-blockers, patients with a history of reactive airways disease may be more likely to become short of breath while taking carteolol.

Respiratory side effects associated with other ophthalmic beta-blockers have rarely included bronchospasm and severe respiratory failure. Patients with preexisting reactive airways disease or bronchospastic disease may be especially sensitive to these side effects.

Nervous system

Nervous system side effects have occasionally included asthenia, headache, dizziness, and insomnia.

Psychiatric

Psychiatric side effects associated with ophthalmic beta blockers have included depression.

Gastrointestinal

Gastrointestinal side effects have included taste perversion and nausea.

Genitourinary

Genitourinary side effects associated with oral carteolol and other ophthalmic beta blockers have rarely included complaints of impotence in male patients (<1%).

Metabolic

In one study, ocular carteolol was reported to decrease HDL cholesterol by 3.3% and raise the ratio of total to HDL cholesterol by 4.0%. Nasolacrimal occlusion was not performed after administration.

Metabolic side effects have included a slight decrease in HDL cholesterol and a slight increase in the total to HDL cholesterol ratio.

Dermatologic

Dermatological side effects associated with other topical beta-blocker agents have included localized and generalized rash.

Endocrine

Endocrine side effects associated with ophthalmic beta blockers have included masking of both the signs and symptoms of hypoglycemia in insulin-dependent diabetics, and hyperthyroidism/thyroid storm.

Hypersensitivity

Hypersensitivity reactions associated with ophthalmic beta blockers have included localized and generalized rash.

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