COSOPT OPHTHALMIC SOLUTION
Active substance: TIMOLOL MALEATE
View full screen / Print PDF » Download PDF ⇩
Transcript
CUSTOMER: Waymade PRODUCT: CODE: Cosopt solution 6464/1613E
PRE-PRESS NO.: ARTWORKER: DATE OF PROOF:
02-1808 DT 15/02/13
Q.A. APPROVED: DATE:
CUSTOMER APPROVED: DATE:
PROOF HISTORY: v.2 - waymade - 15/02/13
Leaflet Flat Size = 296 x 317
ARIAL REGULAR FONT SIZE 8 ARIAL BOLD FONT SIZE 10 BRIDGED TO TRANSTEC 6464/2327 2328 2329
UK PIL DATED MAY 2012
Pg 4
Pg 1
Uncommon: Dizziness, depression, inflammation of the iris, visual disturbances including refractive changes (in some cases due to withdrawal of medication to treat excessive contraction of the pupil of the eye), slow heartbeat, fainting, difficulty breathing (dyspnoea), indigestion, and kidney stones (often marked by a sudden onset of excruciating, cramping pain in their low back and/or side, groin, or abdomen). Rare: Systemic lupus erythematosus (an immune disease which may cause an inflammation of internal organs), tingling or numbness of the hands or feet, trouble sleeping, nightmares, memory loss, an increase in signs and symptoms of myasthenia gravis (muscle disorder), decreased sex drive, stroke, temporary short sightedness which may resolve when treatment is stopped, detachment of the layer below the retina that contains blood vessels following from filtration surgery which may cause visual disturbances, drooping of the eyelids (making the eye stay half closed), double vision, eyelid crusting, swelling of the cornea (with symptoms of visual disturbances), low pressure in the eye, ringing noises in your ear, low blood pressure, changes in the rhythm or speed of the heartbeat, congestive heart failure (heart disease with shortness of breath and swelling of feet and legs due to fluid build up), oedema (fluid build up), cerebral ischaemia (reduced blood supply to the brain), chest pain, palpitations (a quicker and/or irregular heartbeat), heart attack, Raynauds phenomenon, swelling or coldness of your hands and feet and reduced circulation in your arms and legs, leg cramps and/or leg pain when walking (claudication), shortness of breath, feeling out of breath, runny or stuffed nose, nose bleed, constriction of the airways in the lungs causing difficulty in breathing, cough, throat irritation, dry mouth, diarrhoea, contact dermatitis, hair loss, skin rash with white silvery coloured appearance (psoriasiform rash), Peyronies disease (which may cause a curvature of the penis), allergic type reactions such as rash, hives, itching, in rare cases possible swelling of the lips, eyes and mouth, wheezing, or severe skin reactions (Stevens Johnson syndrome, toxic epidermal necrolysis). Like other medicines applied into your eyes, timolol is absorbed into the blood. This may cause similar side effects as seen with oral beta-blocking agents. Incidence of side effects after topical ophthalmic administration is lower than when medicines are, for example, taken by mouth or injected. Listed additional side effects include reactions seen within the class of beta-blockers when used for treating eye conditions: Not known: Low blood glucose levels, heart failure, a type of heart rhythm disorder, abdominal pain, vomiting, muscle pain not caused by exercise, sexual dysfunction. If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
COSOPT OPHTHALMIC SOLUTION (dorzolamide/timolol) Patient Information Leaflet
This product is known as the above name but will be referred to as Cosopt throughout this leaflet. Read all of this leaflet carefully before you start using this medicine. Keep this leaflet. You may need to read it again. If you have any further questions, ask your doctor or pharmacist. This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours. If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist. In this leaflet: 1. What Cosopt is and what it is used for 2. Before you use Cosopt 3. How to use Cosopt 4. Possible side effects 5. How to store Cosopt 6. Further information
1. What Cosopt is and what it is used for.
Cosopt contains two medicines: dorzolamide and timolol. Dorzolamide belongs to a group of medicines called carbonic anhydrase inhibitors. Timolol belongs to a group of medicines called beta blockers. These medicines lower the pressure in the eye in different ways. Cosopt is prescribed to lower raised pressure in the eye in the treatment of glaucoma when beta-blocker eyedrop medicine used alone is not adequate.
2. Before you use Cosopt
Do not use Cosopt eye drops solution if you are allergic (hypersensitive) to dorzolamide hydrochloride, timolol maleate or any of the other ingredients of Cosopt. if you have now or had in the past respiratory problems, such as asthma or severe chronic obstructive bronchitis (severe lung disease which may cause wheeziness, difficulty in breathing and/or long-standing cough). if you have a slow heart beat, heart failure or disorders of heart rhythm (irregular heart beats). if you have severe kidney problems, or a prior history of kidney stones. if you have excess acidity of the blood caused by a build up of chloride in the blood (hyperchloraemic acidosis). If you are not sure whether you should use this medicine, contact your doctor or pharmacist. Take special care with Cosopt Tell your doctor about any medical or eye problems you have now or have had in the past: coronary heart disease (symptoms can include chest pain or tightness, breathlessness or choking), heart failure, low blood pressure. disturbances of heart rate such as slow heart beat. breathing problems, asthma or chronic obstructive pulmonary disease. poor blood circulation disease (such as Raynauds disease or Raynauds syndrome). diabetes as timolol may mask signs and symptoms of low blood sugar. overactivity of the thyroid gland as timolol may mask signs and symptoms. Tell your doctor before you have an operation that you are using Cosopt as timolol may change effects of some medicines used during anaesthesia. Also tell your doctor about any allergies or allergic reactions including hives, swelling of the face, lips, tongue, and/or throat which may cause difficulty in breathing or swallowing. Tell your doctor if you have muscle weakness or have been diagnosed as having myasthenia gravis. If you develop any eye irritation or any new eye problems such as redness of the eye or swelling of the eyelids, contact your doctor immediately. If you suspect that Cosopt is causing an allergic reaction or hypersensitivity (for example, skin rash, severe skin reaction, or redness and itching of the eye), stop using this medicine and contact your doctor immediately. Tell your doctor if you develop an eye infection, receive an eye injury, have eye surgery, or develop a reaction including new or worsening symptoms. When Cosopt is instilled into the eye it may affect the entire body. If you wear soft contact lenses, you should consult your doctor before using this medicine. Use in children There is limited experience with Cosopt in infants and children. Use in elderly In studies with Cosopt, the effects of Cosopt were similar in both elderly and younger patients. Use in patients with liver impairment Tell your doctor about any liver problems you now have or have suffered from in the past.
5. How to store Cosopt
Cosopt ophthalmic solution should not be stored above 25C and protected from light. Do not use after the expiry date printed on the carton or bottle label. The expiry date refers to the last day of that month. Keep all medicines out of the sight and reach of children. If your doctor tells you to stop taking the eye drops, please take them back to the pharmacist for safe disposal. Only keep the eye drops if your doctor tells you to. If the solution become discoloured or shows any other signs of deterioration, you should consult your pharmacist who will advise you what to do. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
6. Further information
Your medicine is called Cosopt ophthalmic solution. Each millilitre of solution contains 22.26mg of the active ingredient dorzolamide hydrochloride equivalent to dorzolamide 20mg and 6.83mg Timolol maleate equivalent to timolol 5mg in a clear, colourless solution in a clear plastic dropper bottle, which has an ocumeter device with a white plastic screw cap and a tamper evident seal. Cosopt ophthalmic solution also contains the following inactive ingredients: hydroxyethylcellulose, mannitol, sodium citrate, sodium hydroxide, and purified water. Benzalkonium chloride is added as a preservative. Cosopt ophthalmic solution is available as vials containing 5ml of solution. POM PL No: 6464/1613
This product is manufactured by Laboratoires Merck Sharp & Dohme Chibret, Riom Cedex, France and procured from within the EU and repackaged by the Product Licence holder: Waymade plc, Miles Gray Road, Basildon, Essex SS14 3FR Leaflet revision and issue date (Ref.) 11.2.2013 Cosopt is a registered trademark of Merck Sharp & Dohme Ltd. How can you obtain more information about Cosopt, increased eye pressure or glaucoma? This leaflet gives you the most important information about Cosopt. If you have any questions after you have read it, ask your doctor or pharmacist, who can give you more information about Cosopt and your eye condition. Further information about glaucoma is available from: International Glaucoma Association (IGA) Woodcote House 15 Highpoint Business Village Henwood, Ashford Kent, TN24 8DH Tel: 01233 648170 Registered Charity number 274681. Alternatively, if you or someone you know has problems with their vision, and you require further advice or information, please phone the Royal National Institute for the Blind (RNIB) Helpline on 0303 123 9999, Monday to Friday 8.45am to 5.30pm, calls charged at local rate. (The IGA and RNIB are independent UK charities and are not associated with Waymade Plc.)
Pg 2
WE CANNOT ACCEPT RESPONSIBILITY FOR ANY ERRORS IN THIS PROOF AFTER APPROVAL. THE ARTWORK RECEIVED HAS BEEN SIGNIFICANTLY ADJUSTED, REVISED OR RESET BY US FROM DISK OR HARD COPY. WHILST WE TAKE EXTREME CARE AT ALL TIMES TO ENSURE ACCURACY, THE FINAL RESPONSIBILITY MUST BE TAKEN BY OUR CUSTOMER. IF YOU SIGN THIS PROOF YOU ARE SIGNIFYING FULL APPROVAL OF DESIGN AND TEXT.
WARNING!
WARNING!
THE COLOURS SHOWN ON THIS PROOF ARE FOR GENERAL REPRESENTATION PURPOSES ONLY. THEY ARE NOT ACCURATE AND MUST NOT BE USED AS A COLOUR MATCH FOR THE FINISHED JOB. PLEASE REFER TO THE PANTONE COLOUR GUIDES FOR ACCURATE COLOUR REFERENCES.
CUSTOMER: Waymade PRODUCT: CODE: Cosopt solution 6464/1613E
PRE-PRESS NO.: ARTWORKER: DATE OF PROOF:
02-1808 DT 15/02/13
Q.A. APPROVED: DATE:
CUSTOMER APPROVED: DATE:
PROOF HISTORY: v.2 - waymade - 15/02/13
Leaflet Flat Size = 296 x 317
ARIAL REGULAR FONT SIZE 8 ARIAL BOLD FONT SIZE 10 BRIDGED TO TRANSTEC 6464/2327 2328 2329
UK PIL DATED MAY 2012
Pg 2
Pg 3
Using other medicines Cosopt can affect or be affected by other medicines you are using, including other eye drops for the treatment of glaucoma. Tell your doctor if you are using or intend to use medicines to lower blood pressure, heart medicine or medicines to treat diabetes. Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. This is particularly important if you are: taking medicine to lower blood pressure or to treat heart disease (such as calcium channel blockers, beta-blockers or digoxin). taking medicines to treat a disturbed or irregular heartbeat such as calcium channel blockers, beta-blockers or digoxin. using another eyedrop that contains a beta-blocker. taking another carbonic anhydrase inhibitor such as acetazolamide. taking monoamine oxidase inhibitors (MAOIs) which are used to treat depression. taking a parasympathomimetic medicine which may have been prescribed to help you pass urine. Parasympathomimetics are also a particular type of medicine which is sometimes used to help restore normal movements through the bowel. taking narcotics such as morphine used to treat moderate to severe pain. taking medicines to treat diabetes. taking antidepressants known as fluoxetine and paroxetine. taking a sulfa medicine. taking quinidine (used to treat heart conditions and some types of malaria). Pregnancy and breast-feeding Ask your doctor or pharmacist for advice before taking any medicine. Use in pregnancy Do not use Cosopt if you are pregnant unless your doctor considers it necessary. Use in breast-feeding Do not use Cosopt if you are breast-feeding. Timolol may get into your milk. Ask your doctor for advice before taking any medicine during breast-feeding. Driving and using machines No studies on the effects on the ability to drive or use machines have been performed. There are side effects associated with Cosopt, such as blurred vision, which may affect your ability to drive and/or operate machinery. Do not drive or operate machinery until you feel well or your vision is clear. Important information about some of the ingredients of Cosopt If you wear soft contact lenses, you should consult your doctor before using Cosopt (the preservative benzalkonium chloride may possibly discolour the lenses).
4. Tilt your head back and pull your lower eyelid down slightly to form a pocket between your eyelid and your eye.
5. Invert the bottle, and press lightly with the thumb or index finger over the "Finger Push Area" (as shown) until a single drop is dispensed into the eye as directed by your doctor.
Finger Push Area
DO NOT TOUCH YOUR EYE OR EYELID WITH THE DROPPER TIP. 6. After using Cosopt, press a finger into the corner of your eye, by the nose, or close your eyelids for 2 minutes. This helps to stop the medicine from getting into the rest of the body. 7. Close your eye for a moment and press the inner corner of the eye with your finger for about one minute. This helps to prevent the eye drop from draining down the tear duct. 8. If drop dispensing is difficult after opening for the first time, replace the cap on the bottle and tighten (Do not overtighten) and then remove by turning the cap in the opposite directions as indicated by the arrows on the top of the cap. 9. Repeat steps 4 & 5 with the other eye if instructed to do so by your doctor. 10. Replace the cap by turning until it is firmly touching the bottle. The arrow on the left side of the cap must be aligned with the arrow on the left side of the bottle label for proper closure. Do not overtighten or you may damage the bottle and cap. 11. The dispenser tip is designed to provide a single drop; therefore, do NOT enlarge the hole of the dispenser tip. 12. After you have used all doses, there will be some Cosopt left in the bottle. You should not be concerned since an extra amount of Cosopt has been added and you will get the full amount of Cosopt that your doctor prescribed. Do not attempt to remove the excess medicine from the bottle. If you use more Cosopt than you should If you put too many drops in your eye or swallow any of the contents of the container, among other effects, you may become light-headed, have difficulty breathing, or feel that your heart rate has slowed. Contact your doctor immediately. If you forget to use Cosopt It is important to use Cosopt as prescribed by your doctor. If you miss a dose, use it as soon as possible. However, if it is almost time for the next dose, skip the missed dose and go back to your regular dosing schedule. Do not use a double dose to make up for the forgotten dose. If you stop using Cosopt If you want to stop using this medicine talk to your doctor first. If you have any further questions on the use of this product, ask your doctor or pharmacist.
3. How to use Cosopt
Always use Cosopt eye drops solution exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure. The appropriate dosage and duration of treatment will be established by your doctor. The usual dose is one drop in the affected eye(s) in the morning and in the evening. If you are using this medicine with another eye drop, the drops should be instilled at least 10 minutes apart. Do not change the dose of the medicine without consulting your doctor. Do not allow the tip of the container to touch the eye or areas around the eye. It may become contaminated with bacteria that can cause eye infections leading to serious damage of the eye, even loss of vision. To avoid possible contamination of the container, wash your hands before using this medicine and keep the tip of the container away from contact with any surface. If you think your medication may be contaminated, or if you develop an eye infection, contact your doctor immediately concerning continued use of this bottle. Instructions for use 1. Before using the medication for the first time, be sure the Safety Strip on the front of the bottle is unbroken. A gap between the bottle and the cap is normal for an unopened bottle. Opening Arrows Safety Strip
4. Possible side effects
Like all medicines, Cosopt can cause side effects, although not everybody gets them. You can usually carry on taking the drops, unless the effects are serious. If youre worried, talk to a doctor or pharmacist. Do not stop using Cosopt without speaking to your doctor. Generalised allergic reactions including swelling beneath the skin that can occur in areas such as the face and limbs, and can obstruct the airway which may cause difficulty swallowing or breathing, hives or itchy rash, localised and generalised rash, itchiness, severe sudden life-threatening allergic reaction.
2. Tear off the Safety Strip to break the seal.
Gap Finger Push Area
The frequency of possible side effects listed below is defined using the following convention: Very common (affects more than 1 user in 10) Common (affects 1 to 10 users in 100) Uncommon (affects 1 to 10 users in 1,000) Rare (affects 1 to 10 users in 10,000) Not known (frequency cannot be estimated from the available data) The following side effects have been reported with Cosopt or one of its components either during clinical trials or during post-marketing experience: Very Common Burning and stinging of the eyes, unusual taste.
3. To open the bottle, unscrew the cap by turning as indicated by the arrows on the top of the cap. Do not pull the cap directly up and away from the bottle. Pulling the cap directly up will prevent your dispenser from operating properly. Finger Push Area
Common: Redness in and around the eye(s), watering or itching of the eye(s), corneal erosion (damage to the front layer of the eyeball), swelling and/or irritation in and around the eye(s), feeling of having something in the eye, decreased corneal sensitivity (not realising of getting something in the eye and not feeling pain), eye pain, dry eyes, blurred vision, headache, sinusitis (feeling of tension or fullness in the nose), feeling sick, also called nausea, weakness/tiredness, and fatigue.
Pg 3 Pg 4
WE CANNOT ACCEPT RESPONSIBILITY FOR ANY ERRORS IN THIS PROOF AFTER APPROVAL. THE ARTWORK RECEIVED HAS BEEN SIGNIFICANTLY ADJUSTED, REVISED OR RESET BY US FROM DISK OR HARD COPY. WHILST WE TAKE EXTREME CARE AT ALL TIMES TO ENSURE ACCURACY, THE FINAL RESPONSIBILITY MUST BE TAKEN BY OUR CUSTOMER. IF YOU SIGN THIS PROOF YOU ARE SIGNIFYING FULL APPROVAL OF DESIGN AND TEXT.
WARNING!
WARNING!
THE COLOURS SHOWN ON THIS PROOF ARE FOR GENERAL REPRESENTATION PURPOSES ONLY. THEY ARE NOT ACCURATE AND MUST NOT BE USED AS A COLOUR MATCH FOR THE FINISHED JOB. PLEASE REFER TO THE PANTONE COLOUR GUIDES FOR ACCURATE COLOUR REFERENCES.
PRE-PRESS NO.: ARTWORKER: DATE OF PROOF:
02-1808 DT 15/02/13
Q.A. APPROVED: DATE:
CUSTOMER APPROVED: DATE:
PROOF HISTORY: v.2 - waymade - 15/02/13
Leaflet Flat Size = 296 x 317
ARIAL REGULAR FONT SIZE 8 ARIAL BOLD FONT SIZE 10 BRIDGED TO TRANSTEC 6464/2327 2328 2329
UK PIL DATED MAY 2012
Pg 4
Pg 1
Uncommon: Dizziness, depression, inflammation of the iris, visual disturbances including refractive changes (in some cases due to withdrawal of medication to treat excessive contraction of the pupil of the eye), slow heartbeat, fainting, difficulty breathing (dyspnoea), indigestion, and kidney stones (often marked by a sudden onset of excruciating, cramping pain in their low back and/or side, groin, or abdomen). Rare: Systemic lupus erythematosus (an immune disease which may cause an inflammation of internal organs), tingling or numbness of the hands or feet, trouble sleeping, nightmares, memory loss, an increase in signs and symptoms of myasthenia gravis (muscle disorder), decreased sex drive, stroke, temporary short sightedness which may resolve when treatment is stopped, detachment of the layer below the retina that contains blood vessels following from filtration surgery which may cause visual disturbances, drooping of the eyelids (making the eye stay half closed), double vision, eyelid crusting, swelling of the cornea (with symptoms of visual disturbances), low pressure in the eye, ringing noises in your ear, low blood pressure, changes in the rhythm or speed of the heartbeat, congestive heart failure (heart disease with shortness of breath and swelling of feet and legs due to fluid build up), oedema (fluid build up), cerebral ischaemia (reduced blood supply to the brain), chest pain, palpitations (a quicker and/or irregular heartbeat), heart attack, Raynauds phenomenon, swelling or coldness of your hands and feet and reduced circulation in your arms and legs, leg cramps and/or leg pain when walking (claudication), shortness of breath, feeling out of breath, runny or stuffed nose, nose bleed, constriction of the airways in the lungs causing difficulty in breathing, cough, throat irritation, dry mouth, diarrhoea, contact dermatitis, hair loss, skin rash with white silvery coloured appearance (psoriasiform rash), Peyronies disease (which may cause a curvature of the penis), allergic type reactions such as rash, hives, itching, in rare cases possible swelling of the lips, eyes and mouth, wheezing, or severe skin reactions (Stevens Johnson syndrome, toxic epidermal necrolysis). Like other medicines applied into your eyes, timolol is absorbed into the blood. This may cause similar side effects as seen with oral beta-blocking agents. Incidence of side effects after topical ophthalmic administration is lower than when medicines are, for example, taken by mouth or injected. Listed additional side effects include reactions seen within the class of beta-blockers when used for treating eye conditions: Not known: Low blood glucose levels, heart failure, a type of heart rhythm disorder, abdominal pain, vomiting, muscle pain not caused by exercise, sexual dysfunction. If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
COSOPT OPHTHALMIC SOLUTION (dorzolamide/timolol) Patient Information Leaflet
This product is known as the above name but will be referred to as Cosopt throughout this leaflet. Read all of this leaflet carefully before you start using this medicine. Keep this leaflet. You may need to read it again. If you have any further questions, ask your doctor or pharmacist. This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours. If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist. In this leaflet: 1. What Cosopt is and what it is used for 2. Before you use Cosopt 3. How to use Cosopt 4. Possible side effects 5. How to store Cosopt 6. Further information
1. What Cosopt is and what it is used for.
Cosopt contains two medicines: dorzolamide and timolol. Dorzolamide belongs to a group of medicines called carbonic anhydrase inhibitors. Timolol belongs to a group of medicines called beta blockers. These medicines lower the pressure in the eye in different ways. Cosopt is prescribed to lower raised pressure in the eye in the treatment of glaucoma when beta-blocker eyedrop medicine used alone is not adequate.
2. Before you use Cosopt
Do not use Cosopt eye drops solution if you are allergic (hypersensitive) to dorzolamide hydrochloride, timolol maleate or any of the other ingredients of Cosopt. if you have now or had in the past respiratory problems, such as asthma or severe chronic obstructive bronchitis (severe lung disease which may cause wheeziness, difficulty in breathing and/or long-standing cough). if you have a slow heart beat, heart failure or disorders of heart rhythm (irregular heart beats). if you have severe kidney problems, or a prior history of kidney stones. if you have excess acidity of the blood caused by a build up of chloride in the blood (hyperchloraemic acidosis). If you are not sure whether you should use this medicine, contact your doctor or pharmacist. Take special care with Cosopt Tell your doctor about any medical or eye problems you have now or have had in the past: coronary heart disease (symptoms can include chest pain or tightness, breathlessness or choking), heart failure, low blood pressure. disturbances of heart rate such as slow heart beat. breathing problems, asthma or chronic obstructive pulmonary disease. poor blood circulation disease (such as Raynauds disease or Raynauds syndrome). diabetes as timolol may mask signs and symptoms of low blood sugar. overactivity of the thyroid gland as timolol may mask signs and symptoms. Tell your doctor before you have an operation that you are using Cosopt as timolol may change effects of some medicines used during anaesthesia. Also tell your doctor about any allergies or allergic reactions including hives, swelling of the face, lips, tongue, and/or throat which may cause difficulty in breathing or swallowing. Tell your doctor if you have muscle weakness or have been diagnosed as having myasthenia gravis. If you develop any eye irritation or any new eye problems such as redness of the eye or swelling of the eyelids, contact your doctor immediately. If you suspect that Cosopt is causing an allergic reaction or hypersensitivity (for example, skin rash, severe skin reaction, or redness and itching of the eye), stop using this medicine and contact your doctor immediately. Tell your doctor if you develop an eye infection, receive an eye injury, have eye surgery, or develop a reaction including new or worsening symptoms. When Cosopt is instilled into the eye it may affect the entire body. If you wear soft contact lenses, you should consult your doctor before using this medicine. Use in children There is limited experience with Cosopt in infants and children. Use in elderly In studies with Cosopt, the effects of Cosopt were similar in both elderly and younger patients. Use in patients with liver impairment Tell your doctor about any liver problems you now have or have suffered from in the past.
5. How to store Cosopt
Cosopt ophthalmic solution should not be stored above 25C and protected from light. Do not use after the expiry date printed on the carton or bottle label. The expiry date refers to the last day of that month. Keep all medicines out of the sight and reach of children. If your doctor tells you to stop taking the eye drops, please take them back to the pharmacist for safe disposal. Only keep the eye drops if your doctor tells you to. If the solution become discoloured or shows any other signs of deterioration, you should consult your pharmacist who will advise you what to do. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
6. Further information
Your medicine is called Cosopt ophthalmic solution. Each millilitre of solution contains 22.26mg of the active ingredient dorzolamide hydrochloride equivalent to dorzolamide 20mg and 6.83mg Timolol maleate equivalent to timolol 5mg in a clear, colourless solution in a clear plastic dropper bottle, which has an ocumeter device with a white plastic screw cap and a tamper evident seal. Cosopt ophthalmic solution also contains the following inactive ingredients: hydroxyethylcellulose, mannitol, sodium citrate, sodium hydroxide, and purified water. Benzalkonium chloride is added as a preservative. Cosopt ophthalmic solution is available as vials containing 5ml of solution. POM PL No: 6464/1613
This product is manufactured by Laboratoires Merck Sharp & Dohme Chibret, Riom Cedex, France and procured from within the EU and repackaged by the Product Licence holder: Waymade plc, Miles Gray Road, Basildon, Essex SS14 3FR Leaflet revision and issue date (Ref.) 11.2.2013 Cosopt is a registered trademark of Merck Sharp & Dohme Ltd. How can you obtain more information about Cosopt, increased eye pressure or glaucoma? This leaflet gives you the most important information about Cosopt. If you have any questions after you have read it, ask your doctor or pharmacist, who can give you more information about Cosopt and your eye condition. Further information about glaucoma is available from: International Glaucoma Association (IGA) Woodcote House 15 Highpoint Business Village Henwood, Ashford Kent, TN24 8DH Tel: 01233 648170 Registered Charity number 274681. Alternatively, if you or someone you know has problems with their vision, and you require further advice or information, please phone the Royal National Institute for the Blind (RNIB) Helpline on 0303 123 9999, Monday to Friday 8.45am to 5.30pm, calls charged at local rate. (The IGA and RNIB are independent UK charities and are not associated with Waymade Plc.)
Pg 2
WE CANNOT ACCEPT RESPONSIBILITY FOR ANY ERRORS IN THIS PROOF AFTER APPROVAL. THE ARTWORK RECEIVED HAS BEEN SIGNIFICANTLY ADJUSTED, REVISED OR RESET BY US FROM DISK OR HARD COPY. WHILST WE TAKE EXTREME CARE AT ALL TIMES TO ENSURE ACCURACY, THE FINAL RESPONSIBILITY MUST BE TAKEN BY OUR CUSTOMER. IF YOU SIGN THIS PROOF YOU ARE SIGNIFYING FULL APPROVAL OF DESIGN AND TEXT.
WARNING!
WARNING!
THE COLOURS SHOWN ON THIS PROOF ARE FOR GENERAL REPRESENTATION PURPOSES ONLY. THEY ARE NOT ACCURATE AND MUST NOT BE USED AS A COLOUR MATCH FOR THE FINISHED JOB. PLEASE REFER TO THE PANTONE COLOUR GUIDES FOR ACCURATE COLOUR REFERENCES.
CUSTOMER: Waymade PRODUCT: CODE: Cosopt solution 6464/1613E
PRE-PRESS NO.: ARTWORKER: DATE OF PROOF:
02-1808 DT 15/02/13
Q.A. APPROVED: DATE:
CUSTOMER APPROVED: DATE:
PROOF HISTORY: v.2 - waymade - 15/02/13
Leaflet Flat Size = 296 x 317
ARIAL REGULAR FONT SIZE 8 ARIAL BOLD FONT SIZE 10 BRIDGED TO TRANSTEC 6464/2327 2328 2329
UK PIL DATED MAY 2012
Pg 2
Pg 3
Using other medicines Cosopt can affect or be affected by other medicines you are using, including other eye drops for the treatment of glaucoma. Tell your doctor if you are using or intend to use medicines to lower blood pressure, heart medicine or medicines to treat diabetes. Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. This is particularly important if you are: taking medicine to lower blood pressure or to treat heart disease (such as calcium channel blockers, beta-blockers or digoxin). taking medicines to treat a disturbed or irregular heartbeat such as calcium channel blockers, beta-blockers or digoxin. using another eyedrop that contains a beta-blocker. taking another carbonic anhydrase inhibitor such as acetazolamide. taking monoamine oxidase inhibitors (MAOIs) which are used to treat depression. taking a parasympathomimetic medicine which may have been prescribed to help you pass urine. Parasympathomimetics are also a particular type of medicine which is sometimes used to help restore normal movements through the bowel. taking narcotics such as morphine used to treat moderate to severe pain. taking medicines to treat diabetes. taking antidepressants known as fluoxetine and paroxetine. taking a sulfa medicine. taking quinidine (used to treat heart conditions and some types of malaria). Pregnancy and breast-feeding Ask your doctor or pharmacist for advice before taking any medicine. Use in pregnancy Do not use Cosopt if you are pregnant unless your doctor considers it necessary. Use in breast-feeding Do not use Cosopt if you are breast-feeding. Timolol may get into your milk. Ask your doctor for advice before taking any medicine during breast-feeding. Driving and using machines No studies on the effects on the ability to drive or use machines have been performed. There are side effects associated with Cosopt, such as blurred vision, which may affect your ability to drive and/or operate machinery. Do not drive or operate machinery until you feel well or your vision is clear. Important information about some of the ingredients of Cosopt If you wear soft contact lenses, you should consult your doctor before using Cosopt (the preservative benzalkonium chloride may possibly discolour the lenses).
4. Tilt your head back and pull your lower eyelid down slightly to form a pocket between your eyelid and your eye.
5. Invert the bottle, and press lightly with the thumb or index finger over the "Finger Push Area" (as shown) until a single drop is dispensed into the eye as directed by your doctor.
Finger Push Area
DO NOT TOUCH YOUR EYE OR EYELID WITH THE DROPPER TIP. 6. After using Cosopt, press a finger into the corner of your eye, by the nose, or close your eyelids for 2 minutes. This helps to stop the medicine from getting into the rest of the body. 7. Close your eye for a moment and press the inner corner of the eye with your finger for about one minute. This helps to prevent the eye drop from draining down the tear duct. 8. If drop dispensing is difficult after opening for the first time, replace the cap on the bottle and tighten (Do not overtighten) and then remove by turning the cap in the opposite directions as indicated by the arrows on the top of the cap. 9. Repeat steps 4 & 5 with the other eye if instructed to do so by your doctor. 10. Replace the cap by turning until it is firmly touching the bottle. The arrow on the left side of the cap must be aligned with the arrow on the left side of the bottle label for proper closure. Do not overtighten or you may damage the bottle and cap. 11. The dispenser tip is designed to provide a single drop; therefore, do NOT enlarge the hole of the dispenser tip. 12. After you have used all doses, there will be some Cosopt left in the bottle. You should not be concerned since an extra amount of Cosopt has been added and you will get the full amount of Cosopt that your doctor prescribed. Do not attempt to remove the excess medicine from the bottle. If you use more Cosopt than you should If you put too many drops in your eye or swallow any of the contents of the container, among other effects, you may become light-headed, have difficulty breathing, or feel that your heart rate has slowed. Contact your doctor immediately. If you forget to use Cosopt It is important to use Cosopt as prescribed by your doctor. If you miss a dose, use it as soon as possible. However, if it is almost time for the next dose, skip the missed dose and go back to your regular dosing schedule. Do not use a double dose to make up for the forgotten dose. If you stop using Cosopt If you want to stop using this medicine talk to your doctor first. If you have any further questions on the use of this product, ask your doctor or pharmacist.
3. How to use Cosopt
Always use Cosopt eye drops solution exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure. The appropriate dosage and duration of treatment will be established by your doctor. The usual dose is one drop in the affected eye(s) in the morning and in the evening. If you are using this medicine with another eye drop, the drops should be instilled at least 10 minutes apart. Do not change the dose of the medicine without consulting your doctor. Do not allow the tip of the container to touch the eye or areas around the eye. It may become contaminated with bacteria that can cause eye infections leading to serious damage of the eye, even loss of vision. To avoid possible contamination of the container, wash your hands before using this medicine and keep the tip of the container away from contact with any surface. If you think your medication may be contaminated, or if you develop an eye infection, contact your doctor immediately concerning continued use of this bottle. Instructions for use 1. Before using the medication for the first time, be sure the Safety Strip on the front of the bottle is unbroken. A gap between the bottle and the cap is normal for an unopened bottle. Opening Arrows Safety Strip
4. Possible side effects
Like all medicines, Cosopt can cause side effects, although not everybody gets them. You can usually carry on taking the drops, unless the effects are serious. If youre worried, talk to a doctor or pharmacist. Do not stop using Cosopt without speaking to your doctor. Generalised allergic reactions including swelling beneath the skin that can occur in areas such as the face and limbs, and can obstruct the airway which may cause difficulty swallowing or breathing, hives or itchy rash, localised and generalised rash, itchiness, severe sudden life-threatening allergic reaction.
2. Tear off the Safety Strip to break the seal.
Gap Finger Push Area
The frequency of possible side effects listed below is defined using the following convention: Very common (affects more than 1 user in 10) Common (affects 1 to 10 users in 100) Uncommon (affects 1 to 10 users in 1,000) Rare (affects 1 to 10 users in 10,000) Not known (frequency cannot be estimated from the available data) The following side effects have been reported with Cosopt or one of its components either during clinical trials or during post-marketing experience: Very Common Burning and stinging of the eyes, unusual taste.
3. To open the bottle, unscrew the cap by turning as indicated by the arrows on the top of the cap. Do not pull the cap directly up and away from the bottle. Pulling the cap directly up will prevent your dispenser from operating properly. Finger Push Area
Common: Redness in and around the eye(s), watering or itching of the eye(s), corneal erosion (damage to the front layer of the eyeball), swelling and/or irritation in and around the eye(s), feeling of having something in the eye, decreased corneal sensitivity (not realising of getting something in the eye and not feeling pain), eye pain, dry eyes, blurred vision, headache, sinusitis (feeling of tension or fullness in the nose), feeling sick, also called nausea, weakness/tiredness, and fatigue.
Pg 3 Pg 4
WE CANNOT ACCEPT RESPONSIBILITY FOR ANY ERRORS IN THIS PROOF AFTER APPROVAL. THE ARTWORK RECEIVED HAS BEEN SIGNIFICANTLY ADJUSTED, REVISED OR RESET BY US FROM DISK OR HARD COPY. WHILST WE TAKE EXTREME CARE AT ALL TIMES TO ENSURE ACCURACY, THE FINAL RESPONSIBILITY MUST BE TAKEN BY OUR CUSTOMER. IF YOU SIGN THIS PROOF YOU ARE SIGNIFYING FULL APPROVAL OF DESIGN AND TEXT.
WARNING!
WARNING!
THE COLOURS SHOWN ON THIS PROOF ARE FOR GENERAL REPRESENTATION PURPOSES ONLY. THEY ARE NOT ACCURATE AND MUST NOT BE USED AS A COLOUR MATCH FOR THE FINISHED JOB. PLEASE REFER TO THE PANTONE COLOUR GUIDES FOR ACCURATE COLOUR REFERENCES.
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
