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Package leaflet: Information for the patient

TEOPTIC® 1% w/v Eye Drops, solution
TEOPTIC® 2% w/v Eye Drops, solution
(carteolol hydrochloride)

Read all of this leaflet carefully before you start to use this medicine
because it contains important information for you.
• Keep this leaflet. You may need to read it again.
• If you have further questions, ask your doctor, pharmacist or nurse.
• This medicine has been prescribed for you only. Do not pass it on to
others. It may harm them, even if their signs of illness are the same as
• If you get any side effects, talk to your doctor, pharmacist or nurse. This
includes any possible side effects not listed in this leaflet.
The eye drops will usually be referred to as Teoptic in this leaflet.
What is in this leaflet:
1. What Teoptic is and what it is used for
2. What you need to know before you use Teoptic
3. How to use Teoptic
4. Possible side effects
5. How to store Teoptic
6. Contents of the pack and other information
1. What Teoptic is and what it is used for
Teoptic is available in two different strengths containing either 1% or 2% of the
active ingredient, carteolol hydrochloride.
Carteolol hydrochloride is one of a group of drugs called beta-blockers which
can help to reduce pressure in the eye. Teoptic is used to treat conditions such
as glaucoma (increased pressure in the eye).
2. What you need to know before you use Teoptic
Do not use Teoptic eye drops solution:
• if you are allergic to carteolol hydrochloride, beta-blockers or to any of the
other ingredients of this medicine (listed in section 6.)
• if you have now or have had in past respiratory problems such as asthma,
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).
Warnings and precautions
Before you use this medicine, tell your doctor if you have now or have had in
the past
• coronary heart disease (symptoms can include chest pain or tightness,
breathlessness or choking), heart failure
• disturbances of heart rate such as slow heart beat
• breathing problems, asthma or chronic obstructive pulmonary disease
• poor blood circulation disease (such as Raynaud’s disease or Raynaud’s
• diabetes as carteolol hydrochloride may mask signs and symptoms of low
blood sugar
• overactivity of the thyroid gland as carteolol hydrochloride may mask signs
and symptoms
Tell your doctor before you have an operation that you are using Teoptic as
carteolol hydrochloride may change effects of some medicines used during
Other medicines and Teoptic
Teoptic 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.
Pregnancy, breast-feeding and fertility
Do not use Teoptic if you are pregnant or trying to get pregnant unless your
doctor considers it necessary.
Do not use Teoptic if you are breast-feeding. Carteolol hydrochloride may get
into your milk.
Ask your doctor for advice before taking any medicine during breast-feeding.
Driving and using machines
Some people may have problems with their eyes such as blurred vision,
while they are using Teoptic. If you are affected, you should not drive or use
Teoptic contains benzalkonium chloride
Benzalkonium chloride may cause eye irritation. Avoid contact with soft lenses.
Take out lenses before you use Teoptic and do not put them back for at least
15 minutes. Benzalkonium chloride is known to discolour soft contact lenses.
3. How to use Teoptic
Always use Teoptic eye drops solution exactly as your doctor has told you. You
should check with your doctor or pharmacist if you are not sure.
The recommended dose is one drop into the affected eye twice daily.
After using Teoptic, press a finger into the corner of your eye, by the nose
(picture 3) for 2 minutes. This helps to stop carteolol hydrochloride getting into
the rest of the body.
Use in children and adolescents
Teoptic Eye Drops are not recommended for children.
How to use Teoptic
• Wash your hands before using the drops
• Remove the cap from the dropper bottle
• Make sure that the tip of the bottle does not touch anything
• Hold the bottle in one hand between the thumb
and forefinger
• Tilt your head back, and use your other forefinger
to pull down the lower eyelid

Place the dropper tip close to your eye, but not
touching the eye or lid, and gently squeeze the
bottle to release one drop into your eye


Close your eyelid and gently press the corner of
your eye with your forefinger for 2 minutes

Replace the cap and wash your hands.

If you forget to use Teoptic
If you forget to use your eye drops, put them in as soon as possible. Do not
take a double dose to make up for a forgotten dose.
If you use more Teoptic than you should
If you use too much or if you accidentally swallow the eye drops, see your
doctor at once or go to your nearest hospital casualty department. Take your
medicine with you.
If you have any further questions on the use of this medicine, ask your doctor,
pharmacist or nurse.
4. Possible side effects
Like all medicines, Teoptic eye drops, solution can cause side effects, although
not everybody gets them
You can usually carry on taking the drops, unless the effects are serious. If you
are worried, talk to a doctor or pharmacist. Do not stop using Teoptic without
speaking to your doctor.
Like other medicines applied into eyes, carteolol hydrochloride is absorbed
into the blood. This may cause similar side effects as seen with ‘intraveneous’
and/or ‘oral’ as applicable 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 side effects include reactions seen
within the class of beta-blockers when used for treating eye conditions:
• Generalized 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,
localized and generalized rash, itchiness, severe sudden life-threatening
allergic reaction.
• Low blood glucose levels.
• Difficulty sleeping (insomnia), depression, nightmares, memory loss.
• Fainting, stroke, reduced blood supply to the brain, increases in signs
and symptoms of myasthenia gravis (muscle disorder), dizziness, unusual
sensations like pins and needles, and headache.
• Signs and symptoms of eye irritation (e.g. burning, stinging, itching,
tearing, redness), inflammation of the eyelid, inflammation in the cornea,
blurred vision and detachment of the layer below the retina that contains
blood vessels following filtration surgery which may cause visual
disturbances, decreased corneal sensitivity, dry eyes, corneal erosion
(damage to the front layer of the eyeball), drooping of the upper eyelid
(making the eye stay half closed), double vision, unusual sensitivity to light.
• Slow heart rate, chest pain, palpitations, oedema (fluid build up), changes
in the rhythm or speed of the heartbeat, congestive heart failure (heart
disease with shortness of breath and swelling of the feet and legs due to
fluid build up), a type of heart rhythm disorder, heart attack, heart failure.
• Low blood pressure, Raynaud’s phenomenon, cold hands and feet.
• Constriction of the airways in the lungs (predominantly in patients with preexisting disease), difficulty breathing, cough.
• Taste disturbances, nausea, indigestion, diarrhoea, dry mouth, abdominal
pain, vomiting.
• Hair loss, skin rash with white silvery coloured appearance (psoriasiform
rash) or worsening of psoriasis, skin rash.
• Muscle pain not caused by exercise.
• Sexual dysfunction, decreased libido.
• Muscle weakness/tiredness, feeling of discomfort, feeling of tension or
fullness in the nose, cheeks and behind your eyes, sometimes with a
throbbing ache, fever, stuffy nose and loss of the sense of smell (sinusitis).
If any of the side effects get serious, or if you notice any side effects
not mentioned in this leaflet, please, tell your doctor or pharmacist.
5. How to store Teoptic
Keep this medicine out of the sight and reach of children.
Do not use this medecine after the expiry date which is stated on the carton,
sachet and single-dose container after EXP. The expiry date refers to the last
day of that month.
Do not store the drops above 25ºC.
The drops are sterile until the seal on the bottle is broken. Do not use if the
seal is broken when you receive the bottle. Take it back to the pharmacist.
Do not use the drops for longer than 28 days after first breaking the seal.
If your doctor tells you to stop using Teoptic Eye Drops, please take any left
back to your pharmacist to be destroyed. Only keep the drops if the doctor
tells you to.
Do not throw away any medecines via wastewater. Ask your pharmacist how to
throw away medicines you no longer use. These measures will help protect the
6. Contents of the pack and other information
What Teoptic contains
Teoptic Eye Drops come in two strengths, containing 1% or 2% w/v of the
active ingredient, carteolol hydrochloride. They also contain the inactive
ingredients benzalkonium chloride (a preservative) and sodium chloride, sodium
phosphate and water for injections.
What Teoptic looks like and contents of the pack
The bottles contain 5ml of eye drops. Teoptic is produced in two pack sizes
1 x 5ml and 3 x 5ml. Not all pack sizes may be marketed.
The product licence/authorisation holder is Laboratoires THEA, 12 rue Louis
Blériot 63017 Clermont-Ferrand Cedex 2 France.
Teoptic Eye Drops are made by EXCELVISION, rue de la Lombardière 07100
Annonay FRANCE
This leaflet was last revised in May 2012.
If you would like any more information, or would like the leaflet in a different
format, please contact Spectrum THEA Pharmaceuticals Ltd, telephone number
0845 521 1290.
Teoptic is a registered trademark used by agreement with Otsuka, Japan.

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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 combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.