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Levobunolol ophthalmic

Generic Name: levobunolol ophthalmic (lee voe BYOO noe lole)
Brand Name: Betagan, Akbeta, Levobunolol, Betagan C-Cap

Medically reviewed by Drugs.com on Mar 13, 2019 – Written by Cerner Multum

What is levobunolol ophthalmic?

Levobunolol ophthalmic (for the eyes) is a beta-blocker that is used to treat open-angle glaucoma and other causes of high pressure inside the eye.

Levobunolol ophthalmic may also be used for purposes not listed in this medication guide.

Important Information

You should not use levobunolol ophthalmic if you have asthma, severe COPD, slow heartbeats, or a heart condition called "AV block."

Before taking this medicine

You should not use this medicine if you are allergic to levobunolol, or if you have:

Tell your doctor if you have ever had:

Tell your doctor if you are pregnant or breast-feeding.

How should I use levobunolol ophthalmic?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Do not use while wearing soft contact lenses. A preservative in levobunolol ophthalmic could permanently stain the lenses. Use the medicine at least 15 minutes before inserting your contact lenses.

Wash your hands before using eye medication.

To apply the eye drops: Tilt your head back slightly and pull down your lower eyelid to create a small pocket. Hold the dropper above the eye and squeeze a drop into this pocket. Close your eyes for 1 or 2 minutes.

Use only the number of drops your doctor has prescribed.

Do not touch the tip of the eye dropper or place it directly on your eye. A contaminated dropper can infect your eye, which could lead to serious vision problems.

Store at room temperature away from heat and light. Keep the bottle tightly closed when not in use.

Tell your doctor right away if you have any eye injury or infection. If you have any type of surgery, tell the surgeon ahead of time that you are using levobunolol ophthalmic. You may need to stop using the medicine for a short time.

What happens if I miss a dose?

Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include slow heart rate, feeling light-headed, or shortness of breath.

What should I avoid while using levobunolol ophthalmic?

Avoid driving or hazardous activity until you know how levobunolol ophthalmic will affect you. Your reactions could be impaired.

Levobunolol ophthalmic side effects

Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).

Call your doctor at once if you have:

  • severe swelling, itching, burning, redness, pain, or discomfort in or around your eye;

  • bronchospasm (wheezing, chest tightness, trouble breathing);

  • a light-headed feeling, like you might pass out;

  • slow heart rate, weak pulse; or

  • numbness, cold feeling, or pale appearance of your fingers or toes.

Common side effects may include:

  • mild burning, stinging, or eye discomfort;

  • feeling like something is in your eye;

  • blurred vision;

  • dizziness, weakness;

  • headache; or

  • rash or itching.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Levobunolol ophthalmic dosing information

Usual Adult Dose for Intraocular Hypertension:

0.25% solution: One to two drops in the affected eye(s) twice a day
0.5% solution: One to two drops in the affected eye(s) once a day

Comments:
-In patients with more severe or uncontrolled glaucoma, the 0.5% solution can be administered twice a day.
-If intraocular pressure is not at a satisfactory level, concomitant therapy with dipivefrin and/or epinephrine, and/or pilocarpine and other miotics, and/or systemically administered carbonic anhydrase inhibitors, such as acetazolamide, can be instituted.
-Patients should not use two or more topical ophthalmic beta-adrenergic blocking drugs concomitantly.

Use: Lowering intraocular pressure in patients with chronic open-angle glaucoma and intraocular hypertension

Usual Adult Dose for Glaucoma (Open Angle):

0.25% solution: One to two drops in the affected eye(s) twice a day
0.5% solution: One to two drops in the affected eye(s) once a day

Comments:
-In patients with more severe or uncontrolled glaucoma, the 0.5% solution can be administered twice a day.
-If intraocular pressure is not at a satisfactory level, concomitant therapy with dipivefrin and/or epinephrine, and/or pilocarpine and other miotics, and/or systemically administered carbonic anhydrase inhibitors, such as acetazolamide, can be instituted.
-Patients should not use two or more topical ophthalmic beta-adrenergic blocking drugs concomitantly.

Use: Lowering intraocular pressure in patients with chronic open-angle glaucoma and intraocular hypertension

What other drugs will affect levobunolol ophthalmic?

Tell your doctor about all your other medicines, especially heart or blood pressure medications.

Other drugs may affect levobunolol ophthalmic, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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