Propine Side Effects
Generic Name: dipivefrin ophthalmic
Note: This page contains side effects data for the generic drug dipivefrin ophthalmic. It is possible that some of the dosage forms included below may not apply to the brand name Propine.
For the Consumer
Applies to dipivefrin ophthalmic: ophthalmic solution
As well as its needed effects, dipivefrin ophthalmic (the active ingredient contained in Propine) may cause unwanted side effects that require medical attention.
If any of the following side effects occur while taking dipivefrin ophthalmic, check with your doctor or nurse as soon as possible:Rare:
- Fast or irregular heartbeat
- increase in blood pressure
- itching, pain, redness, or swelling of eye or eyelid (severe), or other irritation of the eye
- skin rash or hives
- watering of eyes (severe and continuing)
Some dipivefrin ophthalmic side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. Your health care professional may be able to help you prevent or reduce these side effects, but do check with them if any of the following side effects continue, or if you are concerned about them:Less common:
- Blurred vision
- burning or stinging of the eye
- increased sensitivity of eyes to light
- large pupils
For Healthcare Professionals
Applies to dipivefrin ophthalmic: ophthalmic solution
Ocular side effects have included injection (6.5%), stinging (6%), and burning (6%). Follicular conjunctivitis and mydriasis have been reported rarely. Corneal vascularization or vesicles, eyelid ectropion, papillary conjunctivitis, blepharoconjunctivitis, macular edema, corneal toxicity (dendritic keratitis, punctate keratitis, or epitheliopathy), and blurred vision have also been reported.
Ocular side effects associated with ocular administration of epinephrine have included conjunctival and corneal adrenochrome deposits.[Ref]
Some long-term studies have reported observations of follicular conjunctivitis in almost all patients with up to 40% classified as severe reactions.[Ref]
Cardiovascular side effects have included slight increases in heart rate and diastolic blood pressure.
Cardiovascular side effects associated with ocular epinephrine have included tachycardia, arrhythmias, and hypertension.[Ref]
Most placebo-controlled studies have reported mild average increases in heart rate (3 to 4 beats/min--with or without palpitations) or diastolic blood pressure (1 to 5 mm Hg) associated with dipivefrin.[Ref]
Nervous system side effects have included headache and dizziness.[Ref]
Hypersensitivity reactions have included bronchospasm associated with a formulation containing bisulfite preservative.[Ref]
1. Boerner CF "Total punctate keratopathy due to dipivefrin. Case report." Arch Ophthalmol 106 (1988): 171
2. Keates EU, Stone RA "Safety and effectiveness of concomitant administration of dipivefrin and timolol maleate." Am J Ophthalmol 91 (1981): 243-8
3. Satterfield D, Mannis MJ, Glover AT "Unilateral corneal vesicles secondary to dipivefrin therapy." Am J Ophthalmol 113 (1992): 339-40
4. Liesegang TJ "Bulbar conjunctival follicles associated with dipivefrin therapy." Ophthalmology 92 (1985): 228-33
5. Mehelas TJ, Kollarits CR, Martin WG "Cystoid macular edema presumably induced by dipivefrin hydrochloride (Propine)." Am J Ophthalmol 94 (1982): 682
6. Albracht DC, LeBlanc RP, Cruz AM, Lamping KA, Siegel LI, Stern KL, Kelley EP, Stoecker JF "A double-masked comparison of betaxolol and dipivefrin for the treatment of increased intraocular pressure." Am J Ophthalmol 116 (1993): 307-13
7. Bartley GB "Reversible lower eyelid ectropion associated with dipivefrin." Am J Ophthalmol 111 (1991): 650-1
8. Yablonski ME, Shin DH, Kolker AE, Kass M, Becker B "Dipivefrin use in patients with intolerance to topically applied epinephrine." Arch Ophthalmol 95 (1977): 2157-8
9. Salminen L, Krootila K, Helin H, Hakala T "Corneal vascularization and opacification during long-term use of dipivefrin." J Ocul Pharmacol Ther 11 (1995): 37-40
10. Coleiro JA, Sigurdsson H, Lockyer JA "Follicular conjunctivitis on Dipivefrin therapy for glaucoma." Eye 2(Pt 4) (1988): 440-2
11. Morrison JC, Robin AL "Adjunctive glaucoma therapy: a comparison of apraclonidine to dipivefrin when added to timolol maleate." Ophthalmology 96 (1989): 3-7
12. Blondeau P, Cote M "Cardiovascular effects of epinephrine and dipivefrin in patients using timolol: a single-dose study." Can J Ophthalmol 19 (1984): 29-32
13. Schwartz HJ, Sher TH "Bisulfite intolerance manifest as bronchospasm following topical dipivefrin hydrochloride therapy for glaucoma." Arch Ophthalmol 103 (1985): 14-5
It is possible that some side effects of Propine may not have been reported. These can be reported to the FDA here. Always consult a healthcare professional for medical advice.
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