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CARTEOLOL HYDROCHLORIDE 1% EYE DROPS

Active substance(s): CARTEOLOL HYDROCHLORIDE

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T05699

TEOPTIC® 1% EYE DROPS /
CARTEOLOL HYDROCHLORIDE 1% EYE DROPS
TEOPTIC® 2% EYE DROPS /
CARTEOLOL HYDROCHLORIDE 2% EYE DROPS
Patient Information Leaflet

This product is available in two different
strengths: 1% w/v and 2% w/v. These products
will be collectively referred to as Teoptic in this
leaflet.
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 yours.
• If you get any side effects, talk to your
doctor, pharmacist or nurse. This includes
any possible side effects not listed 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
syndrome)
• 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

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 machinery.
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

Tell your doctor before you have an operation
that you are using Teoptic as carteolol
hydrochloride may change effects of some
medicines used during anaesthesia.
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.

• 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.

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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 pre-existing
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).

5. How to store Teoptic
• Keep this medicine out of the sight and
reach of children.
• 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.
• Do not use the drops after the expiry date
which is printed on the bottle and carton.
• 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 them away with your normal
household water or waste. This will help to
protect the environment.

6. Contents of
information

the

pack

and

other

What Teoptic contains
Each ml of Teoptic Eye Drops contains 10mg or
20mg of the active ingredient, carteolol
hydrochloride.
Teoptic Eye Drops also contain the following
inactive ingredients: benzalkonium chloride,
sodium chloride, sodium phosphate, sodium
acid phosphate and purified water.
What Teoptic looks like and contents of the
pack
Teoptic Eye Drops are available in plastic
bottles, fitted with a dropper plug, with a plastic
screw cap and tamper-evident seal. The bottle
contains 5 millilitres of a colourless, clear
solution.
Manufacturer and Product Licence Holder
Your medicine is manufactured by S.I.F.I. SpA
Sede Legale: Via Ercole Patti 36 – 95020
Lavinaio - ACI S. Antonio Catania, Italy. It is
procured from within the EU by the Product
Licence Holder: Swinghope Ltd, Brandon
House, Marlowe Way, Croydon CR0 4XS and
repackaged by Interport Ltd, Brandon House,
Marlowe Way, Croydon CR0 4XS.
POM
PL No: 10380/0858
PL No: 10380/0859

Teoptic® 2% Eye Drops
Teoptic® 1% Eye Drops

Leaflet revision date: 01/05/2015
Teoptic® is a registered trademark of Otsuka,
Japan.

Reporting of side effects
If you get any side effects, talk to your doctor,
pharmacist or nurse. This includes any
possible side effects not listed in this leaflet.
You can also report side effects directly via
the
Yellow
Card
Scheme
at:
www.mhra.gov.uk/yellowcard. By reporting
side effects, you can help provide more
information on the safety of this medicine.

T05699

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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.

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