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Package leaflet: Information for the patient

Teoptic® 1% w/v Eye Drops /
Carteolol Hydrochloride 1% w/v Eye Drops Solution
Teoptic® 2% w/v Eye Drops /
Carteolol Hydrochloride 2% w/v Eye Drops Solution
(carteolol hydrochloride)
This product is available as any of the above names but will be referred to as
Teoptic throughout the following 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
• if you are allergic to carteolol hydrochloride, beta-blockers or 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 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 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
• 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 can cause side effects although not everybody gets
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 ‘intravenous’ 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
• 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).
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
at: By reporting side effects you can help provide
more information on the safety of this medicine.
5. How to store Teoptic
Do not use the drops later than one month after first breaking the seal.
Do not use after the expiry date shown on the label. The expiry date refers to
the last day of that month.
Do not store above 25°C. Discard one month after first opening.
Keep out of the sight and reach of children.
These drops are sterile until the seal is broken.
Do not use if the seal is broken when you receive the bottle.
If the solution becomes discoloured or shows signs of any deterioration, you
should seek the advice of your pharmacist who will tell you what to do.
If your doctor tells you to stop using Teoptic, 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 the pack and other information
The name of your eye drops is Teoptic. Each ml of Teoptic 1% w/v contains
10mg of the active ingredient carteolol hydrochloride. Each ml of Teoptic 2%
w/v contains 20mg of the active ingredient carteolol hydrochloride.
These eye drops also contain benzalkonium chloride (as a preservative) and
sodium chloride, sodium phosphate dibasic and monobasic and water.
Teoptic 1% w/v is a
tamper evident ring.
Teoptic 2% w/v is a
tamper evident ring.

clear, white plastic dropper with a yellow plastic cap with
The bottle contains a clear, colourless, sterile solution.
clear, white plastic dropper with a cream plastic cap with
The bottle contains a clear, colourless, sterile solution.

The bottle contains 5ml of eye drops. Teoptic are available in two pack sizes 1 x
5ml and 3 x 5ml.
Teoptic is manufactured by Otsuka Pharmaceutical S.A., Provença 388, 08025
Barcelona, Spain and are procured from within the EU by Product Licence
holder: Caseview (PL) Limited, 20 Alliance Court, Alliance Road, London W3
0RB and repackaged by OPD Laboratories Ltd., Unit 6 Colonial Way, Watford,
Herts WD24 4PR.
PL No: 13826/1289
Teoptic 1% w/v Eye Drops/ Carteolol 1% w/v Eye Drops Solution
PL No: 13826/1290
Teoptic 2% w/v Eye Drops/ Carteolol 2% w/v Eye Drops Solution
Leaflet revision date (ref): 21/04/2015.
Teoptic is a registered trademark of Otsuka.
To request a copy of this leaflet in Braille, large print or audio please call 01923
332 796.

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