Ticoma DS 0.5% (Ophthalmic Solution)

5 ml drop: ৳ 70.26

Medicine Details

Category Details
Generic Timolol maleate
Company Opsonin pharma ltd

Indications

  • Treatment of elevated intraocular pressure
  • Ocular hypertension
  • Open-angle glaucoma

Pharmacology

  • Non-selective β-adrenergic receptor blocker
  • Reduction of aqueous humour formation
  • Lowering of blood pressure

Dosage & Administration

  • Initial dose of 0.25% solution bid
  • Increase to 0.5% solution bid if inadequate response
  • Decrease to 0.5% solution once daily if controlled
  • Instill 1 drop of gel-forming eye drops once daily

Interaction

  • Potential interaction with epinephrine
  • Interactions with beta-adrenergic blocking agents, calcium antagonists, catecholamine-depleting drugs, digitalis, quinidine, clonidine, injectable epinephrine

Contraindications

  • Bronchial asthma
  • Severe chronic obstructive pulmonary disease
  • Sinus bradycardia
  • Second or third degree atrioventricular block
  • Overt cardiac failure
  • Cardiogenic shock
  • Hypersensitivity to any component

Side Effects

  • Burning and stinging sensation of the eyes
  • Bradycardia
  • Hypotension
  • Arrhythmia
  • CHF
  • Pulmonary oedema
  • Raynaud's phenomenon
  • Headache
  • Dizziness
  • Fatigue
  • Abdominal discomfort
  • Nausea
  • Constipation
  • Hypoglycaemia

Pregnancy & Lactation

  • Use during pregnancy only if potential benefit justifies potential risk to fetus
  • Timolol detected in breast milk
  • Potential for serious adverse reactions in nursing infants

Precautions & Warnings

  • Inadequate cardiac function
  • DM
  • Myasthenia gravis
  • Cerebrovascular insufficiency
  • History of atopy
  • Avoid abrupt withdrawal
  • Patients undergoing major surgery
  • May mask signs of hyperthyroidism and hypoglycaemia
  • Should not be used as monotherapy for angle-closure glaucoma
  • Renal and hepatic impairment

Overdose Effects

  • Dizziness
  • Headache
  • Shortness of breath
  • Bradycardia
  • Bronchospasm
  • Cardiac arrest

Therapeutic Class

  • Drugs for miotics and glaucoma

Storage Conditions

  • Store between 15-30° C
  • Avoid freezing
  • Protect from light

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