carteolol ophthalmic (Rx)

Brand and Other Names:Ocupress (DSC)
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Dosing & Uses

AdultPediatric

Dosage Forms & Strengths

ophthalmic solution

  • 1%

Chronic Open-Angle Glaucoma & Intraocular Hypertension

Instill 1 gtt in affected eye(s) BID

Not recommended

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Adverse Effects

>10%

Burning sensation in eye (25%)

Conjunctival hyperemia (25%)

Excessive tear production (25%)

Eye irritation (25%)

1-10%

Blurred and cloudy vision

Photophobia

Decreased night vision

Ptosis

Ocular signs including blepharoconjunctivitis, abnormal corneal staining, and corneal sensitivity occurred occasionally

Systemic side effects may be similar to systemic beta-blockers (bradycardia, aggravation of CHF, asthma, caution in diabetes as may mask signs of hypolgycemia, nightmares, impotence, tiredness, etc)

Reduction of systemic side effects by putting finger in corner of eye (occluding punctum) or by gentle eyelid closure (without opening & closing lid) for 3 min

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Warnings

Contraindications

Asthma, uncompensated CHF, any beta-blocker side effects, hypersensitivity, severe COPD, 2°/3° AV block, cardiogenic shock

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Pregnancy & Lactation

Pregnancy Category: C

Lactation: excretion in milk unknown; use with caution

Pregnancy Categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

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Pharmacology

Half-Life: 6 hr

Duration: 12 hr

Excretion: urine

Mechanism of Action

Beta-adrenergic receptor blocker

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Images

BRAND FORM. UNIT PRICE PILL IMAGE
carteolol ophthalmic (eye)
-
1 % drops
carteolol ophthalmic (eye)
-
1 % drops
carteolol ophthalmic (eye)
-
1 % drops

Copyright © 2010 First DataBank, Inc.

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Patient Handout

Patient Education
carteolol ophthalmic (eye)

CARTEOLOL SOLUTION - OPHTHALMIC

(kar-TEE-oh-lol)

COMMON BRAND NAME(S): Ocupress

USES: Carteolol is used alone or with other medications to treat high pressure inside the eye due to glaucoma (open-angle type) or other eye diseases (such as ocular hypertension). Lowering high pressure inside the eye helps to prevent blindness. Carteolol is a beta blocker. It is thought to work by reducing the amount of fluid made in the eye.

HOW TO USE: Use this medication in the affected eye(s) as directed by your doctor, usually 1 drop twice daily. Use in the eye only. Do not swallow or inject.Dosage is based on your medical condition and response to treatment. Follow your doctor's directions on how to use this medication.To apply eye drops, wash your hands first. To avoid contamination, do not touch the dropper tip or let it touch your eye or any other surface.Before using, check this product visually for brown discoloration, cloudiness, or particles. If any of these is present, do not use the eye drops.The preservative in this product may be absorbed by contact lenses. If you wear contact lenses, remove them before using your eye drops. Wait at least 15 minutes after using this medication before putting your contact lenses back in.Tilt your head back, look upward, and pull down the lower eyelid to make a pouch. Hold the dropper directly over the eye and place one drop in the pouch. Look downward and gently close your eyes for 1-2 minutes. Place one finger at the corner of the eye near the nose and apply gentle pressure. This will prevent the medication from draining out. Try not to blink and do not rub the eye. Repeat these steps for your other eye if directed by your doctor.Do not rinse the dropper. Replace the dropper cap after each use.If you are using another kind of eye medication (such as drops or ointments), wait at least 10 minutes before applying other medications. Use the eye drops before eye ointments to allow the eye drops to enter the eye.Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same times each day. Keep using this medication even if you feel well. Most people with high pressure in the eye do not feel sick.

SIDE EFFECTS: Temporary blurred vision or temporary burning/stinging/itching/redness of the eye may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Tell your doctor right away if any of these unlikely but serious side effects occur: eye pain/swelling/discharge, eye sensitivity to light, mental/mood changes (such as depression), new or worsening symptoms of heart failure (such as swelling ankles/feet, unusual tiredness, unusual/sudden weight gain), slow/irregular heartbeat, dizziness.Seek immediate medical attention if any of these rare but serious side effects occur: wheezing/difficulty breathing, chest/jaw/left arm pain, shortness of breath, unusual sweating, fainting, weakness on one side of the body, trouble speaking, seizures, confusion, sudden vision changes.A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

PRECAUTIONS: Before using carteolol, tell your doctor or pharmacist if you are allergic to it; or to other beta blockers (such as timolol); or if you have any other allergies. This product may contain inactive ingredients (such as preservatives) which can cause allergic reactions or other problems. Talk to your pharmacist for more details.Before using this medication, tell your doctor or pharmacist your medical history, especially of: lung disease/breathing problems (such as asthma, chronic obstructive pulmonary disease-COPD), slow/irregular heartbeat (such as bradycardia, AV block), heart disease (such as chest pain, heart attack, heart failure), diabetes, overactive thyroid (such as hyperthyroidism), blood circulation problems (such as Raynaud's disease, peripheral vascular disease), low blood flow to the brain (cerebral insufficiency, stroke), mental/mood disorders (such as depression), certain nerve/muscle problems (such as myasthenia gravis), history of severe allergic reactions (such as anaphylaxis, atopy).If you develop an eye infection or injury, or have eye surgery, check with your doctor about whether you should continue to use your current bottle of carteolol. You may be advised to start using a new bottle.This drug may cause temporary blurred vision. Do not drive, use machinery, or do any activity that requires clear vision until you are sure you can perform such activities safely.Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).If you have diabetes, this product may prevent the fast/pounding heartbeat you would usually feel when your blood sugar level falls too low (hypoglycemia). Other symptoms of low blood sugar level, such as dizziness and sweating, are unaffected by this drug.This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor.It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: The effects of some drugs can change if you take other drugs or herbal products at the same time. This can increase your risk for serious side effects or may cause your medications not to work correctly. These drug interactions are possible, but do not always occur. Your doctor or pharmacist can often prevent or manage interactions by changing how you use your medications or by close monitoring.To help your doctor and pharmacist give you the best care, be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products) before starting treatment with this product. While using this product, do not start, stop, or change the dosage of any other medicines you are using without your doctor's approval.Some products that may interact with this drug include: alpha blockers (such as prazosin), beta blockers taken by mouth (such as atenolol, metoprolol), clonidine, digoxin, epinephrine, certain drugs for high blood pressure (such as methyldopa), fingolimod.This document does not contain all possible drug interactions. Keep a list of all the products you use. Share this list with your doctor and pharmacist to lessen your risk for serious medication problems.

OVERDOSE: This medicine may be harmful if swallowed. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: slow/irregular heart beat, dizziness, fainting, difficulty breathing.

NOTES: Do not share this medication with others.Laboratory and/or medical tests (such as eye exams, heart rate monitoring) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.

MISSED DOSE: If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.

STORAGE: Store at room temperature away from light and moisture. Do not freeze. Different brands of this medication have different storage needs. Check the product package for instructions on how to store your brand, or ask your pharmacist. Keep all medications away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

Information last revised August 2021. Copyright(c) 2021 First Databank, Inc.

IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.

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Formulary

FormularyPatient Discounts

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The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information.

Tier Description
1 This drug is available at the lowest co-pay. Most commonly, these are generic drugs.
2 This drug is available at a middle level co-pay. Most commonly, these are "preferred" (on formulary) brand drugs.
3 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs.
4 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
5 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
6 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
NC NOT COVERED – Drugs that are not covered by the plan.
Code Definition
PA Prior Authorization
Drugs that require prior authorization. This restriction requires that specific clinical criteria be met prior to the approval of the prescription.
QL Quantity Limits
Drugs that have quantity limits associated with each prescription. This restriction typically limits the quantity of the drug that will be covered.
ST Step Therapy
Drugs that have step therapy associated with each prescription. This restriction typically requires that certain criteria be met prior to approval for the prescription.
OR Other Restrictions
Drugs that have restrictions other than prior authorization, quantity limits, and step therapy associated with each prescription.
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Medscape prescription drug monographs are based on FDA-approved labeling information, unless otherwise noted, combined with additional data derived from primary medical literature.