Monograph Details

Cardiovascular System > CHF and arrhythmias
Timolol maleate
Manufacturer
Various generic manufacturers
Legal Classification
Rx
Pharmacological Class
β-blocker.
Generic Name
Timolol maleate 5mg, 10mg+, 20mg+; tabs; +scored.
Indications
In stabilized patients after MI, to reduce mortality and risk of reinfarction.
Children
Not recommended.
Adults
10mg twice daily.
Contraindications
Asthma. Severe COPD. Sinus bradycardia. 2nd- or 3rd-degree AV block. Overt heart failure. Cardiogenic shock.
Precautions
CHF. Ischemic heart disease. Bronchospastic disease, COPD. Renal or hepatic dysfunction. Diabetes. Hyperthyroidism. Cerebrovascular insufficiency. Surgery. SLE. Avoid abrupt cessation. Pregnancy (Cat.C). Nursing mothers: not recommended.
Interactions
Hypotension, bradycardia with catecholamine-depleting drugs. May increase cardiac effects of calcium channel blockers, digitalis. May be potentiated by quinidine. Increased rebound hypertension with clonidine withdrawal. Antagonized by NSAIDs. Adjust antidiabetic medications. May interfere with glaucoma screening tests. May block epinephrine.
Adverse Reactions
Cardiac failure, bronchospasm, asthenia, bradycardia, dizziness, arrhythmia, heart block, dyspnea, muscle weakness, cold extremities, decreased libido, chest pain, syncope, pruritus.
How Supplied
Contact supplier.
Additional Resources
Related Prescribing Note