Monograph Details

Eye Disorders > Glaucoma
OPTIPRANOLOL
Manufacturer
Bausch & Lomb Pharmaceuticals
Legal Classification
Rx
Pharmacological Class
Noncardioselective β-blocker.
Generic Name
Metipranolol HCl 0.3%; oph soln; contains benzalkonium chloride.
Indications
Open-angle glaucoma.
Children
Not recommended.
Adults
1 drop twice daily.
Contraindications
History of, or active, bronchial asthma. Severe COPD. Sinus bradycardia. Greater than 1st-degree AV block. Cardiogenic shock. Overt cardiac failure.
Precautions
Not for use as sole agent in angle-closure glaucoma. History of cardiac failure. Discontinue at first sign of cardiac failure. Cerebrovascular insufficiency. Withdraw gradually before elective surgery. Diabetes. Hyperthyroidism. Myasthenia gravis. History of anaphylaxis. Pregnancy (Cat.C). Nursing mothers.
Interactions
May potentiate systemic β-blockers, reserpine. Avoid concomitant calcium channel blockers in impaired cardiac function. Caution with adrenergic psychotropics.
Adverse Reactions
Local discomfort. Rarely: conjunctivitis, eyelid dermatitis, blepharitis, blurred vision, tearing, browache, abnormal vision, photophobia, edema. Systemic absorption: bronchospasm, bradycardia, cardiac failure, depression, other β-blocker effects.
How Supplied
Soln—5mL, 10mL