Instruction for use: Nyolol
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Active substance Timolol
ATX Code S01ED01 Timolol
Pharmacotherapeutic group:
Beta-blockers
Ophthalmic tools
The nosological classification (ICD-10)
H40 Glaucoma
glaucoma intervention., Afakicheskaya glaucoma, narrow-angle glaucoma, Chronic glaucoma, Chronic open-angle glaucoma, Wide-angle glaucoma
H40.1 Primary open-angle glaucoma
open-angle glaucoma, Open-angle glaucoma, Primary glaucoma, pseudoexfoliation glaucoma, Elevated IOP
Structure and Composition
1 ml of a solution containing timolol eye drops (in the form of maleate) 2,5 or 5 mg; in plastic vials of 5 ml.
pharmachologic effect
Mode of action - antiglaucoma.
Beta-adrenoceptor blocking and lowers intraocular pressure.
Clinical pharmacology
The effect occurs within 20 minutes following instillation, reaches a maximum after 1-2 hours and lasts up to 24 hours. In long-term therapy the patient sensitivity decreases.
Indications Niolol drug
Elevated intraocular pressure, chronic open-angle glaucoma, aphakia in glaucoma.
Contraindications
Hypersensitivity, bronchial asthma, bronchospasm, or severe chronic obstructive pulmonary disease in history, severe heart failure, cardiogenic shock, AV block II-III degree, Raynaud's phenomenon, bradycardia (heart rate less than 45-50 beats per minute), a young child.
Side effects
Headache, asthenia, fatigue, chest pain; bradycardia, arrhythmia, cardiac conduction, cardiac arrest, congestive heart failure, hypotension, collapse, cerebrovascular accident, cerebral ischemia, dyspnea, bronchospasm, respiratory failure; localized and generalized rash, and urticaria. Local: conjunctivitis, blepharitis, keratitis, decreased corneal sensitivity, diplopia, ptosis, refractive changes.
Interaction
When concomitant administration of eye drops containing adrenaline may develop mydriasis. The probability of systemic effects (hypotension, bradycardia, etc.) Increase calcium channel blockers, beta-blockers, drugs that reduce levels of catecholamines in the blood.
Dosing and Administration
Kongungualno. 1 drop of 0.25% solution in the affected eye two times a day; with insufficient clinical effect - 1 drop of 0.5% solution, 2 times a day. After stabilization of intraocular pressure - 1 drop of 1 per day.
Precautionary measures
Can not be combined with amiodarone. With caution is prescribed for heart failure, asthma, and diabetes mellitus.
Storage conditions
In the dark place at a temperature of 15-25 ° C.
Keep out of the reach of children.
shelf life
2 years. After opening - 1 month.
Do not use beyond the expiration date printed on the package.