Azarga (Brinzolamide/Timolol)

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0.5/1% Ophthalmic Solution
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A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

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Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.

Description

Azarga is an eye drop prescribed to decrease pressure inside the eye in adults who have open-angle glaucoma or elevated pressure inside the eye.

Azarga is for use in the eye only.

Fact Table
Formula Brinzolamide: C12H21N3O5S3
Timolol: C13H24N4O3S
License FDA approved
Bioavailability Limited systemic absorption (ocular administration)
Legal status Prescription only
Chemical Name Brinzolamide: (R)-4-ethylamino-5-(tert-butylamino)-2,3-dihydro-2,2-dimethyl-1,3-thiazine-6-sulfonamide
Timolol: (S)-1-[(1,1-Dimethylethyl)amino]-3-[[4-morpholinyl]sulfonyl]-2-propanol
Elimination half-life Brinzolamide: Approximately 111 days
Timolol: Approximately 4 hours
Dosage (Strength) Brinzolamide 1%/Timolol 0.5%
Pregnancy Consult a healthcare provider
Brands Azarga
Protein binding Brinzolamide: Not extensively bound
Timolol: ~60%
PubChem CID Brinzolamide: 123624
Timolol: 33624
MedlinePlus a601233
ChEBI Brinzolamide: 85947
Timolol: 9536
ATC code S01ED51
DrugBank Brinzolamide: DB01194
Timolol: DB00373
KEGG Brinzolamide: D07547
Timolol: D00388
Routes of administration Ophthalmic (eye drops)

Directions

Azarga should be used as your doctor has directed. The medication guide that accompanies your prescription should be read thoroughly. Contact your doctor or pharmacist if you have any questions or concerns.

Recommended dosage: The bottle should be shaken before use. Avoid touching the tip of the dropper to any surface; this helps prevent contamination. Instill one drop into the affected eye(s) twice daily.

Contact lenses should be removed prior to use. They may be reinserted 15 minutes after using Azarga. Administration of other eye products should be at least 5 minutes apart; use eye ointments last.

Azarga should be kept away from children.

Azarga should be appropriately discarded after 4 weeks of opening.

Ingredients

Brinzolamide and timolol are the active ingredients in Azarga eye drops.

Benzalkonium chloride, carbopol 974P, disodium edetate, mannitol (E421), purified water, sodium chloride, tyloxapol, hydrochloric acid, and/or sodium hydroxide, and small amounts of hydrochloric acid and/or sodium hydroxide for pH balance are the inactive ingredients included.

Contraindications

Patients who have any of the following should avoid Azarga use:

  • An allergy to beta-blockers, sulphonamides, or to any of Azarga’s ingredients
  • Reactive airway disease; this includes bronchial asthma or severe chronic obstructive pulmonary disease (COPD)
  • Slow heartbeat or certain heart problems, including heart failure, cardiogenic shock, sick sinus syndrome, sino-atrial block, or second or third degree atrioventricular block that is not controlled with a pacemaker
  • Severe allergic rhinitis
  • Severe kidney issues
  • Hyperchloremic acidosis

Cautions

  • Before you begin treatment with Azarga eye drops, inform your doctor of the following:
    • All the medications you take, including prescription and nonprescription medications, vitamins, herbals, supplements, eye drops, or eye ointments
    • Your allergies
    • Your current health problems
    • Your past medical history
    • If you are pregnant or breastfeeding
  • Brinzolamide and timolol get absorbed into your body, which may lead to systemic effects.
  • Severe skin reactions and other hypersensitivity reactions may occur. Immediately seek medical care if you experience symptoms.
  • Azarga should be used cautiously in patients with heart problems or vascular disorders.
  • Azarga may mask the signs of hyperthyroidism.

Azarga may cause muscle weakness.

  • Azarga should be used cautiously in patients who have respiratory problems, as respiratory reactions, including death due to bronchospasm in asthmatic patients, can occur. Only use Azarga if the benefits outweigh the risks.
  • Azarga should be used cautiously in patients with spontaneous low blood sugar levels or diabetes, as the signs and symptoms of low blood sugar can be masked by the medication.
  • The sulphonamide brinzolamide, which can cause side effects such as acid-base disturbances, is an ingredient in Azarga. The medication should be used cautiously in patients at risk for kidney problems because of the risk of metabolic acidosis.
  • Impaired mental alertness can occur.
  • Azarga may cause anaphylactic reactions. Patients who have had atopy or a history of severe anaphylactic reactions to various allergens may be at greater risk.
  • Azarga may cause choroidal detachment.
  • Before you are administered anesthesia, tell your doctor and anesthesiologist that you use Azarga.
  • Azarga can cause dryness of the eyes. Patients with corneal diseases should use Azarga cautiously.
  • Azarga should be used cautiously in patients with severe liver issues.

Side Effects

Azarga side effects include but are not limited to eye inflammation, blurred vision, eye irritation, eye pain, decreased heart rate, and altered taste. Contact your doctor right away if you have bothersome or persistent side effects.

Looking for a competitive Azarga eye drops price? Here, you can buy Azarga!

Reference

Azarga. Dublin, Ireland: Novartis Europharm Limited.




IMPORTANT NOTE: The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

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