Where can You Order Betim Over-The-Counter

Warnings

To make sure timolol is safe for you, tell your doctor if you have:

• congestive heart failure;
• coronary artery disease (hardened arteries);
• diabetes;
• overactive thyroid;
• liver or kidney disease;
• myasthenia gravis or other muscle disorders;
• allergies (or if you are undergoing allergy treatments or skin-testing);
• peripheral vascular disease such as Raynaud's syndrome; or
• a condition for which you are being treated with IV heart or blood pressure medication (such as diltiazem, nicardipine, or verapamil).

Timolol is not approved for use by anyone younger than 18 years old.

Interactions

Methacholine: Beta-Blockers may enhance the adverse/toxic effect of Methacholine. Avoid combination

Tofacitinib: May enhance the bradycardic effect of Bradycardia-Causing Agents. Monitor therapy

Calcium Channel Blockers (Nondihydropyridine): May enhance the hypotensive effect of Beta-Blockers. Bradycardia and signs of heart failure have also been reported. Calcium Channel Blockers (Nondihydropyridine) may increase the serum concentration of Beta-Blockers. Exceptions: Bepridil. Monitor therapy

Food interaction

Pregnancy

• Male patients who are sexually active with female partners who are or may become pregnant should use a condom during and for at least 4 months after treatment.
• MTX may be born with deformities and the risk is such that termination of pregnancy has to be considered.

Overview

How to apply

You can buy a drug in a pharmacy Requires a doctor's prescription. This is due to the danger of self-medication. The medicine is prescribed after a thorough examination. The instructions describe the general scheme of therapy, which, depending on the patient’s state of health and the characteristics of the course of the disease, can be adjusted by an ophthalmologist. Dosages are age dependent and look like this:

• children under 10 years (including newborns) - 1 drop of a 0.25% solution twice a day in each eye;
• adults and adolescents - 1 drop of a solution of 0.25% in each eye twice a day, and with insufficient effectiveness - 1 drop of a solution of 0.5% in each eye twice a day.

When the eye pressure normalizes (this is determined by the doctor), the dose is reduced to maintenance - 1 drop of a solution of 0.25% once a day.

When burying, follow the steps below.

1. Wash your hands.
2. Remove contact lenses (solids can be inserted only 15 minutes after instillation, and you will have to refuse completely to wear soft ones for the duration of treatment, since the concentrate included in the medication settles on their material).
3. Warm up the medicine bottle in the palms.
4. Unscrew the cap.
5. Throw your head up.
6. Pull the lower eyelid gently and lock the upper eyelid with your finger.
7. In the opened conjunctival sac, drop the right amount of medicine.
8. Close your eye and squeeze for half a minute a place at the inner edge of the eyelids - so you will prevent fluid from entering the prescription drugs canal.
9. Open your eye, blink for a few seconds and repeat the procedure with the other eye.

It is Betim for patients undergoing therapy to know:

• monitoring the effectiveness of the drug is carried out after about 3-4 weeks from the start of treatment;
• over time, getting used to the tool, its action is weakened, and the question arises of the selection of a suitable analogue;
• at the same time, 2 drugs of the beta-blocker class cannot be instilled into the eyes;
• during treatment with Timolol at least every six months, the integrity of the cornea, the breadth of the fields of vision and the function of the lacrimation are monitored;
• within half an hour after instillation in the patient, the reaction rate may be somewhat inhibited and the ability to concentrate reduced;
• two days before surgery, accompanied by the use of general anesthesia, the drug is canceled.

How to store

Shelf life of the drug is 3 years. But after opening the bottle, use the product for a month. Store the drug at temperatures up to 25 ° C out of the reach of children.

Contraindications and side effects

The instructions list the contraindications to the appointment of Timolol:

• individual hypersensitivity to one of the components of the drops;
• dystrophic pathology of the cornea;
• atrophic rhinitis (an inflammatory disease of the nasal mucosa, accompanied by its atrophy and degeneration);
• bronchial asthma;
• heart problems: sinus bradycardia (decreased heart rate), acute and chronic heart failure, AV block II and III degree (pathology of the impulse conducting heart system, threatens to worsen blood supply to all organs), cardiac.

With caution and under especially close attention of specialists, Timolol is prescribed in the following conditions:

• pregnancy (assessed risks to the health of the mother and fetus);
• lactation (usually, if necessary, the question arises of completing breastfeeding);
• diabetes;
• thyrotoxicosis (an increase in the number of thyroid hormones);
• myasthenia gravis (autoimmune pathology, manifested through rapid muscle fatigue);
• COPD with a severe course (chronic obstructive pulmonary disease, accompanied by an irreversible restriction of air passage through the respiratory tract);
• arterial hypotension (lowering blood pressure by more than 20% of normal).

Taking the medicine may cause side effects:

• local: increased lacrimation, hyperemia of the mucosa, itching, temporary visual impairment, keratitis (inflammation of the cornea), blepharitis (bilateral inflammation of the edges of the eyelids), photophobia;
• system: bronchospasm, decreased heart rate, nausea and vomiting, headache and dizziness, allergic reactions, shortness of breath, decreased potency, nosebleeds and / or nasal congestion, tinnitus, depression.

Analogs

Timolol has structural analogues on the drugstore counter - drops based on the same active ingredient (timolol maleate) and with an identical mechanism of action.

• Arutimol - costs an average (bottle of 5 ml) 60 rubles.
• Okupres-E - is produced in two concentrations - 0.25% and 5%. The average price of both forms of release differs slightly and averages 40 rubles (5 ml capacity).

In the pharmaceutical market there are drops that have an effect similar to Timolol, but differ in composition.

• Betoptik is an imported drug (USA, Belgium) based on betaxolol hydrochloride, which reduces the production of ocular fluid and, thereby, eliminates ocular hypertension (high blood pressure). The average cost in pharmacies (bottle of 5 ml) is 340 rubles.
Betim
• Betaxolol is a medicine with the active ingredient betaxolol hydrochloride. The average price of 5 ml - 115 rubles.
• Betofan is a betaxolol-based class of beta-blockers. A bottle with a capacity of 5 ml costs an average of 175 rubles.

The opinion of practitioners

Reviews of doctors and patients contribute to a more complete picture of the drug.

Anastasia Alexandrovna E., 68 years old:

“I was bothered by the constant“ flies ”and“ cobwebs ”before my eyes. I went to the doctor. They measured intraocular pressure - it turned out to be greatly increased. Sent to the hospital to clarify the diagnosis, where they confirmed glaucoma. Timolol drops were prescribed. The drug is quite inexpensive, which is important when considering the size of the pension. I noticed improvements in about a month. Vision became clearer, "flies" in front of my eyes disappeared. And at the next examination it turned out that the intraocular pressure returned to normal. I continue to drip the medicine and periodically observed by an ophthalmologist. So far so good, so my review is positive. ”.

Anna Konstantinovna J . 42 years:

“I have to spend a lot of time cure the computer. By evening, my eyes always get tired. But recently, uncomfortable sensations (feelings of fatigue and burning, a point and a veil before my eyes) began to bother me in the morning. I turned to the clinic for help. On examination revealed increased intraocular pressure. Timolol drops were prescribed. Obvious improvements appeared already in the second week of treatment ".

The drug will help maintain vision.