Timopress 0.5 % Eye Drops

Beta-blocker eye drops (0.25%, 0.5%, gel-forming 0.1%) for:

• Open-angle glaucoma
• Ocular hypertension (raised eye pressure)
• (Oral tablets, where available: hypertension, angina, migraine prevention)

Eye drops: 1 drop of 0.25% or 0.5% in the affected eye(s) twice daily; gel-forming solution once daily (morning).

• Check eye pressure after about 4 weeks.
• After instilling, close the eye and press on the inner corner for 1–2 minutes (reduces systemic absorption).
• Wait at least 5–10 minutes between different eye drops.

• Asthma or history of bronchospasm, severe COPD
• Slow heart rate, heart block (2nd/3rd degree), sick sinus syndrome, uncontrolled heart failure, cardiogenic shock
• Allergy to timolol or benzalkonium chloride

Eye: stinging, burning, redness, dry eye, blurred vision, eyelid inflammation.

Systemic (absorbed drops): slow heartbeat, low blood pressure, wheezing/breathlessness, tiredness, dizziness, depression, masked hypoglycaemia, cold hands, impotence.

• Even eye drops can trigger asthma attacks or slow the heart — tell the doctor about lung or heart disease.
• Diabetes: may mask low sugar symptoms.
• Remove soft contact lenses before use; reinsert after 15 minutes.
• Tell the anaesthetist before surgery.

Use in pregnancy only if needed (monitor newborn heart rate). Use with nasolacrimal occlusion; generally compatible with breastfeeding at usual doses.

• Oral beta-blockers (additive effects)
• Verapamil, diltiazem, digoxin, amiodarone (slow heart rate)
• Quinidine, fluoxetine, paroxetine (raise timolol levels)
• Adrenaline (eye drops — pupil dilation; systemic — hypertension)

Slow heartbeat, low blood pressure, bronchospasm, heart failure. Rinse eye; emergency care if systemic symptoms.

Store below 25–30°C, protected from light. Discard 4 weeks after opening.