Drugplain

Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution 2 mg/mL

Brimonidine Tartrate and Timolol Maleate · SOLUTION · Apotex Corp.

5 Recalls on Record
Plain English

Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution is a solution containing brimonidine tartrate and timolol maleate at 2 mg/mL, taken ophthalmic. Manufactured by Apotex Corp..

Key Facts

Brand Name
Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution
Generic Name
Brimonidine Tartrate and Timolol Maleate
NDC Code (Product)
60505-0589
Manufacturer
Apotex Corp.
Strength
2 mg/mL
Dosage Form
SOLUTION
Route
OPHTHALMIC
Marketing Status
Application #
ANDA091442
Marketing Start
10/19/2022

Recall History

5 Recalls on Record
Class II03/05/2026

Apotex Corp.

Lack of Assurance of Sterility

OngoingVoluntary: Firm initiated
Class II09/05/2025

Apotex Corp.

Lack of Assurance of Sterility; atypical weight loss due to improper bottle sealing leading to potential sterility concerns

OngoingVoluntary: Firm initiated
Class III10/19/2017

Allergan Sales, LLC

Failed Impurities/Degradation Specifications.

TerminatedVoluntary: Firm initiated
Class II05/28/2025

Apotex Corp.

Lack of Assurance of Sterility

OngoingVoluntary: Firm initiated
Class II03/19/2019

Allergan Sales, LLC

cGMP Deviations

TerminatedVoluntary: Firm initiated

Side Effects Reported to FDA

FDA FAERS database · These are reported events, not confirmed side effects

ocular hyperaemia7 reports
eye pain6 reports
product dose omission issue6 reports
eye irritation5 reports
eye pruritus5 reports
product delivery mechanism issue5 reports
product substitution issue5 reports
blindness4 reports
extra dose administered4 reports
eye disorder4 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

1 INDICATIONS AND USAGE Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution is indicated for the reduction of elevated intraocular pressure (IOP) in patients with glaucoma or ocular hypertension who require adjunctive or replacement therapy due to inadequately controlled IOP. The IOP-lowering of brimonidine tartrate/timolol maleate ophthalmic solution dosed twice a day was slightly less than that seen with the concomitant administration of 0.5% timolol maleate ophthalmic solution dosed twice a day and 0.2% brimonidine tartrate ophthalmic solution dosed three times per day. Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution is a combination of brimonidine tartrate, an alpha-adrenergic receptor agonist, and timolol maleate, a beta-adrenergic receptor inhibitor, indicated for the reduction of elevated intraocular pressure (IOP) in patients with glaucoma or ocular hypertension who require adjunctive or replacement therapy due to inadequately controlled IOP. The IOP-lowering of brimonidine tartrate/timolol maleate ophthalmic solution dosed twice a day was slightly less than that seen with the concomitant administration of timolol maleate ophthalmic solution, 0.5% dosed twice

Dosage & Administration

2 DOSAGE AND ADMINISTRATION The recommended dosage is one drop in the affected eye(s) twice daily approximately 12 hours apart. If more than one topical ophthalmic product is to be used, the different products should be instilled at least 5 minutes apart. One drop in the affected eye(s), twice daily approximately 12 hours apart. ( 2 )

Contraindications

4 CONTRAINDICATIONS Bronchial asthma, a history of bronchial asthma, severe chronic obstructive pulmonary disease. ( 4.1 , 5.1 , 5.3 ) Sinus bradycardia, atrioventricular block, overt cardiac failure, cardiogenic shock. ( 4.2 , 5.2 ) Neonates and infants (pediatric patients younger than 2 years old). ( 4.3 ) Hypersensitivity to any component of this product. ( 4.4 ) 4.1 Reactive Airway Disease Including Asthma, COPD Brimonidine tartrate/timolol maleate ophthalmic solution is contraindicated in patients with reactive airway disease including bronchial asthma; a history of bronchial asthma; severe chronic obstructive pulmonary disease [see Warnings and Precautions ( 5.1 , 5.3 )] . 4.2 Sinus Bradycardia, AV Block, Cardiac Failure, Cardiogenic Shock Brimonidine tartrate/timolol maleate ophthalmic solution is contraindicated in patients with sinus bradycardia; second or third degree atrioventricular block; overt cardiac failure [see Warnings and Precautions ( 5.2 )] ; cardiogenic shock. 4.3 Neonates and Infants (Pediatric Patients Younger than 2 Years Old) Brimonidine tartrate/timolol maleate ophthalmic solution is contraindicated in neonates and infants (pediatric patients younger than

Drug Interactions

7 DRUG INTERACTIONS Antihypertensives/cardiac glycosides may lower blood pressure. ( 7.1 ) Concomitant use with systemic beta-blockers may potentiate systemic beta blockade. ( 7.2 ) Oral or intravenous calcium antagonists may cause atrioventricular conduction disturbances, left ventricular failure, and hypotension. ( 7.3 ) Catecholamine-depleting drugs may have additive effects and produce hypotension and/or marked bradycardia. ( 7.4 ) Use with CNS depressants may result in an additive or potentiating effect. ( 7.5 ) Digitalis and calcium antagonists may have additive effects in prolonging atrioventricular conduction time. ( 7.6 ) CYP2D6 inhibitors may potentiate systemic beta-blockade. ( 7.7 ) Tricyclic antidepressants may potentially blunt the hypotensive effect of systemic clonidine. ( 7.8 ) Monoamine oxidase inhibitors may result in increased hypotension. ( 7.9 ) 7.1 Antihypertensives/Cardiac Glycosides Because brimonidine tartrate/timolol maleate ophthalmic solution may reduce blood pressure, caution in using drugs such as antihypertensives and/or cardiac glycosides with brimonidine tartrate/timolol maleate ophthalmic solution is advised. 7.2 Beta-adrenergic Blocking Agents Pa

Adverse Reactions

6 ADVERSE REACTIONS The following serious adverse reactions are described elsewhere in the labeling: Hypersensitivity Reactions [see Contraindications ( 4.4 )] Potential for Severe Respiratory or Cardiac Reactions [see Warnings and Precautions ( 5.1 )] Cardiac Failure [see Warnings and Precautions ( 5.2 )] Potentiation of Vascular Insufficiency [see Warnings and Precautions ( 5.4 )] Increased Reactivity to Allergens [see Warnings and Precautions ( 5.5 )] Potentiation of Muscle Weakness [see Warnings and Precautions ( 5.6 )] Masking of Hypoglycemic Symptoms in Patients with Diabetes Mellitus [see Warnings and Precautions ( 5.7 )] Masking of Thyrotoxicosis [see Warnings and Precautions ( 5.8 )] Ocular Hypersensitivity [see Warnings and Precautions ( 5.9 )] Contamination of Topical Ophthalmic Products after Use [see Warnings and Precautions ( 5.10 )] Impairment of Beta-adrenergically Mediated Reflexes During Surgery [see Warnings and Precautions ( 5.11 )] Most common adverse reactions occurring in approximately 5% to 15% of patients included allergic conjunctivitis, conjunctival folliculosis, conjunctival hyperemia, eye pruritus, ocular burning, and stinging. ( 6.1 ) To report SUSPECT

Frequently Asked Questions

What is Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution used for?

Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution contains Brimonidine Tartrate and Timolol Maleate. It is a solution taken ophthalmic. Consult your doctor for specific uses.

Is Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution a controlled substance?

Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution is not classified as a controlled substance by the DEA.

What is the generic name for Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution?

The generic name for Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution is Brimonidine Tartrate and Timolol Maleate. There are 8 other brand versions of Brimonidine Tartrate and Timolol Maleate.

What is the NDC code for Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution 2 mg/mL?

The NDC (National Drug Code) for Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution 2 mg/mL is 60505-0589, listed by Apotex Corp..