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Betopic S Side Effects, and Drug Interactions - Betaxolol HCl
SIDE EFFECTS
Ocular
In clinical trials, the most frequent event associated with the use of BETOPTIC S Ophthalmic Suspension 0.25% has been transient ocular discomfort. The following other conditions have been reported in small numbers of patients: blurred vision, coronal punctate keratitis, foreign body sensation, photophobia, tearing, itching, dryness of eyes, erythema, inflammation, discharge, ocular pain, decreased visual acuity and crusty lashes.
Additional medical events reported with other formulations of betaxolol include allergic reactions, decreased corneal sensitivity, corneal punctate staining which may appear in dendritic formations, edema and anisocoria.
Systemic
Systemic reactions following administration of BETOPTIC S Ophthalmic Suspension 0.25% or BETOPTIC Ophthalmic Solution 0.5% have been rarely reported. These include:
Cardiovascular: Bradycardia, heart block and congestive failure.
Pulmonary: Pulmonary distress characterized by dyspnea. bronchospasm, thickened bronchial secretions, asthma and respiratory failure.
Central Nervous System: Insomnia, dizziness, vertigo, headaches, depression, lethargy, and increase in signs and symptoms of myasthenia gravis.
Other: Hives, toxic epidermal necrolysis, hair loss, and glossitis. Perversions of taste and smell have been reported.
DRUG INTERACTIONS
Patients who are receiving a beta-adrenergic blocking agent orally and BETOPTIC S Ophthalmic Suspension 0.25% should be observed for a potential additive effect either on the intraocular pressure or on the known systemic effects of betablockade.
Close observation of the patient is recommended when a beta blocker is administered to patients receiving catecholamine-depleting drugs such as reserpine, because of possible additive effects and the production of hypotension and/or bradycardia.
Betaxolol is anadrenergic blocking agent; therefore, caution should be exercised in patients using concomitant adrenergic psychotropic drugs.
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