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|Betoptic-S Suspension

Betoptic-S Suspension

Betoptic-S Suspension is used for:

Lowering eye pressure and treating glaucoma. It may be used with other medicines. It may also be used to treat other conditions as determined by your doctor.

Betoptic-S Suspension is an ophthalmic beta-blocker. It is unknown exactly how Betoptic-S Suspension works to reduce the fluid pressure inside the eye, but it appears to reduce the amount of liquid produced.

Do NOT use Betoptic-S Suspension if:

• you are allergic to any ingredient in Betoptic-S Suspension
• you have asthma, severe chronic obstructive pulmonary disease (COPD), complete or second-degree heart block, heart shock, a resting heart rate less than 60 beats/min, or a heart rate less than 45 beats/min after a heart attack

Contact your doctor or health care provider right away if any of these apply to you.

Before using Betoptic-S Suspension:

Tell your health care provider if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you are having an allergic reaction
• if you have bronchitis, breathing problems, COPD, heart failure, diabetes, first-degree heart block, a history of asthma, overactive thyroid, low blood sugar levels, or blood flow problems

Some MEDICINES MAY INTERACT with Betoptic-S Suspension. Tell your health care provider if you are taking any of the following medicines.

• Anticholinesterases (eg, pyridostigmine), diltiazem, disopyramide, flecainide, ketanserin, lithium, monoamine oxidase inhibitors (MAOIs) (eg, selegiline), nifedipine and derivatives, quinazolines, or verapamil and derivatives because they may increase the actions and the risk of Betoptic-S Suspension"s side effects
• Bupivacaine or cocaine because their actions and the risk of their side effects may increased by Betoptic-S Suspension
• Clonidine because when given with Betoptic-S Suspension, if it is suddenly stopped, it may cause rebound high blood pressure
• Glucagon because it may decrease Betoptic-S Suspension"s effectiveness

This may not be a complete list of all interactions that may occur. Ask your health care provider if Betoptic-S Suspension may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Betoptic-S Suspension:

Use Betoptic-S Suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Shake well before each use.
• To use Betoptic-S Suspension in the eye, first, wash your hands. Tilt your head back. Using your index finger, pull the lower eyelid away from the eye to form a pouch. Drop the medicine into the pouch and gently close your eyes. Immediately use your finger to apply pressure to the inside corner of the eyelid (unless you recently had eye surgery) for 1 to 2 minutes. Do not blink. Remove excess medicine around your eye with a clean, dry tissue, being careful not to touch your eye. Wash your hands to remove any medicine that may be on them.
• To prevent germs from contaminating your medicine, do not touch the applicator tip to any surface, including the eye. Keep the container tightly closed.
• It may take a few weeks for Betoptic-S Suspension to reach its maximum effectiveness.
• If you miss a dose of Betoptic-S Suspension, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Betoptic-S Suspension.

Important safety information:

• Betoptic-S Suspension can, on rare occasions, cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Betoptic-S Suspension with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Tell your doctor or dentist that you take Betoptic-S Suspension before you receive any medical or dental care, emergency care, or surgery.
• Betoptic-S Suspension may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Betoptic-S Suspension. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
• Diabetes patients - Betoptic-S Suspension may hide signs of low blood sugar, such as a rapid heartbeat. Be sure to watch for other signs of low blood sugar. Low blood sugar may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your vision change; give you a headache, chills, or tremors; or make you more hungry. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
• Lab tests, including intraocular pressure checks, may be performed while you use Betoptic-S Suspension. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Betoptic-S Suspension should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Betoptic-S Suspension while you are pregnant. It is not known if Betoptic-S Suspension is found in breast milk. If you are or will be breast-feeding while you use Betoptic-S Suspension, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Betoptic-S Suspension:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Blurred or decreased vision; burning, discomfort, stinging, itching, or tearing when first applied; crusty lashes; dry eyes; eye pain, redness, or discharge; sensation of something in the eye.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); changes in heart rate; headache.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include dizziness; fainting; slow heartbeat. Betoptic-S Suspension may be harmful if swallowed.

Store Betoptic-S Suspension upright at room temperature, between 59 and 86 degrees F (15 and 30 degrees C), in a tightly closed container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Betoptic-S Suspension out of the reach of children and away from pets.

General information:

• If you have any questions about Betoptic-S Suspension, please talk with your doctor, pharmacist, or other health care provider.
• Betoptic-S Suspension is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Betoptic-S Suspension. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.