Прозрачная бесцветная или слегка окрашенная жидкость.
Фармакологические свойства
Фармакологическое действие — противоглаукомное. При местном применении понижает внутриглазное давление за счет уменьшения образования водянистой влаги и небольшого увеличения ее оттока.
Показания к применению
Открытоугольная глаукома, вторичная глаукома (увеальная, афакическая, посттравматическая), острое повышение офтальмотонуса, закрытоугольная глаукома (в комбинации с миотиками).
Противопоказания
Бронхиальная астма, синусовая брадикардия, AV-блокада II-III степени, острая и хроническаясердечная недостаточность, кардиогенный шок, дистрофические заболевания роговицы, ринит, повышенная чувствительность к препарату.С осторожностью— при эмфиземе легких, легочной недостаточности, цереброваскулярной недостаточности, хронической сердечной недостаточности, сахарном диабете, гипогликемии, тиреотоксикозе, миастении, одновременном назначении бета-адреноблокаторов.
Применение при беременности и в период грудного вскармливания
Возможно, если ожидаемый эффект терапии превышает потенциальный риск для плода. На время лечения следует прекратить грудное вскармливание.
Способ применения и дозы
Субконъюнктивально. Взрослым и детям старше 1г— по 1 капле 0,25% или 0,5% раствора 2 раза в день. При нормализации внутриглазного давления поддерживающая доза— 1 капля 0,25% раствора 1 раз в день.
Побочное действие
Местные реакции: гиперемия кожи век, жжение и зуд в глазах, гиперемия конъюнктивы, слезотечение или уменьшение слезоотделения, светобоязнь, отек эпителия роговицы, кратковременное нарушение остроты зрения; блефарит, конъюнктивит, при длительном применении возможно развитие поверхностной точечной кератопатии (уменьшение прозрачности роговицы) и снижение чувствительности роговицы, возможен птоз, редко— диплопия.Системные реакции: парестезии, ринит, заложенность носа, носовое кровотечение, снижение АД, брадикардия, брадиаритмия, AV блокада, сердечная недостаточность, остановка сердца, головокружение, головная боль, сонливость, галлюцинации, мышечная слабость, нарушение половых функций, снижение потенции, преходящее нарушение мозгового кровообращения, коллапс, депрессия, одышка, бронхоспазм, легочная недостаточность, тошнота, рвота, диарея, аллергические реакции (в т.ч. крапивница).
Передозировка
Симптомы: при случайном приеме внутрь— тошнота, рвота, головокружение, головная боль, снижение АД, бронхоспазм, брадикардия.Лечение: симптоматическая терапия. Для устранения бронхоспазма или брадикардии— в/в введение изопреналина; для лечения артериальной гипотензии— добутамин.
Взаимодействие с другими лекарственными средствами
Эпинефрин, пилокарпин, системные бета-адреноблокаторы усиливают действие. При применении с резерпином возможно развитие выраженной брадикардии или гипотонии (эта комбинация требует тщательного врачебного контроля).; с БКК или сердечными гликозидами возможно нарушение AV проводимости, острая левожелудочковая недостаточность или артериальная гипотензия. Усиливает действие миорелаксантов (препарат следует отменить за 48ч до предполагаемого проведения общей анестезии с использованием периферических миорелаксантов).
Особые указания
Контроль эффективности следует проводить примерно через 3–4 нед после начала терапии. В период лечения не реже 1 раза в 6 мес следует контролировать функцию слезоотделения, целостность роговицы, поля зрения.Соблюдать осторожность при вождении автомобиля.Не следует закапывать в глаза 2 бета-адреноблокатора одновременно.При длительном применении тимолола возможно ослабление эффекта.При переводе больных на лечение тимололом может понадобиться коррекция рефракции.Препарат следует отменить за 48ч до предполагаемого проведения общей анестезии с использованием периферических миорелаксантов.
Форма выпуска
во флаконах-капельницах полиэтиленовых по 5 или 10 мл; в пачке картонной 1 флакон или в коробке 50 флаконов.
Условия хранения
В защищенном от света месте, при температуре не выше 25°C. Хранить в недоступном для детей месте.
Срок годности
3 года. После вскрытия упаковки 1 мес.Не применять по истечении срока годности, указанного на упаковке.2000-2017. Регистр лекарственных средств России
Условия отпуска
по рецепту
Производитель
Акционерное Курганское общество медицинских препаратов и изделий «Синтез», Россия.
Для описания товара использована информация от партнера ЭркаФарм
Мобильное приложение «Все аптеки»
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