RIMOFLO T EYE DROP

🧿💧👁️ Timolol 0.5% + Brimonidine 0.2% Eye Drops: Dual-Action Relief for Elevated Eye Pressure

Timolol 0.5% + Brimonidine 0.2% is a prescription ophthalmic solution used primarily in the treatment of elevated intraocular pressure (IOP), commonly associated with open-angle glaucoma or ocular hypertension. This combination brings together two powerful agents with complementary mechanisms to effectively lower eye pressure, reduce the risk of optic nerve damage, and preserve vision.

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🔬 Composition and Mechanism of Action

This eye drop combines two classes of drugs:

• Timolol (0.5%): A non-selective beta-blocker that reduces IOP by decreasing aqueous humor production in the eye.

• Brimonidine (0.2%): An alpha-2 adrenergic agonist that both reduces aqueous humor production and increases uveoscleral outflow (the alternate drainage pathway of eye fluid).

Together, these agents provide a synergistic and more sustained IOP reduction, making the combination more effective than either drug alone.

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👁️‍🗨️ Indications

Timolol + Brimonidine eye drops are used in:

• Primary open-angle glaucoma

• Ocular hypertension

• Patients needing dual therapy for IOP control when monotherapy is inadequate

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💧 Dosage and Administration

• Usual dose: One drop twice daily in the affected eye(s), approximately 12 hours apart.

• Follow your doctor’s specific instructions for timing and duration.

• Proper technique:

  • Wash hands before use

  • Tilt head back and instill drop in the lower conjunctival sac

  • Avoid touching the dropper tip to any surface

  • Close eyes gently and press the corner of the eye (nasolacrimal duct) for 1–2 minutes to reduce systemic absorption

If using multiple eye medications, wait at least 5–10 minutes between each.

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⚠️ Precautions and Warnings

• Not for use in patients with:

  • Asthma, severe COPD, or heart block

  • Severe depression (brimonidine may worsen mood)

  • Hypotension or bradycardia

• Use cautiously in:

  • Patients with kidney/liver dysfunction

  • Children under 2 years (may cause serious side effects like apnea or coma)

  • Pregnancy and breastfeeding – consult doctor

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🤒 Possible Side Effects

Ocular (common):

• Eye redness

• Burning or stinging

• Blurred vision

• Dry eyes or watery eyes

• Foreign body sensation

Systemic (less common but serious):

• Dizziness

• Fatigue

• Bradycardia (slow heart rate)

• Hypotension

• Sleep disturbances or drowsiness

• Depression or mood changes

Discontinue and seek medical attention if severe allergic reaction or systemic symptoms occur.

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🔄 Drug Interactions

Avoid or monitor if also taking:

• Oral beta-blockers (additive effects)

• CNS depressants (increased sedation)

• Monoamine oxidase inhibitors (MAOIs) or tricyclic antidepressants (may interfere with brimonidine)

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📦 Storage Instructions

• Store at 15–25°C, away from heat and direct light

• Keep bottle tightly closed

• Discard 28 days after opening, even if solution remains

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📝 Conclusion

Timolol 0.5% + Brimonidine 0.2% is a potent combination therapy for reducing high eye pressure in glaucoma and ocular hypertension. It works through dual mechanisms, offering better control than single-agent drops. When used correctly, it helps protect against optic nerve damage and vision loss. Regular monitoring and follow-up are essential to ensure safety and effectiveness.

Note: This information is intended for educational purposes and should not replace professional medical advice. Always consult a healthcare provider for personalized guidance.