Cosopt eye drops: manual, price, reviews, analogs
Cosopt protivoglaucomny is a combined drug that is intended to lower pressure inside the eye.
Thanks to the joint action of the main component of the drug (dorzolamide hydrochloride and timolol maleate), which slow down the production of intraocular fluid pressure inside the eye is reduced. The tool is used locally, but has the property of penetration into the bloodstream. Withdrawal of the drug from the body within 4 months.
Thanks to the combined action of these two components is the outflow of intraocular fluid, causing a reduction in pressure.
Within 20 minutes after instillation of the funds obtained the expected effect, that is, decreases the pressure. The maximum effect is after 2 hours, and the duration of therapeutic effects is 24 hours.
The composition and form of issue
The tool is available in the form of drops for the eyes, which are the main components dorzolamide hydrochloride and timolol maleate. Subsidiary are benzalkonium chloride, sodium citrate, mannitol, sodium hydroxide, hydroxyethylcellulose, water. Drops represent a colorless liquid of low viscosity. Is the solution in a vial with a volume of 5 ml.
Indications for use
Prescribed to lower pressure inside the eye in the treatment of glaucoma (open-angle and pseudoexfoliative). Self-use is not recommended. To assign it needs ophthalmologist who pre-establishes the correct diagnosis and determines the treatment method.
Method of application
Cosopt instilled twice a day for the 1st drop. When you use this tool with other droplets to the eye it should be applied only after 15 minutes after instillation of the previous one. When Cosopt protivoglaucomnami is replaced by other drops, and you use them you can start the next day.
Since the drug is a sterile solution, it requires the observance of all rules of its application:
- first of all, you need to sure that the protective strip from different vial damage;
- then you need to remove the strip;
- open the bottle by rotation of the cap;
- to reject the head back;
- to carry out the pulling of the lower eyelid and make the burying;
- close the bottle tightly tightening the cap to prevent ingress of air and spillage of the solution.
In the first month of use of Cosopt need to regularly measure the pressure inside the eye is required to ensure that the physician has evaluated the effect of treatment and, if necessary, added additional treatment.
This drug is not granted to people:
- with obstructive pulmonary disease in complex form;
- sinus bradycardia;
- bronchial asthma;
- cardiogenic shock;
- with heart failure;
- with hypersensitivity to the active substances drops;
- under 18 years of age;
- dystrophy of the cornea;
- with renal insufficiency.
You also can not use the drug during pregnancy and lactation. Especially cautiously it can be used with existing signs of kidney stones, renal, hepatic and cardiac nedostatochnosti, diabetes, disorders of the thyroid gland and for people, whose age exceeds 60 years.
Often, these eye drops are well tolerated by patients. Still, possible side effects, both local and system-wide. Local concern:
- increased secretion of tears;
- itching and dryness in the eyes;
- eye irritation;
- erosion of the cornea;
- the occurrence of unclear vision;
- the development of conjunctivitis.
System-wide side effects are usually mild severity, so the drug is not required. These effects are:
- allergic reactions;
- changing the taste;
- shortness of breath;
- weakness and drowsiness;
- pain in the head;
- ringing in the ears;
- pain in the chest.
Data on accidental or deliberate overdose is not available. Accidental overdose can occur following symptoms:
- the pain in the head;
- shortness of breath;
- the appearance of acidosis;
If he took an overdose, then you need to wash your eyes with clean water. If you want you can go on consultation to the ophthalmologist.
Interaction with other drugs
Regarding the interaction of Cosopt with other drugs have not been conducted any research. However, it should be noted that the use of timolol with drugs that have effects on the nervous and cardiovascular systems, can lead to a strong reduction in pressure and slow heart rate.
A similar effect occurs when using the substance with tools that are used for the treatment of depressive States. Concurrent administration of timolol and epinephrine can cause constriction of the pupil.
Combines the use of dorzolamide with salicylates in high doses increases the toxicity of both drugs. Drops are not recommended for use with carbonic anhydrase inhibitors, since there is no data on safe their joint application.
Before using Cosopt should remove the lenses and install them back after 15 minutes after the instillation. If during the use of the drug will have symptoms that indicate heart failure, it is required to immediately reverse it.
Important! Before the operation, which will be carried out under General anesthesia, these drops are cancelled 48 hours prior to the event.
With the use of Cosopt possible difficulties while driving a car or operating machinery requiring attention as it can, for example, reduced visual acuity, to appear sleepy. Therefore, it is recommended to abandon such activities during the therapy these drops for eyes.
Hypersensitivity to the main active ingredients of the drug possess the elderly, so use it for the treatment of patients over 60 years of age is recommended particularly carefully.
Opened vial with drops you need to use for 1 month. Be stored the drug must be in a dark place and away from children.
Positive. Buyers note that well Cosopt drops helps to lower eye pressure in glaucoma. During instillation unpleasant sensation not caused. The drug is available in pharmacies. Compliance of price and quality.
Negative. Some patients on this drug experienced allergies.
Analogues of this tool are:
- Dorset Plus;
- Drops fotil;
To assign the same data drops, the drug should eye doctor. Alone is not recommended.
The cost of these drops in Russian pharmacies is 750 to 900 rubles.