Levobunolol is a beta blocker used to treat glaucoma. It may also be used to treat other conditions as determined by your doctor.
Why is Levobunolol prescribed?
Levobunolol eyedrops are given to treat chronic open-angle glaucoma (increased pressure inside the eye). This medication is in a class called beta blockers. It works by lowering pressure within the eyeball.
Where can I order Levobunolol from? Can I buy Levobunolol at Canadian Prices?
Yes, if you are from the U.S. then you can buy Levobunolol at Canadian prices. Currently we will only accept an order for Levobunolol from U.S. and Canadian residents. Both U.S. and Canadian residents require a prescription to purchase Levobunolol and when you order Levobunolol it will be delivered with express shipping.
Most important fact
Although Levobunolol eyedrops are applied to the eye, the medication is absorbed and may have effects in other parts of the body. If you have diabetes, asthma or other respiratory diseases, or decreased heart function, make sure your doctor is aware of the problem.
How should you use Levobunolol?
Use Levobunolol eyedrops exactly as prescribed. Some people also need to use eyedrops that constrict their pupils. Administer Levobunolol eyedrops as follows:
Wash your hands thoroughly. Gently pull your lower eyelid down to form a pocket between your eye and eyelid. Hold the bottle on the bridge of your nose or on your forehead. Do not touch the applicator tip to any surface, including your eye. Tilt your head back and squeeze the medication into your eye. Close your eyes gently. Keep your eyes closed for 1 to 2 minutes. Wait 5 to 10 minutes before using any other eyedrops.
Do not rinse the dropper.
--If you miss a dose...If you take Levobunolol once a day, use it as soon as you remember. If you do not remember until the next day, skip the dose you missed and go back to your regular schedule. Do not take 2 doses at once. If you take Levobunolol 2 or more times a day, use it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at once. --Storage instructions...
Store at room temperature, away from light.
What side effects may occur?
Side effects from Levobunolol cannot be anticipated. If any develop or change in intensity, inform your doctor. Only your doctor can determine whether it is safe for you to continue using this medication. You may feel a momentary burning and stinging when you place the drops in your eyes. More rarely, you may develop an eye inflammation. Beta blockers may cause muscle weakness; weakened muscles around the eyes may cause double vision or drooping eyelids.
Other potential side effects include:
Burning and tingling (pins and needles), chest pain, confusion, congestive heart failure, depression, diarrhea, difficult or labored breathing, dizziness, fainting, hair loss, headache, heart palpitations, hives, impotence, low blood pressure, nasal congestion, nausea, rash, skin peeling, slow or irregular heartbeat, stroke, temporary heart stoppage, vision problems, weakness, wheezing
Why should Levobunolol not be prescribed?
Do not use Levobunolol if you have ever had an allergic reaction to it or are sensitive to it.
You should not use Levobunolol if you have any of the following conditions:
Asthma
Cardiogenic shock (shock due to insufficient heart action)
Certain heart irregularities
Heart failure
Severe chronic obstructive lung disease
Slow heartbeat (sinus bradycardia)
Special warnings
Levobunolol contains a sulfite preservative. In a few people, sulfites can cause an allergic reaction, which may be life-threatening. If you suffer from asthma, you are at increased risk for sulfite allergy. Levobunolol may be absorbed into your bloodstream. If too much of the drug is absorbed, this may worsen asthma or other lung diseases or lead to heart failure, which sometimes happens with oral beta-blocker medications. Beta blockers may increase the risks of anesthesia. If you are facing elective surgery, your doctor may want you to taper off Levobunolol prior to your operation. Use Levobunolol cautiously if you have diminished lung function. Since beta blockers may mask some signs and symptoms of low blood sugar (hypoglycemia), you should use Levobunolol very carefully if you have low blood sugar, or if you have diabetes and are taking insulin or an oral antidiabetic medication. If your body tends to produce too much thyroid hormone, you should taper off Levobunolol very gradually rather than stopping the drug all at once. Abrupt withdrawal of any beta blocker may provoke a rush of thyroid hormone ("thyroid storm").
Do not use 2 or more beta-blocker eye medications at the same time.
Possible food and drug interactions
If Levobunolol is used with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Levobunolol with the following:
Calcium-blocking blood pressure medications such as Calan and Cardizem
Digitalis (the heart medication Lanoxin)
Epinephrine (Epifrin)
Oral beta blockers such as the blood pressure medications Inderal and Tenormin
Reserpine (Serpasil)
Special information if you are pregnant or breastfeeding
The use of Levobunolol in pregnancy has not been adequately studied. If you are pregnant or plan to become pregnant, notify your doctor immediately. Levobunolol eyedrops should be used during pregnancy only if the benefit justifies the potential risk to the unborn child. Since other beta blocker medications are known to appear in breast milk, use Levobunolol eyedrops with caution if you are breastfeeding.
Recommended dosage
ADULTS The recommended starting dose is 1 or 2 drops of Levobunolol 0.5% in the affected eye(s) once a day.
The typical dose of Levobunolol 0.25% is 1 or 2 drops twice daily.
For more severe glaucoma, your doctor may have you use Levobunolol 0.5% twice a day.
Overdosage
Overuse of Levobunolol eyedrops may produce symptoms of beta blocker overdosage--slowed heartbeat, low blood pressure, breathing difficulty, and/or heart failure. Any medication taken in excess can have serious consequences. If you suspect an overdose of Levobunolol, seek medical attention immediately.
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