Did the doctor prescribe you a liquid medicine to put in your eyes? Is it called Levobunolol? So let's talk a little about this medicine, how to use it, and what to be careful about. Because even a medicine will not give the expected benefits if it is not used properly. Also, sometimes small problems can arise. So, let's know all this clearly.
What is Levobunolol? Why is it used?
Simply put, Levobunolol is an eye solution . It is mainly used to reduce the pressure inside your eyes. Some people may have increased pressure inside their eyes, or it may be due to a condition called glaucoma . In particular, it is often given for a type of glaucoma called open-angle glaucoma .
Imagine, fluid is produced inside our eyes, and that fluid is also released from the eye. This is like filling a ball with water. If the amount of water coming in and going out is not balanced, the ball will swell too much, right? That's what happens inside the eye. If this fluid doesn't drain properly, the pressure inside the eye increases. This increased pressure can damage the nerves that help our eyes see. This medicine called Levobunolol works by reducing the amount of fluid produced inside the eye . Then the pressure inside the eye also decreases.
You can buy this medicine at the pharmacy under the brand names `Ak-Beta` or `Betagan`. However, the name that the doctor prescribes is what is most important.
This medicine can sometimes be used for other purposes, so if you have any questions, it's best to ask your doctor or pharmacist.
What should I tell the doctor before using this medicine?
This is a very important point . Before you use Levobunolol, you need to be clear about the following with your doctor:
- If you have diabetes (Diabetes Mellitus) , because this medicine can sometimes affect blood sugar levels.
- If you have had a heart attack before, or if you have other heart disease , this is important to mention as this medication can also affect heart function.
- If you have lung diseases , for example , asthma or emphysema .
- If you have any problems with your thyroid gland (thyroid disease) .
- You have an allergic reaction to levobunolol, other beta blockers , any other medicine, food, dyes, sulfites, or preservatives.If it has come, even if it's just a little itch or redness on the skin, you should tell me.
- If you are pregnant or trying to get pregnant .
- If you are breastfeeding .
If you tell these things correctly, the doctor can decide exactly whether this medicine is right for you or not, and how to give it.
How exactly do you use this medicine?
Since this medicine is applied to the eyes, it is very important to know how to do it correctly. If you apply it incorrectly, the medicine can be wasted and eye infections can occur.
1. For the eyes only: Do not take this medicine by mouth . This is for the eyes only.
2. Check the label: Use the medicine as prescribed by your doctor, following the instructions on the label of the bottle.
3. Wash your hands: Wash your hands thoroughly with soap and water before and after applying the medicine. This can help prevent infections.
4. Remove contact lenses: If you wear contact lenses, remove them before applying the medication. Ask your doctor how soon after applying the medication you can reinsert your lenses.
5. Shake well: Shake the medicine bottle well before use.
6. Let's put it correctly:
- Tilt your head back a little.
- Gently pull down your lower eyelid with your index finger. It will form a small pouch.
- Be careful not to let the tip of the dropper touch your eye, your fingertips, or anywhere else. Doing so can transfer germs to the dropper.
- Put the medicine drops in the amount the doctor prescribed (usually one drop) into the bag-like area.
- Close your eye and gently press the inner corner of your eye (the corner that is toward your nose) with your finger for a minute or two. This will help reduce the amount of medicine going down your throat and help the eye absorb it properly.
- Close your eyes for a while.
7. On time: Take the medicine at the prescribed intervals as prescribed by the doctor. If it is twice a day, take it exactly at the same time.
8. Don't take more: Don't take more than the prescribed amount. Doing so will not provide any additional benefits, and may increase side effects.
9. Do not stop suddenly: Do not stop using this medicine suddenly without your doctor's advice.
Important: This medicine is for your use only. Do not give it to anyone else, even if they have the same symptoms you have.
If using in children: If giving this medicine to children, talk to your pediatrician about it. Special care may be needed.
What if I take too much medicine? Or forget to take it on time?
Overdose: If you think you have taken more medicine than you should, or if someone has taken it, call a poison control center or emergency room immediately.
Missed dose: If you forget to take your medicine at the scheduled time, take the dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take the next dose at the scheduled time. Never take two doses at once (double dose).
Are there any other medications that may interact with this medicine? (Interactions)
Yes, some medications can interact with Levobunolol, which can change how well it works or increase side effects. So, tell your doctor if you are taking any of these medications:
- Digoxin ( a medicine for heart disease)
- Medicines for colds and breathing difficulties
- Medication for high blood pressure
- Phenothiazines ( e.g. Chlorpromazine, Mesoridazine, Prochlorperazine, Thioridazine)
This list does not include all possible interactions. Therefore, tell your doctor about all the medicines you are taking (prescribed, over-the-counter, herbal remedies, vitamins, and dietary supplements) , and if you smoke, drink alcohol, or use other drugs.
Another thing: When using levobunolol, ask your doctor before using other eye drops or ointments. It is best to wait at least 5-10 minutes after using one medicine before applying the other.
Things to keep in mind when using the medicine
- See your doctor regularly: See your doctor as prescribed to see how the medication is working and how your condition is. Your eye pressure should also be checked.
- If you have an eye injury: If you have an eye injury, an eye infection, or eye surgery, ask your doctor if you should continue to use this medicine.
- Drowsiness/Dizziness: This medication may make some people feel drowsy or dizzy . Therefore, be careful when driving, operating machinery, or doing other tasks that require concentration until you know how this medication affects you.
- Be careful when sitting/standing: To reduce the risk of dizziness and fainting, do not stand up suddenly from a sitting position or sit down from a standing position. Do these things slowly.
- Contact lenses:If you wear contact lenses, ask your doctor whether you can wear them while using this medication. The ingredients in the medication may damage the lenses.
- Sensitivity to light: This medicine may make your eyes a little more sensitive to light. If this happens, wear dark glasses.
What are the possible side effects of this medicine? (Side Effects)
Like any medicine, Levobunolol can cause some side effects. Not everyone gets them, but it's good to be aware of them.
If something like this happens, tell your doctor immediately:
- Changes in blood sugar levels (especially in diabetics)
- Cold hands and feet
- Difficulty breathing, wheezing
- Dizziness or fainting
- Irregular heartbeat, palpitations, chest pain
- Skin rash, itching, peeling skin
- Slow heart rate
- Swelling of the legs or ankles
These side effects are usually not dangerous, but if they persist or become bothersome, tell your doctor:
- Blurred vision (this should resolve after a while with medication)
- Burning, stinging, itching eyes or eyelids
- Eyes becoming more sensitive to light
This list may not include all side effects. If you notice anything else unusual, talk to your doctor.
How to store medicine properly? (Storage)
- Keep away from children. This is very important.
- Store at room temperature (between 15 and 30 degrees Celsius / 59 and 86 degrees Fahrenheit).
- Do not freeze.
- Protect from light. That means don't keep it in direct sunlight.
- Discard any remaining liquid medicine after the expiration date.
As a summary, remember this.
Okay, so now you have a better understanding of this eye medication called Levobunolol. Remember, this is a medication that is used to control glaucoma and high pressure in the eye .
- Use it correctly: Take it exactly as your doctor tells you, at the right time, and in the right amount.
- Tell your doctor : Be sure to tell your doctor about any other illnesses you have, any other medications you take, and any allergies you have.
- Be aware of side effects: If you notice anything unusual, talk to your doctor.
- Ask questions: If you have any questions or doubts about this medicine, never be afraid to ask your doctor or pharmacist.
It's your responsibility to take care of your eyes. This medicine will help with that!
👩🏽⚕️ Additional questions (FAQs)
💬 Is Levobunolol (Levobunolol / Betagan) a medicine used to treat eye problems?
This is not a medicine for normal redness/soreness of the eyes! This is a very powerful (Beta-blocker) medicine for the serious disease called 'Glaucoma (a disease in which pressure increases in the black eye)' and to reduce high eye pressure (Ocular Hypertension)! If these drops are not used daily, the eye pressure can increase and you may lose your vision completely (go blind).
💬 How does this medication (Levobunolol) reduce high eye pressure?
Our eyes constantly produce new 'aqueous humor' to carry food/oxygen. If this fluid increases more than necessary, the eye swells and glaucoma/pressure increases. This medicine (because it is a beta blocker) blocks/closes the factory that produces that fluid (Ciliary body) 100% when it enters the eye (Decreases fluid production). Since fluid is not produced, the eye pressure immediately drops.
💬 Can eye drops cause someone to have a 'heart attack/cardiac arrest'?
Yes! That is the main and most dangerous danger of this (Systemic absorption)! Even if you put it in the eye, this medicine is absorbed directly into the blood through the nose. Then it (because it is a Beta-blocker) directly attacks the heart and lungs, reducing the heart rate to zero (Bradycardia) and causing cardiac arrest or suffocation (Bronchospasm) in people with asthma/wheezing. To prevent this, you need to put the drop and hold the corner of the eye (on the side of the nose) with your finger for 2 minutes (Punctal occlusion)!
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