• Glaucoma

Timoptic-xe Generic Name & Formulations

General Description

Timolol maleate 0.25%, 0.5%; oph gel forming soln.

Pharmacological Class

Noncardioselective beta-blocker.

How Supplied

Soln—contact supplier; Ocudose—60; XE—2.5mL, 5mL

Generic Availability


Timoptic-xe Indications


Elevated intraocular pressure in ocular hypertension or open-angle glaucoma.

Timoptic-xe Dosage and Administration

Adults and Children

<2yrs: not established. Invert closed bottle and shake once before each use. ≥2yrs: 1 drop once daily. Give other oph. drugs at least 10 minutes before.

Timoptic-xe Contraindications


Greater than 1st-degree AV block. Uncompensated cardiac failure. Cardiogenic shock. Sinus bradycardia. History of bronchospasm. Bronchial asthma. Severe COPD.

Timoptic-xe Boxed Warnings

Not Applicable

Timoptic-xe Warnings/Precautions


Not for use as sole agent in angle-closure glaucoma. Poor cardiac reserve should be controlled with digitalis and diuretics. Diabetes. Presbyopia. May mask hypoglycemia or thyrotoxicosis. Myasthenia gravis. Cerebrovascular insufficiency. Measure intraocular pressure after 4 weeks of treatment. Avoid abrupt cessation. Discontinue at 1st sign of cardiac failure and before surgery. Pregnancy. Nursing mothers: not recommended.

Timoptic-xe Pharmacokinetics

See Literature

Timoptic-xe Interactions


May potentiate systemic β-blockers, reserpine, hypoglycemics and mydriatic effect of topical epinephrine. Additive cardiac and pulmonary effects with anticholinesterase miotics. May antagonize bronchodilation from β-adrenergic agonists. May cause conduction defects with calcium channel blockers, digoxin. May be potentiated by CYP2D6 inhibitors (eg, quinidine, SSRIs).

Timoptic-xe Adverse Reactions

Adverse Reactions

Ocular irritation, sensitization, rash, dizziness, blurred vision, corneal anesthesia, headache, GI upset, paresthesias. Systemic β-blocker effects (bradycardia, arrhythmias, hypotension, bronchospasm, heart failure). Aphakic maculopathy (rare).

Timoptic-xe Clinical Trials

See Literature

Timoptic-xe Note

Not Applicable

Timoptic-xe Patient Counseling

See Literature