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Combigan (Brimonidine Tartrate/Timolol Maleate) Shopper Approved

Prescription Prescription Required FormationFormulation: Eye Drops

Combigan

(Brand Option)

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Prescription Prescription Required FormationFormulation: Eye Drops

Brimonidine Tartrate/Timolol Maleate

(Generic Alternative)

Select the prescribed dosage

Select the quantity to see the price.

  *  
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Combigan is a prescription eye drop that contains two active ingredients:

  • Brimonidine tartrate
  • Timolol maleate

It is used to help lower intraocular pressure (IOP), which is the pressure inside the eye. Elevated eye pressure can damage the optic nerve and increase the risk of vision loss if left untreated.

Combigan combines two medications that work together to provide greater pressure reduction than either medication alone.

What Is Combigan Used For?

Open-Angle Glaucoma

Combigan is commonly prescribed for people with open-angle glaucoma, the most common form of glaucoma.

Open-angle glaucoma develops when fluid inside the eye does not drain properly, causing pressure to build up over time. Increased eye pressure can gradually damage the optic nerve and lead to permanent vision loss if not adequately controlled.

Ocular Hypertension

Combigan is also used to treat ocular hypertension, a condition in which pressure inside the eye is higher than normal but optic nerve damage has not yet occurred.

Lowering eye pressure may help reduce the risk of developing glaucoma and protect long-term vision.

When Other Treatments Are Not Enough

Combigan is typically prescribed when treatment with a single medication (monotherapy) does not adequately control eye pressure. By combining two different medications in one eye drop, Combigan may provide more effective pressure reduction.

How Does Combigan Work?

Combigan contains two medications that lower eye pressure through complementary mechanisms.

Brimonidine Tartrate (Alpha Agonist)

Brimonidine belongs to a class of medications called alpha-adrenergic agonists.

It helps lower eye pressure by:

  • Reducing the production of aqueous humor (the fluid inside the eye)
  • Increasing the drainage of fluid from the eye

This helps decrease pressure within the eye and reduces stress on the optic nerve.

Timolol Maleate (Beta Blocker)

Timolol belongs to a class of medications known as beta blockers.

It works by:

  • Decreasing the amount of aqueous humor produced by the eye

With less fluid being produced, pressure inside the eye is reduced.

Dual Action for Better Pressure Control

By combining brimonidine and timolol, Combigan helps lower intraocular pressure through two different mechanisms:

  • Reducing fluid production
  • Improving fluid drainage

This dual-action approach can provide more effective control of eye pressure than either medication alone.

Benefits of Combigan

When used as prescribed, Combigan may help:

  • Lower elevated intraocular pressure
  • Reduce the risk of optic nerve damage
  • Slow the progression of glaucoma
  • Help preserve vision
  • Improve pressure control when single-drug therapy is not sufficient

Important Reminder

Combigan helps control eye pressure but does not cure glaucoma or ocular hypertension. Regular use and routine eye examinations are important to help protect your vision and monitor your response to treatment.

Combigan is an ophthalmic (eye drop) solution that contains brimonidine tartrate 0.2% and timolol maleate 0.5%. It is applied directly into the eye to help lower intraocular pressure in patients with glaucoma or ocular hypertension.

Combigan is available in several bottle sizes, including 5 mL, 10 mL, and 15 mL. Always use the medication exactly as prescribed by your healthcare provider.

Recommended Dosage

The usual dosage of Combigan is:

  • One drop in the affected eye(s) twice daily
  • Administered approximately 12 hours apart
  • Typically once in the morning and once in the evening

Using the medication at the same times each day can help maintain consistent control of eye pressure.

How to Apply Combigan Eye Drops

To use Combigan properly:

  • Wash your hands thoroughly before handling the bottle.
  • Tilt your head back and look upward.
  • Gently pull down your lower eyelid to create a small pocket.
  • Hold the bottle above your eye and instill one drop into the pocket.
  • Close your eye gently after applying the drop.
  • Avoid blinking excessively or rubbing your eye.
  • Wash your hands after use if necessary.

To help prevent contamination, do not allow the tip of the dropper bottle to touch your eye, fingers, or any other surface.

Contact Lens Instructions

If you wear contact lenses:

  • Remove your contact lenses before applying Combigan.
  • Wait at least 15 minutes after using the eye drops before reinserting your lenses.

This helps prevent the medication or preservatives in the solution from being absorbed by the lenses.

Using Other Eye Medications

If you use additional eye drops or ophthalmic medications:

  • Wait at least 10 minutes between each eye medication.

This helps ensure that each medication is properly absorbed and reduces the chance of one medication washing out the other.

Important Tips

  • Use Combigan exactly as prescribed.
  • Do not touch the dropper tip to your eye or any surface.
  • Remove contact lenses before use and wait 15 minutes before reinserting them.
  • If using other eye drops, separate applications by at least 10 minutes.
  • Continue using Combigan even if you do not notice symptoms, as glaucoma and ocular hypertension often do not cause noticeable symptoms until vision loss occurs.

Regular eye examinations and consistent use of your medication are important to help protect your vision and control eye pressure effectively.

Common Side Effects of Combigan (Brimonidine Tartrate/Timolol Maleate):

  • Burning or stinging of your eye
  • Drowsiness
  • Dry eye
  • Dry mouth
  • Headache
  • Itchy eye
  • Red eyes

Serious Side Effects of Combigan (Brimonidine Tartrate/Timolol Maleate):

  • Low blood pressure
  • Signs of breathing problems (shortness of breath, troubled breathing, wheezing, or tightness in chest, fast or irregular breathing)
  • Slow or irregular heartbeat
  • Symptoms of a severe allergic reaction (difficulty breathing, hives, swelling of the face or throat)
  • Symptoms of low blood sugar (cold sweat, cool pale skin, headache, fast heartbeat, weakness)
  • Vision changes

Combigan (Brimonidine Tartrate/Timolol Maleate) is available in the following forms and strengths:

Combigan: Eye drops

  • 0.2/0.5%

Brimonidine Tartrate/Timolol Maleate: Eye drops

  • 0.2/0.5%

Before using Combigan, discuss your medical history and all medications you are taking with your healthcare provider. Following proper administration instructions can help maximize the effectiveness of the medication and reduce the risk of side effects.

Follow Your Prescribed Dosage

Use Combigan exactly as prescribed by your healthcare provider. Do not change your dosage, stop treatment, or use the medication more often than directed without first consulting your healthcare provider, even if you believe a different dose may be more appropriate.

Proper Storage

Store Combigan at room temperature and protect it from excessive heat, moisture, and direct light.

To help maintain the quality of the medication:

  • Keep the bottle tightly closed when not in use.
  • Store it in a safe, dry location.
  • Keep it out of the reach of children and pets.

Prevent Contamination

To reduce the risk of eye infections or contamination:

  • Do not allow the dropper tip to touch your eye.
  • Avoid touching the dropper tip with your fingers.
  • Do not let the tip come into contact with any surface.

Always replace the cap securely after each use.

Using Other Eye Medications

If you use other ophthalmic medications, wait at least 10 minutes between applications.

This helps ensure each medication is absorbed properly and prevents one eye drop from washing out another.

Contact Lens Use

If you wear soft contact lenses:

  • Remove them before applying Combigan.
  • Wait at least 15 minutes after using the drops before reinserting your lenses.

This helps prevent the medication or preservatives from being absorbed into the lenses.

Drug Interactions

Use caution when taking Combigan with certain medications, including:

  • Other eye medications
  • Blood pressure medications (antihypertensives)
  • Cardiac glycosides and certain heart medications

These combinations may increase the risk of side effects or affect how the medications work. Be sure to provide your healthcare provider with a complete list of all prescription medications, over-the-counter products, vitamins, and supplements you use.

Respiratory and Heart-Related Effects

Because Combigan contains timolol, a beta blocker, it may occasionally cause serious respiratory or cardiovascular side effects in susceptible individuals.

Tell your healthcare provider if you have a history of:

  • Asthma
  • Chronic obstructive pulmonary disease (COPD)
  • Heart failure
  • Slow heart rate (bradycardia)
  • Other heart rhythm disorders

Seek medical attention if you experience:

  • Difficulty breathing
  • Wheezing
  • Chest pain
  • Fainting
  • Severe dizziness
  • Unusually slow heartbeat

Depression and Mood Disorders

Combigan should be used with caution in people with a history of depression or certain mood disorders. Inform your healthcare provider if you have experienced depression or other mental health conditions in the past.

Use in Children

Combigan must not be used in infants younger than 2 years of age.

In general, Combigan is not routinely recommended for children and adolescents between 2 and 17 years of age, unless specifically prescribed and closely monitored by a healthcare provider.

When to Contact Your Healthcare Provider

Contact your healthcare provider if you experience:

  • Eye irritation that does not improve
  • Changes in vision
  • Difficulty breathing
  • Slow or irregular heartbeat
  • Severe dizziness or fainting
  • Symptoms of depression or mood changes

Any unusual or severe side effects

Regular eye examinations and follow-up appointments are important to ensure Combigan is working safely and effectively to control your eye pressure.

How Long Can You Use Combigan Eye Drops?

You should follow your healthcare provider’s instructions regarding how long to use Combigan. Once a bottle has been opened, any remaining solution should generally be discarded 4 weeks after opening. Combigan contains a preservative that helps prevent bacterial contamination after the bottle is opened, but over time the preservative may become less effective, increasing the risk of contamination and potential eye infections. To help ensure safe use, write the date you opened the bottle on the carton or label, discard any unused solution after 4 weeks, and never use expired eye drops. Proper storage and timely disposal can help maintain the safety and effectiveness of the medication.

Who Should Not Use Combigan?

Combigan may not be appropriate for everyone. You should not use Combigan if you have asthma, chronic obstructive pulmonary disease (COPD), certain serious heart conditions, severe heart failure, specific heart rhythm disorders such as AV block, or a history of slow heartbeats that have caused fainting. Because Combigan contains timolol, a beta blocker, it may worsen certain breathing and heart conditions. In addition, Combigan should not be used in children younger than 2 years of age. Before starting treatment, be sure to inform your healthcare provider about your complete medical history, including any heart, lung, or other medical conditions, so they can determine whether Combigan is safe and appropriate for you.

How Many Times a Day Do You Take Combigan?

The usual recommended dosage of Combigan is one drop in the affected eye(s) twice daily, administered approximately 12 hours apart. Many people use Combigan once in the morning and once in the evening to help maintain consistent control of intraocular pressure throughout the day. Always use the medication exactly as prescribed by your healthcare provider and do not change your dosing schedule without their guidance.

What Should I Do If I Miss a Dose?

If you miss a dose of Combigan, apply it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not use extra drops, apply two doses at the same time, or double your dose to make up for a missed one. If you are unsure what to do after missing a dose, contact your healthcare provider or pharmacist for guidance.

REVIEWS

Additional Information Book
Generic name:

Brimonidine Tartrate/Timolol Maleate

Formulation:

Eye Drops

Strength(s):

0.2/0.5%

Quantities Available:

5mL, 10mL, 15mL, 20mL

Why customers love Online Pharmacies Canada

Our online Canadian Pharmacy is known for high standards of quality, safety, and efficiency when it comes to medications.

Our pharmacy offers lower prices on prescription drugs compared to traditional pharmacies.

How to Order

How much Combigan can I order at once from a Canadian pharmacy?

When ordering Combigan (brimonidine tartrate/timolol maleate) from a Canadian pharmacy, you can typically purchase up to a 90-day supply at one time, which is standard for many prescription medications to ensure continuous treatment without frequent refills.

Here’s what you need to know:

Dosage and Quantity: Combigan comes in a strength of 0.2/0.5% and is typically prescribed with one drop applied to the affected eye(s) twice daily. For a 90-day supply, it would require 180 drops (90 days x 2 drops per day).

Do you sell brimonidine tartrate/timolol maleate?

Yes, we do sell brimonidine tartrate/timolol maleate on our website. You can enjoy low prices when purchasing this medication. However, please note that you will need a valid prescription from your healthcare provider in order to make a purchase. We require this prescription to dispense the medication safely and legally. You can conveniently provide your prescription by mailing, faxing, or uploading it through your online account on our website.

Do you offer shipping of Combigan (brimonidine tartrate/timolol maleate) to the United States?

Yes, we ship (brimonidine tartrate/timolol maleate) to both the United States and Puerto Rico.

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Online Pharmacies Canada has provided information from third parties intended to increase awareness and does not contain all the information about Combigan (Brimonidine Tartrate/Timolol Maleate). Talk to your doctor or other qualified medical practitioners for medical attention or advice, or if you have any concerns about Combigan (Brimonidine Tartrate/Timolol Maleate).