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Carteolol eye drops for glaucoma

Ocupress

Clinical author's note Michael Stewart 30/01/2018: Teoptic® eye drops were discontinued in the UK in July 2017. At the time of review there are no branded or generic eye drop products containing carteolol available in the UK. Carteolol eye drops may still be available in other countries. This Medicine Leaflet is based on medical information available in the UK at the time of writing and is left here for reference purposes only. Please also refer to the manufacturer's information supplied with your medicine.

Carteolol eye drops are used to control increased pressure within your eye (glaucoma).

Remember to use the drops regularly twice a day - try not to miss any doses.

If you normally wear soft contact lenses, please make sure your doctor knows about this.

At a glance

  • Carteolol eye drops are a type of medicine used to treat chronic open-angle glaucoma.

  • They work by lowering the pressure inside your eye to protect the optic nerve.

  • Use one drop in the affected eye(s) twice a day, usually starting with a lower strength.

  • Do not wear soft contact lenses unless your doctor advises otherwise.

  • Common side-effects include eye irritation, smarting, itching, redness, or dryness.

  • Speak to your doctor if you experience breathing difficulties or an allergic reaction.

  • Eye drops should be discarded four weeks after opening.

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About carteolol eye drops

Type of medicine

Beta-blocker eye drops

Used for

Chronic open-angle glaucoma (also called primary open-angle glaucoma)

Also called (UK)

Teoptic® (discontinued)

Also called (US)

Ocupress®

Available as

Eye drops

In chronic open-angle glaucoma there is damage to the optic nerve at the back of your eye. It is usually caused by an increase in pressure within your eye. Carteolol eye drops work by lowering the pressure in your eye. They do this by reducing the amount of fluid your body makes to fill the front part of your eye (called aqueous humour). By reducing the amount of fluid produced, it reduces the pressure within your eye.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start using the drops it is important that your doctor knows:

  • If you have asthma or any other breathing problems.

  • If you are pregnant or breastfeeding.

  • If you have a heart condition.

  • If you wear soft contact lenses.

  • If you have Raynaud's disease or low blood pressure.

  • If you are being treated for thyroid problems or diabetes.

  • If you know you have a problem with the surface of your eye (the cornea), or if you have particularly dry eyes.

  • If you are taking any medicines. This includes any medicines you are taking which are available to buy without a prescription, as well as herbal and complementary medicines.

  • If you have any allergies. It is particularly important that you tell your doctor if you have had a bad reaction to any eye drops.

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  1. Wash your hands well before you use the drops.

  2. Remove the cap.

  3. Tilt your head back a little and pull the lower lid of your eye out to form a pocket.

  4. Hold the bottle upside down near to your eye. Try not to touch your eye as you do this.

  5. Apply enough pressure to the container to release one drop into your eye. Only use a second drop if the first drop missed going into your eye.

  6. Close your eye for a minute or two, and press gently on the side of your nose where the corner of your eye meets your nose. This helps to stop the drop from draining away and keeps it in your eye.

  7. Repeat the process in your other eye if you have been told to use the drops in both eyes.

  8. Replace the cap.

  • Before you start using the eye drops, read the manufacturer's printed information leaflet from the pack. It will give you more information about the eye drops and will provide you with a full list of the side-effects which you may experience from using them.

  • Use one drop into the eye (or eyes) affected, twice a day. Remember to use the drops regularly - try not to miss any doses. There are two strengths of carteolol eye drops available: 1% and 2%. Your doctor will probably prescribe the lower strength for you to use at first, but could later increase the strength of your drops if necessary.

  • If you forget to use the drops at your usual time, put them in as soon as you remember but do not 'double up' to make up for any missed doses.

  • Take care not to touch the tip of the dropper with your eye, fingers, or any other surface. This is to prevent the drops from becoming contaminated.

  • If you are using any other eye drops, leave 5-10 minutes between applying each one. This is to prevent more liquid going into your eye than it can handle. Otherwise the drops will overflow from your eye and not have the intended effect.

  • When first put in, eye drops can make your eyes water and may sometimes cause blurred vision. If this happens, it should quickly clear. Make sure you can see clearly again before you drive and before you use tools or machines.

  • Do not wear soft contact lenses unless your doctor has advised you otherwise. This is because there is a preservative in these eye drops which can affect soft contact lenses.

  • Keep your regular appointments with your doctor and eye clinic so that your progress can be checked.

  • If you are having an operation or any dental treatment, remember to tell the person carrying out the treatment that you are using carteolol eye drops. This is because the drops may interfere with some medicines used during surgery.

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Along with their useful effects, eye drops can cause unwanted side-effects although not everyone experiences them. The table below contains some of the side-effects associated with carteolol. You will find a full list in the manufacturer's information leaflet supplied with your drops. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Carteolol eye drop side-effects

What can I do if I experience this?

Eye irritation, smarting, itching, redness, dryness

If any of these continue or become troublesome, speak with your doctor

Important: if you experience the following, contact your doctor for advice straightaway:

  • Any difficulties breathing, such as wheezing or shortness of breath.

  • An allergic-type reaction, such as any swelling around your face.

If you experience any other symptoms which you think may be due to the eye drops, speak with your doctor or pharmacist for further advice.

  • Keep all medicines out of the reach and sight of children.

  • Store in a cool, dry place, away from direct heat and light.

  • Eye drops only keep for four weeks once the bottle has been opened, so do not use the drops if the bottle has been open for longer than this. This will help to prevent the risk of eye infections.

Important information about all medicines

If you buy any medicines check with a pharmacist that they are safe to take with your other medicines.

If you suspect that someone has swallowed this medicine, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty.

This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.

Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.

If you have any questions about this medicine ask your pharmacist.

MHRA - Reporting adverse reactions

Report suspected side effects to medicines, vaccines, e-cigarettes, medical device incidents, defective or falsified (fake) products to the Medicines and Healthcare products Regulatory Agency to ensure safe and effective use.

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Frequently asked questions

What is the main purpose of carteolol eye drops?

Carteolol eye drops are used to treat chronic open-angle glaucoma. Their main function is to lower the pressure inside your eye by reducing the amount of fluid produced, which helps protect the optic nerve from damage.

How do carteolol eye drops help with glaucoma?

In chronic open-angle glaucoma, the optic nerve at the back of your eye can be damaged due to increased pressure. These drops work by decreasing the production of aqueous humour, the fluid that fills the front part of your eye, thereby reducing the overall pressure within the eye.

What should I do if I forget a dose of carteolol eye drops?

If you miss your usual dose, apply the drops as soon as you remember. However, do not use extra drops or 'double up' on doses to compensate for the forgotten one.

Can I use carteolol eye drops if I wear soft contact lenses?

Generally, you should not wear soft contact lenses while using these eye drops unless your doctor specifically advises otherwise. This is because the preservative in the drops can affect soft contact lenses.

How long can I use a bottle of carteolol eye drops after opening it?

Once a bottle of carteolol eye drops has been opened, it should only be used for a maximum of four weeks. After this period, you should discard the bottle to prevent the risk of eye infections.

What should I do if the eye drops cause blurred vision?

When first applied, carteolol eye drops can sometimes make your eyes water or cause blurred vision. This effect should clear up quickly. It's important to ensure your vision is clear again before you drive or operate any tools or machinery.

Can carteolol eye drops interact with other medications, especially before surgery?

Yes, carteolol eye drops can potentially interfere with some medicines used during surgery or dental treatment. It is important to inform the person carrying out any medical or dental procedure that you are using these eye drops.

Where should I store my carteolol eye drops?

You should store carteolol eye drops in a cool, dry place, away from direct heat and light. Always keep all medicines out of the reach and sight of children.

Further reading and references

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About the authorView full bio

Author image

Michael Stewart, MRPharmS

Medicine Leaflet Review Manager – Contractor, Pharmacist

BPharm (Hons), MRPharmS

Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.

About the reviewer

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Sid Dajani

Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.

Article history

The information on this page is written and peer reviewed by qualified clinicians.

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