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Levobunolol HCl

Levobunolol HCl is a non-selective beta-adrenergic antagonist (beta-blocker) used primarily for the treatment of intraocular pressure in conditions such as open-angle glaucoma and ocular hypertension. It helps to lower eye pressure by decreasing aqueous humor production.

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Frequently Asked Questions

How long does it take for levobunolol HCl to start working?
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Levobunolol typically starts to lower intraocular pressure within 30 minutes after administration, with peak effects occurring around 2 hours.

Can I take levobunolol HCl with other medications?
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Always consult your healthcare provider before combining levobunolol with other medications, especially other eye drops.

What should I do if I miss a dose of levobunolol HCl?
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If you miss a dose, apply it as soon as you remember. If it’s close to the time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Is it safe to use levobunolol HCl during pregnancy?
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Levobunolol HCl should be used during pregnancy only if clearly needed, and the risks and benefits should be discussed with a healthcare provider.

Can levobunolol HCl cause weight gain?
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Weight gain is not commonly associated with levobunolol HCl. Any significant changes in weight should be discussed with a healthcare provider.

Comprehensive Drug Guide

How Does Levobunolol HCl Work?

Levobunolol works by blocking beta-adrenergic receptors in the eye, which leads to a reduction in the production of aqueous humor and a subsequent decrease in intraocular pressure. This action helps to prevent damage to the optic nerve associated with glaucoma.



Common Dosages

  • Ophthalmic solution: Common concentration is 0.25% and 0.5%.

Typical Dosing

  • The usual dosage is one drop in the affected eye(s) once or twice daily, as directed by a healthcare provider.

Typical Dosing

FDA Approved Indications

Management of elevated intraocular pressure in patients with open-angle glaucoma and ocular hypertension.

Who Shouldn't Take Levobunolol HCl?

  • Known hypersensitivity to levobunolol or any components of the formulation
  • Asthma or other significant respiratory conditions
  • Severe bradycardia or heart block


Advice From The Pharmacist

  • Patients should be advised on the proper technique for administering eye drops to ensure effective delivery of the medication.
  • Discuss the importance of adherence to the dosing schedule and regular follow-up appointments to monitor intraocular pressure.
  • Encourage patients to report any adverse effects, such as difficulty breathing or significant changes in heart rate.


Side Effects of Levobunolol HCl

Common Side Effects

  • Eye irritation or burning upon instillation
  • Dry eyes
  • Blurred vision
  • Headache


Uncommon/Severe Side Effects

  • Severe allergic reactions (anaphylaxis)
  • Respiratory difficulties or bronchospasm


Risks and Warnings of Levobunolol HCl

  • Respiratory Risks: Use caution in patients with a history of respiratory conditions, as beta-blockers can exacerbate bronchospasm.
  • Cardiovascular Monitoring: Patients with heart conditions should be monitored for changes in heart rate and rhythm.

Interactions with Levobunolol HCl

Common Drug Interactions

  • Other Ophthalmic Medications: Caution is advised when used with other eye drops; allow at least 5 minutes between applications.
  • Systemic Beta-Blockers: May increase the risk of systemic side effects; monitor patients closely.

Alternatives to Levobunolol HCl

  • Other Beta-Blockers: Such as timolol for managing intraocular pressure.
  • Prostaglandin Analogs: Such as latanoprost for glaucoma treatment.