Indications |
Oral Angina pectoris Adult: Initially, 10-20 mg once daily. May increase dose to 40 mg/day if necessary after 7-14 days depending on the patient's response. Elderly: Initial dose of 5-10 mg/day. Renal impairment: Patients with severe impairment or on dialysis: initially, 5 mg daily. May increase by 5 mg every 2 wk. Max: 20 mg daily. Oral Hypertension Adult: Initially, 10-20 mg once daily. May increase dose to 40 mg/day if necessary after 7-14 days depending on the patient's response. Elderly: Initial dose of 5-10 mg/day. Renal impairment: Patients with severe impairment or on dialysis: initially, 5 mg daily. May increase by 5 mg every 2 wk. Max: 20 mg daily. Ophthalmic Open-angle glaucoma Adult: Instil 1 drop of 0.25% or 0.5% solution bid. Ophthalmic Ocular hypertension Adult: Instil 1 drop of 0.25% or 0.5% solution bid. Special Populations: Reduce dose in patients with severe renal impairment. |
Contraindications |
Sinus bradycardia, cardiogenic shock, overt cardiac failure. Pregnancy . |
Warnings / Precautions |
Poor cardiac reserve, bronchospastic diseases, DM, renal or hepatic impairment. May mask signs of hyperthyroidism. Gradual withdrawal is recommended. Children. Lactation. |
Adverse Reactions |
Topical use in eye: Mild ocular stinging and discomfort, usually transient and well-tolerated. Rarely, decreased corneal sensitivity, erythema, itching, keratitis and photophobia reported; tiredness, fatigue, headache, impotence, sleep disturbances, cold hands and feet, GI upsets, bradycardia especially in elderly. |
Overdose Reactions |
May lead to bradycardia, congestive heart failure, hypotension, bronchospasm, and hypoglycemia. Stop treatment and observe patient. |
Drug Interactions |
May cause mydriasis when used concurrently with epinephrine. Close observation needed when on β-blocker and catecholamine-depleting drugs such as reserpine, due to possible additive effects resulting in hypotension and/or bradycardia. Caution when used concomitantly with adrenergic, psychotropic drugs. Potentially Fatal: Enhances calcium channel blockers, anaesthetics and clonidine. See Below for More betaxolol Drug Interactions |
Mechanism of Actions |
Betaxolol is a cardioselective β-blocker which has greater affinity for β1-receptors and has little or no effect on β2-receptors. It also causes the reduction of intraocular pressure by decreasing the production of aqueous humor. Absorption: Completely absorbed from the GI tract and undergoes minimal first pass effect. Distribution: Protein binding: 50%. Crosses the placenta and distributes into the breast milk. Excretion: Elimination half-life: about 16-20 hr. Mainly excreted via hepatic metabolism and urinary excretion. |
Administration |
May be taken with or without food. |
Storage Conditions |
Oral: Store at 15-25°C. |
ATC Classification |
C07AB05 - betaxolol ; Belongs to the class of selective beta-blocking agents. Used in the treatment of cardiovascular diseases. S01ED02 - betaxolol ; Belongs to the class of beta blocking agents. Used in the treatment of glaucoma. |
Storage |
Oral: Store at 15-25°C. |
Available As |
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Betaxolol
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Betaxolol Containing Brands
Betaxolol is used in following diseases
Drug - Drug Interactions of Betaxolol
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