Izba (Ophthalmic)

Travoprost eye drops are used to lower high pressure in the eye due to open-angle glaucoma or eye hypertension. Both of these conditions are caused by increased pressure in the eye, which can result in pain or changes in vision. This medicine is a prostaglandin.

This medicine is available only with your doctor's prescription.

Your eye doctor will want to check your eyes during regular visits to ensure that this medicine is working well and is not causing any side effects.

This medicine may cause the iris (the colored part), eyelid, or eyelashes of your treated eye to turn brown. Your eyelashes might also grow longer, thicker, and darker. Some of these changes may last even if you stop using travoprost. Ask your doctor if you have any questions about this.

Contact your doctor immediately if you have an eye injury, eye infection, or if you plan to have eye surgery.

In deciding to use a medicine, you and your doctor need to consider the risks of the medicine against the benefits it may provide. For this medicine, keep the following in mind:

Allergies

Let your doctor know if you have ever had any unusual or allergic reactions to this medicine or any other medicines. Also, inform your healthcare professional about any other allergies you may have, such as to foods, dyes, preservatives, or animals. When using non-prescription products, read the label or package ingredients carefully.

Pediatric

Due to the side effects of travoprost, it is not recommended for use in children younger than 16 years of age.

Geriatric

Current studies have not shown any specific problems in elderly patients that would limit the usefulness of travoprost eye drops.

Breast Feeding

There are no adequate studies in women to determine the risk to infants when using this medication during breastfeeding. Consider the potential benefits and risks before using this medication while breastfeeding.

Interactions with Medicines

Some medicines should not be used together at all, while in other cases, two different medicines might be used together even if an interaction could occur. In such situations, your doctor may need to adjust the dose or take other precautions. Inform your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicines.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be taken at or around mealtime or with specific types of food due to possible interactions. Using alcohol or tobacco with certain medicines may also lead to interactions. Talk to your healthcare professional about using your medicine with food, alcohol, or tobacco.

Other Medical Problems

Having other medical problems may affect how this medicine works for you. Be sure to tell your doctor about any other medical issues you have, especially:

• Eye infection (bacterial keratitis) or
• Eye lens problems or
• Macular edema (swelling in the back part of the eye) or
• Uveitis (eye inflammation)—Use with caution. This may worsen these conditions.

Along with its necessary effects, a medicine may cause some unwanted effects. Not all of these side effects may happen, but if they do, they may require medical attention.

Check with your doctor right away if you experience any of the following side effects:

More common

• Eye pain
• itching eye
• redness of the eye
• redness, swelling, or itching of the eyelid

Less common

• Blurred or decreased vision
• burning, dry, or itching eyes
• eye color changes
• redness, pain, or swelling of the eye, eyelid, or inner lining of the eyelid

Some side effects may occur that usually do not require medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to provide ways to prevent or lessen some of these side effects. Check with your health care professional if any of the following side effects continue, are bothersome, or if you have questions about them:

More common

• Eye discomfort
• feeling of having something in the eye

Less common

• Acid or sour stomach (heartburn or indigestion)
• blood in the urine
• chest pain or tightness
• dry eyes
• eye discharge or excessive tearing
• faintness or lightheadedness when getting up from a lying or sitting position
• loss of bladder control
• lower back pain
• muscle pain or stiffness
• pain, swelling, or redness in the joints
• pain or burning while urinating
• pelvic pain
• slow or irregular heartbeat (less than 50 beats per minute)

Other side effects not listed may also occur in some patients. If you notice any other effects, consult your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

In the U.S.

• Izba
• Travatan
• Travatan Z

Available Dosage Forms:

• Solution

Therapeutic Class: Antiglaucoma

Pharmacologic Class: Prostaglandin

Your eye doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to.

Your doctor may order 2 or more eye drops to be used together. You should wait at least 5 minutes before putting another eye drop in the same eye.

Remove contact lenses before using this medicine. Wait at least 15 minutes after using this medicine before putting the contact lenses back in.

To use:

• The bottle is only partially full to provide proper drop control.
• First, wash your hands. Tilt your head back and, pressing your finger gently on the skin just beneath the lower eyelid, pull the lower eyelid away from the eye to make a space. Drop the medicine into this space. Let go of the eyelid and gently close the eyes. Do not blink. Keep the eyes closed for 1 to 2 minutes to allow the medicine to cover the eye.
• Remove any excess solution around the eye with a clean tissue, being careful not to touch the eye.
• Immediately after using the eye drops, wash your hands to remove any medicine that may be on them.
• To keep the medicine as germ-free as possible, do not touch the applicator tip to any surface (including the eye). Also, keep the container tightly closed.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For ophthalmic dosage form (eye drops): For glaucoma or hypertension of the eye: Adults and children 16 years of age and older—Use one drop in the affected eye once a day in the evening. Children younger than 16 years of age—Use is not recommended.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.