Timolol

Timolol is used to treat high blood pressure (hypertension). Timolol is sometimes given along with other blood pressure medications.

Timolol is also used to reduce the risk of death after a heart attack or to lower the risk of having another heart attack.

Timolol is also used to prevent migraine headaches.

Timolol may also be used for reasons not mentioned in this medication guide.

Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.

Your blood pressure will need to be checked often.

If you need surgery, tell the surgeon ahead of time that you are using timolol. You may need to stop using the medicine for a short time.

You should not stop using timolol suddenly. Stopping suddenly may make your condition worse.

If you are being treated for high blood pressure: Keep using this medicine even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.

If you are taking timolol to prevent migraine headaches: It may take 6 to 8 weeks of daily use before timolol is fully effective. Keep using the medication as directed and tell your doctor if you still have migraine headaches.

Store at room temperature away from moisture, heat, and light.

Use only as directed. Inform your doctor if you are taking other medicines or have other medical conditions or allergies.

You should not use timolol if you are allergic to it, or if you have:

• asthma, chronic obstructive pulmonary disease (COPD), or other breathing disorder;
• a serious heart condition such as "AV block" (second or third degree);
• very slow heartbeats;
• heart failure; or
• if your heart cannot pump blood properly.

Tell your doctor if you have ever had:

• congestive heart failure;
• coronary artery disease (hardened arteries);
• diabetes;
• overactive thyroid;
• liver or kidney disease;
• myasthenia gravis or other muscle disorders;
• allergies (or if you are undergoing allergy treatments or skin-testing);
• peripheral vascular disease such as Raynaud's syndrome; or
• a condition for which you are being treated with IV heart or blood pressure medication (such as diltiazem, nicardipine, or verapamil).

It is not known whether timolol will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

Timolol can pass into breast milk and may harm a nursing baby. You should not breastfeed while using this medicine.

Timolol is not approved for use by anyone younger than 18 years old.

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Timolol may cause serious side effects. Call your doctor immediately if you have:

• new or worsening chest pain;
• slow or uneven heartbeats;
• a light-headed feeling, as if you might faint;
• shortness of breath (even with mild activity), swelling, rapid weight gain;
• muscle weakness;
• drooping eyelids, vision problems; or
• a cold feeling in your hands and feet.

Common side effects of timolol may include:

• slow heartbeats;
• dizziness; or
• tiredness.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Usual Adult Dose for Hypertension:

Initial dose: 10 mg orally twice a dayMaintenance dose: 10 to 20 mg orally twice a dayMaximum dose: 30 mg orally twice a dayComment:-There should be an interval of at least 7 days between increases in dosages.-This drug may be used with a thiazide diuretic or with other antihypertensive agents. Use: For hypertension alone or in combination with other antihypertensive agents, especially thiazide-type diuretics

Usual Adult Dose for Myocardial Infarction:

Initial dose: 10 mg orally twice a dayUse: For patients who have survived the acute phase of myocardial infarction, and are clinically stable, to reduce cardiovascular mortality and the risk of reinfarction

Usual Adult Dose for Migraine Prophylaxis:

Initial dose: 10 mg orally twice a dayMaintenance dose: 10 to 30 mg given in 1 to 2 divided dosesUse: For the prophylaxis of migraine headache

Take the medicine as soon as possible, but skip the missed dose if it is nearly time for your next dose. Do not take two doses at the same time.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Tell your doctor about all your other medicines, especially:

• digoxin, digitalis;
• heart or blood pressure medication -- clonidine, diltiazem, nicardipine, nifedipine, reserpine, quinidine, verapamil, and others; or
• NSAIDs (nonsteroidal anti-inflammatory drugs) -- aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.

This list is not complete. Other drugs may affect timolol, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.