Learn More. The Peer-to-Peer request must be received by Maryland Amerigroup maryland prior authorization Care within two 2 business days of the initial notification of the denial. The intent of the Peer-to-Peer is to discuss the denial decision with the ordering clinician or attending physician. For specific details prioe authorization requirements, please refer to our Quick Reference Guide. Certain carefirst mental providers require prior authorization regardless of place of service.
For patients for whom monotherapy provides insufficient IOP reduction, Azarga offers a convenient fixed combination eye drop. Use Azarga eye drop exactly as it was prescribed. The most common Azarga eye drops side effects include blurred vision, change of taste, dry eye, irritation and sensation in eyes. If you are experiencing any severe side effects such as eye pain, increased tearing, signs of infection, swelling, redness of the eyelid, pink eye, sensitivity to light, vision problems or serious allergic reaction e.
Do NOT use Azarga ophthalmic solution if you have had any medical conditions such as heart disorders, respiratory problems, kidney or liver disease. Tell your doctor about all the prescription and over-the-counter OTC medications you use, especially of beta-blockers. They may interact with Azarga drug. Azaraga is not recommended to children below 18 years old. Consult with your doctor if you are pregnant or breast-feeding.
The generic alternative is not manufactured by the company that makes the brand product. The content on this page has been supplied to MediSave. If you require any advice or information about the drugs on this page, a medical condition or treatment advice, you should always speak to a health professional.
Please note that not all products, including any referenced in this page, are shipped by our affiliated Canadian Pharmacy.
We affiliate with other dispensaries that ship product to our customers from the following jurisdictions: Canada, Singapore, New Zealand, Turkey, Mauritius, India, and United Kingdom. The items in your order maybe shipped from any of the above jurisdictions.
The products are sourced from various countries as well as those listed above. Ask your doctor for advice before taking any medicine. Do not drive or use machines until your vision is clear. If affected take care when driving or using machines. You should check with your doctor or pharmacist if you are not sure. Adults: One drop in the affected eye or eyes, twice a day -morning and night.
Take it for as long as your doctor told you to. Do not put in any more drops until it is time for your next regular dose. Do not use a double dose to make up for the forgotten dose. Do not use more than one drop in the affected eye s twice daily.
If you stop using AZARGA without speaking to your doctor, the pressure in your eye will not be controlled which could lead to loss of sight. You can usually carry on taking the drops, unless the effects are serious. If you are worried, talk to your doctor or pharmacist. Effects in the eye: blurred vision, eye irritation, eye pain, abnormal sensation in eyes. Effects in the eye: eye surface inflammation with surface damage-inflammation inside the eye-red eye-itchy eye-eyelid itching-redness-swelling, or crusting-eye discharge-eye allergy-dry eye-tired eyes.
General side effects: chronic lung disease-decreased blood pressure-throat irritation-cough-difficulty sleeping-skin inflammation-redness or itching-runny nose-hair disorder. Effects in the eye: damage to the optic nerve-increased pressure in eye-deposits on the eye surface-corneal disorder-decreased eye sensation-inflammation or infection of the conjunctiva-abnormal, double or reduced vision-increased pigmentation of the eye-growth on surface of eye-increased tear production-eye swelling-sensitivity to light-decreased growth or number of eyelashes-drooping of the eyelids-inflammation of the eyelid glands.
Heart and circulation: changes in heart rate or rhythm-chest pain-reduced heart function-stopping of the heart-increased blood pressure-decreased blood flow to the brain-stroke-swelling of the extremities.
Respiratory: shortness of breath or difficulty breathing-cold symptoms-chest congestion-sinus infection-sneezing-stuffy nose-dry nose-nose bleeds-asthma. Nervous system and general disorders: depression-difficulty with memory-headache-nervousness-irritability-tiredness-shaking-feeling abnormal-fainting-dizziness-drowsiness-generalised or severe weakness. Gastric: nausea-vomiting-diarrhoea-intestinal gas or abdominal pain-inflammation of the throat-dry or abnormal sensation in mouth-decreased taste sensation-indigestion-stomach ache.
Blood: abnormal liver function values-increased blood chlorine levels, or decreased red blood cell count as seen in a blood test. Muscular: generalised back, joint, or muscle pain-muscle spasms-pain in extremities-muscle weakness.
If any of these side effects gets serious or if you notice any side effects not listed, please tell your doctor or pharmacist. The expiry date refers to the last day of that month. Throw away the bottle 4 weeks after first opening to prevent infections, and use a new bottle. Write down the date of opening on the bottle label and carton label in the space provided. Medicines should not be disposed of via waste water or household waste.
Ask your pharmacist how to dispose of medicines you no longer require. These measures will help protect the environment. The active substances are brinzolamide and timolol. One ml of suspension contains 10 mg of brinzolamide and 5 mg of timolol. AZARGA is a liquid white to off-white uniform suspension supplied in a pack containing one 5 ml plastic bottle with a screw cap or in a pack containing three 5 ml bottles.
Not all pack sizes may be marketed. Lietuva Alcon Pharmaceuticals Ltd. ItaliaAlcon Italia S. Quick Links What is it and how is it used? What do you have to consider before using it? How is it used? What are possible side effects?
How should it be stored? Further information. What is it and how is it used? For a full list of ingredients please see section 6.
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|Primary physicians that take ohio caresource in port or west portsmouth ohio best reviews||We affiliate with other dispensaries that ship product to our customers from the following jurisdictions: Canada, Singapore, New Zealand, Turkey, Mauritius, India, and United Kingdom. Ask your doctor for advice before taking any medicine. Do NOT use Azarga ophthalmic solution if you have had any medical alfon such as heart disorders, respiratory problems, kidney or liver disease. Compliance barriers in glaucoma: a azarga alcon side effects classification. Conclusion The fixed combination of brinzolamide and timolol has been shown to be more efficacious than each of its components individually and azarga alcon side effects in efficacy as a fixed combination when dosed against the simultaneous administration of its two components. In this study, discomfort was mild to moderate in severity in both treatment groups, and no patients left the study due to adverse events.|
|Caresource provider list indiana||In another study, the most common adverse ocular effects of the fixed combinations of brinzolamide-timolol and dorzolamide-timolol were blurred vision, eye pain, and irritation. Figure 1. Eye Lond ; 18 9 — Carbonic anhydrase II is also found in many other tissues of the body, including the corneal endothelium. Fixed combination medications simplify dosing by just having one bottle to use and to refill azarga alcon side effects they also decrease the frequency of applications.|
Not known : anaphylaxis 2 , anaphylactic shock 1 , systemic allergic reactions including angioedema, 2 localised and generalised rash 2 , hypersensitivity 1 , urticaria 2 , pruritus 2. Not known : depression 1 , memory loss 2 , apathy 3 , depressed mood 3 , decreased libido 3 , nightmare 2,3 , nervousness 3. Not known : cerebral ischaemia 2 , cerebrovascular accident 2 , syncope 2 , increases in the signs and symptoms of myasthenia gravis 2 , somnolence 3 , motor dysfunction 3 , amnesia 3 , memory impairment 3 , paraesthesia 2,3 , tremor 3 , hypoaesthesia 3 , ageusia 3 , dizziness 1 , headache 1.
Common : punctate keratitis 1 , blurred vision 1 , eye pain 1 , eye irritation 1. Uncommon : keratitis 1,2,3 , dry eye 1 , vital dye staining cornea present 1 , eye discharge 1 , eye pruritus 1 , foreign body sensation in eyes 1 , ocular hyperaemia 1 , conjunctival hyperaemia 1. Rare: corneal erosion 1 , anterior chamber flare 1 , photophobia 1 , lacrimation increased 1 , scleral hyperaemia 1 , erythema of eyelid 1, eyelid margin crusting 1. Not known : cardiac arrest 2 , cardiac failure 2 , congestive heart failure 2 , atrioventricular block 2 , cardio-respiratory distress 3 , angina pectoris 3 , bradycardia 2,3 , irregular heart rate 3 , arrhythmia 2,3 , palpitations 2,3 , tachycardia 3 , increased heart rate 3, chest pain 2 , oedema 2.
Not known : hypotension 2 , hypertension 3 , blood pressure increased 1 , Raynaud's phenomenon 2 , cold hands and feet 2.
Not known : bronchospasm 2 predominantly in patients with pre-existing bronchospastic disease , dyspnoea 1 , asthma 3 , epistaxis 1 , bronchial hyperactivity 3 , throat irritation 3 , nasal congestion 3 , upper respiratory tract congestion 3 , postnasal drip 3 , sneezing 3 , nasal dryness 3.
Not known : vomiting 2,3 , abdominal pain upper 1 , abdominal pain 2 , diarrhoea 1 , dry mouth 1 , nausea 1 , oesophagitis 3 , dyspepsia 2,3 , abdominal discomfort 3 , stomach discomfort 3 , frequent bowel movements 3 , gastrointestinal disorder 3 , oral hypoaesthesia 3 , oral paraesthesia 3 , flatulence 3. Not known : urticaria 3 , maculo-papular rash 3 , generalised pruritus 3 , skin tightness 3 , dermatitis 3 , alopecia 1 , psoriasiform rash or exacerbation of psoriasis 2 , rash 1 , erythema 1.
Not known : myalgia 1 , muscle spasms 3 , arthralgia 3 , back pain 3 , pain in extremity 3. Not known : erectile dysfunction 3 , sexual dysfunction 2 , decreased libido 2. Not known : chest pain 1 , pain 3 , fatigue 1 , asthenia 2,3 , chest discomfort 3 , feeling jittery 3 , irritability 3 , peripheral oedema 3 , medication residue 3.
Uncommon : blood potassium increase 1 , blood lactate dehydrogenase increased 1. Dysgeusia bitter or unusual taste in the mouth following instillation was a frequently reported systemic adverse reaction associated with the use of Alcon Azarga during clinical trials. It is likely to be caused by passage of the eye drops in the nasopharynx via the nasolacrimal canal and is attributable to brinzolamide.
Nasolacrimal occlusion or gently closing the eyelid after instillation may help reduce the occurrence of this effect. Alcon Azarga contains brinzolamide which is a sulphonamide inhibitor of carbonic anhydrase with systemic absorption. Gastrointestinal, nervous system, haematological, renal and metabolic effects are generally associated with systemic carbonic anhydrase inhibitors.
The same type of adverse reactions attributable to oral carbonic anhydrase inhibitors may occur with topical administration. Alcon Azarga is not recommended for use in children and adolescents below 18 years due to a lack of data on safety and efficacy.
Reporting suspected adverse reactions after authorisation of the medicinal product is important. Healthcare professionals are asked to report any suspected adverse reactions via the national reporting system:. Website: www. In case of accidental ingestion, symptoms of overdose from beta blockade may include bradycardia, hypotension, cardiac failure and bronchospasm.
If overdose with Alcon Azarga eye drops occurs, treatment should be symptomatic and supportive. Due to brinzolamide, electrolyte imbalance, development of an acidotic state, and possibly central nervous system effects may occur. Serum electrolyte levels particularly potassium and blood pH levels should be monitored. Studies have shown that timolol does not dialyse readily.
Alcon Azarga contains two active substances: brinzolamide and timolol maleate. These two components decrease elevated IOP primarily by reducing aqueous humour secretion, but do so by different mechanisms of action. The combined effect of these two active substances results in additional IOP reduction compared to either compound alone. Inhibition of carbonic anhydrase in the ciliary processes of the eye decreases aqueous humour secretion, presumably by slowing the formation of bicarbonate ions with subsequent reduction in sodium and fluid transport.
Timolol is a non-selective adrenergic-blocking agent that has no intrinsic sympathomimetic, direct myocardial depressant or membrane-stabilising activity. Tonography and fluorophotometry studies in man suggest that its predominant action is related to reduced aqueous humour formation and a slight increase in outflow facility.
In a twelve-month, controlled clinical trial in patients with open-angle glaucoma or ocular hypertension who, in the investigator's opinion could benefit from a combination therapy, and who had baseline mean IOP of 25 to 27 mmHg, the mean IOP-lowering effect of Alcon Azarga dosed twice daily was 7 to 9 mmHg. A statistically superior reduction in mean IOP was observed compared to both brinzolamide and timolol at all time-points and visits throughout the study.
Following topical ocular administration, brinzolamide and timolol are absorbed through the cornea and into the systemic circulation. In a pharmacokinetic study, healthy subjects received oral brinzolamide 1 mg twice daily for 2 weeks to shorten the time to reach steady-state prior to starting Alcon Azarga administration.
Following twice daily dosing of Alcon Azarga for 13 weeks, red blood cell RBC concentrations of brinzolamide averaged The lower systemic exposure to timolol following Alcon Azarga administration is not clinically relevant.
Following administration of Alcon Azarga, mean C max of timolol was reached at 0. The affinity of brinzolamide and metabolite to RBC and tissue CA results in low plasma concentrations. Ocular tissue distribution data in rabbits showed that timolol can be measured in aqueous humour up to 48 hours after administration of Alcon Azarga.
At steady-state, timolol is detected in human plasma for up to 12 hours after administration of Alcon Azarga. The metabolic pathways for the metabolism of brinzolamide involve N-dealkylation, O-dealkylation and oxidation of its N-propyl side chain. N-desethyl brinzolamide is a major metabolite of brinzolamide formed in humans, which also binds to CA-I in the presence of brinzolamide and accumulates in RBCs.
Timolol is metabolised by two pathways. One route yields an ethanolamine side chain on the thiadiazole ring and the other giving an ethanolic side chain on the morpholine nitrogen and a second similar side chain with a carbonyl group adjacent to the nitrogen.
Timolol metabolism is mediated primarily by CYP2D6. Timolol and its metabolites are primarily excreted by the kidneys. Non-clinical data reveal no special hazard for humans with brinzolamide based on conventional studies of safety pharmacology, repeated dose toxicity, genotoxicity, and carcinogenic potential. These findings occurred at doses that caused metabolic acidosis with decreased body weight gain in dams and decreased foetal weights.
Non-clinical data reveal no special hazard for humans with timolol based on conventional studies of safety pharmacology, repeated dose toxicity, genotoxicity, and carcinogenic potential. Alcon Azarga Print. Name of the medicinal product Qualitative and quantitative composition Therapeutic indications Dosage Posology and method of administration Contraindications Special warnings and precautions for use Effects on ability to drive and use machines Undesirable effects Overdose Pharmacodynamic properties Pharmacokinetic properties Pharmacotherapeutic group Preclinical safety data Incompatibilities Special precautions for disposal and other handling.
Components: Brinzolamide , Timolol. Method of action: Antiglaucomatous. Treatment option: Intraocular Hypertension , Hypertension , Glaucoma. Name of the medicinal product. The information provided in Name of the medicinal product of Alcon Azarga is based on data of another medicine with exactly the same composition as the Alcon Azarga.
Be careful and be sure to specify the information on the section Name of the medicinal product in the instructions to the drug Alcon Azarga directly from the package or from the pharmacist at the pharmacy.
Qualitative and quantitative composition. The information provided in Qualitative and quantitative composition of Alcon Azarga is based on data of another medicine with exactly the same composition as the Alcon Azarga. Be careful and be sure to specify the information on the section Qualitative and quantitative composition in the instructions to the drug Alcon Azarga directly from the package or from the pharmacist at the pharmacy.
Therapeutic indications. The information provided in Therapeutic indications of Alcon Azarga is based on data of another medicine with exactly the same composition as the Alcon Azarga. Be careful and be sure to specify the information on the section Therapeutic indications in the instructions to the drug Alcon Azarga directly from the package or from the pharmacist at the pharmacy.
Dosage Posology and method of administration. The information provided in Dosage Posology and method of administration of Alcon Azarga is based on data of another medicine with exactly the same composition as the Alcon Azarga. Be careful and be sure to specify the information on the section Dosage Posology and method of administration in the instructions to the drug Alcon Azarga directly from the package or from the pharmacist at the pharmacy. Posology Use in adults, including the elderly The dose is one drop of Alcon Azarga in the conjunctival sac of the affected eye s twice daily.
Special populations Paediatric population The safety and efficacy of Alcon Azarga in children and adolescents aged 0 to 18 years have not yet been established. Alcon Azarga should be used with caution in patients with severe hepatic impairment. Method of administration For ocular use.
The information provided in Contraindications of Alcon Azarga is based on data of another medicine with exactly the same composition as the Alcon Azarga. Be careful and be sure to specify the information on the section Contraindications in the instructions to the drug Alcon Azarga directly from the package or from the pharmacist at the pharmacy.
Special warnings and precautions for use. The information provided in Special warnings and precautions for use of Alcon Azarga is based on data of another medicine with exactly the same composition as the Alcon Azarga.
Be careful and be sure to specify the information on the section Special warnings and precautions for use in the instructions to the drug Alcon Azarga directly from the package or from the pharmacist at the pharmacy. Systemic effects - Brinzolamide and timolol are absorbed systemically.
Cardiac disorders In patients with cardiovascular diseases e. Hyperthyroidism Beta-blockers may also mask the signs of hyperthyroidism. Muscle weakness Beta-adrenergic blocking medicinal products have been reported to potentiate muscle weakness consistent with certain myasthenic symptoms e. Respiratory disorders Respiratory reactions, including death due to bronchospasm in patients with asthma have been reported following administration of some ophthalmic beta-blockers. Anaphylactic reactions While taking beta-blockers, patients with a history of atopy or a history of severe anaphylactic reaction to a variety of allergens may be more reactive to repeated challenge with such allergens and unresponsive to the usual doses of adrenaline used to treat anaphylactic reactions.
Choroidal detachment Choroidal detachment has been reported with administration of aqueous suppressant therapy e. Surgical anaesthesia Beta-blocking ophthalmological preparations may block systemic beta-agonist effects e. Concomitant therapy The effect on intra-ocular pressure or the known effects of systemic beta-blockade may be potentiated when timolol is given to the patients already receiving a systemic beta-blocking agent.
Ocular effects There is limited experience with Alcon Azarga in the treatment of patients with pseudoexfoliative glaucoma or pigmentary glaucoma. Benzalkonium chloride Alcon Azarga contains benzalkonium chloride which may cause eye irritation and is known to discolour soft contact lenses. Hepatic impairment Alcon Azarga should be used with caution in patients with severe hepatic impairment. Effects on ability to drive and use machines. The information provided in Effects on ability to drive and use machines of Alcon Azarga is based on data of another medicine with exactly the same composition as the Alcon Azarga.
Be careful and be sure to specify the information on the section Effects on ability to drive and use machines in the instructions to the drug Alcon Azarga directly from the package or from the pharmacist at the pharmacy. Alcon Azarga has minor influence on the ability to drive and use machines. Undesirable effects. The information provided in Undesirable effects of Alcon Azarga is based on data of another medicine with exactly the same composition as the Alcon Azarga.
You may find that your vision becomes foggy for a while just after using Azarga. If you are affected, you should be careful when driving or using machines. There is a preservative in Azarga benzalkonium chloride , which can discolor soft contact lenses and cause eye irritation. Therefore, do not wear contact lenses when using Azarga. Wait 15 minutes after using Azarga before reinserting the lenses. Always use this medicine exactly as your doctor or pharmacist has told you.
Ask your doctor or pharmacist if you are unsure. If you switch from other eye drops used to treat glaucoma and switch to Azarga, stop taking the other medicine and start using Azarga the next day. If you are not sure, ask your doctor or pharmacist. To prevent the tip and suspension of the dropper from contaminating, make sure that you do not touch the eyelids, surrounding areas, or other surfaces with the tip of the dropper.
Keep the bottle tightly closed when not in use. The following measures are helpful in limiting the amount of drug that enters the bloodstream after the application of eye drops:. Only use Azarga in both eyes if your doctor prescribes it. Use Azarga for as long as your doctor prescribes it. If you use other eye drops or ointments, wait at least 5 minutes between each medicine. Eye ointments should be used last. If you use more Azarga than you should, rinse your eyes with lukewarm water.
Do not drip in more drops until it is time for your next dose. You may have a slower heart rate, lower blood pressure, heart failure, difficulty breathing, and the nervous system may be affected. If you forget to use Azarga , continue with the next dose as usual. Do not take a double dose to make up for a forgotten dose. Do not use more than one drop in the affected eye s twice daily. If you stop using Azarga without talking to your doctor, the pressure in your eye will not be checked, which could lead to vision loss.
Like all medicines, this medicine can cause side effects, although not everybody gets them. Stop using this medicine and contact your doctor immediately if you get a rash, a severe skin reaction, or severe redness and itching in the eye. This may be a sign of an allergic reaction frequency is unknown.
You can usually continue to use the drops unless the side effects are severe. If you are worried, talk to your doctor or pharmacist. Do not stop using Azarga without talking to your doctor first. Rare side effects are may affect up to 1 in users. Has been reported occurs in the unknown number of users :.
If you get any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly to the Medical Products Agency, www.
General side effects: decrease in white blood cell count, decreased blood pressure, cough, blood in urine, body weakness. Rare (may affect up to 1 in 1, people) Effects in the eye: corneal . In a six-month, controlled clinical study in patients with open-angle glaucoma or ocular hypertension and baseline mean IOP of 25 to 27 mmHg, the mean IOP-lowering effect of . Jun 23, · This leads to diminished actions of catecholamines, which normally bind to adrenergic receptors and exert sympathetic effects leading to an increase in blood pressure .