Alphagan® 0.2% w/v (2 mg/ml)
eye drops, solution
1. What ALPHAGAN is and what it is used for
2. Before you use ALPHAGAN
3. How to use ALPHAGAN
4. Possible side effects
5. How to store ALPHAGAN
6. Further information
Alphagan is used to reduce pressure within the eye.
It can be used either alone, when beta-blocker eye drops are contraindicated, or with another eye drop, when a single medicine is not enough to lower the increased pressure in the eye, in the treatment of open angle glaucoma or ocular hypertension.
The active ingredient in Alphagan is brimonidine tartrate, which works by reducing pressure within the eyeball.
Before you take this medicine, tell your doctor:
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Tell your doctor if you are taking any of the following medicines:
These could affect your treatment with Alphagan.
Ask your doctor or pharmacist for advice before taking any medicine. Tell your doctor if you are pregnant or planning to become pregnant.
Alphagan should not be used while breast-feeding.
A preservative in Alphagan (benzalkonium chloride) may cause eye irritation and is also known to discolour soft contact lenses. Therefore, avoid contact with soft lenses. If you wear soft contact lenses take them out before using these eye drops and then wait 15 minutes after using Alphagan before inserting your lenses.
Always use Alphagan exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
The usual dose is one drop twice daily in the affected eye(s), approximately 12 hours apart.
Alphagan must not be used for infants below 2 years of age.
Alphagan is not recommended for use in children (from 2 years until 12 years).
Alphagan comes as eye drops. Always wash your hands before applying eye drops. Your prescription label tells you how many drops to use at each dose. If you use Alphagan with another eye drop, wait 5-15 minutes before applying the second eye drop.
Apply your eye drops in the following way:
1. Tilt your head back and look at the ceiling.
2. Gently pull the lower eyelid down until there is a small pocket.
3. Squeeze the upturned dropper bottle to release a drop into your eye.
4. Whilst keeping the affected eye closed, press your finger against the corner of the closed eye (the side where the eye meets the nose) and hold for 1 minute.
Avoid touching the dropper tip against your eye or anything else.
Replace and tighten the cap straight after use.
In adults who were instilling more drops than prescribed, the side effects reported were those already known to occur with Alphagan.
Adults who accidentally swallowed Alphagan experienced decrease in blood pressure, which in some patients was followed by the increase in blood pressure.
Serious side effects were reported in children who accidentally swallowed Alphagan. Signs included sleepiness, floppiness, low body temperature, paleness and breathing difficulties. Should this happen, contact your doctor immediately.
Adults and Children
If Alphagan has been accidentally swallowed or if you have used more Alphagan than you should, please contact your doctor immediately.
If you forget to take a dose, apply it as soon as you remember. If, however, it is almost time for your next dose, you should omit the missed dose altogether and then follow your normal routine.
To be effective Alphagan must be used every day. Do not stop using Alphagan until your doctor tells you to.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
Like all medicines, Alphagan can cause side effects, although not everybody gets them. The chance of having a side effect is described by the following categories:
Very common Occurs in more than 1 out of 10 patients
Common Occurs in fewer than 1 out of 10 patients
Uncommon Occurs in fewer than 1 out of 100 patients
Rare Occurs in fewer than 1 out of 1,000 patients
Very rare Occurs in fewer than 1 out of 10,000 patients
The following eye side effects may be seen with Alphagan.
Affecting the eye
Side effects where the occurrence is unknown:
Affecting the body
Side effects where the occurrence is unknown:
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 via:
By reporting side effects you can help provide more information on the safety of this medicine.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
Alphagan is a clear, greenish-yellow to light greenish-yellow eye drop solution in a plastic bottle. Each bottle contains either 2.5 ml, 5 ml or 10 ml of the medicine.
Alphagan is available in packs of 1, 3 or 6 bottles.
Not all pack sizes may be marketed.
Marketing Authorisation Holder
This medicinal product is authorised in the Member States of the EEA under the following names:
Austria Alphagan 0,2% Augentropfen
Germany Alphagan 0,2 % m/V (2 mg/ml) Augentropfen
Belgium, Finland, France, Greece, Iceland, Luxembourg, Norway, Portugal Alphagan
Denmark, Ireland, Italy, Netherlands, Spain, Sweden, United Kingdom Alphagan 0.2%