Prescription Required 
Formulation : 
Description
Indications
This combined medication is employed for managing elevated intraocular pressure associated with conditions like open-angle glaucoma or other ocular diseases such as ocular hypertension. Reducing elevated intraocular pressure is crucial in preventing vision loss. Travoprost mimics a natural bodily substance, prostaglandin, and regulates the intraocular fluid flow to maintain normal pressure. Timolol, belonging to the beta-blocker class, functions by reducing the volume of fluid within the eye.
Uses and Dosage
Remove your contact lenses before applying this medication as it contains a preservative that may be absorbed by them. Wait at least 15 minutes after using the medication before reinserting your lenses.
Administer this medication to the affected eye(s), typically once daily in the morning or as per your doctor’s instructions. Avoid excessive use, as more frequent application does not enhance its efficacy.
If you’re using other eye medications, such as drops or ointments, wait at least 10 minutes before applying additional treatments. Prioritize the use of eye drops before eye ointments to facilitate the entry of the drops into the eye.
Consistently use this medication to derive maximum benefits. Adhere to a regular schedule, administering it at the same time each day.
Continue the use of travoprost/timolol even if you feel well, as individuals with glaucoma or elevated eye pressure often do not exhibit symptoms.
To administer the eye drops, the following steps should be followed:
- Thoroughly wash hands with soap and water.
- Do not allow the dropper tip to touch the eye or any other surface, and ensure that it is kept clean.
- Tilt the head back and pull down the lower lid of the eye using the index finger to form a pocket.
- Hold the dropper as close to the eye as possible without making contact, and brace the remaining fingers against the face.
- Squeeze the dropper gently to instill a single drop in the pocket created by the lower eyelid while looking upwards.
- Remove the index finger from the lower eyelid and keep the eye closed for 2-3 minutes while tilting the head down.
- Apply gentle pressure to the tear duct using a finger.
- Use a tissue to wipe off any excess liquid from the face.
- Wash hands to remove any residual medication.
Side Effects
Some side effects may occur that usually do not need medical attention:
- burning or stinging when instilling eye drops
- change in colour to the iris or eyelashes
- cough
- darkened skin on the eyelid
- difficulty concentrating
- dizziness
- dry eyes
- eye irritation
- eye itchiness
- fatigue
Inform your healthcare provider immediately if you experience any serious side effects:
- arm or leg pain
- difficulty breathing
- change in blood pressure or heart rate
- change in urine colour
- ear infections
- eyelid crusting
- discomfort inside the nose
- eye pain
- hallucinations
- nervousness
- sensitivity to light
- shortness of breath
Caution
- Before initiating travoprost/timolol, inform your doctor or pharmacist about any allergies you may have, particularly to this medication or similar drugs, and disclose any other allergies. This product may contain inactive ingredients, such as preservatives like benzalkonium chloride, which can trigger allergic reactions or other complications.
- Discuss your medical history with your doctor or pharmacist before using this medication, especially if you have a history of lung disease, specific types of irregular heartbeats (such as sinus bradycardia, second- or third-degree AV block), certain types of heart disease (such as severe heart failure, cardiogenic shock), other eye conditions, kidney disease, liver disease, diabetes, low blood flow to the brain, overactive thyroid (hyperthyroidism), muscle weakness disorders (such as myasthenia gravis), or severe allergies.
- In the event of an eye infection, injury, or eye surgery, consult your doctor to determine whether you should continue using the current bottle of travoprost/timolol, or if a new bottle is recommended.
- For individuals with diabetes, be aware that this product may mask the usual symptoms of a fast/pounding heartbeat associated with low blood sugar (hypoglycemia). However, other symptoms such as dizziness and sweating are not affected by this medication.
- Following application, your vision may be temporarily blurred. Refrain from driving, operating machinery, or engaging in activities requiring clear vision until it is safe to do so.
- During pregnancy, use this medication only when absolutely necessary. Discuss the potential risks and benefits with your doctor.
- Timolol can pass into breast milk, it’s unknown if travoprost does. Consult your doctor before breastfeeding.
Form and Strength
Duotrav is available in the following forms and strengths:
- Duotrav eye drops:
- 0.5 % / 0.004 %
FAQ
When is the best time to take DuoTrav?
The recommended dose is one drop in the affected eye or eyes once a day in the morning or in the evening. It should be used at the same time each day.
Are there long term side effects of DuoTrav?
Over time this medication can also cause darkening, thickening, and lengthening of eyelashes.
