Betaxon
The following drug information is obtained from various newswires, published
medical journal articles, and medical conference presentations.
For lowering intraocular pressure (IOP) in patients with chronic open-angle glaucoma or ocular hypertension
General Information
Betaxon (levobetaxolol hydrochloride suspension, drops) is an
ophthalmic suspension which, when instilled in the eye, reduces
intraocular pressure (IOP), a major risk factor in glaucomatous
field loss. Elevated IOP accounts for greater likelihood of optic
nerve damage and visual field loss. Most of the diseases of the eye
which cause glaucoma are characterized by increased IOP.
Currently, there is no cure for glaucoma. Furthermore, since
there are no obvious symptoms, it is difficult to detect glaucoma
before serious loss of sight is experienced. The best defense is to
have regular eye exams. See below for a list of populations that
are of higher risk for developing glaucoma.
Clinical Results
In two clinical research studies in which a total of 365
patients were dosed for three months with the study drug, Betaxon
was shown to significantly reduce IOP at all follow up visits.
Side Effects
The main adverse effects experienced by patients in clinical
trials included:
- Discomfort of the eye upon treatment
- Blurred vision
- Cataracts and vitreous disorders (experienced by less than 2%
of the patients)
In addition, the same adverse reactions that may occur with
systemic beta-adrenergic blocking agents may result from this
topically applied beta-adrenergic blocking agent. These
effects may include:
- Severe respiratory reactions
- Severe cardiac reactions
Betaxon is contraindicated in patients with sinus bradycardia,
greater than a first degree atrioventricular block, cardiogenic
shock, or patients with over cardiac failure.
Results of clinical research indicate that this drug may have a
minor effect on heart rate and blood pressure.
Mechanism of Action
Since racemic betaxolol and other beta-adrenergic antagonists
have been shown to reduce intraocular pressure by a reduction of
aqueous production as demonstrated by tonography and aqueous
flourophotometry, it is assumed that the mechanism of action of
levobetaxolol is similar. The intraocular lowering effect of
racemic betaxolol can generally be noted within 30 minutes and the
maximal effect can usually be detected two hours after topical
administration. It is assumed that the intraocular lowering time
profile of levobetaxolol is similar. A single dose provides
approximately a 12-hour reduction in intraocular pressure. (FDA
Label)
Literature References
To learn more about the eye disorder, glaucoma, and research
being done in this field, visit the Glaucoma Foundation web site:
www.glaucoma-foundation.org
Alcon Laboratories, Inc., the company that produces Betaxon, is
an eyecare resource for both consumers and professionals. Visit the
Alcon Labs web site:
www.alconlabs.com
Additional Information
According to the Glaucoma Foundation, you may be at greater risk
for developing the glaucoma if:
- you are over 45 and have not had your eyes examined
regularly
- someone in your family has a history of glaucoma
- you have abnormally high intraocular pressure
- you are of African descent
- you have diabetes
- you are myopic (nearsighted)
- you have had regular, long-term steroid/cortisone use
- you have had previous eye injury