Patient Education

Medications

Ocupress®
Generic name

Carteolol hydrochloride

Concentration

1%

Mechanism of action

This beta blocker reduces the aqueous humor production and increases drainage, thus lowering the pressure.

Indications

Treatment of open angle glaucoma, ocular hypertension, aphakic glaucoma, and other various secondary glaucomas.

Dosage

Instill 1 drop of carteolol solution into eye every 12 hours or twice every day.

Use with caution in patients with/during:
  1. Carteolol should NOT be used in patients with preexisting cardiac disease, such as severe bradycardia, advanced AV block, cardiogenic shock, coronary artery disease, vasospastic angina, or congestive heart failure, particularly those with severe left ventricular dysfunction.
  2. Asthma or pulmonary disease (COPD, emphysema, bronchitis)
  3. Diabetes mellitis because it can mask symptoms of hypoglycemia
  4. Hyperthyroidism because it may mask tachycardia
  5. Using an oral beta blocker
  6. Kidney or liver impairments
  7. Raynaud's disease or peripheral vascular disease
  8. Myasthenia gravis
  9. Psoriasis
  10. Pregnancy, breastfeeding, or in children
Common Side effects
  • Dry mouth, eyes, and skin
  • Slight stinging and discomfort upon instillation
  • Life threatening symptoms
  • Cardiac arrhythmias
  • Congestive heart failure
Less Common to Rare Side Effects
  • Dry, burning eyes
  • Reduced alertness
  • Visual disturbances
  • Headache
  • Depression
  • Nausea
  • Bronchospasm
  • Fainting