2.5 mg / ml Eye drops , suspension 

Read all of this leaflet carefully before you start using this medicine. It contains information that is important to you.

  • Save this information, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not give it to others. It can harm them, even if they show signs of illness similar to yours.
  • If you get any side effects, talk to your doctor or pharmacist. This also applies to any side effects not mentioned in this information. See section 4.

In this leaflet: 
1. What Betoptic S is and what it is used for 
2. What you need to know before you use Betoptic S 
3. How to use Betoptic S 
4. Possible side effects 
5. How to store Betoptic S 
6. Contents of the packaging and other information 

1. What Betoptic S is and what it is used for

Betoptic S is used to treat open-angle glaucoma (increased pressure in the eye).

Betoptic S is sometimes used in combination with other treatments for glaucoma.

Betoptic S contains the active substance betaxolol, which belongs to the group of selective beta-blockers. It is an agent that lowers the pressure in the eye by reducing the production of aqueous humor, ie. the fluid circulating in the front parts of the eye.

Visual acuity and pupil size are little or not affected at all.

The effect usually sets in half an hour after dropping the solution into the eye.

The pressure drop is greatest after a couple of hours and lasts for about 12 hours.

Betaxolol contained in Betoptic S may also be approved for the treatment of other conditions not mentioned in this leaflet. Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.

2. What you need to know before using Betoptic S

Do not use Betoptic S

  • if you are allergic to betaxolol, other beta-blockers, or any of the other ingredients of this medicine (listed in section 6).
  • if you currently have or have previously had breathing problems such as severe asthma or severe chronic bronchitis (severe lung disease that may cause wheezing, difficulty breathing, and/or prolonged cough).
  • if you have a slow heartbeat, heart failure, or heart rhythm disturbances (irregular heartbeat).

Warnings and cautions

Talk to your doctor or pharmacist before using Betoptic S.

Before using this medicine, tell your doctor if you have or have ever had:

  • coronary heart disease (symptoms may include chest pain, chest tightness, shortness of breath, or suffocation), heart failure, low blood pressure.
  • heart rhythm disorders such as slow heartbeat.
  • problems with breathing such as asthma or chronic obstructive pulmonary disease (COPD).
  • disease with poor blood circulation (such as Raynaud’s disease or Raynaud’s syndrome).
  • diabetes, as betaxolol may mask signs of low blood sugar.
  • overactive thyroid gland as betaxolol may obscure signs of this condition.
  • myasthenia gravis (a disease that causes chronic muscle weakness).
  • diseases of the cornea, as Betoptic S can make the eyes dry.
  • underwent surgery for glaucoma.

If you have previously had local or severe allergic reactions, you may be more sensitive to your allergens. If you get a severe allergic reaction (rash, redness, and itching of the eye, fever, swelling of the throat, tongue, or face) while using Betoptic S, no matter why you use it, stop treatment immediately and consult your doctor. Adrenaline treatment may have less effect. Therefore, when you receive any other treatment, you should tell your doctor that you are using Betoptic S.

Tell your doctor before undergoing surgery that you are using Betoptic S as betaxolol may alter the effects of medicines used in anesthesia.


Eye drops with betaxolol should generally be used with caution in young patients. Betoptic S should be used with extreme caution in newborns, infants, and young children. If coughing and wheezing occur, the use of the medicine should be stopped immediately. Contact a doctor as soon as possible.

Other medicines and Betoptic S

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.

Betoptic S can affect or be affected by other medicines you use, including other eye drops for glaucoma. Tell your doctor if you use or intend to use

  • medicines that lower blood pressure (eg other beta-blockers and calcium channel blockers).
  • cardiac drugs (eg amiodarone and digitalis glycosides ).
  • drugs against diabetes.
  • medicines for migraines or hot flashes ( clonidine ).

Pregnancy and breastfeeding

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Do not use Betoptic S if you are pregnant unless your doctor considers it necessary.

Do not use Betoptic S if you are breast-feeding. Betaxolol can be transferred to breast milk. If you are breast-feeding, talk to your doctor before taking this medicine.

Driving and using machines

If you experience temporary blurred vision after using Betoptic S, do not drive or use machines until your vision is clear.

You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention. One of the factors that can affect your ability in these respects is the use of drugs due to their effects and/or side effects. Descriptions of these effects and side effects can be found in other sections. Read all the information in this leaflet for guidance. If you are not sure, talk to your doctor or pharmacist.

Betoptic S contains benzalkonium chloride

This medicine contains 0.5 mg benzalkonium chloride per 5 ml, equivalent to 0.1 mg / ml.

Benzalkonium chloride can be absorbed by soft contact lenses and can discolor the contact lenses. Remove contact lenses before using the medicine and wait at least 15 minutes before re-inserting the contact lenses.

Benzalkonium chloride can be irritating to the eyes, especially if you have dry eyes or problems with the cornea (the clear membrane at the front of the eye). If you experience irritation, tingling, or pain in the eye after using the medicine, consult a doctor.

3. How to use Betoptic S

Always use this medicine exactly as your doctor or pharmacist has told you. Ask your doctor or pharmacist if you are unsure.

The recommended dose is

Adults (including the elderly population)

The dose should be determined by a physician, who will tailor it individually for the patient.

The recommended dose is 1 drop twice daily in the affected eye.


Before using Betoptic S, a thorough medical examination must be performed. The physician carefully weighs the risks and benefits when considering treatment with Betoptic S. If the benefits outweigh the risks, it is recommended to use the lowest available concentration of the medicine once daily. If the pressure in the eye cannot be kept under control at this dosage, it may be necessary to increase the dose one to two drops daily in the eye to be treated. When dosing twice daily, the drops should be given at 12-hour intervals. Patients, especially newborns, should be closely monitored for one to two hours after the first dose, and a thorough adverse reaction monitoring should be performed until surgery has been performed.

Method of administration:

Only one drop of betaxolol should be dropped into the eye at each dosing occasion.

Duration of treatment:

For short-term treatment of children.

Use Betoptic S only in the eyes.

How to use Betoptic S correctly

If the safety collar is loose when the cover has been removed, it must be removed before using the product.

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  1. Bring out the bottle of Betoptic S.
  2. Wash your hands and sit in front of a mirror.
  3. Shake the bottle well before use.
  4. Turn off the bottle cap.
  5. Hold the bottle with the tip facing down between your thumb and forefinger (Fig. 1).
  6. Tilt your head back. Pull down the lower eyelid with a clean finger until a “pocket” is formed between the lower eyelid and the eye. This is where the drop should be placed.
  7. Push the drip tip of the bottle towards the eye. Use a mirror if it helps.
  8. The drip tip must not touch the eye, eyelid, surrounding areas, or anything else. It may contaminate the eye drops in the bottle.
  9. Do not squeeze the bottle: it is designed so that light pressure on the bottom is sufficient (Fig. 2).
  10. Gently press on the bottom of the bottle to release one drop of Betoptic S at a time (Figure 3).
  11. After using Betoptic S, close your eyes and gently press with a finger in the corner of your eye at the nose for 2 minutes (Fig. 4). This prevents Betoptic S from reaching other parts of the body.
  12. If you are using Betoptic S in both eyes, repeat steps 5-11 for the other eye.
  13. Tighten the bottle cap carefully immediately after use.

If a drop misses the eye, try again.

If you are using other eye medicines in the form of drops or ointments, wait at least 5 minutes between each medicine. Eye ointments should be administered last.

If you use more Betoptic S than you should 

If you have used too much Betoptic S, rinse everything out with lukewarm tap water. Do not drip in more drops until it is time for your next regular dose.

If you have forgotten to use Betoptic S

If you forget to take a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose.

Do not take a double dose to make up for a forgotten dose.

If you stop using Betoptic S

Do not stop using this medicine prematurely, even if your symptoms have disappeared. If you stop using this medicine too soon, the symptoms may return.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

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 Betoptic S without talking to your doctor.

The following side effects have been seen with Betoptic S:

Very common side effects (affects more than 1 user in 10):

Effects in the eye: discomfort in the eye.

Common side effects (affects up to 1 in 10 people):

Effects in the eye: blurred vision, increased tear production.

General side effects: headache.

Uncommon side effects (affects up to 1 in 100 people):

Effects in the eye: inflammation of the surface of the eye with or without surface damage, inflammation of the conjunctiva, inflammation of the eyelid, visual impairment, photosensitivity, eye pain, dry eyes, tired eyes, cramping of the eyelid, itching of the eye, watery eyes, crusting of the eyelids, eye inflammation, eye irritation, conjunctival disease, eye swelling, reddening of the eyes, reduced sensitivity of the cornea and different size of the pupils.

Common side effects: slower heart rate, faster heart rate, asthma, shortness of breath, nausea, and inflammation inside the nose.

Rare side effects (affects up to 1 in 1,000 people):

Effects in the eye: cloudiness of the eye.

Common side effects: fainting, unpleasant taste in the mouth, cough, runny nose, dermatitis, rash, decreased blood pressure, anxiety, decreased sex drive, difficulty sleeping, and depression.

No known frequency (cannot be calculated from the available data):

Effects in the eye: redness of the eyelid.

General side effects: irregular heartbeat, dizziness, hair loss, weakness in the body, allergies.

As with other ophthalmic drugs, betaxolol is absorbed into the bloodstream. This can cause side effects similar to those that can be seen with beta-blockers taken by mouth (orally) or given by injection. The incidence of side effects after a drug has been dropped into the eye is lower than when the drug is taken orally or by injection.

The side effects listed include reactions seen in the beta-blocker group for use in the eyes:

  • Allergic reactions affecting the whole body including angioedema (swelling under the skin that may occur on the face, arms and legs, and may make it difficult to swallow and breathe), hives, local or general rash, itching, sudden severe life-threatening allergic reaction.
  • Low blood sugar level. 
  • Nightmares and memory loss.
  • Stroke, decreased blood supply to the brain, worsening symptoms of myasthenia gravis (muscle disease), and abnormal sensations (tingling and ant crawling in the skin).
  • Removal of the blood vessel-containing membrane that lies under the retina after filtration surgery, which can cause visual disturbance, decreased sensitivity of the cornea, damage to the cornea (damage to the front layer of the eyeball), drooping upper eyelids (which causes the eye to be half-closed) and double vision.
  • Chest pain, palpitations, edema (fluid retention), chronic heart failure (heart disease with shortness of breath, swollen feet, and legs due to fluid retention), a type of heart rhythm disorder, heart attack, and heart failure.
  • Raynaud’s phenomenon, cold hands, and feet.
  • Respiratory cramps in the lungs (preferably in people with pre-existing disease).
  • Indigestion, diarrhea, dry mouth, abdominal pain, and vomiting.
  • Rash with white to silvery appearance (psoriasis-like rash) or worsening psoriasis.
  • Muscle pain that has not been caused by exercise.
  • Impaired sexual function.
  • Fatigue. 

Reporting of side effects

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.lakemedelsverket.se. By reporting side effects, you can help increase drug safety information. 

5. How to store Betoptic S

Keep this medicine out of the sight and reach of children.

Store the bottle in the outer carton. Sensitive to light.

Do not use this medicine after the expiry date which is stated on the carton after “EXP”. The expiration date is the last day of the specified month.

The consumption time for broken packaging is four weeks for an individual patient and one week for use with several patients (eg in a hospital). Discard the bottle when the consumption time has elapsed.

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.

6. Contents of the packaging and other information

Content declaration

  • The active substance is betaxolol. One ml of suspension contains betaxolol hydrochloride equivalent to 2.5 mg betaxolol.
  • The other ingredients are benzalkonium chloride ( preservative ), poly (styrene-divinylbenzene) sulfonic acid, carbomer, boric acid, disodium edetate, mannitol, N-lauroylsarcosine, hydrochloric acid and/or sodium hydroxide (for adjustment), and purified water.

What the medicine looks like and the contents of the pack

Betoptic S is a white to off-white suspension supplied in a 5 ml plastic bottle (DROPTAINER) made of polyethylene with a polypropylene screw cap.

Pack sizes: 1 x 5 ml, 3 x 5 ml.

Marketing Authorization Holder and Manufacturer

Marketing Authorisation Holder

Novartis Sverige AB

Box 1218

164 28 Kista


SA Alcon-Couvreur NV

Rijksweg 14

2870 Puurs


Muhammad Nadeem

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