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Topical β-blocker

Levobunolol hydrochloride

Brand names: Betagan

Adult dose

Dose: 1 drop OD–BD

Route: Topical (ophthalmic)

Frequency: OD-BD

Clinical pearls

Open-angle glaucoma; ask about asthma/COPD before prescribing

Contraindications

Asthma
Severe COPD
Severe bradycardia
Heart block
Heart failure

Side effects

Bronchospasm
Bradycardia
Local irritation
Dry eye

Interactions

Systemic β-blockers (additive)

Monitoring

IOP
HR
BP

Reference: BNF; https://bnf.nice.org.uk/drugs/levobunolol-hydrochloride/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.

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Pathways