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This medication comes with essential safety information that highlights potential risks and necessary precautions. It is crucial to review these details and discuss any concerns with your healthcare provider.

• Heart Failure Risk: Although rare, some individuals have experienced heart failure while using timolol. Those with existing heart failure conditions may experience a worsening of symptoms. Be sure to inform your healthcare team about your medical history. Seek medical advice if you notice symptoms such as swelling in the feet or ankles, an irregular or rapid heartbeat, or difficulty breathing when lying down or during physical activity.

• Respiratory Concerns: Timolol, like other beta blockers, is generally not recommended for individuals with respiratory issues like asthma or COPD, as it may constrict airways. If you have a history of lung problems, it is essential to inform your healthcare provider to ensure this medication is safe for you.

• Blood Sugar Awareness: Beta blockers can obscure symptoms of low blood sugar in diabetic patients, except for signs like sweating and dizziness. Although it is uncommon, timolol may enter the bloodstream and cause this effect. Consult with your healthcare provider about monitoring your blood sugar levels more frequently.

• Thyroid Condition Monitoring: Timolol may mask symptoms of an overactive thyroid, such as a rapid heart rate. Even though this risk is rare, it is important to inform your healthcare provider if you have thyroid issues before commencing treatment with timolol.

• Myasthenia Gravis Alert: In rare instances, timolol can exacerbate symptoms like muscle weakness in individuals with myasthenia gravis. Monitor your condition closely and report any worsening symptoms to your healthcare team.

Contraindications: There are specific conditions under which this medication should not be used due to potential health risks. Consult your healthcare provider if you have any of the following:

• Asthma
• Severe COPD
• Sinus bradycardia (slow heart rate)
• Second- or third-degree heart block
• Heart failure
• Cardiogenic shock

It is vital to adhere to these guidelines and keep your healthcare provider informed to ensure safe and effective use of this medication.

Common side effects:

• temporary blurred vision
• burning or stinging sensation
• redness
• itchy eyes
• watery or dry eyes
• feeling of something being in your eye
• headaches
• dizziness

Less common but important to monitor:

• significant eye pain
• swelling
• discharge
• changes in vision such as double vision
• unusual tiredness or weakness

Serious side effects:

• trouble breathing
• chest pain
• sudden weight gain
• symptoms indicative of heart failure, such as swelling in the legs
• allergic reactions presenting as a rash
• swelling
• difficulty breathing

Interactions with high risk of serious adverse effects and should be avoided:

• Albuterol
• Ceritinib
• Crizotinib
• Dronedarone
• Fenoldopam
• Fingolimod
• Formoterol
• Indacaterol
• Iobenguane I 131
• Iohexol
• Lacosamide
• Levalbuterol
• Olodaterol
• Oxymetazoline
• Paroxetine
• Ponesimod
• Rivastigmine
• Salmeterol
• Terbutaline
• Vilanterol

Interactions with moderate risk that may require dose adjustment, closer monitoring, or timing changes:

• Aceclofenac
• Aspirin
• Celecoxib
• Diclofenac
• Ibuprofen
• Naproxen
• St John's Wort
• Propranolol
• Clonidine
• Fluoxetine
• Digoxin
• Epinephrine
• Methyldopa
• Quinidine