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Written By Veda Maddala , M Pharmacy
Reviewed By Sunny S , MBBS

About BRINZAGAN 1% SUSPENSION 5ML

BRINZAGAN 1% SUSPENSION 5ML belongs to a class of anti-glaucoma agents called carbonic anhydrase inhibitors primarily used to treat increased pressure in eye conditions. Glaucoma is an eye condition that causes damage to the optic nerve (essential for good vision) due to abnormally increased pressure in the eye. Ocular hypertension is increased pressure in the eye due to poor drainage of aqueous humour (fluid in the eye that maintains normal pressure by its continuous flow).

BRINZAGAN 1% SUSPENSION 5ML contains Brinzolamide which works by inhibiting the action of carbonic anhydrase enzyme and decreasing bicarbonate production essential for the production of fluid in the eye (aqueous humour).  Thus it reduces the secretion of eye fluid called 'aqueous humour' that maintains pressure in the eyeball and in turn lowers the raised pressure in the eye by reducing aqueous humour entry into the eyeball. Thus, BRINZAGAN 1% SUSPENSION 5ML prevents eyes from getting blind in the conditions of open-angle type glaucoma and ocular hypertension. 

Use BRINZAGAN 1% SUSPENSION 5ML as prescribed. BRINZAGAN 1% SUSPENSION 5ML is only for use in the eyes. Do not swallow or inject BRINZAGAN 1% SUSPENSION 5ML. Your doctor will advise you on how many drops to instil based on your medical condition. In some cases, you may experience eye discharge, redness, itching, irritation or pain in the eyes, blurred vision, abnormal eye sensation and dry eyes. Most of these side effects of BRINZAGAN 1% SUSPENSION 5ML do not require medical attention and gradually resolve over time. However, if the side effects worsen or persist, please consult your doctor.

If you are allergic to BRINZAGAN 1% SUSPENSION 5ML or any other medicines, please tell your doctor. BRINZAGAN 1% SUSPENSION 5ML is not recommended for children below 18 years of age. You are not advised to use BRINZAGAN 1% SUSPENSION 5ML if you are pregnant, breastfeeding or have severe kidney problems or hyperchloraemic acidosis (excessive acidity in the blood). You are advised to remove soft contact lenses before using BRINZAGAN 1% SUSPENSION 5ML as it may cause discolouration of the soft contact lens. If you get any new eye problem, an eye infection or notice any allergic reactions such as itching or redness of the eye and skin rash, please consult your doctor immediately. You are advised to maintain a 5 minutes time gap between using BRINZAGAN 1% SUSPENSION 5ML and other eye drops. If you have dry eyes, cornea problems, narrow-angle glaucoma, pseudoexfoliative glaucoma or pigmentary glaucoma kidney or liver problems, before taking BRINZAGAN 1% SUSPENSION 5ML.

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Whats That

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Non returnable*
COD available

Online payment accepted

Composition

BRINZOLAMIDE

Consume Type

OPHTHALMIC

Return Policy

3 Days Returnable

Expires on or after

Apr-24

for this medicine

Uses of BRINZAGAN 1% SUSPENSION 5ML

Glaucoma (open-angle type), Ocular hypertension (high eye pressure)

Medicinal Benefits

BRINZAGAN 1% SUSPENSION 5ML contains Brinzolamide used to treat increased pressure in the eye in conditions such as glaucoma (damage of optic nerve) and ocular hypertension (high fluid pressure inside the eye). BRINZAGAN 1% SUSPENSION 5ML inhibits the action of carbonic anhydrase enzyme and decreases bicarbonate production that is essential for the production of aqueous humour.  Thereby, it reduces the secretion of aqueous humour (a liquid that maintains normal pressure in the eyeball) and lowers the pressure in the eye by reducing aqueous humour entry into the eyeball.

Side Effects of BRINZAGAN 1% SUSPENSION 5ML

  • Eye discharge
  • Redness, itching, irritation or pain in the eyes
  • Blurred vision
  • Abnormal eye sensation
  • Dry eyes

Directions for Use

Lie down and tilt your head backward. Pull your lower eyelid gently with your index finger to form a pocket. Instill the number of drops as advised by the doctor into the pocket of the lower eyelid. Close your eyes for 1-2 minutes. Please do not touch the container tip to the eye, eyelids, or surrounding areas as it may contaminate BRINZAGAN 1% SUSPENSION 5ML and cause eye infections.

Storage

Store in a cool and dry place away from sunlight

Drug Warnings

If you are allergic to BRINZAGAN 1% SUSPENSION 5ML or any other medicines, please tell your doctor. BRINZAGAN 1% SUSPENSION 5ML is not recommended for children below 18 years of age. You are not advised to use BRINZAGAN 1% SUSPENSION 5ML if you are pregnant, breastfeeding, or have severe kidney problems or hyperchloraemic acidosis (excessive acidity in the blood). You are advised to remove soft contact lenses before using BRINZAGAN 1% SUSPENSION 5ML as it may cause discoloration of the soft contact lens. If you get any new eye problem, an eye infection, or notice any allergic reactions such as itching or redness of the eye and skin rash, please consult your doctor immediately. You are advised to maintain a 5 minutes time gap between using BRINZAGAN 1% SUSPENSION 5ML and other eye drops. Please do not touch the container tip to the eye, eyelids, or surrounding areas as it may contaminate BRINZAGAN 1% SUSPENSION 5ML and cause eye infections. If you have dry eyes, cornea problems, narrow-angle glaucoma, pseudoexfoliative glaucoma, or pigmentary glaucoma kidney or liver problems, before taking BRINZAGAN 1% SUSPENSION 5ML.

Therapeutic Class

ANTIGLAUCOMA AGENTS

Drug-Drug Interactions

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BrinzolamideAspirin
Severe
BrinzolamideSalsalate
Severe

Drug-Drug Interactions

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BrinzolamideAspirin
Severe
How does the drug interact with Brinzagan Ophthalmic Suspension 5 ml:
Coadministration of Brinzagan Ophthalmic Suspension 5 ml with Aspirin may cause side effects.

How to manage the interaction:
Although there is a possible interaction between aspirin and Brinzagan Ophthalmic Suspension 5 ml, you can take these medicines together if prescribed by a doctor. However, if you experience ringing in your ears, headache, vomiting, dizziness, or palpitations, please contact a doctor. Do not stop using any medications without talking to a doctor.
BrinzolamideSalsalate
Severe
How does the drug interact with Brinzagan Ophthalmic Suspension 5 ml:
Concomitant use of Brinzagan Ophthalmic Suspension 5 ml with salsalate can increase the risk of side effects.

How to manage the interaction:
Although there is an interaction, Brinzagan Ophthalmic Suspension 5 ml should be used with salsalate only if prescribed by the doctor. Consult a doctor immediately if you experience ringing in the ears, vomiting, headache, dizziness, and fever. Do not stop using any medications without first talking to your doctor.
BrinzolamideCholine salicylate
Severe
How does the drug interact with Brinzagan Ophthalmic Suspension 5 ml:
Taking Brinzagan Ophthalmic Suspension 5 ml with Choline salicylate may increase the risk of side effects.

How to manage the interaction:
Although taking Brinzagan Ophthalmic Suspension 5 ml and Choline salicylate together can result in an interaction, they can be taken together if prescribed by a doctor. However, if you experience ringing in your ears, headache, vomiting, dizziness, or palpitations, consult a doctor. Do not stop using any medications without consulting a doctor.
BrinzolamideSodium salicylate
Severe
How does the drug interact with Brinzagan Ophthalmic Suspension 5 ml:
Concomitant use of Brinzagan Ophthalmic Suspension 5 ml with sodium salicylate may cause ringing in the ears, nausea, vomiting, headache, dizziness, confusion, hallucinations, rapid breathing, fever, and seizure (convulsions).

How to manage the interaction:
Although there is an interaction, Brinzagan Ophthalmic Suspension 5 ml should be used with sodium salicylate only if prescribed by the doctor. However, if you experience ringing in the ears, vomiting, headache, dizziness, or fever, contact your doctor immediately. Do not stop using any medications without consulting your doctor.
BrinzolamideDiflunisal
Severe
How does the drug interact with Brinzagan Ophthalmic Suspension 5 ml:
Coadministration of Brinzagan Ophthalmic Suspension 5 ml with diflunisal can increase the risk of side effects.

How to manage the interaction:
Although there is an interaction, Brinzagan Ophthalmic Suspension 5 ml should be used with diflunisal only if prescribed by the doctor. Consult a doctor if you experience vomiting, headache, dizziness, or fever. Do not stop using any medications without first talking to your doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Drug-Diseases Interactions

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BRINZOLAMIDE-1%W/VAgranulocytosis
Severe
BRINZOLAMIDE-1%W/VDisorders of porphyrin and bilirubin metabolism
Severe

Drug-Diseases Interactions

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BRINZOLAMIDE-1%W/VAgranulocytosis
Severe
How does the disease interact with Brinzagan Ophthalmic Suspension 5 ml:
Applying Brinzagan Ophthalmic Suspension 5 ml ophthalmic to the skin, eyes, or mucosal membranes may cause systemic absorption. In addition to methemoglobinemia, sulfhemoglobinemia, leukopenia, granulocytopenia, eosinophilia, hemolytic anaemia, aplastic anaemia, purpura, coagulation problem, thrombocytopenia, hypofibrinogenemia, and hypoprothrombinemia, the usage of sulfonamides has also been linked to hematologic damage. Patients who already have blood dyscrasias or marrow suppression should use topical sulfonamide therapy with caution. During prolonged therapy (>2 weeks), complete blood counts should be taken on a regular basis, and patients should be instructed to report any indications or symptoms of a blood dyscrasia right away, such as fever, sore throat, local infection, bleeding, pallor, dizziness, or jaundice.

How to manage the interaction:
Brinzagan Ophthalmic Suspension 5 ml should be administered cautiously in patients with preexisting blood problems or bone marrow suppression. Complete blood count tests are advised regularly during prolonged therapy (>2 weeks). Consult the doctor if you notice signs or symptoms of blood problems such as fever, sore throat, local infection, bleeding, dizziness, or jaundice.
BRINZOLAMIDE-1%W/VDisorders of porphyrin and bilirubin metabolism
Severe
How does the disease interact with Brinzagan Ophthalmic Suspension 5 ml:
When sulfonamides are administered to the skin, eye, or mucosal membranes, they may be absorbed systemically. Patients with porphyria should use topical sulfonamide therapy with caution because these medications can cause an acute attack. Patients with porphyria are thought to be contraindicated for oral sulfonamide usage.

How to manage the interaction:
Therapy should be administered cautiously in patients with porphyria, since it may precipitate an acute attack.
BRINZOLAMIDE-1%W/VOther abnormal findings in urine
Moderate
How does the disease interact with Brinzagan Ophthalmic Suspension 5 ml:
When sulfonamides are administered to the skin, eye, or mucosal membranes, they may be absorbed systemically. Due to the sulfonamide and/or its N4-acetyl metabolite precipitating in the urinary tract, the usage of sulfonamides has been linked to crystalluria. There have been reports of renal toxicity, including hematuria, proteinuria, increased BUN and creatinine, uro- and nephrolithiasis, nephritis, toxic nephrosis, and more. During the use of sulfonamides, hydration and sufficient urine output (> 1.5 L/day) should be maintained. Patients who are dehydrated (for instance, as a result of severe diarrhoea or vomiting) may be more vulnerable to developing crystalluria and lithiasis, thus they should be encouraged to drink more liquids.

How to manage the interaction:
Dehydrated patients may be at increased risk for the development of crystalluria and lithiasis (formation of stones). Therefore, consume additional amounts of liquid. Hydration and adequate urinary output (> 1.5 L/day) should be maintained during administration of the medicine. Renal function tests and urinalysis should be performed regularly during prolonged therapy (> 2 weeks).
BRINZOLAMIDE-1%W/VOther diseases of liver
Moderate
How does the disease interact with Brinzagan Ophthalmic Suspension 5 ml:
Rarely have individuals using sulfonamides reported experiencing hepatotoxicity, including jaundice, diffuse hepatocellular necrosis, hypersensitivity hepatitis, and hepatic failure.

How to manage the interaction:
Therapy should be administered cautiously in patients with liver disease.
BRINZOLAMIDE-1%W/VOther disorders of kidney and ureter, not elsewhere classified
Moderate
How does the disease interact with Brinzagan Ophthalmic Suspension 5 ml:
Sulfonamide side effects may be more likely to occur in those with renal impairment because of decreased medication clearance. Sulfonamides can also result in toxic nephrosis, hematuria, proteinuria, increased BUN, and creatinine levels in addition to renal damage related to crystalluria.

How to manage the interaction:
Hydration and adequate urinary output (> 1.5 L/day) should be maintained during administration of the medicine in patients with kidney dysfunction. Renal function tests and urinalysis should be performed regularly during prolonged therapy (> 2 weeks).
BRINZOLAMIDE-1%W/VOther abnormal findings in urine
Moderate
How does the disease interact with Brinzagan Ophthalmic Suspension 5 ml:
When sulfonamides are administered to the skin, eye, or mucosal membranes, they may be absorbed systemically. Hematologic toxicity has been linked to the usage of sulfonamides.

How to manage the interaction:
A urinary output of at least 1.5 L/day should be maintained during therapy. Renal function tests and urinalysis should be performed regularly during prolonged therapy (> 2 weeks).

Drug-Drug Interactions Checker List

  • DORZOLAMIDE
  • ACETAZOLAMIDE

Diet & Lifestyle Advise

  • Avoid baked foods such as cakes, cookies, donuts, or fried items such as French fries and stick margarine as these foods may worsen glaucoma and damage the optic nerve.
  • Please cut down your coffee intake as it may increase pressure in the eye and replace coffee with green tea.
  • Avoid exercises such as any position where the head is lower than the body like inverted yoga poses as it may increase pressure in the eye. Doing selective exercises is advised for glaucoma patients.

Habit Forming

No

Special Advise

  • You are recommended to avoid wearing contact lenses while using BRINZAGAN 1% SUSPENSION 5ML as it may cause discoloration of soft contact lenses.
  • Do not use BRINZAGAN 1% SUSPENSION 5ML if you have used any steroid eye injection within six months, undergone any other intraocular surgery (like cataract surgery) within 6 months, or have had any laser surgery within 12 months.

Author Details

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Disease/Condition Glossary

Glaucoma: It is an eye condition that causes damage to the optic nerve (essential for good vision) due to abnormally increased pressure in the eye. If it is not treated in time, it may cause blindness. Usually, there are no symptoms of glaucoma initially except the slow loss of vision gradually. However, some symptoms include visible rainbow-colored circles around bright lights or blurred vision. Rarely, glaucoma can develop suddenly with intense pain in the eye, visual disturbance, or nausea.

Ocular hypertension: It is a condition caused due to poor drainage of aqueous humor (fluid in the eye that maintains normal pressure by its continuous flow). This leads to the build-up of excess fluid in the eye resulting in increased pressure inside the eye without any damage to the optic nerve. If ocular hypertension is not controlled, it may lead to glaucoma.

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