The text only version may be available in large print, Braille or audio CD. For further information call emc accessibility on 0800 198 5000. The product code(s) for this leaflet is: PL 16058/0025 .
COSOPT iMulti 20 mg/ml + 5 mg/ml eye drops, solution
COSOPT® iMulti® 20 mg/ml + 5 mg/ml eye drops, solution
(dorzolamide / timolol)
1. What COSOPT iMulti is and what it is used for
2. What you need to know before you use COSOPT iMulti
3. How to use COSOPT iMulti
4. Possible side effects
5. How to store COSOPT iMulti
6. Contents of the pack and other information
COSOPT iMulti contains two medicines: dorzolamide and timolol.
These medicines lower the pressure in the eye in different ways.
COSOPT iMulti is prescribed to lower raised pressure in the eye in the treatment of glaucoma when beta-blocker eye drop medicine used alone is not adequate.
COSOPT iMulti eye drops solution is a sterile solution that does not contain a preservative.
If you are not sure whether you should use this medicine, contact your doctor or pharmacist.
Talk to your doctor before using COSOPT iMulti if you have now or have had in the past:
If you have a history of contact hypersensitivity to silver, you should not use this medicine as dispensed drops may contain traces of silver from the container closure.
Tell your doctor before you have an operation that you are using COSOPT iMulti as timolol may change effects of some medicines used during anaesthesia.
When COSOPT iMulti is instilled into the eye it may affect the entire body.
Talk to your doctor if during the treatment with COSOPT iMulti you:
Use in children
There is limited experience with COSOPT (preserved formulation) in infants and children.
Use in elderly
In studies with COSOPT (preserved formulation), the effects were similar in both elderly and younger patients.
Use in patients with liver impairment
Tell your doctor about any liver problems you have now or have suffered from in the past.
COSOPT iMulti can affect or be affected by other medicines you are using, including other eye drops for the treatment of glaucoma. Tell your doctor if you are using or intend to use medicines to lower blood pressure, heart medicine or medicines to treat diabetes. Tell your doctor or pharmacist if you are using, have recently used or might use any other medicines. This is particularly important if you are;
Ask your doctor or pharmacist for advice before taking any medicine.
Use in pregnancy
Do not use COSOPT iMulti if you are pregnant unless your doctor considers it necessary.
Use in breast-feeding
Do not use COSOPT iMulti if you are breast-feeding. Timolol may get into your milk. Ask your doctor for advice before taking any medicine during breast-feeding.
No studies on the effects on the ability to drive or use machines have been performed. There are side effects associated with COSOPT iMulti, such as blurred vision, which may affect your ability to drive and/or operate machinery. Do not drive or operate machinery until you feel well or your vision is clear.
Always use this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure. The appropriate dosage and duration of treatment will be established by your doctor.
The recommended dose is one drop in the affected eye(s) in the morning and in the evening.
If you are using COSOPT iMulti with another eye drop, the drops should be instilled at least 10 minutes apart.
Do not change the dose of the medicine without consulting your doctor.
If you have difficulty administering your eye drops, seek the assistance of a family member or carer.
Do not allow the tip of the multidose container to touch the eye or areas around the eye. It could cause injury to your eye. The eye drops solution may also become contaminated with bacteria that can cause eye infections leading to serious damage of the eye, even loss of vision. To avoid possible contamination of the multidose container, wash your hands before using this medicine and keep the tip of the multidose container away from contact with any surface.
Instructions for use
Before instillation of the eye drops:
1. Hold the bottle directly below the cap and turn the cap to open the bottle. Do not touch anything with the tip of the bottle to avoid contamination of the solution.
2. Tilt your head backwards and hold the bottle above your eye.
3. Pull the lower eyelid down and look up. Squeeze the bottle gently in the middle and let a drop fall into your eye. Please note that there might be a few seconds delay between squeezing and the drop coming out. Do not squeeze too hard.
4. Close your eye and press the inner corner of the eye with your finger for about two minutes.
This helps to stop the medicine from getting into the rest of the body.
5. Repeat instructions 2 – 4 to deliver a drop into the other eye, if your doctor has instructed you to do this. Sometimes only one eye needs to be treated and your doctor will advise if this applies to you and which eye needs treatment.
6. After each use and prior to recapping, the bottle should be shaken once in a downwards direction, without touching the dropper tip, in order to remove any residual liquid from the tip.
This is necessary in order to ensure delivery of subsequent drops.
7. Wipe off any excess solution from the skin around the eye.
8. At the end of the 2 months in-use shelf life of the medicine, there will be some COSOPT iMulti left in the bottle. Do not attempt to use the excess medicine remaining in the bottle after you have completed the course of treatment. Do not use the eye drops for longer than 2 months after first opening the bottle.
If you are not sure how to administer your medicine, ask your doctor, pharmacist or nurse.
If you put too many drops in your eye or swallow any of the contents of the container, among other effects, you may become light-headed, have difficulty breathing, or feel that your heart rate has slowed. Contact your doctor immediately.
It is important to use COSOPT iMulti as prescribed by your doctor.
If you miss a dose, use it as soon as possible. However, if it is almost time for the next dose, skip the missed dose and go back to your regular dosing schedule.
Do not use a double dose to make up for the forgotten dose.
If you want to stop using this medicine talk to your doctor first.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Serious side effects:
If you experience any of the following side effects, stop using this medicine and seek immediate medical advice as these could be signs of a reaction to the medicine.
Rare (may affect up to 1 in 1,000 people):
Other side effects:
You can usually carry on using the drops, unless the effects are serious. If you're worried, talk to a doctor or pharmacist. Do not stop using COSOPT iMulti without speaking to your doctor.
The following adverse reactions have been reported with COSOPT iMulti or one of its components either during clinical trials or during post-marketing experience:
Very Common (may affect more than 1 in 10 people):
Common (may affect up to 1 in 10 people):
Uncommon (may affect up to 1 in 100 people):
Rare (may affect up to 1 in 1,000 people):
Like other medicines applied into your eyes, timolol is absorbed into the blood. This may cause similar side effects as seen with oral beta-blocking agents. Incidence of side effects after topical ophthalmic administration is lower than when medicines are, for example, taken by mouth or injected. Listed additional side effects include reactions seen within the class of beta-blockers when used for treating eye conditions.
Not known (frequency cannot be estimated from the available data):
Low blood glucose levels, abdominal pain, vomiting, muscle pain not caused by exercise, sexual dysfunction, hallucination, foreign body sensation in eye (feeling that there is something in your eye), increased heart rate and increased blood pressure.
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme, website www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the carton and bottle after EXP. The expiry date refers to the last day of that month.
Do not store above 25°C.
After first opening the bottle, the solution can be used for 2 months. The bottle must be kept tightly closed.
Do not use this medicine if you notice that the seal is broken the first time you use the container.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
COSOPT iMulti is a clear, colourless to nearly colourless slightly viscous solution, practically free from visible particles provided in a white plastic bottle with a white Novelia dropper applicator and a white plastic tamper-proof screw cap.
Pack sizes: 1, 2 or 3 bottles in a carton
Not all pack sizes may be marketed.
Marketing Authorisation Holder
This leaflet was last revised in 01/2023.
HOW CAN YOU OBTAIN MORE INFORMATION ABOUT COSOPT iMULTI, INCREASED EYE PRESSURE OR GLAUCOMA?
This leaflet gives the most important information about COSOPT iMulti. If you have any questions after you have read it, ask your doctor or pharmacist, who can give you more information.
Further information about glaucoma is available from:
Registered Charity number 274681.
Alternatively, if you or someone you know has problems with their vision, and you require further advice or information, please phone the Royal National Institute for the Blind (RNIB) Helpline on 0303 123 9999.
(The IGA and RNIB are independent UK charities and are not associated with Santen Oy.)
cosopt-pfmd-uk APPR 20230126