Alphagan 0.2% eye drops

Main information

  • Trade name:
  • Alphagan 0.2% eye drops
  • Dosage:
  • 2mg/1ml
  • Pharmaceutical form:
  • Eye drops
  • Administration route:
  • Ocular
  • Class:
  • No Controlled Drug Status
  • Prescription type:
  • Valid as a prescribable product
  • Medicine domain:
  • Humans
  • Medicine type:
  • Allopathic drug



  • Available in:
  • Alphagan 0.2% eye drops
    United Kingdom
  • Language:
  • English

Therapeutic information

  • Product summary:
  • BNF: 11060000; GTIN: 5016007908091


  • Source:
  • eMC
  • Authorization number:
  • PL 00426/0088
  • Last update:
  • 30-01-2019

Patient Information leaflet: composition, indications, side effects, dosage, interactions, adverse reactions, pregnancy, lactation




0.2% w/v (2 mg/ml)

eye drops, solution

Brimonidine tartrate

Read all of this leaflet carefully before you start using this medicine.

Keep this leaflet. 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. Do not pass it on to others. It may harm them, even

if their symptoms are the same as yours.

If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet,

please tell your doctor or pharmacist.

In this leaflet:

What ALPHAGAN is and what it is used for

Before you use ALPHAGAN

How to use ALPHAGAN

Possible side effects

How to store ALPHAGAN

Further information



Alphagan is used to reduce pressure within the eye.

It can be used either alone, when beta-blocker eye drops are contraindicated, or with another eye drop,

when a single medicine is not enough to lower the increased pressure in the eye, in the treatment of

open angle glaucoma or ocular hypertension.

The active ingredient in Alphagan is brimonidine tartrate, which works by reducing pressure within

the eyeball.



Do not use Alphagan

If you are allergic (hypersensitive) to brimonidine tartrate or any of the other ingredients of


If you are taking monoamine oxidase (MAO) inhibitors or certain antidepressants. You must

inform your doctor if you are taking any antidepressant drug.

If you are breast-feeding.

In infants/babies (from birth until 2 years).

Take special care with Alphagan

Before you take this medicine, tell your doctor:

If you suffer or have suffered from depression, reduced mental capacity, reduced blood supply to

the brain, heart problems, a disturbed blood supply of the limbs or a blood pressure disorder.

If you have or have had in the past kidney or liver problems.

If being given to a child between the age of 2 and 12 years because Alphagan is not recommended

for use in this age group.

Using other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines,

including medicines obtained without a prescription.

Tell your doctor if you are taking any of the following medicines:

pain killers, sedatives, opiates, barbiturates or are regularly consuming alcohol


to treat a heart condition or to lower blood pressure

that can affect the metabolism like chlorpromazine, methylphenidate and reserpine

which work on the same receptor as Alphagan, for example isoprenaline and prazosin

monoamine oxidase (MAO) inhibitors and other antidepressants

medicines for any condition, even if unrelated to your eye condition

or if the dose of any of your current medicines is changed.

These could affect your treatment with Alphagan.

Pregnancy and breast-feeding

Ask your doctor or pharmacist for advice before taking any medicine. Tell your doctor if you are

pregnant or planning to become pregnant.

Alphagan should not be used while breast-feeding.

Driving and using machines

Alphagan may cause blurred or abnormal vision. This effect may seem worse at night or in

reduced lighting.

Alphagan may also cause drowsiness or tiredness in some patients.

If you experience any of these symptoms, do not drive or use machinery until the symptoms are


Important information about some of the ingredients of ALPHAGAN

A preservative in Alphagan (benzalkonium chloride) may cause eye irritation and is also known to

discolour soft contact lenses. Therefore, avoid contact with soft lenses. If you wear soft contact lenses

take them out before using these eye drops and then wait 15 minutes after using Alphagan before

inserting your lenses.



Always use Alphagan exactly as your doctor has told you. You should check with your doctor or

pharmacist if you are not sure.


The usual dose is one drop twice daily in the affected eye(s), approximately 12 hours apart.

Children under 12 years

Alphagan must not be used for infants below 2 years of age.

Alphagan is not recommended for use in children (from 2 years until 12 years).

Instructions for use

Alphagan comes as eye drops. Always wash your hands before applying eye drops. Your prescription

label tells you how many drops to use at each dose. If you use Alphagan with another eye drop, wait

5-15 minutes before applying the second eye drop.

Apply your eye drops in the following way:

Tilt your head back and look at the ceiling.

Gently pull the lower eyelid down until there is a small pocket.

Squeeze the upturned dropper bottle to release a drop into your eye.

Whilst keeping the affected eye closed, press your finger against the corner of the closed eye (the

side where the eye meets the nose) and hold for 1 minute.

Avoid touching the dropper tip against your eye or anything else.

Replace and tighten the cap straight after use.

If you use more Alphagan than you should


In adults who were instilling more drops than prescribed, the side effects reported were those already

known to occur with Alphagan.

Adults who accidentally swallowed Alphagan experienced decrease in blood pressure, which in some

patients was followed by the increase in blood pressure.


Serious side effects were reported in children who accidentally swallowed Alphagan. Signs included

sleepiness, floppiness, low body temperature, paleness and breathing difficulties. Should this happen,

contact your doctor immediately.

Adults and Children

If Alphagan has been accidentally swallowed or if you have used more Alphagan than you should,

please contact your doctor immediately.

If you forget to use Alphagan

If you forget to take a dose, apply it as soon as you remember. If, however, it is almost time for your

next dose, you should omit the missed dose altogether and then follow your normal routine.

If you stop using Alphagan

To be effective Alphagan must be used every day. Do not stop using Alphagan until your doctor tells

you to.

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



Like all medicines, Alphagan can cause side effects, although not everybody gets them. The chance of

having a side effect is described by the following categories:

Very common

Occurs in more than 1 out of 10 patients


Occurs in fewer than 1 out of 10 patients


Occurs in fewer than 1 out of 100 patients


Occurs in fewer than 1 out of 1,000 patients

Very rare

Occurs in fewer than 1 out of 10,000 patients

The following eye side effects may be seen with Alphagan.

Affecting the eye

Very common:

Irritation of the eye (eye redness, burning, stinging, a feeling of something in the eye, itching,

follicles or white spots on the see-through layer which covers the surface of the eye)

Blurred vision

An allergic reaction in the eye


Local irritation (inflammation and swelling of the eyelid, swelling of the see-through layer

which covers the surface of the eye, sticky eyes, pain and tearing)

Sensitivity to light

Erosion on the surface of the eye and staining

Eye dryness

Whitening of the see-through layer which covers the surface of the eye

Abnormal vision

Inflammation of the see-through layer which covers the surface of the eye

Very rare:

Inflammation within the eye

Reduction in pupil size

Side effects where the occurrence is unknown:

Itching of eyelids

Affecting the body

Very common:


Dry mouth




Cold-like symptoms

Symptoms involving the stomach and digestion

Abnormal taste

General weakness



Palpitations or changes in heart rate

Dry nose

General allergic reactions


Shortness of breath

Very rare:



High blood pressure

Low blood pressure

Side effects where the occurrence is unknown:

Skin reactions including redness, face swelling, itching, rash and widening of blood vessels

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 via:

United Kingdom

Yellow Card Scheme



HPRA Pharmacovigilance

Earlsfort Terrace

IRL - Dublin 2

Tel: +353 1 6764971

Fax: +353 1 6762517




ADR Reporting

The Medicines Authority

Post-Licensing Directorate

203 Level 3, Rue D'Argens

GŻR-1368 Gżira



By reporting side effects you can help provide more information on the safety of this medicine.



Keep out of the reach and sight of children.

Do not store above 25°C.

Do not use the bottle if the tamper-proof seal on the bottle is broken before first use.

Do not use Alphagan after the expiry date which is stated on the bottle label and the carton after

EXP:. The expiry date refers to the last day of that month.

Throw the bottle away 28 days after opening, even if there is solution remaining.

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.



What Alphagan contains

The active substance is brimonidine tartrate. One ml solution contains 2.0 mg brimonidine

tartrate, equivalent to 1.3 mg of brimonidine.

The other ingredients are benzalkonium chloride as a preservative, poly(vinyl alcohol), sodium

chloride, sodium citrate, citric acid monohydrate, purified water and sodium hydroxide or

hydrochloric acid for pH-adjustment.

What Alphagan looks like and contents of the pack

Alphagan is a clear, greenish-yellow to light greenish-yellow eye drop solution in a plastic bottle.

Each bottle contains either 2.5 ml, 5 ml or 10 ml of the medicine.

Alphagan is available in packs of 1, 3 or 6 bottles.

Not all pack sizes may be marketed.

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder


Allergan Ltd, 1

Floor Marlow International, The Parkway, Marlow, Bucks, SL7 1YL, UK


Allergan Pharmaceuticals Ireland, Castlebar Road, Westport, Co. Mayo, Ireland


Allergan Pharmaceuticals Ireland, Castlebar Road, Westport, Co. Mayo, Ireland

This medicinal product is authorised in the Member States of the EEA under the following names:


Alphagan 0,2% Augentropfen


Alphagan 0,2 % m/V (2 mg/ml) Augentropfen

Belgium, Finland, France, Greece, Iceland,

Luxembourg, Norway, Portugal


Denmark, Ireland, Italy, Netherlands, Spain,

Sweden, United Kingdom

Alphagan 0.2%

This leaflet was last revised in 11/2014. Version 3.

Further information about glaucoma is available from:

International Glaucoma Association (IGA)

Tel: +44 (0) 1233 64 81 70

Fax: +44 (0) 1233 64 81 79


(The IGA is an organisation which helps glaucoma patients and their relatives, and is not

associated with Allergan.)