Do you know that important immune protective proteins are present in breast milk? Breast milk also contains required vitamins, minerals, saturated and un saturated fats. These things are extremely important for development of healthy brain. If you are taking any medicine for short term or for the chronic reason then that passes in breast milk as well, that is why you should always check the drug with your health care provider. Here at DrLact we try to analyze drugs based on available researches and in this sheet we will present our analysis for Cosopt | Dorzolamide Hydrochloride And Timolol Maleate Solution/ Drops.
What is Cosopt | Dorzolamide Hydrochloride And Timolol Maleate Solution/ Drops used for?
COSOPTĀ® is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension who are insufficiently responsive to beta-blockers (failed to achieve target IOP determined after multiple measurements over time). The IOP-lowering of COSOPT administered twice a day was slightly less than that seen with the concomitant administration of 0.5% timolol administered twice a day and 2% dorzolamide administered three times a day [see Clinical Studies (14)]. COSOPT is a carbonic anhydrase inhibitor with a beta-adrenergic receptor blocking agent indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension who are insufficiently responsive to beta-blockers. The IOP-lowering of COSOPT twice daily was slightly less than that seen with the concomitant administration of 0.5% timolol twice daily, and 2% dorzolamide three times daily. (1)
Is using Cosopt | Dorzolamide Hydrochloride And Timolol Maleate Solution/ Drops safe or dangerous while breastfeeding?
Dorzolamide and Timolol anhydrous are the two main ingredients of Cosopt | Dorzolamide Hydrochloride And Timolol Maleate Solution/ Drops. Based on our individual analysis of Dorzolamide and Timolol anhydrous we can safely say that Cosopt | Dorzolamide Hydrochloride And Timolol Maleate Solution/ Drops has low risk while breastfeeding. Below we have summarized the usage of Dorzolamide and Timolol anhydrous while breastfeeding, we recommend you to go through it for better understanding of your usage.
Statement of Manufacturer/Labeler about breastfeeding usage
8.3 Nursing Mothers It is not known whether dorzolamide is excreted in human milk. Timolol maleate has been detected in human milk following oral and ophthalmic drug administration. Because of the potential for serious adverse reactions from COSOPT in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.
Cosopt | Dorzolamide Hydrochloride And Timolol Maleate Solution/ Drops Breastfeeding Analsys
Low RiskIt inhibits activity of carbonic anhydrase.Systemic absorption is minimal. There have not been problems except when a maternal overdose was absorbed. Like most ophthalmologic compounds for topical use a low dose and poor absorption make it compatible with breastfeeding. No untoward effect has been described.
SafeCAS Number: 26839-75-8
It is used as hypotensive drug, and, on topical treatment of glaucoma. Systemic absorption is minimal. There have not been problems except when a maternal overdose has been absorbed. Like most ophthalmologic compounds for topical use a low dose and poor absorption make it compatible with breastfeeding.
Cosopt | Dorzolamide Hydrochloride And Timolol Maleate Solution/ Drops Breastfeeding Analsys - 2
CAS Number: 120279-96-1
Limited experience with the use of ophthalmic dorzolamide indicate that it is unlikely to adversely affect the breastfed infant. To substantially diminish the amount of drug that reaches the breastmilk after using eye drops, place pressure over the tear duct by the corner of the eye for 1 minute or more, then remove the excess solution with an absorbent tissue.
CAS Number: 26839-75-8

Because of the variability in excretion of timolol into breastmilk and minimal reported experience during breastfeeding, other agents may be preferred, especially while nursing a newborn or preterm infant.Ophthalmic use of timolol by the mother should pose little risk to the breastfed infant. To substantially diminish the amount of drug that reaches the breastmilk after using eye drops, place pressure over the tear duct by the corner of the eye for 1 minute or more, then remove the excess solution with an absorbent tissue.

I already used Cosopt | Dorzolamide Hydrochloride And Timolol Maleate Solution/ Drops and meanwhile I breastfed my baby should I be concerned?
During whole lactation period you shall first discuss with your doctor and then together you shall decide whether you shall take that drug or not however if you have already taken Cosopt | Dorzolamide Hydrochloride And Timolol Maleate Solution/ Drops then you shall inform your doctor, But you should not be worried too much as Cosopt | Dorzolamide Hydrochloride And Timolol Maleate Solution/ Drops comes in category of low risk drug.
My doctor has prescribed me Cosopt | Dorzolamide Hydrochloride And Timolol Maleate Solution/ Drops, what should I do?
Cosopt | Dorzolamide Hydrochloride And Timolol Maleate Solution/ Drops comes in category of low risk and if your doctor is aware that you are breastfeeding it should be ok to use without much concerns.
If I am using Cosopt | Dorzolamide Hydrochloride And Timolol Maleate Solution/ Drops, will my baby need extra monitoring?
Not much
Who can I talk to if I have questions about usage of Cosopt | Dorzolamide Hydrochloride And Timolol Maleate Solution/ Drops in breastfeeding?
US
National Womens Health and Breastfeeding Helpline: 800-994-9662 (TDD 888-220-5446) 9 a.m. and 6 p.m. ET, Monday through Friday
UK
National Breastfeeding Helpline: 0300-100-0212 9.30am to 9.30pm, daily
Association of Breastfeeding Mothers: 0300-330-5453
La Leche League: 0345-120-2918
The Breastfeeding Network supporter line in Bengali and Sylheti: 0300-456-2421
National Childbirth Trust (NCT): 0300-330-0700
Australia
National Breastfeeding Helpline: 1800-686-268 24 hours a day, 7 days a week
Canada
Telehealth Ontario for breastfeeding: 1-866-797-0000 24 hours a day, 7 days a week