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This medication comes with important safety alerts to ensure your well-being. It's crucial to review these warnings and discuss any concerns with your healthcare provider.

• Increased Risk of Heart Failure: Some individuals have experienced heart failure while using beta-blockers like Istalol (timolol). Those with existing heart conditions may be at higher risk of worsening symptoms. Inform your healthcare team about your medical history and contact your primary care provider if you experience swelling in your feet or ankles, an irregular or fast pulse, or difficulty breathing during physical activity or when lying down. These symptoms may indicate heart issues.

• Not Suitable for Respiratory Issues: Beta-blockers, including Istalol (timolol), are generally not advised for individuals with respiratory conditions such as asthma or COPD, as they can constrict airways. Make sure your healthcare provider is aware of any lung conditions you have had or currently have, to determine the suitability of this medication for you.

• Masked Hypoglycemia Symptoms: Beta-blockers can obscure the signs of low blood sugar, except for sweating and dizziness, in individuals with diabetes. Though Istalol (timolol) rarely causes this, it's important to be mindful of this possibility. Discuss with your healthcare provider if you should monitor your blood sugar levels more frequently.

• Concealed Hyperthyroid Symptoms: For those with an overactive thyroid, beta-blockers can hide symptoms like a rapid heartbeat. Although rare, Istalol (timolol) may lead to this effect. Ensure your healthcare provider is informed about your use of this medication so they can closely observe your thyroid condition.

• Exacerbation of Myasthenia Gravis: In some instances, Istalol (timolol) may intensify symptoms such as muscle weakness in individuals with myasthenia gravis. Monitor for any worsening symptoms and report them to your healthcare team promptly.

Contraindications: This medication should not be used if you have any of the following conditions, as it could pose serious health risks:

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

If any of these conditions are relevant to you, consult your healthcare provider before using this medication.

When using this medication, you may experience some common side effects such as temporary blurred vision, burning or stinging in the eyes, itching or redness, watery or dry eyes, and a sensation of having something in the eye. These effects are generally mild and should not cause alarm, but if they persist or worsen, it's advisable to consult a healthcare professional. Headaches and a less sharp vision may also occur, but these are typically transient.

In rare cases, more serious side effects can occur, necessitating immediate medical attention. These include dizziness, eye pain, swelling or discharge, changes in heartbeat, muscle weakness, mental changes, and coldness or numbness in the extremities. Additionally, if you experience significant symptoms such as difficulty breathing, unexplained weight gain, chest pain, or unilateral body weakness, seek urgent care.

While severe allergic reactions are rare, stay vigilant for symptoms like rash, severe dizziness, swelling of the face, tongue, or throat, and breathing difficulties. These symptoms require prompt medical intervention. Always be cautious and reach out to a healthcare provider if you notice any unusual effects not listed here.

Istalol (timolol) may interact with several medications. It's important to inform your doctor and pharmacist about all the medicines, including prescription drugs, over-the-counter medications, vitamins, and dietary or herbal supplements you are currently taking.

Some interactions with Istalol (timolol) may not be advisable but could be necessary in certain situations. In such cases, your healthcare provider might adjust the dosage or usage frequency of one or both medicines. This includes medications such as Albuterol, Ceritinib, Crizotinib, Dronedarone, Fenoldopam, Fingolimod, Formoterol, Indacaterol, Iobenguane I 131, Iohexol, Lacosamide, Levalbuterol, Olodaterol, Oxymetazoline, Paroxetine, Ponesimod, Rivastigmine, Salmeterol, Terbutaline, and Vilanterol.

Additionally, combining Istalol (timolol) with certain drugs can heighten the risk of side effects; however, this combination might be the best treatment option for you. Your doctor may need to adjust how often or how much you use these medications together. This group includes Aceclofenac, Acemetacin, Amtolmetin Guacil, Aspirin, Bromfenac, Bufexamac, Celecoxib, and a range of other anti-inflammatory drugs such as Ibuprofen and Naproxen, as well as St John's Wort.

Make sure to discuss any potential interactions with your healthcare provider to ensure safe and effective use of your medications.