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from 919 rub.

Капли глазные АзаргаAzarga – the combined protivoglaukomny means containing inhibitor of a karboangidraza II and a non-selective blocker of beta adrenoceptors.

Form of release and structure

Dosage form – drops eye: homogeneous suspension of almost white or white color (on 5 ml in plastic bottles droppers of "Droptainer™", in a pack a cardboard 1 bottle).

Contain in 1 ml of drops:

  • Active ingredients: бринзоламид – 10 mg; Timololum (in the form of a maleate) – 5 mg;
  • Auxiliary components: a benzalkoniya chloride (50% solution), sodium chloride, sodium hydroxide, dinatrium эдетат, тилоксапол, Mannitolum, the water purified.

Indications to use

The Azarga is applied to decrease in the increased intraocular pressure at intraocular hypertensia and an open angle glaucoma in case of inefficiency of monotherapy.



  • Closed-angle glaucoma;
  • Allergic rhinitis of a heavy current;
  • Hyperreactivity of bronchial tubes;
  • Chronic obstructive diseases of lungs of a heavy current;
  • Bronchial asthma (in the anamnesis including);
  • Cardiogenic shock;
  • The expressed heart failure;
  • Atrioventricular block of the II-III degree;
  • Sinus bradycardia;
  • Heavy renal failure (clearance of creatinine less than 30 ml/minute);
  • Giperkhloremichesky acidosis;
  • Age up to 18 years;
  • Period of pregnancy and lactation;
  • Simultaneous use of peroral inhibitors of a karboangidraza;
  • Hypersensitivity to components of Azargi, sulfonamides or beta adrenoblockers.

Relative (drops apply with care):

  • Hyperthyroidism;
  • Printsmetal's stenocardia;
  • Arterial hypotension and cardiovascular diseases;
  • Disturbances of the central and peripheric circulation;
  • Pseudo-exfoliative glaucoma;
  • Pigmental glaucoma;
  • Tendency to a hypoglycemia;
  • Diabetes mellitus, especially labile current;
  • Myasthenia;
  • Disturbances of acid-base balance;
  • Liver failure;
  • Atopy or heavy anaphylactic reactions to various allergens in the anamnesis.

Route of administration and dosage

The Azarga is applied locally. Before use it is necessary to stir up a bottle.

Drug is appointed on 1 drop in a conjunctival sac of an eye by 2 times a day.

For decrease in risk of development of system side effects after instillation it is recommended to press accurately for 1-2 minutes a finger on area of a projection of dacryocysts at an internal corner of an eye (it allows to reduce system absorption of drug).

In case of the admission of the next instillation it is necessary to continue use of medicine from the following dose according to the schedule. It is not necessary to exceed the recommended daily dose.

In case of the previous use of other protivoglaukomny drug to begin to apply Azargu it is necessary next day after cancellation of the previous means.

Side effects

Gradation of side effects from bodies and systems for the following scale: often – from> 1/100 to <1/10; infrequently – from> 1/1000 to <1/100; frequency is unknown – it is not possible to estimate frequency reliably or to establish a direct connection with administration of drug:

  • From a nervous system and mentality: often – disgevziya1, infrequently – bessonnitsa1, frequency is unknown – head bol1, depressiya1, golovokruzheniye1,2, cerebrovascular narusheniye2, cerebral ishemiya2, obmorok2, loss pamyati2, strengthening of signs and symptoms of a myasthenia of gravis2, koshmary2,3, parestezii2,3, night nervoznost3, apatiya3, deterioration pamyati3, amneziya3, sonlivost3, depressive nastroyeniye3, gipesteziya3, tremor3, agevziya3, motor disfunktsii3, decrease libido3;
  • From an organ of sight: often – pain in glazu1, misting zreniya1, irritation glaz1; infrequently – a syndrome of "a dry eye" 1, fotofobiya1, dot keratit1, a hyperemia glaz1, a hyperemia konjyunktivy1, a hyperemia sklery1, raised slezotecheniye1, allocations from glaza1, feeling of a foreign body in glazakh1, an erythema vek1, an exudate in an anterior chamber glaza1, an erosion rogovitsy1, an itch in glazu1,3; frequency is unknown – disturbance zreniya1, swelled vek1, decrease in sensitivity rogovitsy2, ptoz2, choroid amotio after filtering operatsii2, keratit2,3, decrease in sharpness zreniya2,3, diplopiya2,3, frustration zreniya3, deposits in glazu3, defect of an epithelium rogovitsy3, the increase in excavation of a disk visual nerva3, madaroz3 increased slezotecheniye3, allergic reactions glaza3, pterigium3, increase intraocular davleniya3, a swelling glaz3, a sensation of discomfort in glazu3, disturbance of an epithelium rogovitsy3, konjyunktivit3, keratopatiya3, an inflammation meibomian zhelez3, pigmentation sklery3, a contrast decrease zreniya3, coloring rogovitsy3, Sukhoi keratokonjyunktivit3, fotopsiya3, a hypesthesia glaza3, disturbances vek3, astenopiya3 swelled rogovitsy3, formation of crusts at edges vek3, blefarit3, subconjunctival kista3;
  • Infectious and parasitic diseases: frequency is unknown – rinit3, faringit3, nazofaringit3, sinusit3;
  • From blood and lymphatic system: frequency is unknown – increase in content of chlorides in krovi3, reduction of quantity eritrotsitov3;
  • From immune system: frequency is unknown – giperchuvstvitelnost1, system allergic reaktsii2 (including a Quincke's disease), krapivnitsa2, zud2, local and generalized syp2, system red volchanka2, anafilaksiya3;
  • From an acoustic organ: frequency is unknown – a ring in ushakh3, vertigo3;
  • From cardiovascular system: infrequently – decrease arterial davleniya1; frequency is unknown – increase arterial davleniya1, cold brushes and stopy2, oteki2, gipotenziya2, pain in grudi2, AV-blokada2, a phenomenon of Reyno2, cordial nedostatochnost2, chronic cordial nedostatochnost2, a stop serdtsa2, bradikardiya2,3, feeling serdtsebiyeniya2,3, aritmiya2,3, gipertenziya3, takhikardiya3, stenokardiya3, increase in frequency cordial sokrashcheniy3, irregular frequency cordial sokrashcheniy3, a cardiorespiratory distress-sindrom3;
  • From respiratory system, bodies of a thorax and a mediastinum: infrequently – kashel1; frequency is unknown – odyshka1, nasal krovotecheniye1, astma1, bronkhospazm2 (it is preferential at patients with a bronkhospastichesky disease in the anamnesis), a congestion nosa3, feeling of dryness nosa3, chikhaniye3, rinoreya3, irritation gortani3, faringolaringitny bol3, a congestion upper respiratory putey3, hyperreactivity bronkhov3, a syndrome post-nasal zateka3;
  • From digestive tract: often – a dysgeusia after instillyatsii1,3 (bitter or unusual taste in a mouth); frequency is unknown – dryness in rtu1, pain in an upper part belly polosti1,3, toshnota1,3, diareya1,3, pain in zhivote2, dispepsiya2,3, vomiting 2,3, a sensation of discomfort in an abdominal cavity and zheludke3, ezofagit3, gastrointestinal rasstroystvo3, strengthening peristaltiki3, meteorizm3, a hypesthesia and paresthesia of a cavity rta3;
  • From skin and hypodermic fabrics: frequency is unknown – syp1, alopetsiya1, eritema1,3, psoriazoformny rash or an aggravation psoriaza2, makulo-papular syp2,3, consolidation kozhi3, krapivnitsa3, dermatit3, generalized zud3;
  • From skeletal and muscular and connecting fabric: frequency is unknown – mialgiya1, pain in konechnostyakh3, pain in spine3, artralgiya3, muscular spazmy3;
  • From kidneys and urinary tract: frequency is unknown – pollakiuriya3, pain in the area pochek3;
  • From generative organs and a mammary gland: frequency is unknown – decrease libido2, sexual disfunktsiya2, erectile disfunktsiya3;
  • Others: frequency is unknown – pain in grudi1, utomlyaemost1,2, asteniya2,3, bol3, razdrazhitelnost3, abnormal oshchushcheniya3, a sensation of discomfort in grudi3, nedomoganiye3, feeling trevozhnosti3, peripheral otek3;
  • Laboratory and tool data: frequency is unknown – increase in maintenance of a lactate dehydrogenase and potassium in krovi1.


1 The side reactions observed at use of Azargi.

2 Side reactions which arose at monotherapy by Timololum.

3 Side reactions which were noted at monotherapy brinzolamidy.

Special instructions

Even at local use Timololum can cause the same side effects from respiratory and cardiovascular systems, as well as system beta adrenoblockers. For this reason before purpose of drug and during its use it is necessary to control a condition of the patient. Cases of heavy cardiovascular and respiratory frustration, including lethal outcomes, owing to a bronchospasm at patients with bronchial asthma and death from heart failure are known.

Before planned operation using the general anesthesia in 48 hours it is necessary to stop use of Azargi since Timololum, as well as all beta adrenoblockers, can reduce sensitivity of a myocardium to the sympathetic stimulation necessary for cardiac performance.

Being a part of drug (as preservative) the benzalkoniya chloride can cause irritation of eyes and change color of soft contact lenses. It is necessary to remove lenses before an instillation and to be established back not earlier than in 15 minutes.

Benzalkoniya chloride can cause a dot keratopathy and/or a toxic ulcer keratopathy, and бринзоламид – to break hydration of a cornea therefore at prolonged treatment it is necessary to control overall health of the patient, including a condition of its cornea. Special observation is required to patients with a diabetes mellitus, anomalies and dystrophy of a cornea.

It is necessary to be careful at an instillation: not to concern a dropper of an eye and other surfaces to avoid drug pollution. After each use it is necessary to close a bottle.

Due to the possible decrease in clearness of sight directly after an instillation it is recommended to refrain from driving and performance of potentially dangerous types of the works requiring special attention.

Peroral inhibitors of a karboangidraza can influence the speed of reactions and ability to concentration of attention at elderly people. This effect needs to be considered also at purpose of Azargi as its components (including karboangidraza inhibitor бринзоламид) get into a system blood stream.

Medicinal interaction

Researches on an occasion of interaction of Azargi with other drugs were not conducted.

It is impossible to appoint at the same time peroral inhibitors of a karboangidraza since there is a risk of strengthening of system side reactions.

With care it is necessary to use at the same time the drugs inhibiting CYP3A4 isoenzyme such as ритонавир, Clotrimazolum, тролеандомицин, итраконазол and кетоконазол.

At simultaneous use of CYP2D6 inhibitors (for example, quinidine or Cimetidinum) strengthening of systemic action of Timololum (decrease in heart rate) is possible.

There is a probability of strengthening of hypotensive action and/or development of the expressed bradycardia at the combined use of Azargi with peroral blockers of calcium channels, antiarrhytmic drugs, beta adrenoblockers, cardiac glycosides, parasympathomimetics, guanetidiny.

Timololum can mask symptoms of a hypoglycemia and strengthen hypoglycemic action of antidiabetic means.

After sharp cancellation of a clonidine Timololum can promote strengthening of hypertensia.

In need of use of other local ophthalmologic means between instillations it is necessary to observe at least 15-minute intervals.

Terms and storage conditions

To store in the place, unavailable to children, with observance of temperature condition 2-30 ºС.

Period of validity – 2 years, after the first opening of a bottle – 4 weeks.

The prices in Internet drugstores:

Name of drug



Azarga of a drop eye 5 ml

919 rub.

Аптека вер.ру, ОООApteka вер.ру, LLC

Azarga of eyes. cap of 10 mg +5mg fl-cap of 5 ml, Alcon-Couvreur

1064 rub.

Сеть московских аптек ИФКNetwork of the Moscow drugstores of IFC
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