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HSA Approval

COSOPT-S OPHTHALMIC SOLUTION

SIN15435P

COSOPT-S OPHTHALMIC SOLUTION

COSOPT-S OPHTHALMIC SOLUTION

February 26, 2018

SANTEN PHARMACEUTICAL ASIA PTE. LTD.

SANTEN PHARMACEUTICAL ASIA PTE. LTD.

Regulatory Information

HSA regulatory responsibility and product classification details

Regulatory Responsibility

RegistrantSANTEN PHARMACEUTICAL ASIA PTE. LTD.
Licence HolderSANTEN PHARMACEUTICAL ASIA PTE. LTD.

Product Classification

D
Drug Type
Therapeutic
F
Forensic Class
Prescription Only
HSA Singapore Classification

Formulation Information

SOLUTION, STERILE

**4.2 Posology and method of administration** Posology The dose is one drop of COSOPT-S in the (conjunctival sac of the) affected eye(s) two times daily. If another topical ophthalmic agent is being used, COSOPT-S and the other agent should be administered at least ten minutes apart. This medicinal product is a sterile solution that does not contain a preservative. The solution from one individual single-dose container is to be used immediately after opening for administration to the affected eye(s). Since sterility cannot be maintained after the individual single-dose container is opened, any remaining contents must be discarded immediately after administration. Patients should be instructed to wash their hands before use and avoid allowing the container to come into contact with the eye or surrounding structures as this could cause injury to the eye (see instructions for use). Patients should also be instructed that ocular solutions, if handled improperly, can become contaminated by common bacteria known to cause ocular infections. Serious damage to the eye and subsequent loss of vision may result from using contaminated solutions. When using nasolacrimal occlusion or closing the eyelids for 2 minutes, the systemic absorption is reduced. This may result in a decrease in systemic side effects and an increase in local activity. _Instructions for use_ Patients should be informed of the correct handling of the single-dose container. Please see section 6.6 for specific diagrams and instructions for use – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_. _Paediatric population_ Efficacy in paediatric patients has not been established. Safety in paediatric patients below the age of 2 years has not been established (For information regarding safety in paediatric patients ≥ 2 and < 6 years of age, see section 5.1 – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_).

OPHTHALMIC

Medical Information

**4.1 Therapeutic indications** COSOPT-S is indicated in the treatment of elevated intraocular pressure (IOP) in patients with ocular hypertension, open-angle glaucoma, pseudoexfoliative glaucoma or other secondary open-angle glaucomas when concomitant therapy is appropriate.

**4.3 Contraindications** COSOPT-S is contraindicated in patients with: - reactive airway disease, including bronchial asthma or a history of bronchial asthma, or severe chronic obstructive pulmonary disease - sinus bradycardia, sick sinus syndrome, sino-atrial block, second or third degree atrioventricular block not controlled with pacemaker, overt cardiac failure, cardiogenic shock - severe renal impairment (CrCl < 30 ml/min) or hyperchloraemic acidosis - hypersensitivity to one or both active substances or to any of the excipients listed in section 6.1 – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_. The above are based on the components and are not unique to the combination.

S01ED51

timolol, combinations

Manufacturer Information

SANTEN PHARMACEUTICAL ASIA PTE. LTD.

Santen Pharmaceutical Co., Ltd. Noto Plant

Active Ingredients

Timolol Maleate 6.83mg/ml eqv. Timolol base

5mg/ml

Timolol

Dorzolamide Hydrochloride 22.26mg/ml eqv. Dorzolamide base

20mg/ml

Dorzolamide

Documents

Package Inserts

Cosopt-S Ophthalmic Solution PI.pdf

Approved: March 3, 2022

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