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Neptazane vs. Trusopt

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Methazolamide and dorzolamide are both carbonic anhydrase inhibitors used to lower eye pressure and treat glaucoma. Methazolamide is an oral tablet typically taken 2 or 3 times a day, while dorzolamide is an eye drop used 3 times daily. Methazolamide can cause side effects like tingling in the arms or legs, ringing in the ears, and stomach upset. Methazolamide may also interact with certain medications like aspirin and corticosteroids such as prednisone. On the other hand, dorzolamide may cause temporary burning or stinging in the eyes, a bitter taste, and bacterial infections if the bottle gets contaminated. Methazolamide is not typically a first-choice option due to its many potential side effects, whereas dorzolamide is often used in combination with other eye drops for convenience.

Methazolamide

 

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Dorzolamide

 

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Summary for Neptazane

Prescription only

Methazolamide is used to help lower eye pressure and treats eye conditions like glaucoma in adults. It belongs to the drug class called carbonic anhydrase inhibitors. Methazolamide is a tablet that's taken by mouth, and the dosage is taken 2 or 3 times a day. This medication has many potential side effects, including tingling in the arms or legs, ringing in the ears, and stomach upset. There are possible interactions with aspirin and steroids.

Indications for Neptazane

  • High pressure in the eye, such as with glaucoma

Pros and Cons for Neptazane

Pros

  • Works well to lower pressure in the eyes
  • A tablet that's taken by mouth, which might be an option for people who don't like to use eye drops
  • Available as a lower-cost generic

Cons

Common Side Effects for Neptazane

  • Tingling or "pins and needles" feeling in the arms or legs
  • Ringing in the ears
  • Weakness
  • Tiredness
  • Loss of appetite
  • Taste changes
  • Nausea
  • Vomiting
  • Diarrhea
  • More urination
  • Vision changes

Warnings for Neptazane

  • Severe allergic reactions
  • Interaction with aspirin
  • Use with caution in people with breathing or lung problems

Summary for Trusopt

Prescription only

Dorzolamide is an eye drop medication used to treat high pressure in the eye in people with glaucoma or ocular hypertension. The dosage is 1 drop applied directly into the affected eye(s) three times per day. It's available as a generic only as the brand-name medication Trusopt has been discontinued. Dorzolamide is a sulfa medication, so it might not be the best choice if you have a serious sulfa allergy. Side effects include burning or stinging in the eye and a bitter taste in the mouth.

Indications for Trusopt

Treatment of high pressure in the eye in people with:

Pros and Cons for Trusopt

Pros

  • Doesn't typically cause side effects throughout the rest of your body
  • Can be combined with other medications
  • Safe to use in children

Cons

  • Needs to be used 3 times a day
  • Can cause eye irritation right after applying a drop
  • Not the best option if you're allergic to sulfa medications

Common Side Effects for Trusopt

  • Burning or stinging in the eye (33%)
  • Bitter taste (25%)
  • Bacterial eye infection (10-15%)
  • Allergic reaction in the eye (10%)

Warnings for Trusopt

  • Severe allergic reactions
  • Risk for eye infection (from contamination)
  • Risk for swelling of the cornea

Prices with our coupons for Neptazane vs. Trusopt

Price Card Drug Icon
Methazolamide60 tablets / 50mg
$77.29$476.74
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Price Card Drug Icon
Dorzolamide1 eye dropper / 10ml of 2%
$19.23-
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