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Simbrinza vs. Lumigan

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

Key takeaways

Simbrinza (brinzolamide/brimonidine) and Lumigan (bimatoprost) are both eye-drop medications used to lower eye pressure in conditions like open-angle glaucoma and ocular hypertension (high eye pressure). But they have several differences. Simbrinza is a combination of two medications: brinzolamide, a carbonic anhydrase inhibitor, and brimonidine, an alpha-2 agonist. It works by reducing the amount of fluid in the eye and is typically used 3 times a day. Lumigan, on the other hand, is a prostaglandin that helps drain fluid from the eye and is used once daily in the evening. While Simbrinza is only available as a brand medication, Lumigan has a generic form available in its 0.03% strength. Simbrinza can cause side effects like blurry vision and eye irritation, whereas Lumigan may lead to eye redness, eyelash growth, and potentially permanent darkening of the eye color. Both medications require you to remove soft contact lenses before use and wait 15 minutes before reinserting them.

Simbrinza

(brinzolamide / brimonidine)

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Lumigan

(bimatoprost)

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Summary for Simbrinza

Prescription only

Simbrinza is a combination eye drop containing two medications: brinzolamide (a carbonic anhydrase inhibitor) and brimonidine (an alpha-2 agonist). It's used to treat glaucoma and high pressure in the eye. The dosage for the eye drops is placed 1 drop placed directly into the eye(s) three times per day to lower the pressure in the eye. Simbrinza is not yet available as a lower-cost generic. Side effects include eye irritation, blurry vision, and changes in taste.

Indications for Simbrinza

Treatment of high pressure in the eye in people ages 2 years and older with:

Pros and Cons for Simbrinza

Pros

  • Works well to lower eye pressure
  • Conveniently combines two medications into one eye drop
  • Can use in children as young as 2 years old

Cons

  • Must use three times a day
  • Might not be safe if you're allergic to sulfa medications
  • Not available as a lower-cost generic

Common Side Effects for Simbrinza

Reported in up to 5% of people:

  • Blurry vision
  • Eye irritation
  • Changes in taste (e.g., bad taste in mouth)
  • Dry mouth
  • Eye allergy

Warnings for Simbrinza

  • Only use in the eye
  • Severe allergic reactions
  • Risk for swelling of the cornea in certain people
  • Risk for worsening of poor blood flow
  • Risk for eye infection (from contamination)
  • Take out soft contact lenses before using

Summary for Lumigan

Prescription only

Lumigan (bimatoprost) is an eye drop that's used to treat conditions related to high pressure in the eye, including glaucoma. It belongs to the drug class called prostaglandins, which work in the eye to reduce eye pressure. The brand name Lumigan is the 0.01% strength of the eye drops. There's also a 0.03% strength of generic bimatoprost eye drops for glaucoma. People 16 years of age or older can use either strength. This eye drop is used once a day in the evening. Side effects include eye redness, itchy eyes, and eye irritation.

Indications for Lumigan

Pros and Cons for Lumigan

Pros

  • Only used once a day
  • Starts to work within 4 hours and lasts for at least 8 to 12 hours
  • One of the first-choice options for open-angle glaucoma

Cons

  • Might permanently darken the color of your eyes
  • Need to take out any soft contact lenses before using
  • Hasn't been studied for children younger than 16 years of age

Common Side Effects for Lumigan

  • Eye redness (up to 45%)
  • Eyelash growth (up to 45%)
  • Itchy eye (up to 45%)

Warnings for Lumigan

  • Darker eyes or eyelids
  • Eyelash changes
  • Eye inflammation
  • Swelling of the retina (macular edema)
  • Risk of bacterial eye infection when using contaminated medication
  • Don't use while wearing soft contact lenses

Prices with our coupons for Simbrinza vs. Lumigan

Price Card Drug Icon
Simbrinza1 eye dropper / 8ml of 1%/0.2%
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Price Card Drug Icon
Bimatoprost1 eye dropper / 2.5ml of 0.01%
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