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Travatan Z vs. Combigan

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

Key takeaways

Travoprost (Travatan Z) and Combigan (brimonidine/timolol) are both used to lower eye pressure in conditions like glaucoma and high eye pressure, but they work differently. Travoprost is a prostaglandin eye drop that helps fluid drain from the eye, and you only need to apply it once a day at night. In contrast, Combigan combines an alpha agonist (brimonidine) and a beta blocker (timolol) to reduce fluid production and improve fluid flow, requiring application twice a day. Travoprost can cause eye redness and potentially permanent changes in eye color, whereas Combigan can cause low blood pressure and is not recommended if you have asthma, COPD, or heart issues. Both medications require you to remove contact lenses before use and wait 15 minutes before reinserting them. Additionally, travoprost and Combigan are both available as a lower-cost generics.

Travoprost

(Travatan Z)

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Combigan

(brimonidine / timolol)

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Summary for Travatan Z

Prescription only

Travoprost (Travatan Z) is a prescription prostaglandin eye drop that helps lower pressure in the eye. It's a first-choice medication for treating glaucoma in people over the age of 16. Typically, you apply travoprost (Travatan Z) once a day at night. This medication can cause eye redness and changes to eye color as side effects. It's available as a brand name and generic medication.

Indications for Travatan Z

High pressure in the eye from:

Pros and Cons for Travatan Z

Pros

  • A first-choice treatment option for high eye pressure
  • Applied once a day
  • Doesn't contain the preservative benzalkonium chloride

Cons

  • Can cause eye redness
  • Might permanently change the color of your eyes
  • Requires you to take out your contact lenses

Common Side Effects for Travatan Z

  • Eye redness (30-50%)
  • Vision problems (5-10%)
  • Eye discomfort (5-10%)
  • Feeling like there's something in your eye (5-10%)
  • Eye pain (5-10%)
  • Itchy eye (5-10%)

Warnings for Travatan Z

  • Darker eyes, eyelids, or eyelashes
  • Eyelash changes
  • Eye inflammation and swelling
  • Bacterial infections
  • Avoid contact lenses

Summary for Combigan

Prescription only

Combigan is a combination eye drop containing brimonidine (an alpha agonist) and timolol (a beta blocker). It's used to lower high pressure inside the eye in adults with conditions like glaucoma or ocular hypertension. Typically, you apply one drop to the affected eye(s) twice daily, about 12 hours apart. Common side effects include eye redness, itching, or dryness. Combigan (brimonidine / timolol) is available as both a brand-name and generic medication.

Indications for Combigan

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

Pros and Cons for Combigan

Pros

  • Convenient to have a single eye drop that combines two different medications
  • Can be stored at room temperature
  • Possible option for children older than 2 years old

Cons

  • Used twice a day
  • Can cause tiredness or drowsiness in some people
  • Not for people with asthma, severe chronic obstructive pulmonary disease (COPD), or certain heart-related problems

Common Side Effects for Combigan

Reported in up to 15% of people in clinical studies:

  • Eye redness
  • Eye itching
  • Eye burning or stinging

Warnings for Combigan

  • Only use in the eye
  • Allergic reaction of the eye
  • Interaction with inhaled beta agonists for asthma or COPD
  • Worsening heart problems
  • Worsening of other medical conditions
  • Masked symptoms of low blood sugar in people with diabetes
  • Masked symptoms of high thyroid hormone levels (hyperthyroidism)

Prices with our coupons for Travatan Z vs. Combigan

Price Card Drug Icon
Travoprost1 eye dropper / 2.5ml of 0.004%
$35.36$204.99
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Price Card Drug Icon
Brimonidine/Timolol1 eye dropper / 5ml of 0.2%/0.5%
$29.64$242.51
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