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Trusopt vs. Azopt

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

Key takeaways

Dorzolamide (Trusopt) and brinzolamide (Azopt) are both carbonic anhydrase inhibitors used to treat high eye pressure in people with ocular hypertension or open-angle glaucoma. They are similar in that they both lower eye pressure by reducing the amount of fluid in the eye. However, there are several differences between the two medications. Dorzolamide is available only as a generic, while brinzolamide is available as both a brand (Azopt) and a generic, though brinzolamide tends to be more expensive. Both medications are applied as eye drops three times a day and can cause burning or stinging in the eye and a unusual taste. Both medications are not suitable for people with sulfa allergies, as they can cause allergic reactions. Additionally, brinzolamide is not recommended for people with severe kidney disease, while dorzolamide does not have this specific warning. Both medications can be used with other eye drops, but you should wait a few minutes between applying different medications.

Dorzolamide

 

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Brinzolamide

(Azopt)

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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

Summary for Azopt

Prescription only

Brinzolamide (Azopt) is an eye drop that helps lower pressure within the eye and treats glaucoma. It is now available as a generic medication, but it still tends to be more expensive than other alternatives.

Indications for Azopt

  • High pressure in the eye caused by ocular hypertension (high pressure inside the eye) or open-angle glaucoma (the most common type of glaucoma)

Pros and Cons for Azopt

Pros

  • Good at treating high eye pressure
  • Available as a more affordable, generic form

Cons

  • Can cause blurry vision or a weird taste
  • Must be used three times a day
  • Not safe if you're allergic to sulfa medications
  • More expensive than many alternatives, even though it's available as a generic

Common Side Effects for Azopt

  • Blurred vision (up to 10%)
  • Bitter, sour, or unusual taste (up to 10%)

Warnings for Azopt

  • ALLERGIC REACTIONS
  • CORNEA SWELLING
  • CAUTION WITH KIDNEY DISEASE
  • NOT FOR ACUTE ANGLE-CLOSURE GLAUCOMA
  • AVOID SOFT CONTACT LENSES

Prices with our coupons for Trusopt vs. Azopt

Price Card Drug Icon
Dorzolamide1 eye dropper / 10ml of 2%
$19.23-
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Price Card Drug Icon
Brinzolamide1 eye dropper / 10ml of 1%
$63.20$348.01
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