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Zioptan vs. Betoptic-S

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

Key takeaways

Zioptan (tafluprost) and betaxolol (Betoptic-S) are both prescription eye drop medications used to lower eye pressure and treat glaucoma, but they belong to different drug classes and have some key differences. Zioptan is a prostaglandin that helps fluid drain from the eye, while betaxolol is a beta blocker that reduces the amount of fluid produced in the eye. Zioptan is typically used once daily in the evening, whereas betaxolol is used twice daily. Zioptan doesn’t contain preservatives, making it suitable for people with allergies to preservatives. Both medications have a lower-cost generic option available. Zioptan can cause changes in eye color and eyelash growth, while betaxolol may cause issues for individuals with certain heart or lung conditions.

Zioptan

(tafluprost)

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Betaxolol

(Betoptic-S)

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Summary for Zioptan

Prescription only

Zioptan (tafluprost) is an eye drop medication used to treat high pressure in the eye, such as glaucoma. It works as a prostaglandin to help relieve pressure in the eye. Zioptan (tafluprost) is for adults and is used once each night. Side effects include feeling like there's something in the eye, burning, and stinging. Zioptan (tafluprost) is available as a brand-name and now also a generic medication.

Indications for Zioptan

Pros and Cons for Zioptan

Pros

  • A first-choice option for lowering eye pressure
  • Only used once a day
  • Is preservative free, which might be less irritating to the eye

Cons

  • Often causes some eye redness
  • Can permanently darken the color of your eye over time
  • Must use eye drop vials inside the foil pouch within 30 days after opening the pouch

Common Side Effects for Zioptan

  • Eye redness (up to 20%)
  • Eye stinging or irritation (7%)
  • Headache (6%)
  • Itchy eye (5%)

Warnings for Zioptan

  • Darker eyes or eyelids
  • Eyelash changes
  • Eye inflammation
  • Swelling of the retina (macular edema)

Summary for Betoptic-S

Prescription only

Betaxolol (Betoptic-S) is an eye drop medication. It helps lower pressure within the eye and treats glaucoma in adults. This eye drop is a beta blocker that works by lessening the amount of fluid in the eye. The Betaxolol (Betoptic-S) eye drops are typically used twice a day. Side effects aren't common but can include temporary eye discomfort and watery eyes. Betaxolol (Betoptic-S) can be used by itself or together with other pressure-lowering eye drops.

Indications for Betoptic-S

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

Pros and Cons for Betoptic-S

Pros

  • Works well at lowering eye pressure
  • Can use with other eye drops if it's not working well enough on its own
  • Side effects aren't common, except for temporary discomfort in the eye right after using the eye drops
  • Lower-cost generic available for the solution version

Cons

  • Must use twice a day
  • Might not be the best choice if you have asthma or other lung conditions
  • Not recommended if you have heart problems like heart failure, heart block, or long-lasting low heart rate
  • Unknown if safe while pregnant or breastfeeding

Common Side Effects for Betoptic-S

  • Temporary discomfort in the eye (burning or stinging) after using
  • Watery eye

Warnings for Betoptic-S

  • Hidden symptoms of low blood sugar
  • Hidden symptoms of overactive thyroid
  • Worsening of myasthenia gravis
  • Not recommended for people with breathing problems
  • Caution use in people who've had heart problems like heart failure

Prices with our coupons for Zioptan vs. Betoptic-S

Price Card Drug Icon
Tafluprost1 carton / 30 single-use containers of 0.0015%
$60.48$232.99
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Price Card Drug Icon
Betaxolol1 eye dropper / 5ml of 0.5%
$21.26$74.99
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