Skip to content

Drug interactions

Metipranolol + Timolol

Severity: Moderate

Metipranolol and Timolol: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Both agents are non-selective beta-blockers, so combining them duplicates therapy and can add to systemic beta-blockade even when both are given as eye drops. This may cause bradycardia, bronchospasm or hypotension without improved pressure control.

What this interaction means in plain words

Metipranolol and Timolol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Moderate

Why it happens

Therapeutic duplication with additive non-selective beta-adrenergic blockade.

What to do

Avoid combining two beta-blockers; switch to a different class for additional intraocular pressure lowering. If used together, monitor pulse and respiratory symptoms.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

Pro+ members

Unlock the full page

Create an account and start a Pro+ trial to unlock the full management advice for Metipranolol and Timolol, the additional notes, the evidence detail and the whole-prescription interaction checker.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Try Pro+ free for 7 days on the web. No card needed.

Frequently asked questions

Can I take Metipranolol with Timolol?

MediHelp rates the interaction as moderate. Metipranolol and Timolol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Both agents are non-selective beta-blockers, so combining them duplicates therapy and can add to systemic beta-blockade even when both are given as eye drops. This may cause bradycardia, bronchospasm or hypotension without improved pressure control.

How serious is the interaction between Metipranolol and Timolol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combining two beta-blockers; switch to a different class for additional intraocular pressure lowering. If used together, monitor pulse and respiratory symptoms.

What other medicines interact with Timolol?

MediHelp also lists interactions of Timolol with, for example, Acebutolol, Aldesleukin, Amifostine. The full list is on the Timolol page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

Browse A–Z · Drug interactions

Get the app Sign in