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DE/H/3682/001/IA/020_approved_common_SPC

               In a clinical study for combined dorzolamide/timolol preservative free formulation the
               observed adverse reactions have been consistent with those that were reported previously with
               combined dorzolamide/timolol preserved formulation, dorzolamide hydrochloride and/or
               timolol maleate.

               During clinical studies, 1035 patients were treated with  combined dorzolamide/timolol
               preserved formulation.  Approximately 2.4% of all patients discontinued therapy with
               combined dorzolamide/timolol preserved formulation because of local ocular adverse
               reactions; approximately 1.2% of all patients discontinued because of local adverse reactions
               suggestive of allergy or hypersensitivity (such as lid inflammation and conjunctivitis).

               Combined dorzolamide/timolol preservative free formulation has been shown to have a
               similar safety profile to combined  dorzolamide/timolol preserved formulation in a repeat
               dose, double-masked, comparative study.

               Timolol is absorbed into the systemic circulation. This may cause similar undesirable effects
               as seen with systemic  beta-blocking agents.  Incidence of systemic ADRs after topical
               ophthalmic administration is lower than for systemic administration.

               The following adverse  reactions have been reported with combined dorzolamide/timolol
               preservative free formulation or one of its components either during clinical trials or during
               post-marketing experience:

               Adverse reactions are categorized by frequency as follows: Very Common: (≥1/10), Common:
               (≥1/100 to <1/10), Uncommon: (≥1/1,000 to <1/100), and Rare: (≥1/10,000 to  <1/1,000),
               Not known (cannot be estimated from the available data).

                 System       Formulation      Very       Common       Uncommon          Rare        Not Known**
                  Organ                      Common
                  Class
               (MedDRA)
               Immune        Combined                                                signs     and
               system        dorzolamide/ti                                          symptoms of
               disorders     molol                                                   systemic
                             preservative                                            allergic
                             free                                                    reactions,
                             formulation                                             including
                                                                                     angioedema,
                                                                                     urticaria,
                                                                                     pruritus, rash,
                                                                                     anaphylaxis
                             Timolol                                                 signs     and pruritus
                             maleate   eye                                           symptoms of
                             drops, solution                                         allergic
                                                                                     reactions,
                                                                                     including
                                                                                     angioedema,
                                                                                     urticaria,
                                                                                     localised and
                                                                                     generalised
                                                                                     rash,
                                                                                     anaphylaxis



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