Product image of Nodofree Combi (Dorzolamide Hydrochloride, Timolol Maleate) supplied by GNH India

Nodofree Combi

Active Ingredient:
Dorzolamide Hydrochloride, Timolol Maleate
Origin:
EU

Nodofree Combi (Dorzolamide Hydrochloride, Timolol Maleate)

Dorzolamide Hydrochloride and Timolol Maleate, the active ingredients in Nodofree Combi, are a carbonic anhydrase inhibitor and a non‑selective β‑adrenergic antagonist presented as an ophthalmic eye‑drop solution for ocular use. The combination lowers intra‑ocular pressure and is indicated for primary open‑angle glaucoma and ocular hypertension in adult patients.

GNH India supplies Nodofree Combi as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑approved batches to meet global demand.

Manufacturer / TM Owner

Zaklady Farmaceutyczne Polpharma S.A.

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Indications & Clinical Uses

Nodofree Combi is employed in the management of ocular conditions that require a sustained reduction of intra‑ocular pressure, thereby protecting optic nerve health.

  • Primary open‑angle glaucoma: lowers intra‑ocular pressure, helping to preserve visual field and reduce optic nerve damage.
  • Ocular hypertension: reduces elevated eye pressure, decreasing the risk of developing glaucoma over time.
  • Secondary glaucoma (e.g., pigmentary or pseudoexfoliative): assists in pressure control when used as adjunct therapy.

How It Works

  • Dorzolamide inhibits carbonic anhydrase in the ciliary body epithelium, reducing bicarbonate formation and consequently decreasing aqueous humor secretion. Timolol, a non‑selective β‑adrenergic antagonist, blocks β‑receptors in the ciliary processes, further diminishing aqueous humor production. The combined action results in a synergistic reduction of intra‑ocular pressure, addressing the primary pathogenic factor in glaucoma and ocular hypertension.

Side Effects

Eye‑drop therapy with Nodofree Combi may be associated with local and systemic adverse reactions.

Common Side Effects

  • Transient ocular burning or stinging upon instillation.
  • Temporary blurred vision.
  • Conjunctival hyperemia (redness).
  • Dry eye sensation.

Serious or Rare Side Effects

  • Severe allergic reaction such as angio‑edema or anaphylaxis.
  • Persistent low heart rate or bronchospasm.
  • Significant visual loss or corneal ulceration.

Precautions & Warnings

Before prescribing Nodofree Combi, clinicians should consider several safety precautions to minimize risks.

  • Assess cardiovascular status: avoid in patients with severe bradycardia or heart block.
  • Evaluate respiratory health: use cautiously in asthma or chronic obstructive pulmonary disease.
  • Monitor for sulfonamide allergy: dorzolamide contains a sulfonamide moiety.
  • Check intra‑ocular pressure response: adjust therapy if target pressure not achieved.
  • Avoid concurrent use with other β‑blocker eye drops: may increase systemic absorption.
  • Store at below 25 °C: keep in the original container, protect from light and moisture.

Avoid Interactions

Nodofree Combi can interact with systemic and ocular medications, influencing efficacy or safety.

Major Interactions (Avoid)

  • Concurrent oral β‑blockers: may cause additive bradycardia or hypotension.
  • Non‑selective β‑blocker inhalers (e.g., albuterol): may reduce bronchodilator effectiveness.
  • MAO inhibitors: increased risk of hypertensive crisis when combined with timolol.

Moderate Interactions (Monitor Closely)

  • Other carbonic anhydrase inhibitors: may enhance ocular irritation.
  • Anticholinergic eye drops: could affect pupil size and intra‑ocular pressure control.
  • Systemic diuretics: monitor electrolyte balance and blood pressure.

Frequently Asked Questions

Nodofree Combi is a prescription ophthalmic solution indicated for the treatment of primary open‑angle glaucoma and ocular hypertension. By lowering intra‑ocular pressure, it helps to prevent optic nerve damage and preserve visual function in adult patients diagnosed with these conditions.

Dorzolamide blocks carbonic anhydrase enzymes in the ciliary body, reducing the formation of bicarbonate ions that drive aqueous humor production. This decrease in fluid secretion leads to lower intra‑ocular pressure, which is a key factor in managing glaucoma and ocular hypertension.

The dosing regimen is determined by the prescribing clinician based on the patient’s condition and response. Typically, one drop is instilled in each affected eye once or twice daily, but the exact frequency and duration must be individualized by a qualified healthcare professional.

Safety data for Dorzolamide/Timolol eye drops in pregnancy and lactation are limited. The product should only be used if the potential benefit justifies any possible risk to the fetus or infant, and the decision should be made in consultation with a physician.

Enquiries are submitted through the product page on gnhindia.com, where you specify the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and necessary import documentation.

Prostaglandin analogues such as latanoprost primarily increase uveoscleral outflow, whereas Nodofree Combi reduces aqueous humor production through two mechanisms—carbonic anhydrase inhibition and β‑blockade. The combination may be preferred when a patient requires additional pressure‑lowering effect or cannot tolerate prostaglandins.

Store the eye‑drop bottles at temperatures below 25 °C, in the original packaging, protected from light and moisture. Keep the container tightly closed when not in use and discard any solution that appears discolored or contaminated.

The solution is applied topically to the conjunctival sac. After washing hands, tilt the head back, pull down the lower eyelid to create a small pocket, and place one drop into the pocket without touching the tip of the bottle to the eye or surrounding tissues.

Serious adverse events include severe allergic reactions (angio‑edema or anaphylaxis), marked bradycardia or bronchospasm, and rare occurrences of corneal ulceration or significant visual loss. Patients should seek immediate medical attention if they experience any of these symptoms.

The product is contraindicated in patients with known hypersensitivity to dorzolamide, timolol, sulfonamides, or any component of the formulation. It should also be avoided in individuals with severe sinus bradycardia, second‑ or third‑degree heart block, uncontrolled asthma, or chronic obstructive pulmonary disease without medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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