Is Betagan Safe During Pregnancy?
Betagan® (
levobunolol hydrochloride) is a prescription medication used to treat
glaucoma and high eye pressure. It is a
beta blocker eye drop. It is not known if this medication is safe for use during pregnancy. Animal studies indicate that the medication could be harmful to a developing fetus.
The U.S. Food and Drug Administration (FDA) uses a pregnancy category system to classify the possible risks to a fetus when a specific medicine is taken during pregnancy. Pregnancy Category C is given to medicines that have not been studied in pregnant humans, but do appear to cause harm to the fetus in animal studies. Also, medicines that have not been studied in any pregnant women or animals are automatically given a pregnancy Category C rating.
Betagan was given a pregnancy Category C rating because of problems seen in animal studies. Giving extremely large doses of Betagan increased the risk of miscarriages in rabbits. Similar problems did not occur in rats. Also, no evidence of an increased risk of birth defects (even with extremely large doses) was seen in rats.
It is important to note that animals do not always respond to medicines in the same way that humans do. Therefore, a pregnancy Category C medicine may be given to a pregnant woman if the healthcare provider believes that the benefits to the pregnant woman outweigh any possible risks to the unborn child.