yingweiwo

Timolol Maleate (L-714,465 Maleate; MK 950)

Alias: MK-950; L 714,465; MK950; Optimol; Timacar; Timolol maleate;L-714,465; L714,465; MK 950; MK-950; brand name: Betimol; Blocadren; Istalol; Timoptic; Timoptic-XE; Timoptic OcuDose
Cat No.:V1124 Purity: ≥98%
Timolol Maleate (Optimol; Timacar; L714,465; MK-950; Betimol, Blocadren, Istalol, Timoptic), the maleate salt of timolol, is a non-selective β/beta-adrenergic receptor antagonist with antihypertensive, antiarrhythmic, antiangina, and antiglaucoma activities.
Timolol Maleate (L-714,465 Maleate; MK 950)
Timolol Maleate (L-714,465 Maleate; MK 950) Chemical Structure CAS No.: 26921-17-5
Product category: Adrenergic Receptor
This product is for research use only, not for human use. We do not sell to patients.
Size Price Stock Qty
100mg
250mg
500mg
1g
2g
5g
Other Sizes

Other Forms of Timolol Maleate (L-714,465 Maleate; MK 950):

  • (Rac)-Timolol-d5 maleate ((Rac)-Timolol maleate-d5)
  • Timolol
Official Supplier of:
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Top Publications Citing lnvivochem Products
Purity & Quality Control Documentation

Purity: ≥98%

Product Description

Timolol Maleate (Optimol; Timacar; L714,465; MK-950; Betimol, Blocadren, Istalol, Timoptic), the maleate salt of timolol, is a non-selective β/beta-adrenergic receptor antagonist with antihypertensive, antiarrhythmic, antiangina, and antiglaucoma activities. It has a Kis of 1.97 nM/2.0 nM and inhibits β1/β2 adrenergic receptors. Timolol functions similarly to propranolol as a beta-adrenergic antagonist. More activity is found in the levo-isomer. It has been suggested that timolol works as an antihypertensive, antiarrhythmic, anti-angina, and antiglaucoma drug. The World Health Organization has compiled a list of essential medicines, or those that are absolutely necessary in a basic health system, which includes timol maleate.

Biological Activity I Assay Protocols (From Reference)
Targets
β1-adrenergic receptor ( Ki = 1.97 nM ); β2-adrenergic receptor ( Ki = 2.0 nM )
ln Vitro

In vitro activity: Timolol Maleate functions similarly to propranolol as a beta-adrenergic antagonist. The more active is the levo-isomer. Timolol has been suggested as an agent to treat glaucoma, angina, antihypertensive, and antiarrhythmic. Timolol is a non-selective antagonist of beta-adrenergic receptors, just like propranolol and nadolol. In the human atrium, timolol has a greater affinity for the beta 2-adrenoceptor than the beta 1-adrenoceptor. Timolol has a relatively high degree of lipid solubility but lacks significant intrinsic sympathomimetic, direct myocardial depressant, or local anesthetic (membrane-stabilizing) activity. When timolol is applied topically to the eye, it can lower both normal and elevated intraocular pressure, whether or not glaucoma is present. In the pathophysiology of glaucomatous visual field loss and optic nerve damage, elevated intraocular pressure is a significant risk factor. Timolol, similar to propranolol and nadolol, competes with catecholamines and other adrenergic neurotransmitters for binding at β1-adrenergic receptors located in the heart and vascular smooth muscle, as well as β2-receptors found in the bronchial and vascular smooth muscle. β1-receptor blockade lowers blood pressure both systolic and diastolic, reduces cardiac output and heart rate at rest and during exercise, and may also lessen reflex orthostatic hypotension. Peripheral vascular resistance rises when β2-blockade is applied. Timolol lowers ocular pressure, but the precise mechanism underlying this effect is still unknown. The most likely course of action is to reduce aqueous humor secretion.

ln Vivo
Topical administration of timolol maleate, a β blocker, ameliorated retinal edema caused by venous occlusion in a murine RVO model. Previous studies using RVO murine models have only investigated the effects of the IV administration of a drug (anti-VEGF and caspase inhibitor) or eye drop reagent; thus, our data have demonstrated for the first time that timolol, an eye drop approved in many countries, could improve the pathogenesis of RVO [3].
Enzyme Assay
The affinity of (--)-timolol for beta 1- and beta 2-adrenoceptors was determined on isolated atrial preparations from patients undergoing open heart surgery. The times for onset and offset of antagonism of the positive inotropic effects of (--)-adrenaline and (--)-noradrenaline by (--)-timolol were measured. 2. The antagonism of the positive inotropic effects of (--)-adrenaline and (--)-noradrenaline by (--)-timolol (0.1-100 nM) was simple competitive in human atrium tissue. The slope of Schild-plots was not significantly different from 1.0 [0.93 +/- 0.09 for (--)-adrenaline, 0.97 +/- 0.09 for (--)-noradrenaline]. 3. The inotropic effects of (--)-adrenaline were antagonized significantly more by each concentration of (--)-timolol than those of (--)-noradrenaline. KB-values (-log M) were 10.10 +/- 0.09 against (--)-adrenaline and 9.43 +/- 0.07 against (--)-noradrenaline (P < 0.001). 4. Blocking kinetics of (--)-timolol for the beta-adrenoceptor were relatively slow. Half-times for the onset of blockade by 10 times KB of (--)-timolol were approximately 30 min for both (--)-adrenaline and (--)-noradrenaline; offset times were similar. 5. It is concluded that (--)-timolol has a higher affinity for the beta 2-adrenoceptor than for the beta 1-adrenoceptor in human atrium. This property may be beneficial clinically in protecting against the beta 2-adrenoceptor hypersensitivity induced by cardiac beta 1-adrenoceptor blockade, but also explain why severe asthma can occur after administration of very low intra-ocular doses of the drug [2].
Cell Assay
Primary human retinal microvascular endothelial cells (HRMECs) were cultured, as previously described in detail, and were maintained in a complete classic medium supplemented with CultureBoost-R, 100 μg/ml streptomycin, and 100 U/ml penicillin. Before seeding the cells, culture dishes and well plates were precoated with an attachment factor. Thereafter, the cells were maintained at 37 °C in a humidified atmosphere containing 5% CO2. Passages 6–10 were used in the experiments. The HRMECs (n = 4 or n = 8) were seeded at 2 × 104 cells/well in 24-well plates and incubated for 24 h; then, the initial medium was exchanged with a medium containing 10% fetal bovine serum (FBS) without CultureBoost-R. At 24 h following the medium exchange, the medium containing 1% FBS or without FBS was changed and timolol was added before hypoxia. Thereafter, the cells were cultured under 1% O2 for 6 h [3].
Animal Protocol
Murine RVO model
In total, 70 mice were used and the preparation of RVO murine model was previously described in detail [15]. Briefly, mice were anesthetized intramuscularly (IM) with a mixture of ketamine (120 mg/kg IM) and xylazine (6 mg/kg IM). Their pupils were dilated with 1% tropicamide and 2.5% phenylephrine, while hydroxyethyl cellulose was applied to the corneas to prevent desiccation. Three retinal veins were photocoagulated by a 532-nm laser light applied at 50 mW, 5 s, and 50 μm. The right eye of each animal was irradiated after an injection of rose bengal (8 mg/ml) into the tail vein; then, 10–15 laser spots were applied to three retinal veins of each mouse at three disc diameters from the optic nerve head.

Drug administration
Timolol maleate 0.5%, latanoprost 0.005%, and vehicle solutions were kind gifts from Nitto Medic Co. Ltd., all of which were administered by eye drop (5 µl) immediately and at 3, 6, 12, and 18 h after laser irradiation. In another independent experiment, an integrated stress response inhibitor (ISRIB; 9 ng/2 µl) was injected (2 μl) into the vitreous body of the right eye immediately after laser irradiation using a sterile 34-gauge needle attached to a Hamilton glass syringe (701 N). For controls, mice were IV injected with 2 μl of 0.01 M PBS into the right eye, after which 0.5% levofloxacin ophthalmic solution was applied topically to the treated eyes.
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
The systemic bioavailability of the ophthalmic eyedrop in one study of healthy volunteers was 78.0 ± 24.5%, indicating that caution must be observed when this drug is administered, as it may be significantly absorbed and have various systemic effects. Another study measured the bioavailability of timolol eyedrops to be 60% in healthy volunteers. The peak concentration of ophthalmic timolol in plasma, Cmax was about 1.14 ng/ml in most subjects within 15 minutes following the administration of timolol by the ophthalmic route. The mean area under the curve (AUC) was about 6.46 ng/ml per hour after intravenous injection and about 4.78 ng/ml per hour following eyedrop administration.
Timolol and its metabolites are mainly found excreted in the urine.
1.3 - 1.7 L/kg Timolol is distributed to the following tissues: the conjunctiva, cornea, iris, sclera, aqueous humor, kidney, liver, and lung.
One pharmacokinetic study in healthy volunteers measured the total plasma clearance of timolol to be 557 ± 61 ml/min. Another study determined the total clearance 751.5 ± 90.6 ml/min and renal clearance to be 97.2 ± 10.1 ml/min in healthy volunteers.
The degree of systemic absorption of timolol after topical application to the eye has not been fully elucidated; however, some absorption can apparently occur, since adverse systemic effects have occurred following ophthalmic instillation of the drug. Following topical adminstration of timolol 0.5% solution twice daily to the eye in a limited number of individuals, mean peak plasma concentrations were 0.46 or 0.35 ng/ml following the morning or afternoon dose, respectively. In individuals receiving topical timolol 0.5% as the gel-forming ophthalmic solution once daily in the morning, mean peak plasma concentrations following the dose were 0.28 ng/ml. Following topical application to the eye of a 0.25 or 0.5% solution of the drug, reduction in IOP usually occurs within 15-30 minutes, reaches a maximum within 1-5 hours, and persists about 24 hours.
Approximately 90% of an oral dose of timolol maleate is rapidly absorbed from the GI tract. Absorption of the drug is not reduced by food. Only about 50% of an oral dose reaches systemic circulation as unchanged drug since timolol undergoes extensive metabolism on first pass through the liver. Peak plasma concentrations of the drug usually are reached within 1-2 hr after oral administration. Considerable interindividual variation in plasma concentrations attained have been reported with a specific oral dose of timolol.
Timolol is 10-60% bound to plasma proteins, depending on the assay method employed. The drug is distributed into milk.
Timolol has a plasma half-life of 3-4 hr; plasma half-life is essentially unchanged in patients with moderate renal insufficiency. Approximately 80% of timolol is metabolized in the liver to inactive metabolites. The unchanged drug and its metabolites are excreted in urine. Only small amounts of the drug are removed by hemodialysis.
Plasma kinetics and beta-receptor blocking and -binding activity of timolol was studied in six healthy volunteers following its intravenous 0.25 mg dose. Timolol concentrations were measured using radioreceptor assay (RRA), blocking activity by comparing the dose ratios (DRs) of the infusion rates of isoprenaline required to increase heart rate by 25 bpm (I25) and binding activity by determining the extent to which timolol occupied beta 1 -receptors of rabbit lung and beta 2-receptors of rat reticulocytes in undiluted plasma samples. Timolol was eliminated from plasma with a mean half-life for the elimination phase of 2.6 hours. The dose antagonized potently isoprenaline-induced tachycardia at least for four hours. The effect was excellently correlated with the estimated beta 2-receptor binding activity of timolol in the circulating plasma. In conclusion, the small intravenous timolol dose was eliminated from plasma by a fashion, which was very similar to its eighty-fold higher oral doses reported earlier in the literature. The 0.25 mg dose was of considerable systemic beta-receptor blocking and -binding activity, that may help to explain its reported side-effects following ocular drug administration. The extent to which beta-blocking agents occupy rabbit lung beta 1- and rat reticulocyte beta 2-receptors in the circulation appears to predict the intensity and selectivity of their beta-blocking effects in healthy volunteers.
Metabolism / Metabolites
Timolol is metabolized in the liver by the cytochrome P450 2D6 enzyme, with minor contributions from CYP2C19. 15-20% of a dose undergoes first-pass metabolism. Despite its relatively low first pass metabolism, timolol is 90% metabolized. Four metabolites of timolol have been identified, with a hydroxy metabolite being the most predominant.
It is metabolized extensively by the liver, and only a small amount of unchanged drug appears in the urine.
The metabolism of timolol maleate to its ring cleavage ethanolamine and glycine products was studied in 108 patients with essential hypertension who received 10 mg oftimolol maleate, administered as a single oral dose. The metabolism of timolol maleate was determined to be partly under monogenic control of the debrisoquine-type. The mean plasmatimolol maleate concentration in poor metabolizers of debrisoquine were double that of extensiv metabolizers. /Timolol maleate/
Timolol has known human metabolites that include 4-[4-[3-(tert-butylamino)-2-hydroxypropoxy]-1,2,5-thiadiazol-3-yl]morpholin-2-ol.
Biological Half-Life
Timolol half-life was measured at 2.9 ± 0.3 h hours in a clinical study of healthy volunteers.
Plasma half-life 3-5 hr
Toxicity/Toxicokinetics
Toxicity Summary
IDENTIFICATION: Timolol is an adrenergic beta-receptor blocking agent and a Class II antiarrhythmic drug. The drug is a white, odorless powder. Soluble in water, alcohol, in chloroform; soluble in methanol; practically insoluble in ether. HUMAN EXPOSURE: Main risks and target organs: Beta-blocking agents exert their effects by competing with endogenous and/or exogenous beta-adrenergic agonists. Timolol is a non-cardioselective beta-blocker (it has similar affinity for beta1 and beta2 receptors) and it has no intrinsic sympathomimetic or membrane stabilizing effect. The main risks might be an impairment of atrioventricular conduction and a negative inotropic effect. Summary of clinical effects: Only one case of acute poisoning after ingestion in a 24 year old man has been reported. The patient showed moderate toxic symptoms: drowsiness, vertigo, headache, and first degree atrioventricular block which was treated with atropine and isoproterenol. The patient recovered without sequelae. Adverse systemic effects have been reported in patients treated with timolol eye drops. Indications: Oral administration: Timolol has been used in the treatment of hypertension, angina pectoris, cardiac arrhythmias, migraine and for the reduction of mortality following myocardial infarction. Ocular administration: Ophthalmic solutions of timolol are used in the treatment of glaucoma to reduce intraocular pressure. Contraindications: Timolol is contraindicated in patients with asthma, second and third degree AV block, and cardiogenic shock. Timolol should be used cautiously in patients with chronic obstructive pulmonary diseases, sinus bradycardia, cardiac failure, myasthenia gravis, Raynaud's syndrome. Timolol should not be administered with other beta-blockers. Routes of entry: Oral: Poisoning after ingestion of timolol tablets may occur but only one case has been actually reported. Eye: Systemic toxic symptoms may occur after treatment with timolol eye drops. Absorption by route of exposure: Oral: Timolol is almost completely (90%) absorbed from the gastrointestinal tract. The peak plasma concentration occurs 0.5-3 hours after ingestion. Timolol is subject to a moderate first pass effect. Ocular: The onset of the ocular hypotensive action occurs after 10-20 minutes and lasts for at least 24 hours. Timolol is absorbed systemically. Distribution by route of exposure: Oral: Bioavailability is about 60%. Apparent volume of distribution is 1.3 - 1.7 L/kg. Plasma protein binding is approximately 10%. Timolol crosses the placenta Ocular: Timolol is distributed in conjunctiva, cornea, sclera, iris, aqueous humor, liver, kidney and lung. Transdermal: After cutaneous application of timolol ointment, 50 to 60% is absorbed systemically. Biological half-life by route of exposure: Oral: After oral administration, the half-life is 2.5 - 5 hours. The half-life varies according to genetic differences in hepatic metabolism: half-lives of 3.7 and 7.5 hours were reported in extensive and poor metabolizers, respectively. Metabolism: Oral: Timolol is extensively metabolized in the liver by hydrolytic cleavage of the morpholino ring with subsequent oxidation. Following an oral dose, 80% is metabolized and 20% is eliminated unchanged in urine. Metabolism is dependent on genetic polymorphism. Elimination by route of exposure: Oral: Kidney: About 20% of the dose is eliminated unchanged in the urine and 40 to 60% as metabolites. Breast milk: Timolol is present in breast milk. Following a maternal oral dose, the milk/plasma ratio is 0.80. Ocular: Breast milk: Following ocular instilation, the concentration in breast milk was approximately 6 times higher than in serum. Pharmacology and toxicology: Mode of action: Toxicodynamics: At toxic doses, timolol may exert a pronounced negative chronotropic and negative inotropic cardiac effect. Pharmacodynamics: The exact mechanism whereby timolol reduces ocular pressure is still not known. The most likely action is by decreasing the secretion of aqueous humor. At therapeutic doses, timolol slightly decreases heart rate, supraventricular conduction and cardiac output. Adults: Only one case of acute poisoning with timolol has been reported; this patient showed moderately severe symptoms. Children: An 18 month old girl developed bradycardia, respiratory depression and cyanosis 30 minutes after the administration of timolol eye drops. Teratogenicity: No epidemiological studies of congenital abnormalities among infants born to women treated with timolol during pregnancy have been reported. Interactions: Sinus bradycardia has been reported after concomitant treatment with timolol eye drops and quinidine. Clinical effects: Acute poisoning: Eye contact: Adverse systemic effects have been reported after treatment with ophthalmic solutions of timolol. Chronic poisoning: Eye contact: Dryness of the eye has been reported in a man treated with timolol 75 mg daily. Corneal anesthesia was observed in a patient treated with timolol eye drops. Systematic description of clinical effects: Cardiovascular: Acute: First-degree atrioventricular block has been reported after ingestion of blood pressure was 120/80 mmHg and the heart rate was 58/min. Bradycardia, hypotension, atrioventricular block and congestive cardiac failure may occur after administration of timolol. Respiratory: Acute: Reversible respiratory arrest was observed in a 62-year-old woman after instillation of timolol eye drops and may occur after oral administration. Bronchospasm may occur in susceptible patients after administration of timolol. Neurological: CNS: Acute: Drowsiness, vertigo, headache have been reported in one case. Fatigue, confusion, depression, hallucinations have been reported after administration of timolol. Peripheral nervous system: Acute: Worsening of myasthenia gravis may occur after administration of timolol. Autonomic nervous system: Acute: Effects of beta-blockade. Gastrointestinal: Acute: abdominal pain, nausea, vomiting and diarrhea may occur after administration of timolol orally or as eye drops. Dermatological: Acute: Urticaria may be observed. Eye, ear, nose, throat: local effects: Acute: Eyelid erythema and edema has been reported following ocular administration. Metabolic: Acid-base disturbances. Fluid and electrolyte disturbances: Hyperkalemia has been reported. Other clinical effects: Sexual dysfunction following usual doses of topical ocular timolol has been reported and may also occur after oral administration. Special risks: Timolol is eliminated in breast milk. No epidemiological studies of congenital anomalies among infants born to women treated with timolol during pregnancy have been reported.
Hepatotoxicity
Mild-to-moderate elevations in serum aminotransferase levels occur in less than 2% of patients on timolol and are usually transient and asymptomatic, resolving even with continuation of therapy. Despite its wide spread use, timolol has not been convincingly linked to instances of clinically apparent liver injury. Other beta-blockers have been implicated in rare instances of acute liver injury with a latency to onset ranging from 2 to 24 weeks, a hepatocellular pattern of serum enzyme elevations and a mild, self-limiting course without evidence of hypersensitivity or autoimmune reactions.
Likelihood score: E (unlikely cause of clinically apparent acute liver injury).
Effects During Pregnancy and Lactation
◉ Summary of Use during Lactation
Because of the variability in excretion of timolol into breastmilk and minimal reported experience during breastfeeding, other agents may be preferred, especially while nursing a newborn or preterm infant.
Ophthalmic use of timolol by the mother should pose little risk to the breastfed infant, although some guidelines state that gel formulations are preferred over solutions. To substantially diminish the amount of drug that reaches the breastmilk after using eye drops, place pressure over the tear duct by the corner of the eye for 1 minute or more, then remove the excess solution with an absorbent tissue.
◉ Effects in Breastfed Infants
None reported, but beta-adrenergic blocking drugs with similar breastmilk excretion characteristics have caused adverse effects in breastfed newborns.
No side effects were reported in one case report of a 9-week-old breastfed infant whose mother was using 0.5% ophthalmic timolol drops twice daily in one eye.
A mother who was taking 2 drops of timolol 0.5% eye drops daily as well as using pilocarpine eye drops twice daily and acetazolamide 250 mg orally twice daily and delivered a preterm infant at 36 weeks of gestation. The infant began 5 months of exclusive breastfeeding at 6 hours after birth. On day 2, the infant developed electrolyte abnormalities consisting of hypocalcemia, hypomagnesemia, and metabolic acidosis. The infant was treated with oral calcium gluconate and a single dose of intramuscular magnesium sulfate. Despite continued breastfeeding and maternal drug therapy, the infant's mild metabolic acidosis disappeared on day 4 of life and the infant was gaining weight normally at 1, 3 and 8 months, but had mild hypotonicity. The authors considered the metabolic effects to be caused by transplacental passage of acetazolamide that resolved despite the infant being breastfed. The infant gained weight adequately during breastfeeding, but had some mild, residual hypertonicity of the lower limbs requiring physical therapy.
A newborn infant was breastfed during maternal therapy with various combinations of ocular timolol, dipivifrin, dorzolamide, brimonidine and several doses of acetazolamide. Ultimately, the mother was treated with timolol gel-forming solution 0.5% and dorzolamide 2% drops. The drugs were given immediately following breastfeeding with punctal occlusion and no apnea or bradycardia was observed in the infant.
◉ Effects on Lactation and Breastmilk
Relevant published information on the effects of beta-blockade or timolol during normal lactation was not found as of the revision date. A study in 6 patients with hyperprolactinemia and galactorrhea found no changes in serum prolactin levels following beta-adrenergic blockade with propranolol.
Protein Binding
The plasma protein binding of timolol is not extensive and is estimated to be about 10%.
Interactions
When used in conjunction with topical miotics, topical dipivefrin, topical epinephrine, and/or systemically administered carbonic anhydrase inhibitors, the effect of timolol maleate in lowering intraocular pressure may be additive. This effect may be used to therapeutic advantage in the treatment of glaucoma. However, the long term efficacy of combined therapy with an adrenergic agonist (eg, dipivefrin, epinephrine) and a beta-adrenergic blocking agent remains to be clearly established. Although topical timolol used alone has little or no effect on pupil size, mydriasis resulting from concomitant therapy with topical timolol and epinephrine has been reported occasionally. /Timolol maleate/
The possibility of an additive effect on intraocular pressure and/or systemic beta-adrenergic blockade should be considered in patients who are receiving a systemic beta-adrenergic blocking agent and topical timolol concomitantly.
When topical timolol is administered concomitantly with a catecholamine depleting drug (eg, reserpine), the patient should be observed closely for possible additive effects and the production of hypotension and/or marked bradycardia, which may result in vertigo, syncope, and or postural hypotension.
Concomitant administration of timolol with reserpine may increase the incidence of hypotension and bradycardia as compared with timolol alone, because of reserpine's catecholamine depleting activity. Timolol also is additive with and may potentiate the hypotensive actions of other hypotensive agents (e.g., hydralazine, methyldopa). This effect usually is used to therapeutic advantage, but dosage should be adjusted carefully when these drugs are used concurrently.
For more Interactions (Complete) data for TIMOLOL (8 total), please visit the HSDB record page.
Non-Human Toxicity Values
LD50 Mouse female 1190 mg/kg /Timolol maleate/
LD50 Rat female 900 mg/kg /Timolol maleate/
References

[1]. Arch Int Pharmacodyn Ther. 1975 Feb;213(2):251-63.

[2]. Br J Clin Pharmacol. 1996 Aug;42(2):217-23.

[3]. Timolol maleate, a β blocker eye drop, improved edema in a retinal vein occlusion model. Mol Vis. 2023; 29: 188–196.
Additional Infomation
Therapeutic Uses
Adrenergic beta-Antagonists; Anti-Arrhythmia Agents; Antihypertensive Agents; Sympatholytics
Antihypertensive, antiarrhythmic, antianginal, antiglaucoma agent.
In ophthalmology, topical timolol maleate is used to reduce elevated intraocular pressure in various conditions, including open angle glaucoma, aphakic glaucoma, ocular hypertension, and some secondary glaucomas. Reduction in intraocular pressure may reduce or prevent glaucomatous visual field loss or optic nerve damage and obviate the need for surgery. /Timolol maleate/
Timolol is used in the management of hypertension. The drug has been used as monotherapy or in combination with other classes of antihypertensive agents. Timolol's efficacy in the management of hypertension is similar to that of the other beta-adrenergic blocking agents.
For more Therapeutic Uses (Complete) data for TIMOLOL (13 total), please visit the HSDB record page.
Drug Warnings
Patients receiving topical timolol and a systemic beta-adrenergic blocking agent concomitantly should be observed carefully for potential additive effects on intraocular pressure and/or systemic effects of beta-adrenergic blockade.
Patients who have a history of atopy or of a severe anaphylactic reaction to a variety of allergens reportedly may be more reactive to repeated accidental, diagnostic, or therapeutic challenges with such allergens while taking beta-adrenergic blocking agents and may be unresponsive to usual doses of epinephrine used to treat anaphylactic reactions.
Bacterial keratitis has been reported with the use of multidose containers of topical ophthalmic preparations. These containers had been contaminated inadvertently by patients who, in most cases, had a concurrent corneal disease or disruption of the ocular epithelial surface. Patients should be informed that improper handling of ocular solutions can result in contamination of the solution by common bacteria known to cause ocular infections and should be instructed to avoid allowing the tip of the dispensing container to contact the eye or surrounding structures. Serious damage to the eye and subsequent loss of vision may result from using contaminated ophthalmic solutions. Patients also should be advised to seek their physician's advice immediately regarding the continued use of the present multidose container if an intercurrent ocular condition (eg, trauma, ocular surgery or infection) occurs.
Because timolol has little or no effect on pupil size, the drug should not be used alone in patients with angle closure glaucoma, but only in combination with a miotic. Timolol ophthalmic solution should not be used concomitantly with another ophthalmic beta-adrenergic blocking agent; in patients being transferred from another beta-blocker to timolol, the other beta-blocker should be discontinued before initiating timolol.
For more Drug Warnings (Complete) data for TIMOLOL (26 total), please visit the HSDB record page.
Pharmacodynamics
Timolol, when administered by the ophthalmic route, rapidly reduces intraocular pressure. When administered in the tablet form, it reduces blood pressure, heart rate, and cardiac output, and decreases sympathetic activity.. This drug has a fast onset of action, usually occurring within 20 minutes of the administration of an ophthalmic dose. Timolol maleate can exert pharmacological actions for as long as 24 hours if given in the 0.5% or 0.25% doses.
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C17H28N4O7S
Molecular Weight
432.49
Exact Mass
432.167
Elemental Analysis
C, 47.21; H, 6.53; N, 12.95; O, 25.89; S, 7.41
CAS #
26921-17-5
Related CAS #
(Rac)-Timolol-d5 maleate; 1217260-21-3; (S)-Timolol-d9 maleate; Timolol; 26839-75-8
PubChem CID
33624
Appearance
White to off-white crystalline powder
Boiling Point
704.6ºC at 760 mmHg
Melting Point
202-203 °C(lit.)
Flash Point
380ºC
Vapour Pressure
7.7E-21mmHg at 25°C
LogP
0.67
Hydrogen Bond Donor Count
2
Hydrogen Bond Acceptor Count
8
Rotatable Bond Count
7
Heavy Atom Count
21
Complexity
310
Defined Atom Stereocenter Count
1
SMILES
S1N=C(C(=N1)N1C([H])([H])C([H])([H])OC([H])([H])C1([H])[H])OC([H])([H])[C@]([H])(C([H])([H])N([H])C(C([H])([H])[H])(C([H])([H])[H])C([H])([H])[H])O[H].O([H])C(/C(/[H])=C(/[H])\C(=O)O[H])=O
InChi Key
WLRMANUAADYWEA-NWASOUNVSA-N
InChi Code
InChI=1S/C13H24N4O3S.C4H4O4/c1-13(2,3)14-8-10(18)9-20-12-11(15-21-16-12)17-4-6-19-7-5-17;5-3(6)1-2-4(7)8/h10,14,18H,4-9H2,1-3H3;1-2H,(H,5,6)(H,7,8)/b;2-1-/t10-;/m0./s1
Chemical Name
(Z)-but-2-enedioic acid;(2S)-1-(tert-butylamino)-3-[(4-morpholin-4-yl-1,2,5-thiadiazol-3-yl)oxy]propan-2-ol
Synonyms
MK-950; L 714,465; MK950; Optimol; Timacar; Timolol maleate;L-714,465; L714,465; MK 950; MK-950; brand name: Betimol; Blocadren; Istalol; Timoptic; Timoptic-XE; Timoptic OcuDose
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Note: Please store this product in a sealed and protected environment, avoid exposure to moisture.
Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO: ~86 mg/mL ( ~198.8 mM)
Water: <1 mg/mL
Ethanol: ~86 mg/mL (~198.8 mM)
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 2.5 mg/mL (5.78 mM) (saturation unknown) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 25.0 mg/mL clear DMSO stock solution to 400 μL PEG300 and mix evenly; then add 50 μL Tween-80 to the above solution and mix evenly; then add 450 μL normal saline to adjust the volume to 1 mL.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

Solubility in Formulation 2: ≥ 2.5 mg/mL (5.78 mM) (saturation unknown) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 25.0 mg/mL clear DMSO stock solution to 900 μL of 20% SBE-β-CD physiological saline solution and mix evenly.
Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.

View More

Solubility in Formulation 3: ≥ 2.5 mg/mL (5.78 mM) (saturation unknown) in 10% DMSO + 90% Corn Oil (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 25.0 mg/mL clear DMSO stock solution to 900 μL of corn oil and mix evenly.


Solubility in Formulation 4: 20 mg/mL (46.24 mM) in PBS (add these co-solvents sequentially from left to right, and one by one), clear solution; with ultrasonication (<60°C).

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 2.3122 mL 11.5610 mL 23.1219 mL
5 mM 0.4624 mL 2.3122 mL 4.6244 mL
10 mM 0.2312 mL 1.1561 mL 2.3122 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

  • Calculate the Mass of a compound required to prepare a solution of known volume and concentration
  • Calculate the Volume of solution required to dissolve a compound of known mass to a desired concentration
  • Calculate the Concentration of a solution resulting from a known mass of compound in a specific volume
An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
/

Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
+
+
+

Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
Stop Retinal Ganglion Cell Dysfunction Study
CTID: NCT02390284
Phase: Phase 3    Status: Completed
Date: 2024-10-10
Beta Adrenergic Antagonist for the Healing of Chronic DFU
CTID: NCT03282981
Phase: Phase 3    Status: Completed
Date: 2024-05-06
Comparison of Latanoprost Vs. Timolol
CTID: NCT00579969
Phase: Phase 2    Status: Terminated
Date: 2023-12-21
Efficacy and Safety of Timolol for TKI Induced Paronychia
CTID: NCT06140186
Phase: Phase 3    Status: Recruiting
Date: 2023-12-20
Assessing the Impact of Dosage Frequency of Propranolol on Sleep Patterns in Patients With Infantile Hemangiomas
CTID: NCT05479123
Phase: Phase 4    Status: Recruiting
Date: 2023-12-11
View More

PRO-122 Versus Concomitant Therapy in Subjects With Uncontrolled Primary Open-angle Glaucoma (PRO-122LATAM)
CTID: NCT03193333
Phase: Phase 3    Status: Recruiting
Date: 2023-12-06


Circadian Rhythms of Aqueous Humor Dynamics in Humans
CTID: NCT00572936
Phase: Phase 2    Status: Completed
Date: 2023-10-24
Timolol for the Treatment of Acne and Rosacea
CTID: NCT02774590
Phase: Phase 1    Status: Completed
Date: 2021-11-11
Efficacy of a Timolol Nasal Spray as a Treatment for Epistaxis in Hereditary Hemorrhagic Telangiectasia (HHT) - (TEMPO)
CTID: NCT02484716
Phase: Phase 2    Status: Completed
Date: 2021-10-19
Timolol Gel for Epistaxis in Hereditary Hemorrhagic Telangiectasia
CTID: NCT04139018
Phase: Phase 2    Status: Completed
Date: 2021-08-24
Efficacy and Safety of Bimatoprost Sustained-Release (SR) in Patients With Open-Angle Glaucoma or Ocular Hypertension
CTID: NCT02250651
Phase: Phase 3    Status: Completed
Date: 2021-07-28
Interval Intraocular Pressure in Intravitreal Injection Study
CTID: NCT04868175
Phase: N/A    Status: Completed
Date: 2021-04-30
A 12-Week, Randomized, Double-Masked, Parallel Group Comparison Of Evening Dosing With Xalacom In Subjects With Glaucoma
CTID: NCT00159653
Phase: Phase 3    Status: Completed
Date: 2021-02-21
-------------------------
Impact of timolol/dorzolamide therapy on autoregulation in glaucoma patients
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2013-09-30
A 3 Month, Multicenter, Double-Masked Safety and Efficacy Study of Travoprost Ophthalmic Solution, 0.004% Compared to Timolol (0.5% or 0.25%) in Pediatric Glaucoma Patients
CTID: null
Phase: Phase 3    Status: Completed
Date: 2013-03-07
An Open Label (Stage 1) and Randomized (Stage 2), 24-Month Study of Safety and Efficacy of Bimatoprost Drug Delivery System in Patients With Open-Angle Glaucoma or Ocular Hypertension
CTID: null
Phase: Phase 1, Phase 2    Status: Completed
Date: 2012-05-08
A phase III, randomized, double-masked 6-month clinical study to compare the efficacy and safety of the preservative-free fixed-dose combination of tafluprost 0.0015% and timolol 0.5% eye drops to those of tafluprost 0.0015% and timolol 0.5% eye drops given as individual monotherapies in patients with open angle glaucoma or ocular hypertension
CTID: null
Phase: Phase 3    Status: Completed
Date: 2010-12-22
Study of the Efficacy and Safety of Travatan Therapy compared with Cosopt Therapy in Patients with Open-Angle Glaucoma or Ocular Hypertension.
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2007-02-06
EFFECTS OF PROSTAGLANDIN COMPOUNDS ON CONJUNTIVAL MELANOGENESIS: AN IMPRESSION CITOLOGY AND TYROSINASE MARKERS STUDY
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-07-31
Effects of common topical glaucoma therapy on optic nerve head blood flow autoregulation during increased arterial blood pressure and artificially elevated intraocular pressure in healthy humans
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2006-06-05
A Multicenter, Double-masked, Randomized, Active-controlled, Parallel Study of the Safety and Efficacy of Once-daily Bimatoprost Preservative-free Ophthalmic Solution Compared to Twice-daily Timolol Ophthalmic Solution in Paediatric Patients With Glaucoma
CTID: null
Phase: Phase 3    Status: Ongoing, Prematurely Ended
Date:

Contact Us