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Molecule

Brimonidine

Also known as brimonidine tartrate
Available on requestOphthalmologyDermatology
Presentations
10
Brands
2
Manufacturers
2
Available from stock
0

Brimonidine is an alpha-adrenergic agonist indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. It is available as eye drops, gel and ophthalmic solution for topical use. MedsAcross supplies Brimonidine for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Alpha-Adrenergic Agonist, Adrenergic alpha-Agonists
ATC classification
D11AX21 Brimonidine · Other skin treatments, subgroup D11A, subgroup D11AXS01EA05 Brimonidine · Eye medicines, subgroup S01E, subgroup S01EA
US FDA first approval
6 September 1996
EU status
Authorised
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Ophthalmic, Topical
Dosage forms
Eye drops, Gel, Ophthalmic solution
Identifiers
UNII E6GNX3HHTERxCUI 134615CAS 59803-98-4DrugBank DB00484Q577377

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

ALPHAGAN P (brimonidine tartrate ophthalmic solution) 0.1% or 0.15% is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. ALPHAGAN P is an alpha adrenergic agonist indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension.

Source: US FDA prescribing information

How it works

ALPHAGAN P is a relatively selective alpha-2 adrenergic receptor agonist with a peak ocular hypotensive effect occurring at two hours post-dosing. Fluorophotometric studies in animals and humans suggest that brimonidine tartrate has a dual mechanism of action by reducing aqueous humor production and increasing uveoscleral outflow.

Source: US FDA prescribing information

Dosing overview

The recommended dosage is one drop of ALPHAGAN P in the affected eye(s) three times daily, approximately 8 hours apart. ALPHAGAN P may be used concomitantly with other topical ophthalmic drug products to lower intraocular pressure. If more than one topical ophthalmic product is to be used, the different products should be instilled at least 5 minutes apart. One drop in the affected eye(s) three times daily, approximately 8 hours apart.

Source: US FDA prescribing information

Contraindications

Neonates and infants (pediatric patients younger than 2 years old). Hypersensitivity Reactions. Neonates and Infants (Pediatric Patients Younger than 2 Years Old) ALPHAGAN P is contraindicated in neonates and infants (pediatric patients younger than 2 years old).

Source: US FDA prescribing information

Warnings and precautions

Potentiation of vascular insufficiency. Potentiation of Vascular Insufficiency ALPHAGAN P may potentiate syndromes associated with vascular insufficiency. ALPHAGAN P should be used with caution in patients with depression, cerebral or coronary insufficiency, Raynaud’s phenomenon, orthostatic hypotension, or thromboangiitis obliterans.

Source: US FDA prescribing information

Side effects

The following serious adverse reactions are described elsewhere in the labeling: Potentiation of Vascular Insufficiency Severe Cardiovascular Disease Contamination of Topical Ophthalmic Products after Use Neonates and Infants (Pediatric Patients Younger than 2 Years Old) Most common adverse reactions occurring in approximately 5% to 20% of patients receiving brimonidine ophthalmic solution (0.1% to 0.2%) included allergic conjunctivitis, burning sensation, conjunctival folliculosis, conjunctival hyperemia, eye pruritus, hypertension, ocular allergic reaction, oral dryness, and visual disturbance.

Source: US FDA prescribing information

Interactions

Antihypertensives/cardiac glycosides may lower blood pressure. Use with CNS depressants may result in an additive or potentiating effect. Tricyclic antidepressants may potentially blunt the hypotensive effect of systemic clonidine. Monoamine oxidase inhibitors may result in increased hypotension.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

10 presentations of Brimonidine, sorted by availability.

MedicineManufacturerRegisterAvailability
Brimonidine 1 mg/mL eye dropsOphthalmicGeneric name—US FDAAvailable on request
Brimonidine 1.5 mg/mL eye dropsOphthalmicGeneric name—US FDAAvailable on request
Brimonidine 2 mg/mL eye dropsOphthalmicGeneric name—US FDAAvailable on request
Brimonidine 2 mg/mg eye dropsOphthalmicGeneric name—US FDAAvailable on request
Alphagan P 1 mg/mL eye dropsOphthalmicAllerganUS FDAAvailable on request
Alphagan P 1.5 mg/mL eye dropsOphthalmicAllerganUS FDAAvailable on request
Brimonidine 0.5% gelTopicalGeneric name—US FDAAvailable on request
Brimonidine 1.5 mg/mL ophthalmic solutionOphthalmicGeneric name—US FDAAvailable on request
Brimonidine 2 mg/mL ophthalmic solutionOphthalmicGeneric name—US FDAAvailable on request
Mirvaso 0.5% gelTopicalGalderma LaboratoriesUS FDAAvailable on request

Brands by market

2 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 6 September 1996Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Brimonidine in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Brimonidine available for export from India?

Yes, on request. MedsAcross lists 10 presentations of Brimonidine and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Brimonidine have?

The catalogue lists 2 brand names for Brimonidine, including Alphagan P, Mirvaso.

Is Brimonidine approved by the US FDA?

Yes. The US FDA first approved Brimonidine on 6 September 1996, according to Drugs@FDA.

Is Brimonidine authorised in the European Union?

Yes. Brimonidine has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Brimonidine need cold chain shipping?

No listed presentation of Brimonidine is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Brimonidine in?

Brimonidine is classified under ATC code D11AX21 (Brimonidine).

References

  1. ALPHAGAN P prescribing information (Allergan). U.S. National Library of Medicine, DailyMed. Retrieved 18 September 2025
  2. Mirvaso: European public assessment report (EPAR). European Medicines Agency. Retrieved 15 October 2026

Request Brimonidine for export supply

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