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Fixed-dose combination

Brimonidine and Carbachol

Also known as brimonidine tartrate, carbachol
Available on request
Presentations
1
Brands
1
Manufacturers
1
Available from stock
0

Brimonidine and Carbachol is a fixed-dose combination of a cholinergic receptor agonist and an alpha-adrenergic agonist indicated for the treatment of presbyopia in adults. It is available as eye drops for ophthalmic use. MedsAcross supplies Brimonidine and Carbachol 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, Cholinergic Receptor Agonist, Adrenergic alpha-Agonists, Cholinergic Agonists
US FDA first approval
28 January 2026
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Ophthalmic
Dosage forms
Eye drops
Fixed-dose combination of
Brimonidine, Carbachol

Clinical information

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

Uses

YUVEZZI™ is indicated for the treatment of presbyopia in adults. YUVEZZI is a combination of carbachol, a cholinergic agonist, and brimonidine, an alpha-adrenergic receptor agonist, indicated for the treatment of presbyopia in adults.

Source: US FDA prescribing information

How it works

The proposed mechanism of action of this fixed-dose combination of carbachol and brimonidine in presbyopia is pupillary constriction and the creation of a pinhole effect that improves near visual acuity and depth of focus. Carbachol is a cholinergic agent which produces constriction of the iris sphincter and ciliary body. Brimonidine tartrate, an alpha-adrenergic agonist, blocks contraction of the iris dilator muscle and relaxes tonic contraction of the ciliary muscle, enhancing selectivity for the pupil and increasing bioavailability of carbachol in the aqueous humor.

Source: US FDA prescribing information

Dosing overview

Instill one drop in each eye once daily. Recommended Dosage The recommended dosage of YUVEZZI is one drop in each eye once daily. Administration Instructions Remove contact lenses prior to instillation of YUVEZZI. Wait 10 minutes after dosing before reinserting contact lenses. If more than one topical ophthalmic medication is being used, the medicines must be administered at least 5 minutes apart. One single-dose vial can be used to dose both eyes. Discard the open single-dose vial and any remaining contents immediately after use.

Source: US FDA prescribing information

Contraindications

YUVEZZI is contraindicated in patients with known hypersensitivity to the active ingredients or to any of the excipients. Hypersensitivity.

Source: US FDA prescribing information

Warnings and precautions

Blurred Vision: Advise patients not to drive or operate machinery if vision is not clear (e.g., blurred vision). Exercise caution in night driving and other hazardous activities in poor illumination. Risk of Retinal Detachment: Rare cases of retinal tear and detachment have been reported with miotics. Individuals with preexisting retinal disease are at increased risk. Therefore, examination of the retina is advised in all patients prior to initiation of therapy. Patients should be advised to seek immediate medical care with sudden onset of flashes of lights, floaters, or vision loss. Iritis: Caution is advised in patients with iritis. Potentiation of Vascular Insufficiency: Use 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 clinically significant adverse reactions are described elsewhere in labeling: Hypersensitivity Most common adverse reactions (incidence >5%) are eye pain upon instillation, visual impairment, eye irritation upon instillation, and headache.

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

Storage

Store at 36°F to 77°F (2°C to 25°C). Once a pouch is opened, store the single-dose vials in the foil pouch away from light until ready for use.

Source: US FDA prescribing information

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

All presentations

1 presentations of Brimonidine and Carbachol, sorted by availability.

MedicineActive ingredientManufacturerRegisterAvailability
Yuvezzi 1 mg/27.5 mg per mL eye dropsOphthalmicBrimonidine and CarbacholVisus TherapeuticsUS FDAAvailable on request

Brands by market

1 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 28 January 2026Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Brimonidine and Carbachol available for export from India?

Yes, on request. MedsAcross lists 1 presentations of Brimonidine and Carbachol and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Brimonidine and Carbachol have?

The catalogue lists 1 brand names for Brimonidine and Carbachol, including Yuvezzi.

Is Brimonidine and Carbachol approved by the US FDA?

Yes. The US FDA first approved Brimonidine and Carbachol on 28 January 2026, according to Drugs@FDA.

Does Brimonidine and Carbachol need cold chain shipping?

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

References

  1. YUVEZZI prescribing information (Visus Therapeutics). U.S. National Library of Medicine, DailyMed. Retrieved 27 May 2026

Request Brimonidine and Carbachol for export supply

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