Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Contamination of the bottle or applicators: It is very important to not allow the tip of the bottle to contact the eye or any other surface in order to avoid contaminating the solution. A fresh applicator should be used with each application of the medication.
Eye changes: Bimatoprost eye solution may cause eyelid skin darkening, which is usually reversible after the medication is stopped. When this medication is instilled directly into the eye to treat increased eye pressure, it can cause darkening of the iris (the coloured part of the eye), which is usually permanent. Colour changes occurred less frequently when this medication was applied to the eyelid margins.
Eye conditions: People with certain types of eye conditions (e.g., uveitis, certain lens problems) should discuss with their doctor how this medication may affect their medical condition, how their medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. If you develop any eye infections, eyelid reaction, or eye pain while using this medication, contact your doctor immediately.
Eyelash changes: Eyelash changes may not be the same for each eye. There may be differences in the length, thickness, darkening, or number of eyelashes, and the direction of eyelash growth.
Hair growth outside the treatment area: Increased hair growth can occur in areas where this medication comes in repeated contact with. It is important to apply this medication only to the skin of the upper eyelid margins at the base of the eyelashes with the provided applicator, and to carefully blot any excess medication from the eyelid margin.
Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while using this medication, contact your doctor immediately.
Breast-feeding: It is not known if bimatoprost passes into breast milk. If you are a breast-feeding mother and are using this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and efficacy of using this medication have not been established for children.