Reported Reactions

Drugs › Carbonic anhydrase inhibitor

Brand name · Brinzolamide

Azopt: adverse event reports filed with FDA

3,656 reports list it as a suspect or interacting product, 2004–2026. Class: Carbonic anhydrase inhibitor.

3,656
reports as suspect product
0% of all reports · about 164 a year
40
reports, 12 months to June 2026
58 in the 12 months before
37.5%
marked serious by the reporter
40.1% across the class
1.4%
record death among outcomes, as reported
52 reports · not verified by FDA

Between March 2004 and June 2026, 3,656 adverse event reports received by FDA list the brand name Azopt (brinzolamide) as a suspect or interacting product. Reports that mention it only as a concomitant medication (3,040) are left out of every figure here.

In the 12 months to June 2026, 40 reports listed it, down 31% from 58 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 164 reports a year and 0% of the 20,646,523 reports in the database, and 18.9% of the reports for the carbonic anhydrase inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are treatment failure (36.4%), drug ineffective (8%) and hypersensitivity (5%). A report can list several reactions, so shares add to more than 100%; 385 different terms appear across these reports. Treatment failure is recorded in 36.4% of these reports, a larger share than in the median carbonic anhydrase inhibitor drug (15.1%).

37.5% of the reports are marked serious by the reporter (40.1% across the class); 1.4% record death among the outcomes and 8.1% record hospitalisation, as reported. 65.3% of the reports came from consumers, and the largest patient age group is 75 and over (11.6%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

01427Jul 2021: 14Aug 2021: 7Sep 2021: 7Oct 2021: 22Nov 2021: 10Dec 2021: 272022Jan 2022: 15Feb 2022: 14Mar 2022: 16Apr 2022: 19May 2022: 13Jun 2022: 17Jul 2022: 19Aug 2022: 2Sep 2022: 5Oct 2022: 12Nov 2022: 18Dec 2022: 132023Jan 2023: 15Feb 2023: 9Mar 2023: 7Apr 2023: 6May 2023: 4Jun 2023: 4Jul 2023: 7Aug 2023: 12Sep 2023: 15Oct 2023: 5Nov 2023: 6Dec 2023: 72024Jan 2024: 5Feb 2024: 3Mar 2024: 16Apr 2024: 13May 2024: 6Jun 2024: 5Jul 2024: 3Aug 2024: 4Sep 2024: 6Oct 2024: 9Nov 2024: 4Dec 2024: 02025Jan 2025: 6Feb 2025: 7Mar 2025: 6Apr 2025: 8May 2025: 1Jun 2025: 4Jul 2025: 1Aug 2025: 2Sep 2025: 2Oct 2025: 4Nov 2025: 2Dec 2025: 62026Jan 2026: 4Feb 2026: 2Mar 2026: 5Apr 2026: 4May 2026: 6Jun 2026: 2

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

07841,5682004: 220042005: 22006: 72007: 1020072008: 322009: 282010: 5920102011: 422012: 502013: 6820132014: 852015: 1132016: 21420162017: 2052018: 3002019: 28520192020: 1,5682021: 1802022: 16320222023: 972024: 742025: 4920252026: 23

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Azopt reports recording the termmedian drug in carbonic anhydrase inhibitor

  1. Treatment failurethe treatment did not work36.4%1,332
  2. Drug ineffectivethe medicine did not work as expected8%293
  3. Hypersensitivityan allergic-type reaction5%182
  4. Eye irritationeye irritation4.9%178
  5. Intraocular pressure increasedraised pressure in the eye4.8%175
  6. Glaucomaraised pressure in the eye4%147
  7. Visual impairmentreduced vision3.7%134
  8. Vision blurredblurred vision3.6%130
  9. Eye paineye pain3.3%122
  10. Ocular hyperaemiaa red eye3.2%118
  11. Dyspnoeashortness of breath3%109
  12. Cataractclouding of the eye lens2.5%92
  13. Blindnessloss of sight2%74
  14. Off label useused for a purpose or in a way not on the label2%72
  15. Dizzinesslight-headedness or unsteadiness1.9%71
  16. Headachehead pain1.9%69
  17. Toxic epidermal necrolysisa severe skin reaction with peeling1.8%67
  18. Drug hypersensitivityan allergic-type reaction to a medicine1.6%60
  19. Dry eyedry eye1.6%59
  20. Haemoglobin decreasedlow haemoglobin1.6%57
  21. Asthmaasthma1.5%54
  22. Malaisegeneral feeling of being unwell1.4%53
  23. Visual acuity reducedreduced sharpness of vision1.3%49
  24. Fatiguetiredness1.3%48
  25. Hypertensionhigh blood pressure1.3%48
  26. Rash erythematousa red rash1.2%44

Top 30 of 385 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 12 drugs in the carbonic anhydrase inhibitor class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death1.4%52
Life-threatening0.7%24
Hospitalisation (initial or prolonged)8.1%297
Disability1.4%50
Congenital anomaly0.1%5
Other serious31%1,133
Not serious62.5%2,286

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 19,384 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.2%8
2 to 110.2%7
12 to 170.1%4
18 to 441.3%47
45 to 644.3%159
65 to 745.9%214
75 and over11.6%425
Age not given76.4%2,792

Patient sex

Female59.4%2,172
Male33.7%1,233
Not given6.9%251

Who reported

Physician13.3%485
Pharmacist2.7%98
Other health professional15.5%566
Lawyer0.1%2
Consumer or non-health professional65.3%2,386
Not given3.3%119

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 72.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Glaucoma70719.3%
Intraocular pressure increased1283.5%
Open angle glaucoma862.4%
Ocular hypertension742%
Intraocular pressure test abnormal100.3%
Exfoliation glaucoma90.2%

The indication field is filled in by the reporter and is often blank; shares are of all 3,656 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Azopt reports
Latanoprost82022.4%
Lumigan66718.2%
Timolol53314.6%
Brimonidine51414.1%
Travatan Z41711.4%
Travatan2516.9%
Dorzolamide2256.2%
Timolol maleate2186%
Travoprost1905.2%
Xalatan1644.5%

Other products listed in reports where Azopt is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureAzoptCarbonic anhydrase inhibitorAll reports
Reports as suspect product3,65619,38420,646,523
Share of that pool—18.9%0%
Reports, latest 12 months40—1,332,454
Marked serious37.5%40.1%57.4%
Death recorded among outcomes, per 1,000 reports144991
Hospitalisation recorded, per 1,000 reports81115213
Consumer-filed share65.3%52.8%45.8%
Top term, share of reportsTreatment failure 36.4%median 15.1%0.4%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the carbonic anhydrase inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Simbrinzabrand2,9536433.9%
Acetazolamidegeneric2,56725987.3%
Dorzolamidegeneric2,0737518.2%
Cosopt Pfbrand1,8801219.7%
Keveyisbrand1,5594127.2%
Cosoptbrand1,3473066.9%
Brinzolamidegeneric8866673%
Dorzolamide hydrochloridegeneric6927232.2%
Dorzolamide hclgeneric68802.8%
Dorzolamide and Timololbrand562411.4%
Dorzolamide hydrochloride timolol maleategeneric52110325%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Azopt reports

How many adverse event reports has FDA received for Azopt?

3,656 reports list Azopt as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 40 of them arrived in the latest 12 months. Another 3,040 list it only as a concomitant medication.

What reactions are recorded in Azopt reports?

treatment failure (36.4%), drug ineffective (8%), hypersensitivity (5%), eye irritation (4.9%) and intraocular pressure increased (4.8%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Azopt was responsible.

How serious are the reports?

37.5% are marked serious by the reporter. Among the outcomes recorded, 1.4% of reports include death and 8.1% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (65.3%), other health professional (15.5%) and physician (13.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Azopt rising?

40 reports in the 12 months to June 2026, down 31% from 58 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Azopt was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Azopt?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Azopt as a suspect or interacting product; reports listing it only as a concomitant medication (3,040) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.