Reported Reactions

Drugs › Carbonic anhydrase inhibitor

Brand name · Brinzolamide/brimonidine tartrate

Simbrinza: adverse event reports filed with FDA

2,953 reports list it as a suspect or interacting product, 2013–2026. Class: Carbonic anhydrase inhibitor.

2,953
reports as suspect product
0% of all reports · about 229 a year
64
reports, 12 months to June 2026
90 in the 12 months before
33.9%
marked serious by the reporter
40.1% across the class
1.7%
record death among outcomes, as reported
51 reports · not verified by FDA

2,953 adverse event reports received by FDA list the brand name Simbrinza (brinzolamide/brimonidine tartrate) as a suspect or interacting product, from August 2013 to June 2026. A further 1,181 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 64 reports listed it, down 29% from 90 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 229 reports a year and 0% of the 20,646,523 reports in the database, and 15.2% 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 reactions recorded most often are treatment failure (12.5%), ocular hyperaemia (11.2%) and eye irritation (10.1%). A report can list several reactions, so shares add to more than 100%; 337 different terms appear across these reports. Treatment failure is recorded in 12.5% of these reports, about the same share as in the median carbonic anhydrase inhibitor drug (15.1%).

33.9% of the reports are marked serious by the reporter (40.1% across the class); 1.7% record death among the outcomes and 3.4% record hospitalisation, as reported. 66.3% of the reports came from consumers, and the largest patient age group is 75 and over (13%). 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

03773Jul 2021: 20Aug 2021: 20Sep 2021: 12Oct 2021: 44Nov 2021: 14Dec 2021: 52022Jan 2022: 4Feb 2022: 8Mar 2022: 7Apr 2022: 6May 2022: 40Jun 2022: 6Jul 2022: 6Aug 2022: 2Sep 2022: 5Oct 2022: 1Nov 2022: 4Dec 2022: 52023Jan 2023: 2Feb 2023: 3Mar 2023: 5Apr 2023: 5May 2023: 42Jun 2023: 4Jul 2023: 3Aug 2023: 3Sep 2023: 4Oct 2023: 0Nov 2023: 5Dec 2023: 22024Jan 2024: 4Feb 2024: 1Mar 2024: 5Apr 2024: 8May 2024: 72Jun 2024: 4Jul 2024: 4Aug 2024: 2Sep 2024: 1Oct 2024: 0Nov 2024: 0Dec 2024: 22025Jan 2025: 2Feb 2025: 2Mar 2025: 2Apr 2025: 1May 2025: 73Jun 2025: 1Jul 2025: 0Aug 2025: 3Sep 2025: 2Oct 2025: 0Nov 2025: 1Dec 2025: 22026Jan 2026: 1Feb 2026: 2Mar 2026: 2Apr 2026: 1May 2026: 47Jun 2026: 3

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

03096172013: 1120132014: 362015: 11820152016: 3112017: 43420172018: 4372019: 34520192020: 6172021: 22420212022: 942023: 7820232024: 1032025: 8920252026: 56

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Treatment failurethe treatment did not work12.5%370
  2. Ocular hyperaemiaa red eye11.2%332
  3. Eye irritationeye irritation10.1%297
  4. Drug ineffectivethe medicine did not work as expected9.4%277
  5. Vision blurredblurred vision7.4%219
  6. Hypersensitivityan allergic-type reaction6.1%180
  7. Eye paineye pain5.6%166
  8. Visual impairmentreduced vision5.1%150
  9. Intraocular pressure increasedraised pressure in the eye4.9%144
  10. Glaucomaraised pressure in the eye4.5%133
  11. Dizzinesslight-headedness or unsteadiness4.3%128
  12. Drug hypersensitivityan allergic-type reaction to a medicine3.7%108
  13. Eye allergy3.6%106
  14. Dry mouthdry mouth3%88
  15. Blindnessloss of sight2.7%80
  16. Somnolencedrowsiness2.6%78
  17. Fatiguetiredness2.5%75
  18. Headachehead pain2.4%72
  19. Dry eyedry eye2.3%69
  20. Eye swellinga swollen eye2.1%61
  21. Lacrimation increasedwatery eyes2.1%61
  22. Product dose omission issuea dose was missed1.9%55
  23. Cataractclouding of the eye lens1.7%50
  24. Blood pressure decreaseda low blood pressure reading1.6%48
  25. Product quality issuea problem with the product itself1.6%48
  26. Uveitis1.6%48
  27. Hypotensionlow blood pressure1.4%41
  28. Drug intolerancethe medicine was not tolerated1.3%38

Top 30 of 337 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

Death1.7%51
Life-threatening1.1%33
Hospitalisation (initial or prolonged)3.4%101
Disability1.4%41
Congenital anomaly0%1
Other serious28.9%854
Not serious66.1%1,953

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%1
2 to 110.1%3
12 to 170%1
18 to 440.5%15
45 to 644.4%129
65 to 746.7%197
75 and over13%383
Age not given75.3%2,224

Patient sex

Female52.3%1,545
Male32%945
Not given15.7%463

Who reported

Physician21%619
Pharmacist0.8%25
Other health professional10.7%317
Lawyer0%0
Consumer or non-health professional66.3%1,959
Not given1.1%33

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 81.2% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Glaucoma55818.9%
Intraocular pressure increased1274.3%
Open angle glaucoma1113.8%
Ocular hypertension541.8%
Intraocular pressure test abnormal90.3%
Colitis ulcerative70.2%

The indication field is filled in by the reporter and is often blank; shares are of all 2,953 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Simbrinza reports
Latanoprost2859.7%
Travatan Z2638.9%
Timolol2137.2%
Lumigan2107.1%
Brimonidine1414.8%
Azopt1354.6%
Travatan1214.1%
Dorzolamide592%
Aspirin411.4%
Timolol maleate411.4%

Other products listed in reports where Simbrinza 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

MeasureSimbrinzaCarbonic anhydrase inhibitorAll reports
Reports as suspect product2,95319,38420,646,523
Share of that pool—15.2%0%
Reports, latest 12 months64—1,332,454
Marked serious33.9%40.1%57.4%
Death recorded among outcomes, per 1,000 reports174991
Hospitalisation recorded, per 1,000 reports34115213
Consumer-filed share66.3%52.8%45.8%
Top term, share of reportsTreatment failure 12.5%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
Azoptbrand3,6564037.5%
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 Simbrinza reports

How many adverse event reports has FDA received for Simbrinza?

2,953 reports list Simbrinza as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 64 of them arrived in the latest 12 months. Another 1,181 list it only as a concomitant medication.

What reactions are recorded in Simbrinza reports?

treatment failure (12.5%), ocular hyperaemia (11.2%), eye irritation (10.1%), drug ineffective (9.4%) and vision blurred (7.4%). 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 Simbrinza was responsible.

How serious are the reports?

33.9% are marked serious by the reporter. Among the outcomes recorded, 1.7% of reports include death and 3.4% 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 (66.3%), physician (21%) and other health professional (10.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Simbrinza rising?

64 reports in the 12 months to June 2026, down 29% from 90 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 Simbrinza 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 Simbrinza?

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 Simbrinza as a suspect or interacting product; reports listing it only as a concomitant medication (1,181) 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.