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bimatoprost

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Brand names: Lumigan

Prostaglandin Analog (Ophthalmic) Rx

Bimatoprost eye drops help lower pressure in the eye. It is used for people with open-angle glaucoma or ocular hypertension.

Drug Pricing (NADAC)

Brand Price

$96.35/unit

Generic Price

$10.55/unit

Generic Savings

89%

Generic Available

Yes (9 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

This medicine treats high pressure inside your eye.

Common side effects

Redness of the eye (conjunctival hyperemia), Increased eyelash growth, Eye itching (ocular pruritus)

Key warnings

Bimatoprost can cause increased brown pigmentation of the iris, which is likely to be permanent.

How It Works

Bimatoprost is like a natural substance in your body. It works by helping fluid drain better from inside your eye. This lowers the pressure in your eye.

How to Take It

Use one drop in the affected eye(s) once a day, in the evening. Do not use it more than once a day. Using it more often can make it less effective. If you use other eye drops, wait at least 5 minutes before using bimatoprost.

Pregnancy & Breastfeeding

It is not known if bimatoprost is safe to use during pregnancy. Talk to your doctor if you are pregnant or plan to become pregnant. It is also not known if bimatoprost passes into breast milk. Talk to your doctor if you are breastfeeding.

Missed Dose

If you miss a dose, use it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule.

Storage

Store bimatoprost eye drops in the refrigerator between 36°F to 77°F (2°C to 25°C).

Side Effects (from patient reports)

Based on 17,662 FDA adverse event reports.

The medicine is not working
4,071
The treatment is not working
3,077
Eye redness
2,333
Eye feels irritated
1,841
Loss of eyelashes
1,386
Eye itching
1,320
Eyelid redness
1,012
Eye pain
937
Allergic reaction
851
Blurred vision
834

FDA Adverse Event Report Analysis

Detailed analysis of 28,128 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

28,128

Death-Related Reports

761

Hospitalization Reports

3,060

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 19,549 (74%)
Male 6,867 (26%)

Age Distribution

0–17 143
18–44 1,252
45–64 3,782
65–74 3,129
75+ 3,962

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DRUG INEFFECTIVE 4,071
2 TREATMENT FAILURE 3,077
3 OCULAR HYPERAEMIA 2,333
4 EYE IRRITATION 1,841
5 MADAROSIS 1,386
6 EYE PRURITUS 1,320
7 ERYTHEMA OF EYELID 1,012
8 EYE PAIN 937
9 HYPERSENSITIVITY 851
10 VISION BLURRED 834
11 INTRAOCULAR PRESSURE INCREASED 715
12 FATIGUE 705
13 OFF LABEL USE 701
14 HEADACHE 673
15 DRY EYE 647

Reactions in Death Reports

DEATH 377
DIARRHOEA 44
PNEUMONIA 44
ASTHENIA 40
FALL 36
CARDIAC FAILURE CONGESTIVE 34
DYSPNOEA 33
FATIGUE 32
ANAEMIA 30
VOMITING 30

Reactions in Hospitalization Reports

FALL 276
DYSPNOEA 247
PNEUMONIA 225
ASTHENIA 201
FATIGUE 199
DIARRHOEA 196
NAUSEA 149
DIZZINESS 138
VOMITING 137
ANAEMIA 135

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Bimatoprost can cause increased brown pigmentation of the iris, which is likely to be permanent. It can also cause your eyelashes to get longer, thicker, and more numerous. These eyelash changes are usually reversible when you stop using the medicine. This medicine may also cause inflammation inside the eye. Use caution if you have active inflammation in the eye. Macular edema has been reported with bimatoprost. Use with caution if you have risk factors for macular edema.

Common Questions

Can bimatoprost change my eye color?
Yes, it can cause increased brown pigmentation of the iris, which is likely to be permanent.
Will my eyelashes grow longer with this medicine?
Yes, bimatoprost can cause your eyelashes to get longer, thicker, and more numerous.
What if my eyes get red after using the drops?
Eye redness is a common side effect. If it bothers you, talk to your doctor.
Can I use bimatoprost with my contact lenses?
The drug label does not address contact lens use. Consult your doctor.
What should I do if I experience eye pain?
Eye pain is a possible side effect. If it is severe or persistent, contact your doctor.
How long does it take for bimatoprost to start working?
It starts working about 4 hours after the first use, with the best effect in 8 to 12 hours.
Can I use bimatoprost more than once a day to lower my eye pressure faster?
No, do not use it more than once a day. Using it more often can make it less effective.
What if I accidentally put too many drops in my eye?
There is no specific guidance in the drug label. Contact your doctor.
Can children use bimatoprost?
Use in children under 16 years old is not recommended.
What ingredients are in bimatoprost eye drops?
The active ingredient is bimatoprost. Other ingredients include benzalkonium chloride, citric acid, disodium hydrogen phosphate, sodium chloride, and water.
What are the common side effects of bimatoprost?
The most commonly reported side effects of bimatoprost include Redness of the eye (conjunctival hyperemia), Increased eyelash growth, Eye itching (ocular pruritus). Based on 17,662 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
What drug class is bimatoprost?
bimatoprost belongs to the Prostaglandin Analog (Ophthalmic) drug class. It requires a prescription (Rx). This medicine treats high pressure inside your eye.
Is there a generic version of bimatoprost?
Yes, generic bimatoprost is available from 9 manufacturers. The generic costs $10.55 per unit compared to $96.35 for the brand version, saving approximately 89%. Pricing is based on NADAC (National Average Drug Acquisition Cost) data from CMS.
Is bimatoprost safe during pregnancy?
It is not known if bimatoprost is safe to use during pregnancy. Talk to your doctor if you are pregnant or plan to become pregnant. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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What the FDA Data Shows for bimatoprost

The FDA label for bimatoprost (sold under brand names such as Lumigan) classifies it as a prescription-only medication in the Prostaglandin Analog (Ophthalmic) class. This medicine treats high pressure inside your eye. Official labeling lists 3 commonly reported side effects, including Redness of the eye (conjunctival hyperemia), Increased eyelash growth, Eye itching (ocular pruritus).

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 17,662 voluntary reports. Interaction data is drawn directly from FDA-approved prescribing information. NADAC pricing from CMS shows a generic unit cost of $10.55 versus $96.35 for the brand — a 89% generic savings.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: July 17, 2023

All federal data sources used on this page