Skip to main content

What the FDA labels say about taking them together

Epinephrine and timolol

Timolol's FDA label of June 27, 2025 names epinephrine in its drug interactions section; epinephrine's label does not name timolol itself but warns about its class (Beta blockers).

Check it at the source: the epinephrine FDA label on DailyMed (effective July 13, 2026, A-S Medication Solutions); the timolol FDA label on DailyMed (effective June 27, 2025, Thea Pharma Inc.).

What does the epinephrine label say about timolol?

Epinephrine's label does not name timolol itself; it warns about its class (Beta blockers):

Epinephrine label, drug interactions

DRUG INTERACTIONS Drugs that counter the pressor effects of epinephrine include alpha blockers, vasodilators such as nitrates, diuretics, antihypertensives, and ergot alkaloids. ( 7 .1) Drugs that potentiate the effects of epinephrine include sympathomimetics, beta blockers, tricyclic antidepressants, MAO inhibitors, COMT inhibitors, clonidine, doxapram, oxytocin, levothyroxine sodium, and certain antihistamines. …

Epinephrine label, drug interactions

Antidepressants, Monoamine Oxidase Inhibitors, Levothyroxine, and Antihistamines The effects of epinephrine may be potentiated by tricyclic antidepressants, monoamine oxidase inhibitors, levothyroxine sodium, and certain antihistamines, notably chlorpheniramine, tripelennamine, and diphenhydramine. Beta-Adrenergic Blockers The cardiostimulating and bronchodilating effects of epinephrine are antagonized by beta- adrenergic blocking drugs, such as propranolol.

Source: FDA drug label (Epinephrine), A-S Medication Solutions, effective July 13, 2026 (SPL set 6e811e28-0199-4df7-a916-5940c632401d), via openFDA; the full label on DailyMed

What does the timolol label say about epinephrine?

Timolol label, drug interactions

Injectable Epinephrine (See PRECAUTIONS, General, Anaphylaxis .)

Timolol Maleate label (Bausch & Lomb Americas Inc., November 4, 2024), warnings and precautions

Such patients may be unresponsive to the usual doses of epinephrine used to treat anaphylactic reactions.

Timolol Maleate label (Bausch & Lomb Americas Inc., March 4, 2025), drug interactions

Drug Interactions Although Timolol Maleate Ophthalmic Solution used alone has little or no effect on pupil size, mydriasis resulting from concomitant therapy with Timolol Maleate Ophthalmic Solution and epinephrine has been reported occasionally.

Source: FDA drug label (Timolol Maleate, NDA021516), Bausch & Lomb Americas Inc., effective November 4, 2024 (SPL set b686bbad-1ef7-4b94-a316-4d182a40b89a), via openFDA

Source: FDA drug label (Timolol Maleate, NDA018086), Bausch & Lomb Americas Inc., effective March 4, 2025 (SPL set 9c14ca2d-80f3-48ef-b99a-beafaa728a24), via openFDA

Source: FDA drug label (BETIMOL), Thea Pharma Inc., effective June 27, 2025 (SPL set 3ae775f4-340c-4bf4-aa49-8a31daba0f8b), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

16Epinephrine generic labelers
22Timolol generic labelers
EpinephrineTimolol
Labeled forAsthmaGlaucoma, High blood pressure, Migraine
Boxed warningNoNo
Pharmacy cost (NADAC)$123.51 per unit 0.15 mg auto-injct$0.774 per mL 0.5% eye drops
Shortage nowA presentation being discontinuedNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?