Brolucizumab
About Brolucizumab
Brolucizumab is a prescription eye injection used to treat serious retinal conditions that can impair your sight, such as wet age-related macular degeneration (wet AMD) and diabetic macular oedema. It works by targeting abnormal blood vessel growth in the back of the eye, which helps prevent fluid leakage and swelling that damages your vision. By addressing these underlying vascular issues, this medicine aims to stabilise and protect your eyesight.
This medication is not a daily treatment; instead, it is injected directly into the eye by a trained eye specialist at regular intervals, typically every few weeks or months. Because it is given as a local injection into the eye, it does not need to be taken with food, but making positive lifestyle changes can help support your results. Eating a nutrient-rich diet with leafy greens, protecting your eyes from sunlight, and managing your blood pressure are highly recommended during your treatment course.
While Brolucizumab is highly targeted, some patients may experience mild, temporary side effects such as temporarily blurred vision, seeing small spots or floaters, or mild eye pain after the injection. However, you must contact your doctor immediately if you experience severe eye pain, worsening redness, sudden vision loss, or extreme sensitivity to light, as these can be signs of serious complications. Always consult your healthcare provider if you notice any unusual changes in your eyes between appointments.
Talk to your doctor before starting this treatment if you have a history of glaucoma, previous eye infections, or inner-eye inflammation. Do not take this if you currently have an active infection in or around your eye, or if you have active inflammation inside your eye. Your specialist will perform a thorough eye examination to ensure it is safe for you to receive the injection.
It is important to inform your doctor about all other medications you use, including prescription eye drops, over-the-counter treatments, and supplements. If you are pregnant, breastfeeding, or planning a pregnancy, talk to your doctor or pharmacist to discuss the potential risks, as this medicine should only be used in these situations if clearly necessary. Elderly individuals should also have their eye pressure monitored regularly during treatment.
Uses of Brolucizumab
Medicinal Benefits
Brolucizumab helps treat vision-threatening retinal conditions by reducing abnormal fluid leakage and protecting the retina from further damage. With regular use as prescribed, it helps preserve vision, improve visual function, and support long-term eye health.
- Helps Preserve and Improve Vision: By targeting the underlying cause of retinal fluid leakage, this medicine helps reduce swelling in the retina, slows vision loss, and may improve visual sharpness, making everyday activities such as reading, driving, and recognising faces easier.
- Protects Long-Term Eye Health: Regular treatment helps prevent further damage to the retina, supporting better long-term visual outcomes and helping maintain independence in daily life.
- Provides Long-Lasting Disease Control: As the condition stabilises, many patients may be able to extend the interval between injections under their ophthalmologist's guidance, reducing the frequency of clinic visits while maintaining effective protection of their vision.
Directions for Use
- Follow your doctor’s instructions on the dosage and timing of this medication to ensure safe and effective use.
- Brolucizumab should be administered by a nurse or doctor to ensure proper dosage, technique, and monitoring for any potential side effects or complications.
- Do not self-administer.
Storage
Side Effects of Brolucizumab
Common Side Effects (Usually mild):
- Temporarily blurred vision
- Seeing 'floaters' (small spots, webs, or lines moving across your vision)
- Bloodspots on the white of the eye (conjunctival haemorrhage)
- Mild eye discomfort or irritation after the injection
Serious Side Effects (Consult a doctor right away):
- Sudden or severe decrease in your vision
- Severe eye pain, swelling, or worsening redness
- Extreme sensitivity to light (photophobia)
- Signs of a serious eye infection, such as yellow discharge or pus coming from the eye
Medicines Containing this Salt
View AllDrug Warnings
- Inspect the solution: If you are handling the medicine package, verify that the liquid is clear to slightly opalescent, colourless to slightly brownish-yellow, and free of visible particles before it is prepared for injection.
- Do not drive immediately: Avoid driving or operating machinery immediately after your appointment, as your vision will be temporarily blurred from the procedure and dilating eye drops.
- Monitor your vision daily: Use an Amsler grid at home to check your central vision each day, and contact your doctor immediately if you notice new wavy lines, distorted areas, or blank spots.
- Maintain strict hygiene: Do not rub or touch your eye after the injection to reduce the risk of introducing bacteria and causing a serious infection.
- Keep all follow-up scans: Attend every scheduled eye scan (such as OCT scans), as these images allow your doctor to see fluid build-up that you cannot feel or see yet.
Drug Interactions
Other anti-VEGF therapies: Using other eye injections or similar therapies in the same eye simultaneously may increase the risk of side effects and eye inflammation. Talk to your doctor or pharmacist about any other eye treatments you are receiving.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
consult your doctorIt is unknown if alcohol interacts with Brolucizumab. Please consult a doctor if you have any concerns.
Pregnancy
consult your doctorIf you are pregnant or planning pregnancy, inform the doctor before receiving Brolucizumab. Your doctor may prescribe this medicine if the benefits outweigh the risks.
Breast Feeding
consult your doctorLimited data exist on the use of Brolucizumab during breastfeeding. Consult your healthcare provider to assess the risks and benefits.
Driving
unsafeBrolucizumab may affect vision temporarily. Avoid driving or operating heavy machinery if you experience visual disturbances after the injection.
Liver
cautionDose adjustment may be needed in case of moderate to severe liver impairment patients. Hence, inform your doctor if you have kidney disease before receiving Brolucizumab. Your doctor will prescribe Brolucizumab only if the benefits overweigh risks.
Kidney
cautionDose adjustment may be needed in case of moderate to severe kidney impairment patients. Hence, inform your doctor if you have kidney disease before receiving Brolucizumab. Your doctor will prescribe Brolucizumab only if the benefits overweigh risks.
Children
unsafeBrolucizumab is not recommended for children below 18 years, as its safety and efficacy have not been established.
Habit Forming
Diet & Lifestyle Advise
- Eat an eye-healthy diet: Focus on foods rich in antioxidants, such as spinach, kale, collard greens, citrus fruits, and fish high in omega-3 fatty acids (like salmon), which help support retinal health.
- Protect your eyes from UV light: Always wear sunglasses that block 100% of UVA and UVB rays when outdoors to shield your retinas from solar damage.
- Quit smoking: Smoking is a major risk factor that significantly accelerates the progression of macular degeneration. Ask your doctor for resources to help you quit.
- Manage your cardiovascular health: Work with your primary care doctor to keep your blood pressure, cholesterol, and blood sugar levels (especially if you have diabetes) within target ranges, as poor vascular health directly harms the blood vessels in your eyes.
Patients Concern
Disease/Condition Glossary
Wet Age-Related Macular Degeneration (Wet AMD): Wet AMD is an eye condition where abnormal blood vessels grow under the retina, leaking fluid or blood and causing vision loss. It progresses quickly and mainly affects central vision. Early treatment can help slow its progression.
Diabetic Macular Edema (DME): DME is an eye condition caused by fluid buildup in the macula due to damaged retinal blood vessels from diabetes. This swelling leads to blurred or distorted vision and, if untreated, can cause vision loss. Treatment includes blood sugar control, anti-VEGF injections, and laser therapy.
FAQs
Brolucizumab has limited safety data during pregnancy and breastfeeding. If you are pregnant, planning to become pregnant, or breastfeeding, talk to your doctor before receiving Brolucizumab. Women who can become pregnant should discuss effective contraception during treatment and for several months after the last dose, as advised by their doctor.
It is given as a local injection directly into the vitreous cavity of the eye by a trained eye specialist under sterile conditions in a clinic. Talk to your doctor to understand how the procedure is performed.
No, your vision will be temporarily blurred and your eyes will be highly sensitive to light due to the injection and the dilating drops used. You should arrange for someone to drive you home after your appointment. Talk to your doctor if you have concerns.
Seek medical help immediately if you experience severe redness, pain, light sensitivity, or sudden vision changes, as these can be signs of a serious eye infection or inflammation. Talk to your doctor right away.
Your treatment schedule will be customised by your eye specialist based on the condition of your retina and how well you respond. Often, injections are given monthly to start, and then the time between doses may be gradually increased. Talk to your doctor.
No, there is currently no permanent cure for wet AMD, but Brolucizumab is highly effective at managing the disease, reducing fluid accumulation, and helping to prevent further vision loss. Talk to your doctor about your long-term treatment goals.
No, you must not receive this injection if you have an active eye infection or active inflammation inside your eye. Your doctor will need to treat and resolve the infection before you can start or resume this therapy. Talk to your doctor.
It is a targeted protein blocker designed to bind to VEGF to reduce abnormal vessel growth and fluid leakage in the retina. Your eye specialist will select the most appropriate therapy based on your specific eye health and diagnostic scans. Talk to your doctor.
