Buy Bimat
Bimat

32.3
Medicated eye drops used to treat eye pressure or increase eyelash length and thickness.


Ingredient
Availability
In Stock
Delivery
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Alternative/Local Brand
Lumigan
Active Ingredient(s)
Bimatoprost
Primary Category
Glaucoma Treatment, Lash Growth
Therapeutic Class
Ophthalmologicals, Antiglaucoma preparations, Prostaglandin analogues
Pharmacological Class
Prostamide analogue
Indications
High eye pressure (glaucoma), Ocular hypertension, Hypotrichosis of the eyelashes
Contraindications
Hypersensitivity to bimatoprost, Past history of eye inflammation (uveitis)
Minor Side Effects
Eye redness, Eye itchiness, Dry eyes
Moderate Side Effects
Darkening of eyelid skin, Increased brown pigmentation of the iris, Small eyelash growth
Serious Side Effects
Swelling of the macula (cystoid macular oedema), Inflammation of the iris, Severe eye pain
Dosage Forms
Eye drops solution
Administration Route
Ophthalmic
Mechanism of Action
It works by increasing the drainage of aqueous humour (fluid) from the eye, which lowers internal eye pressure. When applied to the lash line, it extends the growth phase of the eyelash cycle.
Prescription Status
Rx
Manufacturer
Ajanta Pharma
Patient Summary
Medicated eye drops used to treat eye pressure or increase eyelash length and thickness.
Onset Time
4 hours (pressure lowering)
Duration
24 hours
Storage Instructions
Store at room temperature; do not freeze.
Drug Interactions
Other prostaglandin analogues, Latanoprost
Age Restrictions
Adults over 18 years
Pregnancy Use
Consult a doctor; use not recommended unless clearly necessary.
Alternative Drugs
Latisse, Lumigan, Xalatan

What is Bimat?

Bimat is a brand-name ophthalmic solution that contains bimatoprost as its sole active ingredient. Bimatoprost belongs to the prostaglandin analog class of eye-care medications and is formulated as a clear liquid supplied in a 3 ml bottle. In Hong Kong, Bimat is classified as a prescription-only product and is regulated by the Hong Kong Department of Health, Pharmacy Division. It is primarily prescribed to lower intraocular pressure (IOP) in patients with glaucoma or ocular hypertension.

How Bimat Works in the Body

Bimatoprost mimics the activity of naturally occurring prostaglandin F₂α. When administered as a single drop into the eye, it:

  • Increases uveoscleral outflow, the pathway by which aqueous humor exits the eye, thereby reducing IOP.
  • Enhances extracellular matrix remodeling in the ciliary body, further facilitating fluid drainage.

The medication begins to lower IOP within a few hours of the first dose, reaches peak effect after about 8-12 hours, and maintains a therapeutic effect for 24 hours, which is why once-daily dosing is sufficient for most patients.

Conditions Treated by Bimat

Bimat is FDA- and EMA-approved (and similarly approved by Hong Kong health authorities) for the following indications:

  • Primary open-angle glaucoma - a chronic condition characterized by progressive optic nerve damage.
  • Ocular hypertension - elevated IOP without evident optic nerve damage, which increases the risk of developing glaucoma.

These indications apply to adult patients, typically those 18 years of age and older, who require pharmacologic IOP reduction to preserve visual function.

Off-Label and Investigational Uses

Bimatoprost has been studied for its ability to promote eyelash growth. This effect is not approved for the treatment of any eyelash condition by regulatory agencies in Hong Kong, the United States, or the European Union.

Disclaimer: Off-label use of bimatoprost for cosmetic eyelash enhancement should only be undertaken under the supervision of a qualified ophthalmologist or dermatologist, with a personalized risk-benefit assessment.

Evaluating Bimat for Your Health Profile

Who Should Use Bimat?

  • Adults diagnosed with glaucoma or ocular hypertension who need IOP reduction.
  • Patients who can tolerate prostaglandin analogs and have no contraindicating ocular conditions.

Absolute Contraindications

  • Known hypersensitivity to bimatoprost or any component of the formulation (e.g., benzalkonium chloride).
  • Active ocular inflammation (e.g., uveitis) or infection that would be aggravated by prostaglandin analogs.

Relative Contraindications & Special Populations

  • Pregnancy & lactation: Limited human data; animal studies show potential fetal risk. Use only if the benefit outweighs the risk.
  • Pediatric patients: Safety and efficacy have not been established for children under 18 years.
  • Elderly patients: No dosage adjustment is required solely based on age, but concurrent ocular diseases are more common and should be evaluated.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Eye redness (hyperemia): Frequently reported, usually mild and transient.
  • Itching or foreign-body sensation: Often resolves with continued use.
  • Increased brown pigmentation of the iris: May be permanent; more noticeable in patients with light-colored eyes.
  • Eyelash elongation and darkening: Usually mild and considered a cosmetic side effect.

Serious Adverse Events

  • Inflammatory ocular conditions such as anterior uveitis or iritis.
  • Cystoid macular edema, especially in patients with a history of retinal surgery or diabetic retinopathy.
  • Severe allergic reactions (e.g., angio-edema) - seek immediate medical attention.

If any of these serious signs develop, discontinue Bimat and contact an eye-care professional promptly.

Drug Interactions

  • Additive IOP-lowering effect when used with other glaucoma agents (e.g., beta-blockers, carbonic anhydrase inhibitors). Clinicians may need to adjust the overall regimen.
  • Cyclo-oxygenase inhibitors (topical NSAIDs) may reduce the IOP-lowering efficacy of prostaglandin analogs.
  • Systemic medications with known effects on IOP (e.g., corticosteroids) should be reviewed to avoid counterproductive interactions.

Patients should provide a complete medication list-including over-the-counter drugs, supplements, and herbal products-to their ophthalmologist before starting Bimat.

Food and Lifestyle Interactions

Bimatoprost is administered topically to the eye, so food intake does not affect its absorption. However:

  • Alcohol does not interfere with efficacy but can exacerbate ocular dryness for some users.
  • Driving or operating machinery: No impairment is expected, but patients experiencing blurred vision after the first dose should exercise caution.
  • Contact lens wear: Remove lenses before instilling the drop; wait at least 15 minutes before reinserting to avoid reduced drug exposure.

How to Take Bimat

  • Standard dosing: Instill one drop of Bimat into the affected eye(s) once daily, preferably in the evening. The 3 ml bottle typically contains enough for about 90 days of therapy.
  • Administration tips:
  • Wash hands thoroughly.
  • Tilt the head back slightly and pull down the lower eyelid to form a small pocket.
  • Squeeze the bottle gently to release a single drop; avoid touching the tip to the eye or eyelashes.
  • Close the eye gently for 1-2 minutes and press the inner canthus to reduce systemic absorption.
  • Missed dose: If a dose is forgotten, instill it as soon as remembered unless it is close to the next scheduled dose; do not double-dose.
  • Overdose: Excessive dosing may cause prolonged ocular redness, pain, or blurred vision. Seek ophthalmic evaluation; there is no specific antidote.
  • Discontinuation: Bimat does not require tapering. Sudden cessation may lead to a rapid rise in IOP; patients should discuss alternative IOP-lowering strategies with their provider.

Monitoring and Follow-Up

  • Baseline assessment: Measure IOP, perform a comprehensive eye exam, and document iris color before initiating therapy.
  • Follow-up visits: Typically scheduled at 4-6 weeks after the first dose, then every 3-6 months, or as directed by the treating ophthalmologist.
  • Laboratory tests: None are routinely required for topical bimatoprost, but patients with systemic comorbidities (e.g., diabetes) should continue their usual monitoring.
  • When to seek urgent care: Sudden eye pain, vision loss, severe redness, or signs of infection.

Storage and Handling

  • Store Bimat at room temperature (15-30 °C), protected from direct sunlight and moisture.
  • Keep the bottle tightly capped when not in use.
  • Do not freeze.
  • Discard any remaining solution after the expiration date or if the bottle has been opened for longer than six months, whichever occurs first.
  • Use a child-proof cap and store out of reach of children and pets.

Medication-Specific Glossary

Prostaglandin analog
A synthetic compound that imitates the action of natural prostaglandins, helping to increase aqueous humor outflow in the eye.
Intraocular pressure (IOP)
The fluid pressure inside the eye; elevated IOP is a major risk factor for glaucoma.
Hyperemia
Redness of the eye caused by increased blood flow to ocular tissues, a common and usually mild side effect of prostaglandin analogs.

Medical Disclaimer

This article provides educational information about Bimat and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Bimat FAQ

Can Bimat be used in both eyes at the same time?

Yes. The usual regimen involves instilling one drop in each affected eye once daily, unless the prescribing clinician advises otherwise.

What should I do if I experience persistent eye redness after using Bimat?

Persistent hyperemia may indicate irritation or an allergic response. Continue using the medication as directed for a few days; if redness persists beyond a week or worsens, schedule an appointment with your ophthalmologist.

Is it safe to wear contact lenses after applying Bimat?

Remove contact lenses before instilling Bimat. Wait at least 15 minutes after the drop is administered before reinserting lenses to ensure adequate drug absorption and to avoid contaminating the lenses.

Can Bimat affect my vision temporarily after the first few doses?

Some patients notice brief blurred vision or a mild visual disturbance shortly after application, usually resolving within minutes. If the effect lasts longer or is accompanied by pain, seek medical advice.

Does Bimat interact with over-the-counter eye drops, such as artificial tears?

Artificial tears can be used, but apply them at least 5 minutes apart from Bimat to prevent dilution of the prostaglandin analog.

Why does my iris appear darker after using Bimat for several months?

Bimatoprost can increase melanin production in iris stromal cells, leading to a permanent darkening of the eye color. This effect is more noticeable in individuals with lighter-colored eyes.

Are there any dietary restrictions while using Bimat?

No specific dietary restrictions are required, as Bimat is administered topically. However, maintain a balanced diet to support overall ocular health.

How long does a 3 ml bottle of Bimat typically last?

A single 3 ml bottle provides approximately 90 days of treatment when using one drop per eye daily. The actual duration may vary slightly based on drop size and usage pattern.

Can Bimat be used by patients who have had recent eye surgery?

Prostaglandin analogs may increase the risk of cystoid macular edema after intraocular surgery. Your surgeon will determine the appropriate timing for initiating Bimat post-operatively.

Is Bimat covered by the Hospital Authority’s drug scheme in Hong Kong?

Coverage depends on the specific formulary and eligibility criteria set by the Hospital Authority. Patients should consult their prescribing clinic or pharmacy for details on subsidy or reimbursement options.

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