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What Is Dorzolamide?

Dorzolamide hydrochloride eye drops are a prescription carbonic anhydrase inhibitor used to lower elevated intraocular pressure. Current 2% eye drops contain 20 mg of dorzolamide per mL. The medicine is indicated for patients with open-angle glaucoma or ocular hypertension.

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What Is Dorzolamide?

Dorzolamide hydrochloride eye drops are a prescription carbonic anhydrase inhibitor used to lower elevated intraocular pressure. Current 2% eye drops contain 20 mg of dorzolamide per mL. The medicine is indicated for patients with open-angle glaucoma or ocular hypertension.

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How Does Dorzolamide Lower Intraocular Pressure?

Dorzolamide inhibits carbonic anhydrase II in the ciliary processes of the eye. This decreases aqueous humor secretion by reducing bicarbonate formation and related sodium and fluid transport. Lower aqueous humor production reduces intraocular pressure, a major risk factor for optic nerve damage and glaucomatous visual field loss.

Who Is Treated With Dorzolamide?

Dorzolamide eye drops treat elevated intraocular pressure in patients with ocular hypertension or open-angle glaucoma. Current labeling includes pediatric use based on clinical study data. The product is not recommended in severe kidney impairment with creatinine clearance below 30 mL per minute.

How Are Dorzolamide Eye Drops Used?

The recommended dose is one drop in the affected eye or eyes three times daily. Dorzolamide can be used with other topical eye medicines that lower intraocular pressure. When more than one topical ophthalmic medicine is used, doses are separated by at least five minutes.

What Safety Problems Need Attention With Dorzolamide?

Dorzolamide is a sulfonamide and is absorbed systemically despite topical eye use, so serious sulfonamide reactions are possible. Other concerns include bacterial keratitis from contaminated containers, corneal swelling in susceptible patients, and allergic eye reactions. Common reactions include burning, stinging, eye discomfort, and a bitter taste.

Frequently Asked Questions About Dorzolamide

What conditions does dorzolamide treat?

Dorzolamide lowers elevated eye pressure in open-angle glaucoma and ocular hypertension.

How often are dorzolamide eye drops used?

The recommended dose is one drop in the affected eye or eyes three times daily.

Can dorzolamide be used with other glaucoma eye drops?

Yes. Different topical eye medicines are separated by at least five minutes.

Is dorzolamide recommended in severe kidney impairment?

No. Current labeling does not recommend it when creatinine clearance is below 30 mL per minute.

References

Carbonic Anhydrase Inhibitors. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK557736/. Date Accessed September 25, 2026.

DailyMed - DORZOLAMIDE HYDROCHLORIDE OPHTHALMIC solution. https://www.dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=e4e6a5a8-f7be-4424-83f2-d6bb4d57443e. Date Accessed September 25, 2026.

Dorzolamide. MedlinePlus. https://www.medlineplus.gov/druginfo/meds/a697049.html. Date Accessed September 25, 2026.

Dorzolamide. PubChem. https://pubchem.ncbi.nlm.nih.gov/compound/Dorzolamide. Date Accessed September 25, 2026.

Dorzolamide Hydrochloride. PubChem. https://pubchem.ncbi.nlm.nih.gov/compound/Dorzolamide-Hydrochloride. Date Accessed September 25, 2026.