What Besivance is used for and how to use it
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Besivance - Consumer Medicine Information

Manufacture: Bausch and Lomb
Country: Canada
Condition: Conjunctivitis, Bacterial
Class: Ophthalmic anti-infectives
Form: Liquid solution, Eye drops (ophthalmic)
Ingredients: besifloxacin, benzalkonium chloride, edetate disodium dihydrate, mannitol, poloxamer 407, polycarbophil, sodium chloride, sodium hydroxide, and water for injection

Besifloxacin ophthalmic suspension, 0.6%w/v

About this medication

What the medication is used for:

BESIVANCE™ is an eye drop that is used to treat bacterialconjunctivitis (a type of eye infection).

What it does:

BESIVANCE™ kills certain bacteria (“germs”) that cause infection of the eye.

When it should not be used:

BESIVANCE™ should not be used if you are allergic to besifloxacin, other quinolones or any of the ingredients in this drug (See What the nonmedicinal ingredients are).

What the medicinal ingredient is:

BESIVANCE™ contains besifloxacin which belongs to a group of medicines called fluoroquinolones.

What the nonmedicinal ingredients are:

Benzalkonium chloride, edetate disodium dihydrate, mannitol, poloxamer 407, polycarbophil, sodium chloride, sodium hydroxide, and water for injection.

What dosage forms it comes in:

BESIVANCE™ is a sterile ophthalmic suspension (a liquid).

It is supplied in a bottle with a dropper tip and cap. The bottle contains 5 mL of BESIVANCE™ suspension.

Warning and precautions

BEFORE you use BESIVANCE™, talk to your doctor or pharmacist if:

  • You wear contact lenses. You should not wear contact lenses if you have bacterial conjunctivitis or if you are using BESIVANCE™
  • You are pregnant or plan on becoming pregnant
  • You are breastfeeding or planning to breastfeed
  • You are allergic to any medications

Interactions whith medication

Drug interactions were not studied with this drug and are not expected.

Proper use of this medication

Before using BESIVANCE™, thoroughly wash hands.

Take care to avoid contaminating the applicator tip with material from the eye, fingers or other sources.

Invert closed bottle (turn upside down) and shake once before each use. Remove cap with bottle still in the inverted position. Tilt head back, and with bottle inverted, gently squeeze bottle to instill one drop into the affected eye(s).

Usual dose:

Instill one drop in the affected eye(s) 3 times a day for 7days.

Although it is common to feel better early in the course of the therapy, this medication should be taken exactly as directed. Skipping doses or not completing the fullcourse of therapy may:

  1. Decrease the effectiveness of the immediate treatment
  2. Increase the likelihood that bacteria will develop resistance and will not be treatable byBESIVANCE™ or any other antibacterial drugs in the future.


No information is available on overdosage of BESIVANCE™. A topical overdose of BESIVANCE™ may be flushed from the eye(s) with warm tap water

In case of accidental oral ingestion, contact your doctor, hospital emergency department, or regional poison control centre.

Missed Dose:

If a dose of this medication has been missed, it should be taken as soon as possible. However, if it is almost time for the next dose, skip the missed dose and go back to the regular dosing schedule. Do not double doses.

Side effects and what to do about them

Discontinue use immediately and contact your doctor at the first sign of an allergic reaction, such as symptoms of swollen eyes, face, and throat, difficultly in breathing, rash and itching.

Like all medicines, BESIVANCE™ can have unwanted effects. The most common side effects in patients treated with BESIVANCE™ are:

  • Blurred vision
  • Discharge from the eyes
  • Eye pain
  • Itching in the eye
  • Eye irritation

This is not a complete list of side effects. For any unexpected effects while taking BESIVANCE ™, contact your doctor or pharmacist.

How to store it

Store BESIVANCE™ at 15° - 25°C (room temperature).
Protect from light.

Keep out of reach of children.

You can report any suspected adverse reactions associated with the use of health products to the Canada Vigilance Program by one of the following 3 ways:
  • Report online at www.healthcanada.gc.ca/medeffect
  • Call toll-free at 1-866-234-2345
  • Complete a Canada Vigilance Reporting Form and:
    • Fax toll-free to 1-866-678-6789, or
    • Mail to: Canada Vigilance Program
                      Health Canada
                      Postal Locator 0701E
                      Ottawa, Ontario
                      K1A 0K9

    Postage paid labels, Canada Vigilance Reporting Form and the adverse reaction reporting guidelines are available on the MedEffectTM Canada Web site at www.healthcanada.gc.ca/medeffect.

NOTE: Should you require information related to the management of side effects, contact your health professional. The Canada Vigilance Program does not provide medical advice.

More information

This document plus the full product monograph, prepared for health professionals can be found by contacting the sponsor,
Bausch and Lomb Incorporated, at:
1-800-686-7720 (English)
1-800-686-0002 (French)