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**Krytantek Ofteno PF** is a preservative-free ophthalmic solution containing a fixed triple combination of dorzolamide (2%), timolol (0.5%), and brimonidine (0.2%), developed by Laboratorios Sophia for treating elevated intraocular pressure (IOP) in primary open-angle glaucoma (POAG) and ocular hypertension. It lowers IOP through complementary mechanisms: dorzolamide inhibits carbonic anhydrase to reduce aqueous humor production, timolol blocks beta-adrenergic receptors to decrease aqueous secretion, and brimonidine activates alpha-2 adrenergic receptors to reduce aqueous production while enhancing uveoscleral outflow. Administered as one drop twice daily, it offers improved adherence over separate instillations and has demonstrated non-inferior efficacy, safety, and tolerability compared to similar combinations in clinical studies.[1][7]
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