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Brolucizumab

Published: July 26, 2026Updated: July 26, 2026

Brolucizumab is an anti-VEGF antibody fragment injection used to treat certain eye conditions that cause vision loss. It works by blocking all three major isoforms of VEGF-A, a protein that promotes abnormal blood vessel growth and fluid leakage in the retina. This medication is administered by healthcare professionals as an intravitreal injection into the eye.

Quick summary

Brolucizumab is an eye injection that treats wet age-related macular degeneration and diabetic macular edema by blocking VEGF-A to reduce abnormal blood vessel growth and fluid buildup.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy

Key facts at a glance

ATC
S01LA06
RxNorm
2204915
Generic
Brolucizumab
Class
atc-s01
Brands
Beovu
Availability
rx
Lactation
unknown
Routes
—
Forms
injection, prefilled syringe
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)intravitreal injection
Usual dose
6mg once monthly for 3 months (loading phase), then 6mg every 12 weeks
Maximum
consult physician
Frequency
monthly loading, then every 12 weeks
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (not_applicable)intravitreal injection
Usual dose
not established
Maximum
consult physician
Frequency
not applicable
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)intravitreal injection
Usual dose
6mg once monthly for 3 months (loading phase), then 6mg every 12 weeks
Maximum
consult physician
Frequency
monthly loading, then every 12 weeks
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Three times the standard intravitreal dose (6mg) may cause serious ocular toxicity
Chronic overdose: repeated injections at intervals less than recommended (every 4 weeks) may lead to cumulative intraocular inflammation
Immediate actions
immediate ophthalmologic evaluation, intraocular pressure monitoring, topical corticosteroid therapy
Antidote
no specific antidote available(supportive care and anti-inflammatory treatment)
Poison Control: 1-800-222-1222

Special Populations

8 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks to the fetus

Monitor

regular fetal monitoring and ultrasound assessments

Use with caution and monitor for adverse effects.

⚠

pregnancy

second trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

continue only if clearly needed for maternal vision preservation

Monitor

fetal growth monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

consider deferring treatment until after delivery if clinically feasible

Monitor

fetal monitoring and assessment of gestational age

Use with caution and monitor for adverse effects.

?

lactation

breastfeeding
unknown
FDA Category
N
Dose Adjustment

not established

Key Recommendations

discontinue breastfeeding or discontinue drug, considering importance of drug to mother

Monitor

monitor infant for any adverse effects

✗

pediatric_age

pediatric 0 18
unsafe
FDA Category
N
Dose Adjustment

not applicable

Key Recommendations

not indicated for use in pediatric patients; safety and efficacy not established

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

✓

geriatric

elderly 65
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

no dose adjustment required; monitor for intraocular inflammation and retinal vascular occlusion

Monitor

routine ophthalmologic monitoring

✓

renal_impairment

mild moderate
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

no dose adjustment required for mild to moderate renal impairment

Monitor

standard monitoring

✓

hepatic_impairment

mild moderate
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

no dose adjustment required for mild to moderate hepatic impairment

Monitor

standard monitoring

Statistics and clinical data

prescribingFDA
2023

FDA approval year

Value:2019

FDA approval date for Brolucizumab (Beovu)

drug_classWHO
2023

Drug class

Value:Anti-VEGF monoclonal antibody fragment

Therapeutic class based on mechanism of action

usageFDA
2023

Primary indication

Value:Wet age-related macular degeneration (wet AMD)

Main therapeutic indication approved by regulatory authorities

mechanismFDA
2023

Mechanism of action

Value:VEGF-A inhibitor

Pharmacological mechanism of action

Brolucizumab is indicated for the treatment of neovascular (wet) age-related macular degeneration (nAMD) and diabetic macular edema (DME), conditions that can lead to vision loss if left untreated.

As a humanized single-chain antibody fragment, brolucizumab binds to VEGF-A isoforms (VEGF 110, VEGF 121, and VEGF 165), preventing them from interacting with VEGFR-1 and VEGFR-2 receptors. This inhibition suppresses endothelial cell proliferation and reduces vascular permeability, thereby decreasing abnormal blood vessel growth and fluid leakage in the retina.

Brolucizumab is administered as an intravitreal injection by a qualified healthcare professional. Common side effects may include conjunctival hemorrhage, eye pain, and vitreous floaters. Patients should be monitored for potential serious adverse events including endophthalmitis and retinal vasculitis. Regular eye examinations are required throughout treatment.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy