Glaucoma · Eye drops cost guide · 2026

Lumigan (bimatoprost) eye drops: cost in the UK

Lumigan (bimatoprost) is an MHRA-licensed prostaglandin analogue used once daily to lower eye pressure in glaucoma and ocular hypertension. The drops themselves are inexpensive — the real cost of good glaucoma care is expert monitoring. Here's what you'll pay privately in 2026, brand vs generic, and the drop-free alternatives worth asking about.

£12–£22per bottle/pack, private Rx
Once dailyone drop each evening
£200–£350consultant glaucoma assessment
SLT lasera drop-free alternative
Book a glaucoma assessmentFind your nearest clinic

Lumigan (bimatoprost) eye drops cost from around £12–£22 per bottle or pack on a private prescription in the UK in 2026, or the standard NHS prescription charge where prescribed on the NHS. Generic bimatoprost costs less than the Lumigan brand. Because glaucoma drops must be monitored for life, the more meaningful cost is the consultant assessment — a private glaucoma consultation with eye-pressure check, OCT and a visual field test typically costs from £200–£350, with follow-up reviews from around £150.

How much do Lumigan (bimatoprost) drops cost?

Bimatoprost is a low-cost medication. What you pay depends on whether it is prescribed on the NHS or privately, and whether you use the Lumigan brand or generic bimatoprost:

The drops (private Rx)

From £12–£22 per bottle or pack, typically around a month's supply. Generic bimatoprost is cheaper than branded Lumigan.

On the NHS

The standard NHS prescription charge per item in England (free in Scotland, Wales and Northern Ireland). A pre-payment certificate can reduce ongoing costs.

Private monitoring

Consultant glaucoma assessment with pressure check, OCT and visual field from £200–£350; follow-up reviews from £150.

For the wider picture of private glaucoma pricing, see our glaucoma cost guide. Regular visual field testing is part of proper monitoring — drops without follow-up is not glaucoma treatment.

What is Lumigan and how does it work?

Lumigan is a brand of bimatoprost, a prostaglandin analogue — the same first-line family as latanoprost and travoprost. Used as one drop in the affected eye each evening, it lowers intraocular pressure by increasing the outflow of fluid from the eye. Prostaglandin analogues are the most effective drop class available, typically reducing eye pressure by around a quarter to a third, and are recommended first-line in UK practice.

In the UK, Lumigan is supplied as a preserved multi-dose bottle (0.1 mg/ml), with preservative-free single-dose bimatoprost preparations also licensed for patients with sensitive or dry eyes. Your prescriber will advise which format suits your eyes — preservative-free versions cost a little more but are kinder to the ocular surface for long-term use.

Glaucoma itself causes no symptoms until vision is lost, which is why treatment is lifelong and monitoring matters as much as the medication. New to the condition? Start with our overview of glaucoma and the treatment pathway.

Side effects worth knowing about

  • Red eyes (conjunctival hyperaemia) — the most common effect, and more frequent with bimatoprost than with latanoprost. It often settles with continued use, but persistent redness is a common reason to switch drops.
  • Longer, darker eyelashes — characteristic of the prostaglandin class.
  • Gradual darkening of the iris and skin around the eye — usually permanent, most noticeable in hazel or mixed-colour eyes.
  • Deepening of the eyelid sulcus with long-term use — subtle hollowing around the eye that reverses partially if the drop is stopped.

None of these affect the pressure-lowering benefit, but if side effects bother you, don't simply stop — untreated pressure silently damages the optic nerve. Speak to your specialist about switching preparation or moving to a drop-free option.

Struggling with drop side effects — or just tired of daily drops? A consultant review can rebalance your treatment, or assess you for SLT laser.

Book a consultant review

Alternatives to Lumigan

If bimatoprost alone doesn't control your pressure, or doesn't suit you, the usual next steps are:

  • Another prostaglandin — such as preservative-free latanoprost (Monopost) or travoprost (Travatan).
  • A combination dropGanfort pairs bimatoprost with timolol in a single daily drop when one agent isn't enough.
  • SLT laserselective laser trabeculoplasty is a 10-minute outpatient laser that can control pressure without daily drops, and is now offered as a first-line option in UK practice.

For a plain-English comparison of the whole ladder — drops, laser and surgery — read our guide to glaucoma treatment options.

Frequently asked questions

Expect around £12–£22 per bottle or pack in 2026, typically about a month's supply, plus any pharmacy dispensing fee. Generic bimatoprost sits at the lower end; branded Lumigan and preservative-free single-dose formats cost more.
Yes — generic bimatoprost contains the same active ingredient at the same licensed strength and must meet the same MHRA standards. Some patients prefer a particular bottle or preservative-free format, which is a legitimate reason to specify a brand.
Redness (conjunctival hyperaemia) is the most common side effect of bimatoprost and is more frequent than with other prostaglandin drops. It often eases after the first weeks. If it persists, your specialist can switch you to an alternative such as latanoprost or travoprost, or discuss SLT laser — don't stop treatment without advice.
No — a normal reading means the drops are working, not that the glaucoma has gone. Stopping lets pressure rise again and optic nerve damage is irreversible. Any change to treatment should be made with your specialist, who may consider SLT laser if you want fewer or no drops.
Yes. Selective laser trabeculoplasty (SLT) is a quick outpatient laser treatment that lowers pressure in most suitable eyes and can delay or remove the need for daily drops. It is offered first-line in UK practice and can be repeated. A consultant assessment will confirm whether your glaucoma type is suitable.

Get your glaucoma properly monitored

Book a consultant assessment with pressure check, OCT and visual field testing. We'll call you back within one working day.

Updated on 9 Jul 2026