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A comprehensive list of medications used to treat various ophthalmic conditions, including glaucoma, allergies, and uveitis. It includes information on the different types of medications, their dosages, side effects, and contraindications. The document also includes answers to common questions about these medications, making it a valuable resource for students and professionals in the field of ophthalmology.
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prostaglandin analogs - three major solutions - ANSWER xalatan (latanoprost 0.005%) lumigan (bimatoprost 0.01%) travatan Z (travoprost 0.004%) 1 gtt qhs
prostaglandin analogs - two newer tx options - ANSWER zioptan (tafluprost 0.0015% sol) vyzulta (latanoprostene bunod 0.024% sol)
side effects of PGAs - ANSWER lash growth/hair on skin around eyes, conj hyperemia, darkening of light irides, atrophy of orbital fat
contraindications of PGAs - ANSWER ocular inflammation, macular edema, herpetic corneal disease
carbonic anhydrase inhibitors - two major topicals - ANSWER azopt (brinzolamide 1% susp) trusopt (dorzolamide 2% sol) - more irritating bid as adjunctive therapy, tid as monotherapy
side effect of CAI - ANSWER metallic taste
contraindications of CAI - ANSWER sulfa allergy potentially, renal or hepatic impairment
beta blocker - most common - ANSWER timolol 0.25% and 0.5% sol, qd
side effects of beta blockers - ANSWER fatigue, depression, sexual dysfunction, breathing difficulties, congestive heart failure, changes in BP
contraindications of beta blockers - ANSWER asthma, COPD, caution in diabetes and bradycardia
alpha agonist - two major formulations - ANSWER alphagan (brimonidine 0.2% or 0.15%) alphagan P (brimonidine 0.15% or 0.1% sol) - preservative bid as adjunctive therapy, tid as monotherapy
side effects of alpha agonists - ANSWER allergenic, depression
contraindication of alpha agonists - ANSWER MAOI (class of antidepressant)
rho kinase inhibitor - main example - ANSWER rhopressa (netarsudil 0.02% sol) 1 gtt qhs
combination meds - ANSWER cosopt (timolol 0.5% sol + dorzolamide 2% sol) combigan (timolol 0.5% sol + brimonidine 0.2% sol) symbrinza (brinzolamide 1% susp + brimonidine 0.2% sol) rocklatan (netarsudil 0.02% + latanoprost 0.005% sol)
allergy meds - main decongestant/antihistamines - ANSWER opcon A, naphcon A, visine A
allergy meds - OTC antihistamine/MCSs - ANSWER alaway or zaditor (ketotifen 0.025% sol) bid
zylet ophthal susp (tobramycin 0.3% and loteprednol 0.5% susp)
oral antibiotics - preseptal - ANSWER keflex (cephalexin) one 500 mg tab po bid x 10d augmentin (amoxicillin + clavulanate) one 500 mg cap po bid x 10d zithromax (azithromycin) two 250 mg caps po x 1d, one 250 mg cap po x 4d
oral antibiotics - blepharitis - ANSWER doxycycline, one 100 mg cap po bid x 7-10d (20 mg cap po bid x 6 wks for chronic) tetracycline (same as doxy)