There are different medications for treating Glaucoma

There are different medications for treating Glaucoma


GLAUCOMA MEDICATIONS

Miotics

A)
Action: increase drainage out of the eye, through the trabecular meshwork, to lower pressure.

B) Types

Dosage per Day
C) Side Effects
- Pilocarpine

(4)
- Dim Vision
- Ocusert 

_
- Brow Aches 
- Carbachol 

(3)
- Blurry Vision
- Phospholine Iodide 

(2)
- Pilopine hs Gel 

Bedtime


Beta Blockers

A) Action
: Decrease the formation of aqueous humor to lower pressure.


B) Types

Dosage per Day
C) Side Effects
- Timolol (Timoptic)
.............. .(Timoptic XE)

(4)
(1)
- Breathing Difficulties
- Irregular heartbeat
- Betimol

(2)
- Depression 
- Levobunolol (Betagan)

(2)
- Dizziness
- Betaxalol (Betoptic-S) 

(2)
- Loss of Libido
- Carteolol (Ocupress) 

(2)
- Loss of hair (rare)
- Metipranolol (Optipranolol)

(2)


Epinephrine Drugs

A) Action:
A combination of decreased inflow and increased outflow.


B) Types

Dosage per Day
C) Side Effects
- Epinephrine

(2)
- Stinging
Epifrin

(2)
- Burning 
Epinal

(2)
- Red Eye
Glaucon

(2)
- Eye Pain
- Propine

(2)
 


Carbonic Anhydrase Inhibitors

A) Action:
Decrease the formation of aqueous humor to decrease pressure.


B) Types

Dosage per Day
C) Side Effects
pills    
- Diamox

(3-4)
- Nausea
- Neptazane

(3-4)
- Decreased Appetite 
- Daranide

(3-4)
- Lethargy
drops    
- Dorzolamide (Trusopt)

(3)
- Depression
- Propine (Azopt)

(3)
- Diarrhea
  - Nausea
    - Rare bone marrow ..depression
    - Death - extremely remote


Alpha 2 Agonists

A) Action:
Decrease the formation of aqueous humor and decrease in venous pressure in blood vessels on the eye.

B) Types (pills/drops)

Dosage per Day
C) Side Effects
- Apraclonidine (Iopidine)

(3)
- Dry mouth or nose
- Brimonidine (Alphagan)

(3)
- Eyelid opens wider 
- Red eyes after weeks or months
- Decrease in blood pressure
- Dizziness
     - Headache


Prostoglandin Analog

A) Action
: Increase uveoscleral outflow

B) Types

Dosage per Day
C) Side Effects
- Latanoprost (Xalatan)

(1)
- Blurred vision
- Unoprostone (Rescula)

(1)

- Redness, Burning, Stinging
- Travaprost (Travatan)

(1)

- Darker, Longer eye lashes
- Bimatoprost (Lumigan)

(1)

- Respiratory tract infection/cold
    - Eye turns darker color


Combination Drugs

A) Action:
see each drug (above)

B) Types

Dosage per Day
C) Side Effects
Timolol and Dorzolamide (Cosopt)

 (2)
- See each drug (above)
Timolol and Latanoprost (Xalcom)

 (1)
- See each drug (above)
 


WE EDUCATE OUR PATIENTS

There are different medications for treating Glaucoma