Side Effects & Supplements
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What are the main ocular side effects of Prednisolone? | Cataracts,
Glaucoma,
Activate
latent
viruses
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What are the main ocular side effects of Chloroquine drugs? | “Bulls
Eye”
maculopathy
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What are the main ocular side effects of Amiodarone? | Corneal
Verticillata
–
corneal
deposits
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What are the main ocular side effects of Accutane? | Dry
eyes,
corneal
opacities,
night
blindness,
conjunctivitis
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What are the main ocular side effects of Amiodarone? | Corneal
Verticillata
–
deposits
in
the
cornea.
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What is the most important test to be performed on chloroquine drug patients? | SD-‐OCT.
Other
tests
are
Amsler
gird
and
color
vision
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Are the retinal changes reversible with chloroquine drugs? | No
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Corneal Verticillata is seen as a side effect of what drugs? Is it reversible? | Chloroquine
and
Amiodarone,
some
anti-‐depressants,
and
Indocin
(NSAID). Yes.
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What is the most common ocular finding in Systemic lupus and the rheumatoid diseases? | Dry
eyes
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What drug is associated with intraoperative floppy iris syndrome? | Tamsulosin
(Flomax)
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What is the ocular side effects of sildenafil? | Blue
vision
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What are the systemic side effects of Sympathomimetics? | Warm
face,
red
face,
dry
mouth,
blurred
vision,
dizziness,
loss
of
coordination,
Increased
irregular
pulse
rate
and
BP,
shallow
breathing
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What are the systemic side effects of Parasympatholytics? | Essentially
the
same
as Sypathomimetics
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What are the systemic side effects of Cholingergic agonists (parasympathomimetics)? | Sweating,
slower
heart
and
lower
BP,
increased
salivation,
dizzy
&
headache,
muscle
weakness,
weak
breathing
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What are the most common ocular side effects of the antiviral agents topically? | Corneal
toxicity
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What are the systemic side effects of topical beta blockers? | Decreased
heart
rate,
lower
BP,
and
difficulty
breathing
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What is the difference between anaphylaxis and idiosyncratic reactions? | Anaphylaxis
is
a
potentially
deadly
hypersensitivity
reaction
from
any
antigen.
History
of
hives,
hay
fever,
asthma.
Idiosyncratic
reaction
totally
unexpected
reaction
(no
past
history).
It
is
rare
and
unpredictable.
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What are the symptoms of anaphylactic reaction? | Sx.
of
anaphylaxis
are
onset
within
20-‐30
minutes,
difficulty
breathing,
rapid
weak
pulse,
and
deep
burning
pain,
there
may
be
swelling
of
the
face
and
throat.
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What is the ARED’S study? | Age
related
Eye
Disease
study
–
determines
what
antioxidants,
vitamins,
etc.,
are
necessary
to
slow
the
progression
of
ARMD.
🗑
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For what disorder and stage does it recommend vitamins/antioxidants? | Mainly
for
the
moderately
advanced
ARMD
cases.
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What are the main ingredients in the ARED’S formula? | Lutein,
zeaxanthine,
beta
carotene,
zinc
and
copper,
Vit
A,
C,
and
E
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What is the importance of copper in the ARED’S? | Zinc
can
interfere
with
iron
adsorption.
Copper
offsets
this
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What is the importance of Omega-‐3 supplements for ARMD, dry eye? | It
has
been
found
very
helpful
in
both
ARMD
and
Dry
eye
problems
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What is a side effect of Omega 3? | Can
cause
bleeding
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What are the main systemic complications from carbonic anhydrous inhibitors? | Renal
stones,
tingling
of
the
extremities,
GI
upset,
cross
allergy
to
sulfa,
depression,
decreased
libido
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Can you name some antimetabolite (Immunomodulators) drugs? | Methotrexate,
Cyclosporine,
cyclosporine,
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What can be seen in SE or Rheumatoid disorders? | Dry eye, Scleritis, Episcleritis, Uveitis, Corneal thinning.
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What supplements can have ocular or systemic side effects? | Calcium, Vitamin A, Omega 3, Ginkgo Biloba, Zinc, Vitamin E
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