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Lubricant drops (OTC) Brand name   *Lacri-tears *Genteal *Opti-tears *Tears  
Lubricant drops (OTC) dose   1-2 drops into affected eye QD to prn  
Lubricant drops (OTC) MOA   Acts like mucin and stabilize tear film to reduce evaporation  
Lubricant drops (OTC) common SE   Crusting on eyelids, allergy to preservative  
Lubricant ointments (OTC) ingredients   White petrolatum, Mineral oil, Anhydrouslanolin, Hydroxypropylcellulose  
Lubricant ointments (OTC) dosing   Apply QD (often at bedtime) to prn  
Lubricant ointments (OTC) MOA   Acts like mucin and stabilize tear film to reduce evaporation  
Lubricant ointments (OTC) SE   Blurred vision  
Mast cell stabilizer (Rx) Brands   Opticrom, Crolom,Alomide,Alamast,Alocril  
Mast cell stabilizer (Rx) Ingredients   Cromolyn 4%,Lodoxamide 0.1%, Pemirolast 0.1%,Nedocromil 2%,  
Opticrom, Crolom dosing   1 drop 4-6 times per day and then taper to BID as symptoms improve  
Alomide dosing   1-2 drops QID for up to 3 months  
Alamast dosing   1-2 drops BID-QID  
Alocril dosing   1-2 drops BID  
Mast cell stabilizer (Rx) MOA   Decrease the degranulation of mast cells and prevent the release of inflammatory mediators  
Mast cell stabilizer (Rx) SE   HA, ocular burning/stinging, rhinitis  
Antihistamine (Rx) Brand names   Livostin, Emadine  
Antihistamine (Rx) dosing   1 drop in each eye BID-QID  
Antihistamine (Rx) MOA   Relatively to highly selective H1 receptor antagonists  
Antihistamine (Rx) SE   Burning, stinging upon instillation; mydriasis, HA  
Decongestant (OTC) Ingredients   Naphazoline HCl, Tetrahydrozoline, Phenylephrine,Oxymetazoline HCl  
Decongestant (OTC) dosing   1-2 drops in each eye QD-QID for all four agents  
Decongestant (OTC) MOA   Vasoconstriction to reduce redness, vascular congestion, eyelid edema  
Decongestant (OTC) SE   Conjunctivitis medicamentosa, stinging upon instillation, mydriasis  
NSAIDS (Rx) Brand   Acular  
NSAIDS (Rx) dosing   1 drop in affected eye(s) QID up to 7 days  
NSAIDS (Rx) MOA   Inhibit COX, decreasing prostaglandins  
NSAIDS (Rx) SE   Hypersensitivity, transient burning/stinging (40%), dry eye, ocular infections, visual disturbancesCI: Pregnant women (3rd trimester)  
Steroids (Rx) Brand   Decadron, Maxidex, Pred Mild, FML,HMS, Lotemax, Alrex, Vexol  
Steroids (Rx) Dosing   1 drop TID-QID Note: you may see 1 drop of the ophthalmic solution q hour while awake x 1 week and then reduced for severe cases  
Steroids (Rx) MOA   Decrease production of prostaglandins and leukotrienes  
Steroids (Rx) SE   Increased intraocular pressure (glaucoma), cataracts, predisposition to ocular infection, blurred vision, dry eye  
Antihistamine and Mast Cell Stabilizer (Rx) Brand   Patanol, Zaditor  
Antihistamine and Mast Cell Stabilizer (Rx) Dosing   1-2 drops BID (space by 6-8 hours)  
Antihistamine and Mast Cell Stabilizer (Rx) MOA   H1 receptor antagonism and mast cell stabilization  
Antihistamine and Mast Cell Stabilizer (Rx) SE   Stinging upon administration and headache.  
AntihistamineMast Cell Stabilizer, and Eosinophil inhibitor (Rx) Brand   Optivar, Zaditor  
AntihistamineMast Cell Stabilizer, and Eosinophil inhibitor (Rx) MOA   H1 receptor antagonism, mast cell stabilization, and direct inhibitory effect on eosinophil chemotaxis and degranulation  
AntihistamineMast Cell Stabilizer, and Eosinophil inhibitor (Rx) SE   Conjunctival infection, HA, rhinitis, burning/stinging, bitter taste  
Antihistamine and Decongestant (OTC) Brand   Naphcon A, Opcon-A, Vasocon-A  
Antihistamine and Decongestant (OTC) dosing   1-2 drops in each eye BID-QID  
Antihistamine and Decongestant (OTC) MOA   H1 receptor antagonism and Vasoconstriction to reduce redness, vascular congestion, eyelid edema  
Antihistamine and Decongestant (OTC) SE   Burning, stinging upon instillation; mydriasis, HA, conjunctivitis medicamentosa, stinging upon instillation  
Antiviral (Rx) Brand   Viroptic  
Antiviral (Rx)- Viroptics generic name   Trifluridine  
Antiviral (Rx) Dosing   1 drop q2h while awake (9 drops max/day) until healed ulcer, then 1 drop q4h (5 drops max/day) x 7 more days not to exceed 21 days of therapy  
Antiviral (Rx) MOA   Inhibit DNA synthesis by inhibiting thymidylic phosphorylase which is needed for the incorporation of thymidine into the viral DNA  
Antiviral (Rx) SE   Burning, corneal edema, punctate lesions in corneal epithelium can occur with trifluridine cytotoxicity  


   


 

 

 

 

 

 
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