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OP Drugs
Therapeutic drugs used in Opthalmology
Type of Therapeutic Drug | Drugs |
---|---|
Topical Anesthetics | Proparacaine, Alcaine, Fluracaine (Short Acting) Tetracaine (Long acting) |
NSAIDS | Diclofenac Sodium sol'n (Voltaren) - TX of post-op inflammation, relief of photophobia Ketorlac tromethamine sol'n (Acular) - relief of ocular itching d/t allergies Flurbiprofen sodium sol'n (Ocufen, Allergan) - Prevention of intraoperative miosis |
Corticosteroids | Prednisolone acetate sol'n (Pred Forte) Prednisolone sodium phosphate Dexamethasone/Tobramycin oint/susp. (Alcon) Dexamethsone 0.05%, 0.1% oint/soln Fluorometholone 0.1% soln (Flarex) Fluorometholone 0.25% susp. (FML-Forte) |
Decongestants | Naphazoline (Visine A, Clear Eyes, Vasoclear) Tetrahydrolozine (Murine) Patients with narrow anterior chamber angles or narrow-angle glaucoma should not use these products. |
Antihistamines | Levocabastine HCL 0.05% soln (Livostin) Emedastine difumarate 0.05% soln (Emadine) Azelastin (Optilast) Pheniramine maleate (Naphcon A, Opcon A) - OTC Olopatadine HCL (Patanol) -mast cells Cromolyn Sodium (Crolom) - mast cells |
Antibiotics - Sulfonamides | MOA: Inhibits formation of folic acid Used for: Lid infections, conjunctivitis, corneal abrasion/ulcer, prevention of infection Sulfacetamide (Bleth 10) Sulfisoxazole (Cetamide) |
Antibiotics - Fluoroquinolones | Used especially in prevention/tx of pseudomonas infection - Ciprofloxacin (Ciloxan) sol'n or ointment - Ofloxacin (Ocuflox) sol'n - Levofloxacin (Quixin) - Gatifloxacin (Zymar) - Moxifloxacin (Vigamox) |
Antibiotics - Aminoglycosides | MOA: bind to ribosome and prevent tRNA synthesis Used for: same as the sulfonamides - Gentamycin (Garamycin) sol'n or ointment - Tobramycin (Tobrex) sol'n - Neomycin (Not used often because of high incidence of allergies) |
Antibiotics - Other | - Erythromycin sol'n or ointment (used for prevention of gonorrhea transmission in childbirth) - Bacitracin ointment (inhibits cell wall synthesis) - Trimethoprim Sulfate - Polymyxin B Sulfate (Polytrim) |
Antivirals | Trifuridine (Viroptic) Vidarabine (Vira-a) Idoxuridine (Herplex) |
Cycloplegics | MOA: paralyzes the ciliary muscle, inducing pupil dilation -Atropine (Isopto Atropine) - Scopolamine (Isopto Hyoscine) - Cyclopentolate (Cyclogyl) - Mydriacyl (Tropicamide) |
Agents for the TX of Glaucoma - Beta Blockers | * Decrease aqueous humor formation* - Betaxolol (Betoptic) *The best one for asthmatics* - Timolol maleate (Timoptic) - Levobunolol (Betagan, AKBeta) |
Agents for the TX of Glaucoma -Sympathomimetic (Alpha Adrenergic agonists) | * Reduce intraocular pressure (IOP) by increasing outflow and reducing production of aqueous humor* - Brimonidine (Alphagan) - Apraclonidine (Iopidine) 0.5%, 1% |
Agents for the TX of Glaucoma - Miotics (parasympathomimetics) | * increased outflow of the aqueous fluid* - Pilocarpine (Pilocar, Pilagan) |
Agents for the TX of Glaucoma - Prostaglandin Analogs | * Increase uveoscleral outflow of the aqueous * - Latanoprost (Xalatan) - Travapost (Travoprost) - Bimatoprost (Lumigan) |
Agents for the TX of Glaucoma - Carbonic Anhydrous Inhibitors | * Reduce secretion of aqueous humor by inhibiting carbonic anhydrase in ciliary body * - Dorzolamide HCl (Trusopt) 2% - Brinzolamide (Azopt) 1% |
Acetazolamide (Diamox) | Carbonic Anhydrase Inhibitor - Glaucoma |
Dorzolamide HCl (Trusopt) 2% | Carbonic Anhydrase inhibitor - Glaucoma |
How do Carbonic Anhydrase Inhibitors treat Glaucoma? | They reduce secretion of aqueous humor by inhibiting carbonic anhydrase in the ciliary body |
Brinzolamide (Azopt) 1% | Carbonic Anhydrase Inhibitor - Glaucoma |
How do Prostaglandin analogs treat Glaucoma? | They increase the uveoscleral outflow of the aqueous |
Latanoprost (Xalatan) | Prostaglandin analog - Glaucoma |
Travaprost (Travoprost) | Prostaglandin analog - Glaucoma |
Bimatoprost (Lumigan) | Prostaglandin analog - Glaucoma |
How do Miotics (parasympathomimetics) treat Glaucoma? | They increase the outflow of the aqueous fluid |
Pilocarpine (Pilocar, Pilagan) | Miotic (parasympathomimetic) - Glaucoma |
How do Sympathomimetics (alpha adrenergic agonists) treat glaucoma? | They reduce IOP by increasing outflow and reducing production of aqueous humor |
Brimonidine (Alphagan) | Sympathomimetic (alpha adrenergic agonist) - glaucoma |
Apraclonidine (Iopidine) | Sympathomimetic (alpha adrenergic agonist) - glaucoma |
How do Beta Blockers treat Glaucoma? | They decrease aqueous humor formation |
Betaxolol (Betoptic) | Beta Blocker - Glaucoma *Best one for asthmatics* |
Timolol maleate (Timoptic) | Beta blocker - Glaucoma |
Levobunolol (Betagan, AKBeta) | Beta Blocker - Glaucoma |
What do cycloplegics do? | They paralyze the ciliary muscle, inducing pupil dilation |
Atropine (Isopto Atropine) | Cycloplegic |
Scopolamine (Isopto Hyoscine) | Cycloplegic |
Cyclopentolate (Cyclogyl) | Cycloplegic |
Mydriacyl (Tropicamide) | Cycloplegic |
Trifuridine (Viroptic) | Antiviral |
Vidarabine (Vira-a) | Antiviral |
Idoxuridine (Herplex) | Antiviral |
Erythromycin sol’n or ointment | Antibiotics - other |
Bacitracin ointment | Antibiotics - other *inhibits cell wall synthesis* |
Trimetoprim Sulfate | Antibiotics - other |
Polymyxin B Sulfate (Polytrim) | Antibiotics - other |
How do Aminglycoside antibiotics treat eye infections? | They bind to the ribosome and prevent tRNA synthesis |
Gentamycin (Garamycin) | Aminoglycoside antibiotic |
Tobramycin (Tobrex) | Aminoglycoside antibiotic |
Which aminoglycoside antibiotic is not used often because of its high incidence of allergic reactions? | Neomycin |
Neomycin | Aminoglycoside antibiotic |
When is the use of fluoroquinolones strong encouraged? | For infections involving contact lens wearers (pseudomonas) |
Ciprofloxacin (Ciloxan) | Fluoroquinolone |
Ofloxacin (Ocuflox) | Fluoroquinolone |
Levofloxacin (Quixin) | Fluorquinolone |
Gatifloxacin (Zymar) | Fluoroquinolone |
Moxifloxacin (Vigamox) | Fluoroquinolone |
How do the sulfonamides treat eye infections? | They inhibit the formation of folic acid |
What are the sulfonamides used to treat? | Lid infections, conjunctivitis, corneal abrasions/ulcers and prevention of infections |
Sulfacetamide (Bleth 10) | Sulfonamide |
Sulfoxazole (Cetamide) | Sulfonamide |
In what patient is the use of ocular antihistamines contraindicated? | Contact lens wearers |
Levocabastine HCL (Livostin) | Antihistamine |
Emedastine difumarate (Emadine) | Antihistamine |
Azelastin (Optilast) | Antihistamine |
Pheniramine maleate (Naphcone A, Opcon A) | Antihistamine OTC |
Olopatadine HCL (Patanol) | Antihistamine - mast cell stabilizer |
Cromolyn Sodium (Crolom) | Antihistamine - mast cell stabilizer |
In what patient is the use of ocular decongestants contraindicated? | Patients with narrow-angle glaucoma |
Naphazoline (Visine A, Clear Eyes, Vasoclear) | Decongestant |
Tetrahydrolize (Murine) | Decongestant |
Prednisolone acetate (Pred Forte) | Corticosteroids |
Prednisolone sodium phosphate | Corticosteroid |
Dexamethasone/Tobramycin oint/susp (Alcon) | Corticosteroid |
Dexamethasone oint/susp | Corticosteroid |
Fluorometholone (Flarex) | Corticosteroid |
Fluorometholone 0.25% susp. (FML - forte) | Corticosteroid |
Diclofenac sodium (Voltaren) | NSAID (used for TX of post-op inflammation, relief of photophobia) |
Ketorlac tromethamine sol’n (Acular) | NSAID (used for relief of ocular itching due to allergies) |
Flurbiprofen sodium (Ocufen, Allergan) | NSAID (used for prevention of intraoperative miosis) |
Proparacaine | Topical anesthetic - short acting |
Alcaine | Topical Anesthetic - short acting |
Fluracaine | Topical anesthetic - short acting |
Tetracaine | Topical Anesthetic - Long Acting |