Eyes and Ears Flashcards
glaucoma, conjunctivitis, ear wax removal, otitis externa
what drugs increase IOP
anticholinergics! (AHs, oxybutynin, tolterodine, scopolamine, TCAs)
decongestants (sudafed)
steroids
topamax
bimatoprost, latanoprost, travoprost
MOA
expected effects on IOP
PG analogs!
dec IOP 30% and increase aqueous humor outflow
ADE PG analogs
foreign body sensation, dark iris, blurred vision
timolol and betaxolol
MOA
expected effects on IOP
BB
lower IOP 20%, dec aqueous humor production
what is unique about bitaxolol
more selective and dec effects on asthma/COPD/lungs
dorzolamide
MOA
CA-i
decreases aq humor production
what medication(s) for glaucoma does not have BAK
tafluprost + latanoprost
timolol dosing
1 drop OU QD-BID
timolol/dorzolamide =
Cosopt
brimonidine
MOA
alpha 2 agonist, dec aqueous humor outflow and production
tx for viral conjunctivitis
usually adenovirus
no tx
bacterial conjunctivitis typical pathogens
s aureus
s pneumo
h influenza
m cat
n gonorrhoeae and chlamydia for severe
bacterial conjunctivitis treatment options
moxifloxacin (Vigamox)
neomycin/polymixin/dexamethasone
ofloxacin
TMP/Poly B
allergic conjunctivitis treatment
mast cell stabilizer + AH
or
ketitofen (both MOAs)
mast cell stabilizers for allergic conjunctivitis
cromolyn
ledoxamide
nedocromil