Medications

Question 1

What IOP lower med should not be used in children less than 2 years old and why?

Answer 1

Alpha 2 agonists, especially brimonidine, because they are associated with apnea, bradycardia, hypotension, hypotonia, and CNS depression

Question 2

Which beta blocker is beta-1 selective?

Answer 2

Betaxolol

Question 3

Which oral CAI is least associated with kidney stones?

Answer 3

While all systemic CAIs can predispose to kidney stones (calcium oxalate and phosphate), methazolamide is mostly metabolized by the liver so it has the lowest risk