ocular pharmacology 2 Flashcards
Latanoprost class
Prostaglandin analog
Latanoprost MOA
Lowers IOP by facilitating aqueous humor outflow through accessory uveoscleral pathway.
Latanoprost role in glaucoma treatment
First-line therapy in open-angle glaucoma as part of stepped approach.
Latanoprost SE
- Brown discoloration of iris
- eyelash lengthening
- ocular irritation
Brimonidine Class
Alpha 2 adrenergic agonist
Brimonidine MOA
- Increases uveoscleral outflow pathway
2. inhibits aqueous humor production.
Brimonidine Role in glaucoma treatment
Add-on 2nd or 3rd line therapy in open-angle glaucoma.
Brimonidine SE
- Red eye
- ocular irritation
- CNS depression
- apnea in neonates
Timolol class
Beta-adrenergic antagonist
Timolol MOA
Reduces aqueous humor production.
Timolol role in glaucoma treatment
Next most common drug used for open-angle glaucoma after prostaglandin analog.
Timolol SE
Systemic absorption leads to decreased HR, broncho-constriction.
Timolol contraindications
- bradycardia
- heart block
- CHF
- asthma
- COPD
Dorzolamide Class
Carbonic anhydrase inhibitor
Dorzolamide MOA
Inhibiting CA in ciliary body epithelium reduces bicarb ion formation, leading to reduced fluid transport and IOP.