pharm 3.1 Flashcards
what drugs raise IOP
NSAIDS & corticosteriods
flurbiprofen, diclofenac, ketorolac
ophthalmic NSAIDS, counter unwanted intraoperative miosis (pupil constriction)
visine, clear eyes, Altafrin
ophthalmic alpha 1 agonist, vasoconstrict to get red out of eyes, dont use is: CAD, HTN, DM, hyperthyroidism
ADE: dry eyes, rebound congestion, allergic conjunctivitis, systemic effects
phenylephrin (Altafrin)
alpha 1 agonist- vasoconstrict & mydriatic
what meds can cause secondary open angle glaucoma
corticosteriods
what meds do you not give to people with narrow angle glaucoma
anticholinergics, adrenergics, ganglionic blockers
pivefrin (propine)
mixed adrenergic for glaucoma
brimonidine (alphagan)
alpha 2 agonist
timolo
beta 2 blocker, decrease aqueous production.
dont use in heart failure,
ADE: bradycardia, hypotension, bronchospasm, hypoglycemia
pilocarpine
cholinergic, direct acting muscarinic. stimulate muscarinic receptors and cause contraction of the cilliary muscle which facilitates aqueous outflow
dorzolamise (truspot)
carbonic anhydrase inhibitor- decreases aqueous formation
postagladin (pgf-2) drugs
xalatan, travatan, lumigan
increase outflow, 1x day, potent
hyperosmotic
rapid increase in extracellular volume& preload may precipitate or aggravate CHF
atropine, homatropine, tropicamide, scopolamine
mydriatics & cycloplegics ( paralyze ciliary muscle)
cholinergic SE
miosis