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34 Cards in this Set
- Front
- Back
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What is the dosing for prostaglandins? (generally)
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QD HS
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What drugs are indicated for IOP rise secondary to cavernous sinus fistula?
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Prostaglandins
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What drugs are indicated for Cases where the episcleral venous pressure is elevated?
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Prostaglandins
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What conditions are prostaglandins contraindicated?
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Secondary inflammatory glaucoma or anything with inflammation as a primary component (uveitis)
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What drugs can cause pseudodendritic keratopathy as well as inducing recurrence of herpes simplex dendritic ulcers?
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Prostaglandins
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What drugs have anecdotal evidence of cystoid macular edema in aphakes and pseudophakes?
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Prostaglandins (a contraindication of epinephrine and dipivefrin...two adrenergic agonists...is to avoid in aphakes and pseudophakes due to cystoid macular edema)
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T or f: avoid prostaglandins for uveitis
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T
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T or f: prostaglandins are indicated for herpes simplex keratitis
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F!
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What's the best class of drugs to decrease IOP at night?
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Prostaglandins
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Dosing for Pilocarpine?
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QID (or BID if polytherapy)
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How does Pilocarpine decrease IOP?
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Increasing TM outflow
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How do prostaglandins decrease IOP?
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Increases uveoscleral outflow
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Dosing for Propine?
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BID
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Dosing for Apraclonidine (Iopidine)?
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TID for POAG
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Dosing for Alphagan?
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TID (BID may be ok in polytherapy)
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What drug is used during laser Sx to avoid IOP spike?
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Apraclonidine (Iopidine)
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What drug: contraindication is concurrent use of MAO inhibitors.
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Adrenergic agonists (I.e. Alphagan)
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If a patient on Alphagan is having complaints of blurring but the drug works great, what can you give them?
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Alphagan P....lower incidence of local toxic effects
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T or f: Alphagan has no effects on heart and blood pressure
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T (alpha 2 agonist)
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What drug is not to be used in smaller patients or children?
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Alphagan
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What drug is bad for COPD, asthma, emphysema?
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Beta blockers
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What drugs give you altered lipid profiles?
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Beta blockers
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What two things do all patients considered for topical beta blockers need?
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Baseline blood pressure and resting pulse measurement
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Which beta blocker has reduced systemicabsorption and reduced side effects?
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Timolol XE
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Which beta blocker is pulmonary friendly?
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Betaxolol
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What Beta blocker is pulmonary friendly?
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Betaxolol
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What beta blocker has intrinsic sympathomimetic activity?
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Cartelol
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What is dosing for topical CAIs?
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TId (Azopt may be ok BID in polytherapy)
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What are the three things that CAIs are definitely contraindicated in? (pearl)
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Compromised corneal endothelium, allergy to Sulfa drugs, history of renal stones
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T or f: only prostaglandins and beta blockers are effective during sleep.
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F....prostaglandins and CAIs
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What is indicated post-surgically and for acute angle closure?
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Acetazolamide (an Oral CAI)
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WhichCAI would you not use in a patient with dark brown eyes?
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Trusopt
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What drugs give you altered lipid profiles?
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Beta blockers
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The combos are dosed how?
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BID
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