What medications should I avoid with closed angle glaucoma?
Closed-Angle Glaucoma: Medicines to Avoid
- Antihistamines and decongestants.
- Asthma medicines.
- Motion sickness medicines.
- Some medicines used to treat depression (tricyclic antidepressants).
Which antihypertensive is contraindicated in glaucoma?
Conditions Contraindicated With Glaucoma Meds ACE inhibitors like Vasotec (enalapril maleate, Merck), Accupril (quinapril, Parke Davis) and Altace (ramipril, Mon-arch) are used to treat hypertension and have the potential to create hypo-tension.
What medication is contraindicated with glaucoma patients?
Medications such as Norflex (orphenadrine) and Artane (trihexyphenidyl) have been associated with angle closure. Many medications used for depression can have adverse effects in patients with narrow angles. These include selective serotonin reuptake inhibitors (SSRIs) such as Prozac (fluoxetine) and Paxil (paroxetine).
Is atropine contraindicated in closed angle glaucoma?
Atropine may precipitate angle closure glaucoma in those predisposed to the disorder. Previously reported cases demonstrate the frequent misdiagnosis of acute glaucoma as conjunctivitis. Resultant delays in treatment can lead to vision loss.
Which drugs worsen uncontrolled angle closure glaucoma?
Tricyclic antidepressants e.g., clomipramine, imipramine, amitryptyline and selective serotonin reuptake inhibitors (SSRI) e.g., venlafaxine, citalopram, escitalopram, fluoxetine and paroxetine have been reported to precipitate acute angle closure glaucoma.
Is beta blocker contraindicated in glaucoma?
Topical beta-blockers remain a primary glaucoma medication. 16 It is contraindicated in individuals with a previous myocardial infarction, a history of arrhythmia or bradycardia and pulmonary issues such as COPD or emphysema.
Does amlodipine worsen glaucoma?
Calcium channel blockers, a common class of antihypertensive, were associated with a 26% increased risk of POAG requiring a glaucoma procedure. Amlodipine, a commonly prescribed calcium channel blocker, was the single drug most significantly associated with POAG in our study.
Why is glaucoma contraindicated with anticholinergics?
Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells. This can cause glaucoma in individuals with narrow anterior chamber angles by dilating the pupil and causing pupillary block.
Why is atropine contraindicated in primary closure glaucoma?
One of the controversial side effects of atropine is its anti-cholinergic effect that leads to drug-induced acute angle closure glaucoma [10].
Does amlodipine affect glaucoma?
Why is epinephrine contraindicated in closed angle glaucoma?
These agents stimulate both alpha-1 and alpha-2 adrenergic receptors, thus topical administration can induce transient mydriasis, either with or without the use of concomitant miotic agents. In patients with narrow angles, any degree of pupillary dilation can provoke an acute attack of angle-closure glaucoma.
Is propranolol contraindicated in glaucoma?
The effect of propranolol (Inderal) on the intraocular pressure (IOP) in glaucoma has been measured. Twenty-two patients completed the clinical trial. Propranolol in doses of 160 mg/d effectively lowered IOP in eyes with various types of open angle glaucoma.
Can you take metoprolol if you have glaucoma?
The beta1-selective beta-blocking agent Metoprolol gave a significant intraocular pressure decrease in different groups of open angle glaucoma patients in a concentration of 1% and 3%. The magnitude of effect corresponded to 33% of the untreated pressure level.
Can I take metoprolol if I have glaucoma?
Can you take losartan if you have glaucoma?
Losartan inhibited effects of glaucoma, including reduction in extracellular signal-related kinase activity and modification of glaucoma-related changes in scleral thickness and creep under controlled IOP.
Why is glaucoma a contraindication for atropine?
Anticholinergics (applies to atropine ophthalmic) glaucoma Because anticholinergics cause mydriasis, they may exacerbate these conditions.
Why are anticholinergics contraindicated in glaucoma?
Why is pilocarpine contraindicated in angle closure glaucoma?
Pilocarpine is also contraindicated in uveitis and secondary glaucoma because its miotic effect may predispose to posterior synechiae and pupillary occlusion.
Is alpha blocker contraindicated in glaucoma?
Intraoperative Floppy Iris Syndrome (IFIS) has been observed during cataract and glaucoma surgery in some patients on or previously treated with alpha 1 blockers, including tamsulosin. The initiation of therapy with tamsulosin in patients for whom cataract or glaucoma surgery is scheduled is not recommended.
Which open angle glaucoma medications should you avoid?
Steroids are the most important open angle glaucoma medication to avoid. Steroid usages can cause permanent blockage of the eye’s drainage system. Steroids can be given topically, inhaled, intravenously, by mouth or injected into joints. This medication is used for the many conditions listed below:
Which medications are used in the treatment of acute angle closure glaucoma?
Sulfa-based agents. The management of sulfa drug-induced acute angle closure glaucoma involves stopping the medication and controlling the intraocular pressure with topical or systemic steroid and cycloplegics. Topical miotics should be avoided as they have the potential of causing pupillary block.
Are anticholinergics contraindicated for primary angle closure glaucoma (PACG)?
Medications contraindicated for patients with PACD, such as anticholinergics, cause mydriasis, and can elevate IOP. However, anticholinergics are currently contraindicated only for primary angle closure glaucoma (PACG) in Japanese package inserts.
Do alpha-adrenergic agonists precipitate acute angle closure glaucoma?
Alpha-adrenergic agonists can precipitate acute angle closure glaucoma by pupillary block due to pupil dilatation in individuals with innately narrow iridocorneal angles.