Pharmacology – Chapter 18 – Eye Medications

5 Main Categories of Opthalmics
anti-infectives
anti-inflammatories
anti-glaucoma Rxs
mydriatics
anesthetics

anti-infectives
usually half are combined w/ steroids
conjunctivitis
fluorescein stain
ointments and drops

fluortescein stain
anti-infective
a slip that is put in the eye, the dye will show any tear in the cornea

examples of anti-infectives
macrolides (arithomycin)
sulfa
Neosporin
garramyin (neomycin)

anti-infective preparations
Vasocidin
Tobradex
Blephamide

Sulfa
anti-infective
eye medication
commonly used in interactions of the eye

What is the name of the anti-infective preparation Rx that is an antiobiotic mixed with a steroid?
Blephamide

anti-inflammatories
eye medication
for allergies, burns, post op and irritants

Kinds of anti-inflammatories
corticosteroids
NSAIDS
immune suppressant for Sjogrens syndrome
antihistamines & decongestants

corticosteroids
anti-inflammatory
most effective
use for SHORTEST length of time
system absorption thru inner canthus
inhibits local immunity
delays epithelial and wand healing

NSAIDS
anti-inflammatory
post/op inflammation/handling
beware of aspirin allergy

Examples of NSAIDS
motrin (ibuprofen)
flurbiprofen
keortolac

sicca syndrome
dry eyes
inhibit tear productions and saliva

immune suppressant
anti-inflammatory
for sicca syndrome
sjogrens syndrome

Immune suppressant Rx
Restasis (cyclosporine)

Restasis
aka cyclosporine
immune suppressant Rx
anti-inflammatory
counteracts the immune effect

Antihistamines & Decongestants
anti-inflammatory
block histamine receptors
cause vasoconstriction to decongest the area

Antihistamine & Decongestant Rx
Naphcon- A
Visine-A

IOP
Intraocular Pressure

Nose cocain septal peforation
used in antihistamines and decongestants
anti-inflammatory
used for swollen nasals
ENT Doctors use!

Why is there pressure in the eye?
so the eye does not collapse

Anti-glaucoma agents
eye Rx
glaucoma is the increase in IOP
caused by lack of aqueous humor drainage
two types

Types of anti-glaucoma agents
acute angle closure
chromic open-angle

Natural Immunity • Present at birth • Protection provided by physical barriers: • Skin, mucus membranes • Phagocytic cells • NK cells Specific Acquired Immunity • Production of antibodies against antigens Active: • Having the infection or a vaccine / …

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