NHMRC Glaucoma Guidelines - ANZGIG
NHMRC Glaucoma Guidelines - ANZGIG
NHMRC Glaucoma Guidelines - ANZGIG
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<strong>NHMRC</strong> GUIDELINES FOR THE SCREENING, PROGNOSIS, DIAGNOSIS, MANAGEMENT AND PREVENTION OF GLAUCOMA<br />
Chapter 9 – Medication<br />
Table 9.4: Summary of ocular side effects<br />
Preparations by class<br />
Alpha 2<br />
-agonists<br />
Brimonidine 0.2%<br />
Apraclonidine 0.5%<br />
Beta-blockers<br />
Non-selective agents<br />
Timolol 0.25%, 0.5%, 0.1%<br />
Levobunolol 0.25%<br />
Selective agents<br />
Betaxolol 0.25%, 0.5%<br />
Carbonic Anhydrase Inhibitors<br />
Topical<br />
Dorzolamide 2%<br />
Brinzolamide 1%<br />
Oral<br />
Acetazolamide 250mg<br />
Topical<br />
ophthalmic<br />
side effects<br />
Ocular allergic reaction<br />
Burning<br />
Stinging<br />
Blurring<br />
Foreign-body sensation<br />
Itching<br />
Hyperaemia<br />
Lid retraction<br />
Conjunctival blanching<br />
Photophobia<br />
Mydriasis<br />
(Apraclonidine)<br />
Burning<br />
Stinging<br />
Photophobia<br />
Itching<br />
Tearing<br />
Decreased corneal<br />
sensitivity<br />
Hyperaemia<br />
Punctate keratitis<br />
Diplopia<br />
Burning<br />
Stinging<br />
Itching<br />
Punctate epithelial<br />
keratopathy<br />
Blepharoconjunctivitis<br />
Corneal endothelial<br />
cell-decompensation<br />
Transient myopia<br />
Systemic side effects<br />
Central nervous system depression<br />
Oral dryness<br />
Headache<br />
Fatigue<br />
Drowsiness<br />
Bradycardia<br />
Systemic hypotension<br />
Hypothermia<br />
Apnoea<br />
Taste disturbance<br />
Syncope<br />
Bronchospasm<br />
Hypotension<br />
Bradycardia<br />
Heart block<br />
Mask hypoglycaemia<br />
Adversely affects lipid profile<br />
Impotence<br />
Fatigue<br />
Depression<br />
Reduced exercise tolerance<br />
Syncope<br />
Confusion<br />
Alopecia<br />
Bitter taste<br />
Headache<br />
Nausea<br />
Fatigue<br />
Dry mouth<br />
Dizziness<br />
Anaphylaxis<br />
(Up to 50% of patients do not tolerate<br />
acetazolamide)<br />
Fatigue/lethargy<br />
Anorexia/weight loss<br />
Gastro intestinal upset<br />
Paraesthesia<br />
Depression<br />
Loss of libido<br />
Taste disturbance<br />
Stevens-Johnson syndrome<br />
Blood dyscrasias<br />
Renal stones/failure<br />
Metabolic acidosis<br />
Hypokalaemia<br />
Agranulocytosis<br />
Aplastic anaemia<br />
Neutropenia<br />
Thrombocytopenia<br />
Anaphylaxis<br />
116 National Health and Medical Research Council