Drug Class: Ophthalmic glaucoma agents
Usual Adult Dose for Intraocular Hypertension
Instill 1 drop in the affected eye(s) twice a day, in the morning and at bedtime
Comments:
- If the tension fails to remain at an acceptable level on the usual regimen, a change in therapy is indicated.
- The once a day dose or one of the twice a day doses should always be instilled just before bedtime to avoid inconvenience due to the miosis.
- Twice a day dosing is preferred to once a day in order to maintain as smooth a diurnal tension curve as possible.
Use: Reduction of elevated intraocular pressure (IOP)
Usual Pediatric Dose for Strabismus
Diagnosis of accommodative esotropia: One drop may be instilled once a day in both eyes before bedtime, for a period of two or three weeks.
Comments:
- Favorable response will usually be noted within a few hours.
Maintenance of accommodation esotropia: Instill 1 drop in both eyes once a day or every other day depending on satisfactory results.
Comments:
- The maximum usually recommended dosage is one drop once a day, although more intensive therapy has been used for short periods.
Renal Dose Adjustments
Data not available
Liver Dose Adjustments
Data not available
Dose Adjustments
- A once a day or every other day dose has been used with satisfactory results.
Precautions
CONTRAINDICATIONS:
- Hypersensitivity to any of the ingredients
- Active uveal inflammation
- Most cases of angle-closure glaucoma without iridectomy, due to the possibility of increasing angle block.
Consult WARNINGS section for additional precautions.
Dialysis
Data not available
Other Comments
Administration advice:
- Digital compression of the nasolacrimal ducts for a minute or two following instillation to minimize drainage into the nasal chamber is recommended.
Storage requirements:
- Prior to reconstitution: Refrigerate at 2C to 8 C.
- After reconstitution: Store at room temperature at approximately 25 C. Do not refrigerate. Discard any unused solution after 4 weeks.
Reconstitution/preparation techniques:
- The manufacturer product information should be consulted.
Patient advice:
- Tolerance may occasionally develop after prolonged use.
- Consider surgery if deviation recurs after about a year or two after gradually withdrawing this drug.
- Wash hands before and after instillation.