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Your Glaucoma Medications
Glaucoma is a potentially blinding disease. It can be controlled by medication but it can not
be cured by it. If you have glaucoma,
you must always be diligent in regularly using the medications that have been
prescribed for you. If a condition prevents you from being able to put in your
own eye drops, make sure that you have someone who can do it for you.
Side effects are possible from any medication, so make your
doctor aware if you are having any problems. A change can be made in the type
or brand of eye drops you are using, the strength of the eye drops, or the time
of day when you use them. Until you have been told specifically by your doctor
that it is no longer necessary for you to use the eye drops or oral medications
for your glaucoma, do not take it upon yourself to discontinue them.
Eye drops
The different types of eye drops used in treating glaucoma
are all designed to lower the pressure within the eye, but they work in
different ways. One type increases the size of the opening in the filters that
let the fluid out of the eye. The second type will cut down the amount of fluid
that the eye secretes; the third type makes the pupil small and pulls the iris
away from the area known as the angle
so it can’t block the drainage openings. Whatever type is prescribed to you is
based on the type of glaucoma you have and your occupational and daily living
needs.
Side Effects
Drops that shrink pupil size may cause dimness or blurring
of vision or trouble seeing in the dark. Other possible side effects include
irritation of the eye membranes, or the development of allergies to the
medicine or to one of the chemicals used to preserve it.
Very rarely, some individuals with heart and lung diseases
(especially asthma) may have serious problems with the type of eye drops known
as “beta blockers”. If you have been placed on this type of eye drops, inform
your doctor of increased difficulty with any condition, so the type or brand of
drops can be changed.
Storage
Some eye drops require refrigeration if they are to be
stored for a long period of time. If you buy large quantities of eye drops for
economy or other reasons, keep the unopened bottles refrigerated until you use
them.
Oral Medication
There are oral glaucoma medications, known as carbonic anhydrase inhibitors that lower
the pressure in your eyes. Sometimes they also increase the amount of fluid
that passes out of your body, so you may notice that you need to urinate more
frequently. These medications are prescribed either as capsules or as pills
that are scored so they may be broken in half if needed.
Side Effects
Oral medications can sometimes produce unusual side effects
that include: numbness around the mouth, numbness or tingling in the tips of
the fingers and toes, occasional loss of appetite, a metallic or “tinny” taste
in the mouth. These peculiar symptoms often decrease as time goes on, but if
they are especially bothersome, please discuss them with your doctor. If you break out in hives or a rash, it
could be due to the medication you are taking, so please contact your doctor immediately.
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