Wait 10 min after drops before inserting gel CI sinus bradycardia SE slight

Wait 10 min after drops before inserting gel ci sinus

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Wait 10 min after drops before inserting gel CI: sinus bradycardia SE: slight burning, stinging Cosopt is preservative free All contain sulfites which may cause allergic rxns Carbachol (isopto) or Pilocarpine: (Isopto Carpine) are cholinergics that inc aqueous flow Use with caution in pts with hx of retinal detachment or corneal abrasion CARBONIC ANHYDRASE INHIBITORS: reduce aqueous humor production Caution in sulfa allergies with: acetazolamide drops and PO Dorozlamide: (Trusopt) + timolol (Cosopt) Acetazolamide: (Diamox) Brinzolamide: (Azopt) + brimonidine (Simbrinza) Methazolamide: (Neptazane) A2 AGONISTS: inc aqueous outflow, reduce aqueous humor production Brimonidine: (Alphagan) dosed TID May cause CNS depression +timolol (Combigan) + brinzolamide (Simbrinza) CONJUNCTIVITIS Viral conjunctivitis: most likely due to adenovirus Leave it alone and it will heal in days to weeks Bacterial: caused by s aureus, s pneumo, h influenzae, or m catarrhalis More severe cases due to N gonorrhoeae or chlamydia→ requires systemic tx Topical Treatments: Azithromycin (Azasite) stored in the fridge for 14 days at room temp Moxifloxacin (Vigamox) Besifloxacin (Besivance) Tobramycin/Dexamethasone (TobraDex) Ciprofloxacin (Ciloxan) Ofloxacin (Ocuflox) Gentamicin (Garamycin) Tobramycin (Tobrex) Erythromycin Sulfacetamide (Bleph-10) Trimethoprim/Polymyxin B (Polytrim)
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