Alphagan

Alphagan questions and answers

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Q: why is brimondine (alphagan) drops put in the eye 15mins before and after argon laser trabeculoplasty procedur?


A: Sometimes the affect of the laser treatment can raise the pressure. So to prevent this spike the drop is used. What happens is the area that is lasered will take two weeks to show results, in the mean time it goes through architectual changes

Q: Possible Side Effects of Alphagan?
My grandfather recently began using the eye medication alphagan for his glaucoma. He has been experiencing nausea and decrease in his appetite for the past month. He is losing weight and is unable to eat. Food smells awful to him and when he does eat he begins to feel sick. I understand this is not a common side effect of taking alphagan but could it be still be possible that the two are connected? His medical doctor feels this is highly unlikely. What do you think? Thanks in advance.

A: Call your doctor at once if you have any of these serious side effects: slow or uneven heart rate; pounding heartbeats or fluttering in your chest; shallow breathing, feeling like you might pass out; severe swelling, redness, or discomfort in or around your eye; eye pain or increased watering; or numbness or tingly feeling in your hands or feet. Less serious side effects may include: burning, stinging, or itching of your eyes; feeling like something is in your eye; blurred vision; redness of the eye or eyelid; mildly swollen or puffy eyes; sensitivity to light; nausea, upset stomach; headache, dizziness; muscle pain; tired feeling; sleep problems (insomnia); dry nose or mouth; or unusual or unpleasant taste in your mouth. That is from the Alphagan web site, he should be seeing his regular doctor and they should be testing him for other problems. Something else must be going on.

Q: Any doctors or nurses around? Can taking two glaucoma medications cause a dilantin level in the blood to rise?
My gf's level was taken two weeks ago and it rose to 17 from being at or around normal for a long time. The only change she has made to her meds is that two eyedrops were added for glaucoma. One is called "cosopt', the other is "Alphagan'. Other than that, we have no clue why it rose.

A: A normal dilantin level is 10-20 so 17 is still in the normal range. until her level reaches 30 she is not toxic. I have looked up the medications she is taking and there is nothing stating a contraindication or a indication for increasing dilantin levels. Is she drinking enough water and is she going pee ok? If so, then it is apparently clearing her body just fine. Make sure, since she is on prolonged therapy with dilantin, that she has an adequate intake, not excessive, of foods high in vitamin D and that she has some exposure to sunlight....wear a hat and sunglasses. And as I'm sure she knows, the flu vaccine may increase her seizure activity so if she gets a flu shot her dosage may need to be adjusted for a time. The only thing I know that for certain will increase dilantin levels is drinking alcohol so if she had a few drinks close to when her blood level was drawn that may have temporarily increased it....but like I said, its still well within the normal level. Hope this helps, my best to you!

Q: which of this three medication give glaucoma...Alphagan,Timolol Maleate,or Prednisolone Acetate?


A: glaucoma is an increase in intra-ocular pressure which needs drugs as alphagen and timolol to decrease aqueous humor the fluid in the eye or exactly to allow removal of xxs fluid so prednisolone unless prescribed by a doc for severe inflammation is not suitable

Q: I have recently started eye drops (alphagan)for glaucoma & have become dizzy, every day. Anyone else?
This started approximately 4 weeks ago when I started with the Glaucoma treatment.The dizzy is not the room spinning but my equillibrium is off. I have had a lot of eye tests with lots of eye drops, as well as laser surgery on one eye.(laser trabeculoplasty). Now my stomach is bothering me as well? Before I was feeling GREAT!

A: Call your eye doctor and tell him/her what you're experiencing. He/she can change you to a different drop. When I took Alphagan, I never experienced unusual equillibrium nor stomach problems. Tell your eye doctor.

Q: Could my eyedrops be the reason why my eyelashes are almost always falling out?
I have maintainance for my eyes. Eyedrops for anti-glaucoma: alphagan P, trusopt, lumigan.

A: Unless your doing anything else to your eyes besides using eye drops on them, then its the eye drops.

Q: Is it possible to use Cosopt to gether with Nyogel?
I'm suffering from closed angle glaucoma and usin Travatan-Alphagan-and Cosopt. my doctor in egypt add to this Nyolol Gel. Is that right?

A: You need to ask the doctor again and the pharmacist. Never rely on the people in here to give you drug advice over your doctor's reccomendations. It is not a good idea. Ask your prescribing doctor again and see what they say.

Q: Why are my eye floaters becoming more active?
I am 53 years old an am nearsighted to minus 9-10 range. About 5 years ago, my eye doctor indicated that I have glaucoma, thus, I now am taking 1 drop of Alphagan and 1 drop of Travitan, to keep the pressure in the range of 18-20. However, during the last 5 years, Eye Floaters have become much more active, where it sometimes becomes hard to read books and drive without blurred vision. Do you have any suggestions on what I should do to alleviate the symptoms or prevent the floater from becoming worse? Thank you, Ted

A: You need to see an eye specialist. You could have a cataract in your eye.You could have dry eyes and need to keep drops in them. You don't mention if you are diabetic either. If you are it may be affecting your eyes. Or you may be diabetic and do not know it. Make an appointment with an eye specialist.

Q: What causes glaucoma?
I have early signs of glaucoma. I take alphagan (P) eye drops 3 times a day to keep my pressure down.

A: Well, there are no obvious clinical signs of glaucoma (at least in the early stages). The only test to determine if you have glaucoma is at the eye doctor. Glaucoma is a disease of the eye caused by increased pressure from various factors such as age or disease. I was diagnosed with glaucoma at age 30 caused by a malformation of the eyeball (due to my bad vision) causing the iris to slough off, therefore clogging the drain in the eyeball. When this drain becomes blocked, the pressure rises, causing glaucoma. I had laser surgery for the iris sloughing and use eyedrops.

Q: mainly for those who have been there. i am on high dosage of prednisone went to the dr for eye exam due to?
them wanting to know if the dosage had an affect on my eyes too much pressure. i was put on alphagan and then later lumigan, oh let me back up all cause i do also have myasthenia gravis. now when i was first dx i didnt have much ptosis, double vision or eye issues, well know 14yrs later i have watery eyes always, and vision is slight dimenished or shall i say far away is blurry. my vision was 20/40 i had stopped taking the drops last yr cause the dr. said the pressure went down. yes i know i need to see one again but could the watery eyes be due to allergies? i am also on p/ephed pills for sinus and allergies the only thing is annoying that my eyes are extremely sensitive to the sun. again could this be allergies, or coritcosteroid pressure in my eyes? my eyes tear for no reason well one more than the other will just drain when i am outside more than inside. like i am crying so i wear glasses to try and keep some of the outside sun beam and wind to see if it is that it just doesnt matter what i do they water up and drain. my eyes tear for no reason well one more than the other will just drain when i am outside more than inside. like i am crying so i wear glasses to try and keep some of the outside sun beam and wind to see if it is that it just doesnt matter what i do they water up and drain.

A: Any thoughts of it being paplidema (a swelling of the optic nerve)? Caution with the prednisone, the side effects are quite devastating...been there, suffer still after 20yrs.!

Q: Breastfeeding and Medication?
Ok i have a medication question i am breast feeding and my Doc wants to put me on Alphagan P. Drops for Glaucoma Prevention. Doe anyone know IF there are side affects with that med and Breastfeeding? and The website says nothing about it. Thanks in advance:)

A: Call your doctor and tell him that you are breastfeeding. Does he have a copy of Thomas Hale's book Breastfeeding Pharmocology? If he does not, then call your ob/gyn or pediatrician and ask if they could consult that book and let you know if it is safe. I don't know how much study Hale has done on eye drop meds, but the quantity is low enough and topical enough that it is likely just fine. Most doctors have no clue about breastfeeding and always tell you to stop. Most medications, other than cancer drugs are actually safe for breastfeeding, but I would be certain using Hale's book first or get a better understanding of how your body uses this med. [edited to add] Here's a link to Dr. Hale's site where he is specifically asked about opthomolic preparations. http://66.230.33.248/discus/messages/53/2335.html?1165619111 If this direct link doesn't work go to: http://neonatal.ttuhsc.edu/lact/medicationforumspage.html enter as a guest Go to: Other Uncategorized medications Opthomalic preps is quite a ways down the list. Additional note: Dr. Hale is the premier expert on medications and breastfeeding.

Q: What is Peter's anomaly?
I'm just researching on all these eye problems I have...and I can't really simplify up what Peter's anomaly is. All I know is that I was born with it...then it somehow caused aphakia, secondary glaucoma, dense amblyopia, esotropia, hypotropia, foveal hypoplasia, and some corneal decompensation in the next few years. and.. Now I'm 13 and am just trying to lower my eye pressure. I use Betopic S and Alphagan P, but those have so many side effects. Anyone have any ideas for new meds? [so i can ask dr :)]

A: I am sorry for you. It looks to be a rare genetic disorder with not many answers, but it does sound like they can do corneal transplants?By the way, you spell extraordinarily well for a 13 yr. old? Those are big words that I would have to look up and I am a nurse...ADDED MORE LINKS AT BOTTOM ...looks like sometimes they do corneal transplants and sometimes do some sort of drainage tube in the eye (but not much success with the drainage tube) If you are seeing an opthalmologist, I am sure he knows about all the eye drops and treatments to lower the eye pressure, because although he may not see any other patients with Peter's anomaly, he would see a lot of glaucoma patients who also need to get their eye pressure down... Here are some links that I found on the web. You might want to call NORD at the phone number given or email them at that email address and see if they know anything. It seems to be so rare that it is not even listed on the rare disorders list...maybe you could get them to add it onto their list... You could also try to contact the Pediatric Keratoplasty Organization at the phone number or email that is listed here (and they are taking a list of doctors involved, so you might want to get your doctor listed here). There are lots of web links listed there. Then there is the Peter's Anomaly support group. You could try there for info.Hope this helps. Good luck and God Bless.. NORD (National Organization for Rare Disorders) Peter's Anomaly (2/04) Note: At this time, there is no report on this topic in NORD's Rare Disease Database. However, if you call the NORD office at (203) 744-0100, we may be able to send you information (or referrals to other possible sources of information) on this topic through the mail. http://www.rarediseases.org/search/art_detail?article=1232 Pediatric Keratoplasty Association a/k/a: PKA Address: Dept of Ophthalmology Westchester Medical Center Valhalla, NY 10595 Phone: 914-493-1599 Fax: 914-493-7445 800 Number: -- TDD: -- Email Address: pedkera@aol.com The Pediatric Keratoplasty Association is a voluntary, not-for-profit organization dedicated to the treatment and management of infants and children with corneal diseases. It provides patient and professional education, supports research, promotes support groups and publishes a newsletter. It serves families from the United States and other countries affected by eye diseases such as Peter’s anomaly, sclerocornea, and corneal opacities. With approximately 150 members, the association was established in 1995. Website: http://www.pedkera.org http://www.rarediseases.org/nord/search/orgdetail_full.html?org_name=Pediatric%20Keratoplasty%20Association Peter’s Anomaly Support Group http://rob66.freeyellow.com/ WWW.PETERSANOMALY.ORG Here are a few more links http://rarediseases.info.nih.gov/ (National Institutes of Health ..Office of Rare Disorders) http://www.eurordis.org/article.php3?id_article=648&var_recherche=peter%27s+anomaly (link list to medical sites for the general public) http://www.eurordis.org/article.php3?id_article=489 (link list to rare disorders websites) http://www.orpha.net/consor/cgi-bin/data.php?ActType=Pat&Form=Pat&PatId=2590.0%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20&PHPSESSID=16a9a8daa84e2e82ae8634897a2c1b30 (peter’s anomaly) http://www.orpha.net/consor/cgi-bin/data.php?ActType=Pat&Form=Pat&PatId=968.0%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20&PHPSESSID=16a9a8daa84e2e82ae8634897a2c1b30 (peter’s plus syndrome) http://www.orpha.net/consor/cgi-bin/form.php?PHPSESSID=16a9a8daa84e2e82ae8634897a2c1b30&Form=Rcf&PatId=2590.0&PatLbl=Peters+anomaly&FldLoc=&RbtLoc=Cnt&Country=+&Submit=Search&IsSubmitted=yes (list of 4 research projects in foreign countries) http://www.emedicine.com/oph/topic112.htm (emedicine peter’s anomaly) http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=search&DB=pubmed (Lots of articles that mention Peter’s anomaly at PUB MED, plug disease name into search engine) http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=PureSearch&db=pubmed&details_term=Peters%20anomaly%5Btw%5D%20OR%20Peter%27s%20anomaly%5Btw%5D (articles at Pub Med) http://libcat.uchicago.edu/ipac20/ipac.jsp?session=11G0R21578858.10869&profile=ucpublic&uri=full=3100001~!2233229~!2&ri=1&aspect=subtab13&menu=search&source=~!horizon (book? Or article? At Univ of chicago)

Q: Halo vision after Lasik Surgery?
Hi, I did my lasik laser surgery long back(nearly 5 years) and I am having a halo vision in the night. I could not drive because of this. When I was going through internet, I found Alphagan-P will reduce this Halo vision. I am worried about side effects My questions are 1) How to avoid Halos, is there is any new technology developed 2) What are all the side effects of Alphagan - P Thanks for your answers.

A: Alphagan is a glaucoma medication. The halos that medication is talking about is unrelated to yours. Alphagan lowers the pressure in your eye. If people have uncontrolled glaucoma, their eye pressure may increase dramatically and cause halos around lights (headaches and vomiting usually accompany this). Seeing halos around lights especially at night is the number one complaint of people after undergoing refractive surgery. Unfortunately you have to deal with it. You can have driving glasses made with a really good anti-reflective coating on them, but I realize this probably what you want to do, considering that is why you had the surgery to begin with, to get rid of glasses. Ironic I know.

Q: Lasik - night vision.?
Three years after Lasik I still suffer from night vision problems; halos and a bit of double vision. Does anyone know what sort of lenses would be suitable to remove this effect and if prolonged use of Alphagan has any side effects. Thanks!

A: I wouldn't expect much improvement in your symptoms through the use of lenses because your symptoms are related to the optics of your cornea. As you apparently have found, though, Alphagan can minimize these symptoms because it tends to constrict the pupil somewhat. A smaller pupil decreases the appearance of halos, etc at night. As to long term side effects, they are the same as if you were using the drug for its original intended purpose -- treating glaucoma. About the only real long term side effects would be the possibility that you could develop an allergy to the medication

Q: Having problems with seeing halos in my vision. What did your doctor cure yours with?
I've visited my eye specialist for seeing halos in my vision... The halos are easily seen when looking at street-lights and from upcoming vehicle headlamps... I've been seeing halos now for the past 2 months, and even with treatment I'm not noticing improvement. I am on two medication: 1. Alphagan 2. Omnipred My eye specialist tested me for cataract, glaucoma and other possible causes for seeing halos, but all test results were negative. When the halos come on strong, my vision become extremely blurry and sensitive --- so sensitive that they feel like they are going to blank out... I do have eye floaters, which is not correctable. But I never used to see halos in my vision. I want to hear from you. Dad

A: I have seen on the "doctors" (TV)that you should take this seriously and have a proper optician to look at the back of your eye and your brain also. The optic nerve might be damaged and a proper scan should be necessarily. It had to do with something further back in the brain...One of the doc had that but refused to see a specialist ..they are all human afterall not wanted to hear the worst..forgot how it got treated though. But definitely a scan which would go further and into the brain itself. Am sorry..am not into medicine..but that is what I remember. And I have no problem with my vision... PS: people with diabetes or onset diabetes could have this problem too..