adverse ocular reactions to medications Flashcards

1
Q

BETA BLOCKERS
- atenolol
-propnaolol
bisoprolol

A

used for - htn , migraines, carina arrhythmia

se- dry eye , miotic pupils, reduced top

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1
Q

corticosterioids-
prednisolone

A

used for - allergies, inflammation, auto immune disease

SE- PSC, raised iopm papilloedema m keratitis, CSR

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2
Q

statins

A

high cholesterol

dry eye

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3
Q

antiarthymic - digoxin

A

cardiac arrhythmia

se- photopisa, R-G colour defect
reduced top

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4
Q

anticoagulant
- aspirin, warfarin , rivaroxoban

A

prevention and reduction of blood clots

subconj hame
retinal harm

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5
Q

anti malarial
chloroquine
hydroxy chloroquine

A

used for malaria , RA, lupus

  • corneal deposits
    -vortex keratopathy
  • bulls eye maculopathy
    vf defect
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6
Q

anti anixety

  • diazepam
  • ## lorazepam
A

used for anxiety

SE- mydriasis , dry eye , photophobia , int blurred vision

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7
Q

anti depressant

citalopram , fluoxetine , sertraline

A

depression/anxiety /insomnia

SE mydriasis dry eye , photophobia , blepharospasm

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8
Q

anti histamine
loratadine

A

hayfever/allergy

dry eye /reduced accomodation and blurred vision , mydriasis

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9
Q

HRT pills and contraceptive

A

dry eye

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10
Q

tamoxifen

A

breast cancer
crystalline maculopthay
vortex keratopathy
optic neuritis
PSC

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11
Q

tamsulosin

A

enlarged prostate
floppy iris syndrome

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12
Q

levothyroxine

A

u/a thyroid

diplopia
ptosis
temporary paralysis of eom
hyperaemia

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13
Q

what are the 2 reporting schemes when there is and adverse drug reaction?

A
  • operated by MRHA (medicines and healthcare products regulatory agency)

1) yellow card scheme- covered systemic adverses reactions to ocular medicines and ocular reactions to systemic medications

2) the medical devices reporting form
-covers adverse incidents mainly relating to CL and care products , including CL comfort drops

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14
Q

who can report adv drug reactions?

who is the yellow card scheme rub by?

A

1) health professionals+ general public

2) the commission on human medicine (CHM) - independent advisory body

3) the medicines and healthcare products regulatory agency (MHRA)

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15
Q

what are the reporting guidelines?

A

1) all suspected ADR for news meds
( black triangle in BNF - new meds)

  • all suspected ADR for established meds
  • including unliscenced medicines - herbal remedies , and medicines used off label
  • f unsure report anyways
16
Q

what to report

A

the siddeffecxts

  • info about the ox
    name of the drug

your name+adress

17
Q

how to report

A

online

or complete paper yellow card form to post
- yellow cards in back pages of bnf

18
Q

what advice must be given to px if experiencing adv reaction

A
  • tell px to go to A+E if cannot return here sooner
  • tell px what adverse reaction can occur

-inform gp ofd any suspected adv reaction

-do not tell px to stop using meds