Drugs of Ophthalmology

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Donald S.

Fong

Simon K. Law

Ursula Schmidt-Erfurth

Editors

Drugs in Ophthalmology
Donald S. Fong
Simon K. Law
Ursula Schmidt-Erfurth

Editors

Drugs in
Ophthalmology

13
Donald S. Fong, MD, MPH Ursula Schmidt-Erfurth, MD
Director Professor and Chair
Clinical Trials Department of Ophthalmology
Department of Research and Evaluation Medical University of Vienna
Kaiser Permanente Southern California Währinger Gürtel 18–20
100 S. Los Robles A-1090 Vienna, Austria
Pasadena
CA 91101, USA

Simon K. Law, MD, PharmD


Jules Stein Eye Institute
100 Stein Plaza 2-235
Los Angeles
CA 90095, USA

ISBN-10 3-540-23435-7 Springer-Verlag Berlin Heidelberg New York


ISBN-13 978-3-540-23435-7 Springer-Verlag Berlin Heidelberg New York

Library of Congress Control Number: 2005933261

This work is subject to copyright. All rights are reserved, whether the whole or part of the
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the German Copyright Law.

Springer is a part of Springer Science+Business Media


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© Springer-Verlag Berlin Heidelberg 2006
Printed in Germany

The use of general descriptive names, registered names, trademarks, etc. in this publication
does not imply, even in the absence of a specific statement, that such names are exempt from
the relevant protective laws and regulations and therefore free for general use.

Product liability: the publishers cannot guarantee the accuracy of any information about
dosage and application contained in this book. In every individual case the user must check
such information by consulting the relevant literature.

Editor: Marion Philipp, Heidelberg, Germany


Desk Editor: Martina Himberger, Heidelberg, Germany
Production: ProEdit GmbH, Heidelberg, Germany
Cover: Frido Steinen-Broo, EStudio Calamar, Spain
Typesetting: Stürtz GmbH, Würzburg, Germany

Printed on acid-free paper 24/3151 Re 5 4 3 2 1 0


Disclaimer
The nature of drug information is that it is constantly changing because of continu-
ing research and clinical experience and is often subject to ongoing evaluation. While
significant care has been taken to ensure the accuracy of the information, the reader
is advised that the authors, editors, reviewers, contributors, and publishers cannot be
responsible for the continued currency of the information, for any errors or omissions in
this book, or for any consequences arising therefrom. Because of the changing nature
of drug information, readers are advised that decisions regarding drug therapy must
be based on the independent judgment of the ophthalmologist, changing information
(literature and manufacturer‘s information), and changing medical practice.
List of Contributors
Amani A. Fawzi, MD
University of Southern California
Keck School of Medicine
Doheny Eye Institute
San Pablo Street 1450
Los Angeles
CA 90033, USA

Donald S. Fong, MD, MPH


Director
Clinical Trials
Department of Research and Evaluation
Kaiser Permanente Southern California
100 S. Los Robles
Pasadena
CA 91101, USA

Simon K. Law, MD, PharmD


Jules Stein Eye Institute
100 Stein Plaza 2-235
Los Angeles
CA 90095, USA

Rike Michels
Department of Ophthalmology
Medical University of Vienna
Währinger Gürtel 18–20
A-1090 Vienna, Austria

Ursula Schmidt-Erfurth, MD
Professor and Chair
Department of Ophthalmology
Medical University of Vienna
Währinger Gürtel 18–20
A-1090 Vienna, Austria

Hasan Syed, MD, Stanford University


Medical Center
General Surgery
Welch Road 1170
Palo Alto
CA 94304, USA
Table of Contents
I Alphabetical Listing of Drugs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

II Dosage Summary for Anti-infectives . . . . . . . . . . . . . . . . . . . . . . . . . . . 221


Introduction
This drug handbook is divided into two sections:

Alphabetical Listing of Drugs


Entries in this section are listed by generic name. Information for each drug is arranged
in a consistent format for easy reference. If one or more of the following categories is not
applicable to a certain drug, it will not be listed. If Pregnancy Category is not listed for an
individual drug, then it is either listed under the first drug in a group of drugs, or safety
and efficacy in pregnancy have not been established.

Summary of Anti-infectives
This section summarizes the common doses of antibiotics, antifungals, and antivirals.
For each drug, the dose for each route of administration is included.
Generic name

Brand names Common trade names

Class of drug Therapeutic class

Indications Common uses of the drug

Dosage form Common forms of the drug

Dose The amount of drug to be given or taken during therapy.


The dosage is to be taken as a guideline and does not
preclude other dosage regimens

Contraindications Information pertaining to inappropriate use of the drug

Warnings Hazardous conditions related to use of the drug and disease


states or patient populations in which the drug should be
used cautiously

Adverse reactions Considerations to be taken into account

Pregnancy category FDA categories that indicate the potential for causing birth
defects
Controlled studies in pregnant women have failed to
A demonstrate a risk to the fetus in the first trimester with no
evidence of risk in later trimesters. The possibility of fetal
harm appears remote
Either animal-reproduction studies have not demonstrated
B a fetal risk but there are no controlled studies in pregnant
women, or animal-reproduction studies have shown an
adverse effect that was not confirmed in controlled studies
in women in the first trimester and there was no evidence
of a risk in later trimesters
Either studies in animals have revealed adverse effects on the
C fetus (teratogenic, embryocidal effects, or other) and there
are no controlled studies in women, or studies in women and
animals are not available. Drugs should be given only if the
potential benefits justify the potential risk to the fetus
There is positive evidence of human fetal risk, but the
D benefits from use in pregnant women may be acceptable
despite the risk (e.g., if the drug is needed in a life-threate-
ning situation or for a serious disease for which safer drugs
cannot be used or are ineffective)
6
Generic name

X Studies in animals or humans have demonstrated fetal


abnormalities or there is evidence of fetal risk based on
human experience, or both, and the risk of the use of the
drug in pregnant women clearly outweighs any possible
benefit. The drug is contraindicated in women who are or
may become pregnant

Drug interactions Only clinically important interactions are listed

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