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. 2018 May 17;176(8):1051–1058. doi: 10.1111/bph.14327

Table 1.

Current drug classes used for treating glaucoma/ocular hypertension

Pharmacological class Drug examples Mechanism of action Comments
α‐adrenoceptor agonist Adrenaline, apraclonidine, brimonidine AQH Inflow suppression and increase uveoscleral outflow Adrenaline used historically; brimonidine widely used today
β‐adrenoceptor antagonists (β blockers) Timolol, betaxolol, levobunolol AQH Inflow suppression Widely used; can induce bradycardia; contra‐indicated in asthmatics
Carbonic anhydrase inhibitors Dorzolamide, brinzolamide AQH Inflow suppression Systemic acetazolamide and methazolamide used historically, currently used for acute IOP control instead of chronic therapy
ACh muscarinic receptor agonists Pilocarpine, carbachol Increase conventional outflow of AQH The oldest medical therapy for glaucoma, use limited by four times a day dosing and ocular side effects
PG analogues Latanoprost, travoprost, bimatoprost, tafluprost Increase uveoscleral, and also conventional, outflow of AQH The most widely used, most potent, and most efficacious drug class, additionally enabling once‐a‐day dosing