Table 2.
FDA approved topical eye drops for the treatment of glaucoma. The information was obtained from product information and related websites*.
| Classification | Recommended Dose (1 Drop, gtt) | Brand Name | Manufacturer |
|---|---|---|---|
| Alpha-2 adrenergic agonists e.g. apraclondine (for short-term use) and brimonidine tartrate | t.i.d. t.i.d. b.i.d. t.i.d. |
Iopidine Alphagan, Alphagan-P Qoliana |
Alcon Allergan Allergan Alcon |
| Alpha- and beta- adrenergic agonists (sympathomimetic agents); e.g., epinephrine, dipivalyl epinephrine | b.i.d. (q.d. or b.i.d.varies between patients) b.i.d. |
Eppy/N, Glaucon, Epifrin, Epinal Propine |
----- Canadian brands Allergan |
| Beta-blockers; e.g., bextaxolol is a beta-1 blocker while carteolol, levobunolol, metipranolol, and timolol are mixed beta-1 and beta-2 blockers | 1 or 2 drops b.i.d. q.d. or b.i.d. 1 or 2 drops q.d. b.i.d. 1 or 2 drops b.i.d. q.d. or b.i.d. b.i.d. b.i.d. q.d. or b.i.d. q.d. or b.i.d. 1 or 2 drops q.d. |
Betoptic, Betoptic S Betimol Betagan Carteolol HCl Kerlone Istalol Ocupress OptiPranolol Timoptic Timoptic XE Vistagan |
Alcon Vistakon Pharm. Allergan Sandoz Inc. Merck ISTA pharm. Cadila Pharm. Bausch & Lomb Bausch & Lomb Merck Allergan |
| Carbonic anhydrase inhibitors**; e.g., acetazolamide, brinzolamide, and dorzolamide | t.i.d. t.i.d. |
Azopt Trusopt |
Alcon Merck |
| Cholinergic/parasympatho mimetic agents | Up to q.i.d. Up to q.i.d. Up to q.i.d. q.d. or b.i.d. 1 or 2 drops t.i.d. 1 or 2 drops b.i.d. or 1 or 2 drops b.i.w. |
Pilocarpine Isopto Carpine Isopto Atropine Phospholine Iodide Carbachol Echothiophate Demecarium (dc) |
Alcon/Sandoz Inc. Alcon Alcon Wyeth Pharm Alcon Wyeth Pharm. Merck |
| Prostaglandin analogs; e.g., bimatoprost, latanoprost, tafluprost, and travoprost | q.d. q.d. b.i.d. q.d. q.d. q.d. |
Travatan Z Lumigan Rescula (dc) Xalatan Vyzulta Zioptan |
Novartis Allergan Novartis Pfizer Bausch & Lomb Merck (Akorn Pharm.) |
| Rho kinase inhibitor; e.g., netarsudil | q.d. | Rhopressa | Aerie Pharm. |
| Prostaglandin and nitric oxide producer; e.g., latanoprstene bunod | q.d. | Vyzulta | Bausch + Lomb |
| Combination glaucoma drugs; e.g., brimonidine and timolol, dorzolamide and timolol, brinzolamide and brimonidine, netarsudil and latanoprost | b.i.d. b.i.d. t.i.d. q.d. |
Combigan Cosopt Simbrinza Rocklatan |
Allergan Akorn/Merck Alcon Aerie Pharm. |
Recommended dosage information obtained from; www.accessdata.fda.gov, www.webmd.com/eye-health/which-medicines-treat-glaucoma#1, http://www.drugs.com/dosage/, http://www.goodrx.com, http://www.news-medical.net, and http://www.rxlist.com/. Abbreviations; b.i.d - twice a day, b.i.w - twice a week, dc - discontinued, q.d.- once a day, q.i.d -four times a day, and t.i.d.- three times a day.
Acetazolamide (Diamox) and methazolamide (Neptazane) are two orally dosed carbonic anhydrase inhibitors for reducing intraocular pressure.