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Thread: Glaucoma drugs in pregnant and lactating women

  1. #1
    Join Date
    Oct 2017
    Riyadh, Saudi Arabia
    (Consultant Ophthalmologist at MALAZ MEDICAL GROUP)


    Default Glaucoma drugs in pregnant and lactating women

     Glaucoma drugs in pregnant and lactating women is always debatable issue...

    On request from my dear colleague 

    summarized in the following points

    ✍️ if newly discovered with low risk or glaucoma suspect we can postpone ttt until the 2nd trimester( specially if we know that IOP usually decrease during pregnancy naturally)

    ✍️ if high risk we can start with beta blockers, alpha agonist, topical CAIs ( the lowest dose and frequency) but stop beta blockers and alpha agonist at 8th month to avoid side effects on the fetus during labor

    ✍️ ALT and SLT is also an option

    Glaucoma drugs pregnant lactating women attachment.php?attachmentid=3464&d=1513495031

    ✍️ PG absolutely contraindicated during pregnancy as it may precipitate premature uterine contractions and abortion.

    ✍️ systemic CAI contraindicated in pregnancy and lactating woman ( teratogenic and metabolic acidosis with renal failure)

    Enjoy all my dears ❤️
    Ashraf Ata Ata

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    Last edited by Reda Gomah El Garia; 12-17-2017 at 07:18 AM.

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