LEIK REVIEW
Medications with Adverse Effects on the Eyes/Vision An office eye exam &/or optometric/ophthalmologist exam is recommended for some drugs w/adverse ocular effects. If your pt on these drugs c/o of new problems w/their eyes, refer to an ophthalmologist.Bisphosphonates (alendronate/Fosamax, risendronate/Actonel, ibandronate/Boniva, etc.): Can cause orbital inflammation (uveitis, scleritis)
Minocycline: increased ICP and papilledema
Cyclosporine and Tacrolimus: posterior reversible encephalopathy syndrome; bilateral vision loss.Hydroxychloroquine (Plaquenil): retinal toxin, higher risk if pt has kidney disease
Ethambutol: optic nerve toxin
Topiramate (Topamax): angle-closure glaucoma
Tamsulosin (Flomax): intraoperative floppy iris syndrome
Erectile dysfunction drugs (sildenafil/Viagra, tadalafil/Cialis): blue vision & ischemic optic neuropathy Calcium-channel blockers & Diuretics have been linked to progression of glaucoma.Black bitter licorice: visual SE ie: scotomas (blind spots), migraine headaches Diaphragms = will prevent pregnancy 87% to 95%.A diaphragm is a rubber cup that fits the cervix. It must be filled w/a teaspoon of contraceptive gel, then inserted by the pt inside her vagina.It needs to be fitted & Rx.It should be replaced q2y or after preg, wt gain, or wt loss.
Three different kinds: arching spring, coil spring, & wide seal
S3 heart sound: "normal" in later preg, children, & some young adults <35 to 40y.S3 can also be a sign of heart failure (dyspnea, cough, wheeze, rapid wt gain, edema, fatigue, exertional dyspnea).Echinacea (Purple coneflower) is an alt txt that may strengthen the immune system & help fight colds, flu, viral URIs. Take it @ 1st sign of a cold, then stop when symptoms resolve. It is NOT used daily like a vitamin. Use for several days until symptoms of the viral URI have resolved. People allergic to daisy type flowers should avoid it.
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