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Angeles Vision
Clinic
The web site
has detailed information on many other eye conditions. Please feel free to
visit our Home
Page or check out other
eye conditions on our Eye
Conditions page or Glaucoma
Page.
LUMIGAN (Bimatoprost)
Directions:
Instill
one drop in the eye at bedtime, see: Proper
eye drop insertion, then lie back with your eyes lightly closed.
Using your thumb and first finger, lightly push in on your nose where the two
eye lids come together for at least three minutes. This will give you the
maximum pressure lowering effect with minimal side effects. How
Lumigan works:
Lumigan is the first of a
new class of glaucoma drugs called prostamides.
Your body produces
prostamides naturally for
many things. In the eye, one particular
prostamides has been shown
to help the fluid in the eye flow out by opening alternative drainage canals,
thus keeping the eye pressure form becoming elevated. Lumigan works similarly to
this natural prostaglandin and is believed to increase the fluid outflow through
this secondary drainage system. Lumigan, Travatan and Rescula all work similarly
and have the similar side effects shown below.
ADVERSE
REACTIONS:
In some patients, Lumigan
like Xalatan may cause a gradual change in eye color by increasing the
amount of brown pigment in the iris (the colored part of your eye).
This change may not be noticeable for several months to years. This effect
most commonly occurs in people with mixed eye color (hazel). In these
patients the brown pigment gradually spreads outward toward the outside edge
of the iris. This is not a harmful process and is not related to cancer. If
the medication is stopped reversal of eye color change does not occur.
Reported ocular side
effects include:
Reported systemic side effects: (These
reactions are not common, so if any occur please contact your eye care
provider):
Contact lens wearers should wait at least
15 minutes after instilling before inserting contact lenses.
ADVANTAGES:
Lumigan like Xalatan is our
most effective medication in lowering eye pressure and it does this with
only one drop per day. This makes it both effective and convenient. Side
effects of this medication are far fewer than most other glaucoma
medications. Lumigan, due to its different method of action will combine
nicely with most other medications giving an additive effect. Lumigan
does not have to be refrigerated and its shelf life is far grater than
Xalatan.
Special
information if you are pregnant or breastfeeding:
The effects of Lumigan during pregnancy and
breastfeeding have not been adequately studied. If you are pregnant or plan
to become pregnant, notify your doctor immediately. It is not known whether
Lumigan makes it way into breast milk. If you are nursing and need to use
Lumigan, your eye care doctor may advise you
to discontinue breastfeeding while using the medication.
Children:
Studies on this medicine have been done
only in adult patients, and there is no specific information comparing use
of Lumigan in children with use in other age groups.
Other medicines:
Although certain medicines
should not be used together at all, in other cases two different medicines may
be used together even if an interaction might occur. In these cases, your
doctor may want to change the dose, or other precautions may be necessary.
When you are using Lumigan, it is especially important that your health
care professional know if you are taking any of the following:
- Thimerosal-containing ophthalmic
medications--A precipitation occurs (a solid settles out of the
solution) when Lumigan is applied at the same time as a thimerosal-containing
ophthalmic medicine; you should wait at least 5 minutes between
using these two types of eye drops
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Other medical
problems:
The presence of other medical
problems may affect the use of Lumigan. Make sure you tell your doctor if you
have any other medical problems, especially:
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Liver disease--Higher
blood levels of Lumigan may result, which may lead to increased side
effects
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Us
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