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Angeles Vision
Clinic
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has detailed information on many other eye conditions. Please feel free to
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eye conditions on our Eye
Conditions page or Glaucoma
Page.
Xalatan
(Latanoprost)
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 XALATAN WORKS:
XALATAN is the first of a new class of glaucoma drugs
called prostaglandins. Your body produces prostaglandins naturally for
many things. In the eye, one particular prostaglandin has been shown to
help the fluid in the eye flow out by opening alternative drainage canals,
thus keeping the eye pressure from becoming elevated. Xalatan works
similarly to this natural prostaglandin and is believed to increase the
fluid outflow through this secondary drainage system.
ADVERSE REACTIONS:
In some patients, 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.
Other reported ocular side effects include:
Reported systemic side effects were:
(These reactions are not
common, so if any occur please contact your eye care provider).
ADVANTAGES:
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. Xalatan, due to its different
method of action will combine nicely with most other medications giving an
additive effect.
Special information if
you are pregnant or breastfeeding:
The effects of Xalatan 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 Xalatan makes it way into breast milk. If you are nursing and need
to use Xalatan, 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 latanoprost 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 latanoprost, 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 latanoprost 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 latanoprost. Make sure you tell your doctor if you
have any other medical problems, especially:
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Liver
disease--Higher blood levels of latanoprost may result, which
may lead to increased side effects
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Special
information if you are pregnant or breastfeeding:
The effects of Xalatan 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 Xalatan makes it way into breast
milk. If you are nursing and need to use Xalatan, your eye
care doctor may advise you to discontinue breastfeeding while
using the medication.
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