Ophthalmic Medication Guideline (PP)

1. Antibiotics

Chloramphenical

drop

ChlorOph# *

q 2-3 hrs

Irritation

0.5%

Silmycetin

qid

bacterial infection
conjunctivitis

hs.
qid

prophylactic
Contact time

q 1-2 hr.

bacterial

Tifo
ointment

Kemicetine*

1%
ChlorOph #
Ciprofloxacin HCI

drop0.3% Ciloxan *

qid

conjunctivitis

Keratitis

Staphylococcus sp.
Pseudomonas
aeruginosa

Lomefloxacin HCI

drop

Okacin

Bid

Levofloxacin

drop

Cravit #

tid-qid

Gatifloxacin

Drop

Zymar

qid

Moxifloxacin

Drop

Vigamox #

qid

preservative

Fusidic acid

Viscous

Fucithalmic # *

Bid

Eye-drop

Ointment Terramycin # *

hs., qid

Staphylococci,

Streptococci
Irritate

q 1-2 hr

trachoma

conjunctivitis,
blepharitis
severe infection

Oxytetracycline
+ Polymyxin B
Gentamicin

drop
0.3%

ointment
0.3%

Garamycin*
Genta-oph #

Garamycin*

qid

hs.

bacteria

ulcer esp.
corneal
Pseudomonas
concentration

Gentamicin
14
mg/ml

blepharitis

Neomycin +

drop

Polymyxin B +
Gramicidin

- Xanalin* #
- PolyOph*
- Neosporin

q 1-2 hr.
qid

spectrum
conjunctivitis

ocular infection
trachoma
irritate

- Spersapolymyxin ( gramicidin)
Sulfacetamide

drop

Bleph 10,30

q 1-2 hr.
qid

Sulfacetamide +

drop

Spersacet C

q 1-2 hr.
qid

drop

Tobrex# *

qid

0.3%
ointment

Tobramycin #

q 1-2 hr.
bid hs

Chloramphenicol
Tobramycin

severe infection

corneal
ulcer
Gram +
Gram - infection

0.3%

2. Steroid

Prednisolone

Fluorometholone

drop

Pred forte # *

1%

Infoph*

drop

FML# *

0.1%

Flucon*
Efemoline #
Flarex
gFluOph

20 01 2558 PP

q 1-2 hr.
qid

severe ocular
inflammation
severe uveitisesp.
severe

severity

post
op.
inflammation

qid

ocular inflammation,
allergy

steroid- induced glaucoma

Prednisolone+
Antibiotic
Dexamethasone+
Antibiotic

drop
0.5%
drop
0.1%

Prednisil
Dexoph # *
Tobradex #*

q 1-2 hr.
qid
+neomycin
+tobra

ocular
allergy

2
inflammation

infection

glaucoma

Dexasil*

ointment

CD Oph #
Spersadexoline *
Sofradex # (eye ear)

+chloram
+chloram
+soframycin

Sofradex*

hs.

Maxitrol#*

+polymyxin,neomycin

Tobradex

+tobramycin

3. Vasoconstrictor, Astringent

Phenylephrine +
drop
Zincfrin
ZnSO4
Naphazoline +
Zinc SO4

4. Antihistamine

Antazoline +
Tetrahydrozoline

drop

drop

+soframycin

qid
prn.

irritation
,

Oculosan*

Spersallerg *

qid

Allergic conjunctivitis

Histaoph# *

prn.

bid

Allergic
Conjunctivitis

Opsil-A*
Naphazoline+

drop

Naphcon- A*

drop

Emadine

Pheniramine
maleate
Emedastine
difumarate

20 01 2558 PP

5. Lubricant (Artificial Tear)

Methylcellulose

drop

Isoptotear

qid

Carboxymethylcellulose

Cellufresh MD #

prn

Polyvinyl

Lac-Oph*

alcohol

Liquifilm tear

dry eye

Protagent
Opsil tear
Tear naturale II *
Hypotears Plus

Polyvidone,BAC
White Petrolatum

Eye

Liquid Lanolin

ointment

Carbomer

Eye gel

Sorbitol

Duratears # *

prn

Vidisic # *

3-4

LacryVisc

Preservative free

Dextran+
Hydroxypropyl

Monodose Tear naturale Free*

qid

Methycellulose

Eye drop

prn

Hydroxypropyl
methylcellulose

Genteal ED
Genteal gel #

Disappearing preservative
(sodium perborate)

Natear #

qid

Disappearing preservative
(sodium perborate)

Sodium hyaluronate Drop

Hialid #

Qid

preservative

Sodium hyaluronate drop

Vislube # *

3-4 dry eye

prn
Preservative free

Hypromellose

drop

20 01 2558 PP

6. Topical anesthetics

Tetracaine

drop

Tetracaine # *

Oxybuprocaine

drop

Novesin

Proparacaine
HCI 0.5%

drop

Ophthetic *

HCI 0.5%

q 5 min.
2-4

remove FB.
ocular
surgery (long acting)

1 IOP, corneal scraping,

remove FBshort acting

7. Mydriatics-Cycloplegics
( group (shallow anterior chamber)
acute glaucoma)

Tropicamide

drop
1%

Mydriacyl # *

2-3
5

20

Homatropine

drop
1-2%

Homatropine

5
2-3

Cyclopentolate

drop 1 % Cyclogyl # *

Atropine

drop

Atropine # *

0.5%, 1%
#

,

4-6
.
uveitis
23-24

OD, bid

severe uveitis, break

qid

synechia

10-14

cycloplegic effect

Phenylephrine

drop

Phenylephrine # *

2-3

HCI

10%

Neosynephrine

20 01 2558 PP

8. Antiglaucoma

Pilocarpine

drop
2,4%

PV carpine
Isoptocarpine # *

qid

induced myopia

Spersacarpine
Timolol

drop

Timosil*
Timodrop#

bid

asthma
heart disease

0.25-0.5% Glauco Oph #

Timoptol #
1%,2%
drop
Timolol + Carbomer drop
0.25%
gel
Betaxolol
0.5%
Carteolol

0.25%
Brimonidine

Arteoptic#

bid

Nyolol
Nyolol gel

bid 1

Betoptic

bid

Betoptic-S*

Brimonidine +
timolol

asthma

tid

relatively selective
alpha-2
adrenergic agonist

Combigan #

bid

drop 0.2% Alphgan*

0.15%

intrinsic
sympathomimetic activity

Alphagan-P # (ED)

Unoprostone
isopropyl

0.12%

Rescula

bid

prostamide

Travoprost

Travatan # *

Bimatoprost

0.004 %
drop
0.03%

Lumigan # (ED)

(1

Latanoprost

drop
drop

Xalatan #

Tafluprost
T

20 01 2558 PP

()
Taflotan#

Latanoprost +

drop

Timolol

Xalacom#

()

()

Travoprost + timolol Drop

Duotrav

OD

Bimatoprost+ timolol Drop

Ganfort #

OD

Dorzolamide HCI

drop 2 % Trusopt

tid

Brinzolamide

drop 1%

bid

Azopt # * (ED)

Dorzolamide+
Timolol

drop

Cosopt#

bid

Brinzolamide +
timolol
Acetazolamide

drop

Azagar

bid

tab

Diamox #*

1/2-1 tab

(250 mg)

qid

*
Sulfonamide

acetazolamide

Methazolamide

tab (50mg) Neptazane

Glycerine

Oral

Glycerine # *

1 cc/kg

Glycerol

liquid

Glycerol

acute glaucoma

100%

1 tab tid

6
Mannitol

IV
solution
20%, 25%

20 01 2558 PP

Mannitol # *

1 gm/kg
IV drip
30

acute glaucoma

, hypertension,

Heart disease,

9. Antiviral

IDU

drop 0.1% Herpidu

5 times/

Herplex

day

oint .5%
ointment
3%

Herpidu-C
Ara-A

5 times/

Trifluridine

drop 1%

Triherpine

9 times/day

Acyclovir

Eye oint

Zovirax # *

5 times/

Vidarabine

Amphotericin B
50 mg/vial

herpes simplex
keratitis

day

3%

10. Antifungal

day

Herpes Simplex

Herpes Zoster

Fungizone# *

drop

q 1 hr.

fungal corneal
ulcer
(eye drop 3 mg/ml.

IV drip

distilled water
5% D/W
17
ml.)
Candida

Ketoconazole

Natamycin

200 Nizoral # *
Mg

broad spectrum
fungal
corneal ulcer

2 %

Artificial
2%tear
Suspension

5%
Suspension
drop

20 01 2558 PP

Natacyn ED*

q 1 hr.

q 1 hr.

Fusarium
*

NX

11. NSAID (Topical)

Diclofenac Na.

drop

Voltaren # *

1 qid

1 q
1/2 hr.x 4

antimiosis

Indomethacin
Flurbiprofen Na.

drop
0.10%
drop

Indocollyre
Ocufen

Ketorolac
tromethamine

0.03%
drop 0.5% Acular

1
qid

Nepafenac

0.1% susp Nevanac #

qid

vitreous retina

12. Mast Cell Stabilizer

Lodoxamide

drop

Alomide # *

1 qid

vernal

Opticrom

1 qid

keratoconjunctivitis,
papillary conjunctivitisgiant

0.1 %
Na Cromoglycate

drop
2%,4%

Vividrin *

20 01 2558 PP

10

Olopatadine HCI

drop 0.1% Patanol# : Dual action 1 bid

(antihist H1+mast cell
stabilizer)

Nedocromil sodium Drop 2%

Ketotifen fumarate
Pemirolast

drop
0.025%
Drop

1 bid
Zaditen #

1 bid

Pemirox #

Bid

..
1. #; *

20 01 2558 PP