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拉坦前列素/噻吗洛尔固定合剂治疗青光眼。

Latanoprost/timolol fixed combination for the treatment of glaucoma.

机构信息

1st University Department of Ophthalmology, AHEPA Hospital, Glaucoma Unit, Thessaloniki, Greece.

出版信息

Expert Opin Pharmacother. 2013 Sep;14(13):1815-27. doi: 10.1517/14656566.2013.813482. Epub 2013 Jun 28.

DOI:10.1517/14656566.2013.813482
PMID:23806084
Abstract

INTRODUCTION

Glaucoma is a multifactorial optic neuropathy that can lead to progressive and irreversible loss of vision. Today there are > 60 million glaucoma patients worldwide, and this figure is rising due to aging. The aim of glaucoma therapy is to maintain the patient's visual function and quality of life by means of intraocular pressure (IOP) reduction, which currently constitutes the only evidence-based approach.

AREAS COVERED

Briefly discussed are selected, recent evidence on antiglaucoma fixed combinations. Then the efficacy and safety of the latanoprost/timolol fixed combination is comprehensively reviewed.

EXPERT OPINION

The latanoprost/timolol fixed combination can be a helpful stepwise therapeutic option in patients whose IOP is insufficiently controlled with monotherapy options. Future research is needed to better delineate the role and value of this medication in glaucoma therapy.

摘要

简介

青光眼是一种多因素的视神经病变,可导致视力进行性和不可逆转的丧失。目前全球有超过 6000 万青光眼患者,由于人口老龄化,这一数字还在不断上升。青光眼治疗的目的是通过降低眼内压(IOP)来维持患者的视觉功能和生活质量,这是目前唯一基于证据的方法。

涵盖领域

简要讨论了最近关于抗青光眼固定组合的证据。然后全面回顾了拉坦前列素/噻吗洛尔固定组合的疗效和安全性。

专家意见

对于那些仅用单药治疗方案无法有效控制眼压的患者,拉坦前列素/噻吗洛尔固定组合可能是一种有益的阶梯式治疗选择。需要进一步的研究来更好地阐明这种药物在青光眼治疗中的作用和价值。

相似文献

1
Latanoprost/timolol fixed combination for the treatment of glaucoma.拉坦前列素/噻吗洛尔固定合剂治疗青光眼。
Expert Opin Pharmacother. 2013 Sep;14(13):1815-27. doi: 10.1517/14656566.2013.813482. Epub 2013 Jun 28.
2
Switching from latanoprost to fixed-combination latanoprost-timolol: a 21-day, randomized, double-masked, active-control study in patients with glaucoma and ocular hypertension.从拉坦前列素转换为拉坦前列素-噻吗洛尔固定复方制剂:一项针对青光眼和高眼压症患者的为期21天的随机、双盲、活性对照研究。
Clin Ther. 2004 Oct;26(10):1619-29. doi: 10.1016/j.clinthera.2004.10.009.
3
Second-line therapy with dorzolamide/timolol or latanoprost/timolol fixed combination versus adding dorzolamide/timolol fixed combination to latanoprost monotherapy.使用多佐胺/噻吗洛尔或拉坦前列素/噻吗洛尔固定复方进行二线治疗与在拉坦前列素单药治疗基础上加用多佐胺/噻吗洛尔固定复方的比较。
Br J Ophthalmol. 2008 Nov;92(11):1498-502. doi: 10.1136/bjo.2008.145219. Epub 2008 Aug 14.
4
Efficacy and safety of the fixed combinations latanoprost/timolol versus dorzolamide/timolol in patients with elevated intraocular pressure.拉坦前列素/噻吗洛尔固定复方制剂与多佐胺/噻吗洛尔固定复方制剂治疗眼压升高患者的疗效和安全性比较
Ophthalmology. 2004 Feb;111(2):276-82. doi: 10.1016/j.ophtha.2003.05.019.
5
Additive intraocular pressure reduction effect of fixed combination of maleate timolol 0.5%/dorzolamide 2% (Cosopt) on monotherapy with latanoprost (Xalatan) in patients with elevated intraocular pressure: a prospective, 4-week, open-label, randomized, controlled clinical trial.马来酸噻吗洛尔 0.5%/多佐胺 2%(适利达)固定组合制剂对升高的眼压患者单药治疗的降眼压附加作用:一项前瞻性、4 周、开放标签、随机、对照临床试验。
J Glaucoma. 2010 Jun-Jul;19(5):331-5. doi: 10.1097/IJG.0b013e3181b4cab4.
6
Comparison of latanoprost and timolol in pediatric glaucoma: a phase 3, 12-week, randomized, double-masked multicenter study.拉坦前列素与噻吗洛尔治疗儿童青光眼的比较:一项 3 期、12 周、随机、双盲、多中心研究。
Ophthalmology. 2011 Oct;118(10):2014-21. doi: 10.1016/j.ophtha.2011.03.010. Epub 2011 Jun 16.
7
Fixed-combination brimonidine-timolol versus latanoprost in glaucoma and ocular hypertension: a 12-week, randomized, comparison study.固定剂量组合溴莫尼定-噻吗洛尔与拉坦前列素治疗青光眼和高眼压症:12 周随机比较研究。
Curr Med Res Opin. 2012 May;28(5):781-8. doi: 10.1185/03007995.2012.681036. Epub 2012 Apr 25.
8
Using diurnal intraocular pressure fluctuation to assess the efficacy of fixed-combination latanoprost/timolol versus latanoprost or timolol monotherapy.利用日间眼压波动评估固定联合制剂拉坦前列素/噻吗洛尔相对于拉坦前列素或噻吗洛尔单药治疗的疗效。
Br J Ophthalmol. 2010 Jan;94(1):80-4. doi: 10.1136/bjo.2009.162107. Epub 2009 Aug 18.
9
24-hour efficacy of the bimatoprost-timolol fixed combination versus latanoprost as first choice therapy in subjects with high-pressure exfoliation syndrome and glaucoma.在高眼压剥脱综合征和青光眼患者中,作为首选治疗药物,比马前列素-噻吗洛尔固定组合制剂与拉坦前列素的 24 小时疗效比较。
Br J Ophthalmol. 2013 Jul;97(7):857-61. doi: 10.1136/bjophthalmol-2012-302843. Epub 2013 May 18.
10
The combination latanoprost-timolol versus twice daily 0.50% timolol administration either associated or not with latanoprost: efficacy and tolerability in the primary open-angle glaucoma.联合应用拉坦前列素-噻吗洛尔与每日两次 0.50%噻吗洛尔滴眼治疗原发性开角型青光眼:疗效和耐受性的比较。
Eur Rev Med Pharmacol Sci. 2010 May;14(5):477-80.

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Peripheral Latanoprost Administration Lowers Intraocular Pressure in the Wistar Rat.
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Diurnal and 24-h Intraocular Pressures in Glaucoma: Monitoring Strategies and Impact on Prognosis and Treatment.青光眼的昼夜和 24 小时眼压:监测策略及其对预后和治疗的影响。
Adv Ther. 2018 Nov;35(11):1775-1804. doi: 10.1007/s12325-018-0812-z. Epub 2018 Oct 20.
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Preservative-Free Prostaglandin Analogs and Prostaglandin/Timolol Fixed Combinations in the Treatment of Glaucoma: Efficacy, Safety and Potential Advantages.无防腐剂前列腺素类似物和前列腺素/噻吗洛尔固定组合治疗青光眼:疗效、安全性和潜在优势。
Drugs. 2018 Jan;78(1):39-64. doi: 10.1007/s40265-017-0843-9.