Holló Gábor, Vuorinen Jouni, Tuominen Juhani, Huttunen Teppo, Ropo Auli, Pfeiffer Norbert
Department of Ophthalmology, Semmelweis University, Budapest, Hungary,
Adv Ther. 2014 Sep;31(9):932-44. doi: 10.1007/s12325-014-0151-7. Epub 2014 Sep 12.
A new preservative-free fixed-dose combination of 0.0015% tafluprost, a prostaglandin F2α analog, and 0.5% timolol (TAF/TIM; Santen Oy, Tampere, Finland), a beta-adrenergic antagonist has recently been developed. The intraocular pressure (IOP) reduction with TAF/TIM in open-angle glaucoma and ocular hypertension is similar to that of other prostaglandin-timolol fixed-combination products. Patients with high IOP responded well to TAF/TIM with reductions of up to 40% (>13 mmHg) and beyond. Compared to previous controlled and double-masked clinical trials with DuoTrav(®) (Alcon, Fort Worth, USA) and Ganfort(®) (Allergan, Irvine, USA), TAF/TIM caused less superficial ocular side effects and less conjunctival hyperemia. Plausible explanations for the differences in side effects between the fixed-combination products are discussed.
一种新的不含防腐剂的固定剂量复方制剂,即0.0015%他氟前列素(一种前列腺素F2α类似物)与0.5%噻吗洛尔(TAF/TIM;参天制药公司,芬兰坦佩雷)(一种β-肾上腺素能拮抗剂),最近已被研发出来。在开角型青光眼和高眼压症患者中,TAF/TIM降低眼压的效果与其他前列腺素-噻吗洛尔固定复方制剂相似。眼压高的患者对TAF/TIM反应良好,眼压降低幅度可达40%以上(>13 mmHg)。与之前使用DuoTrav(爱尔康公司,美国沃思堡)和Ganfort(艾尔建公司,美国尔湾)进行的对照双盲临床试验相比,TAF/TIM引起的眼部浅表副作用和结膜充血较少。文中讨论了固定复方制剂之间副作用差异的合理原因。