Sihota R, Agarwal H C, Rajashekar Y L
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, A.I.I.M.S. New Dehi.
Indian J Ophthalmol. 1996 Jun;44(2):87-9.
All the presently available antiglaucoma medications have either local or systemic adverse effects. Combinations of drugs are being used not only to increase the effectivity and compliance but also to decrease the incidence and magnitude of side effects. The single dose response of open angle glaucoma eyes to pilocarpine 1%, clonidine 0.125%, a combination of pilocarpine 1% and clonidine 0.125%, and timolol 0.5% was studied in a double blind, masked, cross over study. Over a period of twelve hours the effectivity of the combination of pilocarpine 1% and clonidine 0.125% was significantly more than that of either drug alone and was found to be similar to that of timolol 0.5%. No local or systemic adverse effects were seen.
目前所有可用的抗青光眼药物都有局部或全身不良反应。联合用药不仅用于提高疗效和依从性,还用于降低副作用的发生率和严重程度。在一项双盲、遮蔽、交叉研究中,对开角型青光眼患者单剂量使用1%毛果芸香碱、0.125%可乐定、1%毛果芸香碱与0.125%可乐定的组合以及0.5%噻吗洛尔的反应进行了研究。在12小时内,1%毛果芸香碱与0.125%可乐定组合的疗效明显高于单独使用任何一种药物,且与0.5%噻吗洛尔的疗效相似。未观察到局部或全身不良反应。