Safety, tolerability, and efficacy of fixed combination therapy with dorzolamide hydrochloride 2% and timolol maleate 0.5% in glaucoma and ocular hypertension

Nicholas P Bell, José L Ramos, Robert M FeldmanRobert Cizik Eye Clinic, Department of Ophthalmology and Visual Science, The University of Texas Medical School at Houston, Houston, Texas 77030, USAAbstract: Glaucoma is a collection of diseases characterized by multifactorial progressiv...

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Main Authors: Nicholas P Bell, José L Ramos, Robert M Feldman
Format: Article
Language:English
Published: Dove Medical Press 2010-11-01
Series:Clinical Ophthalmology
Online Access:http://www.dovepress.com/safety-tolerability-and-efficacy-of-fixed-combination-therapy-with-dor-a5710
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author Nicholas P Bell
José L Ramos
Robert M Feldman
author_facet Nicholas P Bell
José L Ramos
Robert M Feldman
author_sort Nicholas P Bell
collection DOAJ
description Nicholas P Bell, José L Ramos, Robert M FeldmanRobert Cizik Eye Clinic, Department of Ophthalmology and Visual Science, The University of Texas Medical School at Houston, Houston, Texas 77030, USAAbstract: Glaucoma is a collection of diseases characterized by multifactorial progressive changes leading to visual field loss and optic neuropathy most frequently due to elevated intraocular pressure (IOP). The goal of treatment is the lowering of the IOP to prevent additional optic nerve damage. Treatment usually begins with topical pharmacological agents as monotherapy, progresses to combination therapy with agents from up to 4 different classes of IOP-lowering medications, and then proceeds to laser or incisional surgical modalities for refractory cases. The fixed combination therapy with the carbonic anhydrase inhibitor dorzolamide hydrochloride 2% and the beta blocker timolol maleate 0.5% is now available in a generic formulation for the treatment of patients who have not responded sufficiently to monotherapy with beta adrenergic blockers. In pre- and postmarketing clinical studies, the fixed combination dorzolamide–timolol has been shown to be safe and efficacious, and well tolerated by patients. The fixed combination dorzolamide–timolol is convenient for patients, reduces their dosing regimen with the goal of increasing their compliance, reduces the effects of “washout” when instilling multiple drops, and reduces the preservative burden by reducing the number of drops administered per day.Keywords: dorzolamide, timolol, glaucoma, ocular hypertension, elevated IOP, fixed combination therapy
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spelling doaj.art-abf43b91af4442e783570dc8230380322022-12-21T20:05:02ZengDove Medical PressClinical Ophthalmology1177-54671177-54832010-11-012010default13311346Safety, tolerability, and efficacy of fixed combination therapy with dorzolamide hydrochloride 2% and timolol maleate 0.5% in glaucoma and ocular hypertensionNicholas P BellJosé L RamosRobert M FeldmanNicholas P Bell, José L Ramos, Robert M FeldmanRobert Cizik Eye Clinic, Department of Ophthalmology and Visual Science, The University of Texas Medical School at Houston, Houston, Texas 77030, USAAbstract: Glaucoma is a collection of diseases characterized by multifactorial progressive changes leading to visual field loss and optic neuropathy most frequently due to elevated intraocular pressure (IOP). The goal of treatment is the lowering of the IOP to prevent additional optic nerve damage. Treatment usually begins with topical pharmacological agents as monotherapy, progresses to combination therapy with agents from up to 4 different classes of IOP-lowering medications, and then proceeds to laser or incisional surgical modalities for refractory cases. The fixed combination therapy with the carbonic anhydrase inhibitor dorzolamide hydrochloride 2% and the beta blocker timolol maleate 0.5% is now available in a generic formulation for the treatment of patients who have not responded sufficiently to monotherapy with beta adrenergic blockers. In pre- and postmarketing clinical studies, the fixed combination dorzolamide–timolol has been shown to be safe and efficacious, and well tolerated by patients. The fixed combination dorzolamide–timolol is convenient for patients, reduces their dosing regimen with the goal of increasing their compliance, reduces the effects of “washout” when instilling multiple drops, and reduces the preservative burden by reducing the number of drops administered per day.Keywords: dorzolamide, timolol, glaucoma, ocular hypertension, elevated IOP, fixed combination therapyhttp://www.dovepress.com/safety-tolerability-and-efficacy-of-fixed-combination-therapy-with-dor-a5710
spellingShingle Nicholas P Bell
José L Ramos
Robert M Feldman
Safety, tolerability, and efficacy of fixed combination therapy with dorzolamide hydrochloride 2% and timolol maleate 0.5% in glaucoma and ocular hypertension
Clinical Ophthalmology
title Safety, tolerability, and efficacy of fixed combination therapy with dorzolamide hydrochloride 2% and timolol maleate 0.5% in glaucoma and ocular hypertension
title_full Safety, tolerability, and efficacy of fixed combination therapy with dorzolamide hydrochloride 2% and timolol maleate 0.5% in glaucoma and ocular hypertension
title_fullStr Safety, tolerability, and efficacy of fixed combination therapy with dorzolamide hydrochloride 2% and timolol maleate 0.5% in glaucoma and ocular hypertension
title_full_unstemmed Safety, tolerability, and efficacy of fixed combination therapy with dorzolamide hydrochloride 2% and timolol maleate 0.5% in glaucoma and ocular hypertension
title_short Safety, tolerability, and efficacy of fixed combination therapy with dorzolamide hydrochloride 2% and timolol maleate 0.5% in glaucoma and ocular hypertension
title_sort safety tolerability and efficacy of fixed combination therapy with dorzolamide hydrochloride 2 and timolol maleate 0 5 in glaucoma and ocular hypertension
url http://www.dovepress.com/safety-tolerability-and-efficacy-of-fixed-combination-therapy-with-dor-a5710
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