Clinical and pharmacological group: & nbsp

Ophthalmic products

Prostaglandins, thromboxanes, leukotrienes and their antagonists

Included in the formulation
  • Travapress
    drops d / eye 
  • Travatan®
    drops d / eye 
  • АТХ:

    S.01.E.E.04   Travoprost

    Pharmacodynamics:

    A prostaglandin receptor agonist of the FP type, which increases uveoscleral outflow. Antiglaucoma preparation.

    Pharmacokinetics:Systemic absorption. Biotransformation to inactive metabolites (oxidation, β-oxidation), and corneal esterases - to the active metabolite. The maximum plasma concentration (25 pg / ml) is 30 minutes after instillation. Elimination is rapid (not detected in the blood after 1 hour after instillation).
    Indications:

    Reduction of increased intraocular pressure with: Open-angle glaucoma, increased ophthalmotonus.

    VII.H40-H42.H40.0   Suspicion of glaucoma

    VII.H40-H42.H40.1   Primary open angle glaucoma

    Contraindications:

    Children and adolescence under 18;

    Hypersensitivity to the components of the drug.

    Carefully:

    It should be prescribed to patients who have risk factors for macular edema (aphakia, pseudofakia, damage to the posterior capsule of the lens), with acute iritis, uveitis.

    Pregnancy and lactation:

    Studies in humans have not been conducted. When used in rats, teratogenic action appeared.Pregnant women and women planning pregnancy do not apply! There is no information on the penetration of human milk. When breast-feeding, use with caution.

    Recommendation on FDA - Category C.

    Dosing and Administration:

    The drug is instilled in 1 drop in the conjunctival sac of the affected eye (eye) 1 time per day, preferably in the evening. More frequent use of the drug may lead to a decrease in its effectiveness.

    Side effects:

    From the side organ of vision: in 35% of cases - transient weakly expressed conjunctival hyperemia, passing alone; in 5-10% of cases - reduced visual acuity, a feeling of discomfort and foreign body, pain, itching, burning sensation in the eyes; in 1-4% of cases - visual disorders, blepharitis, fog before the eyes, cataracts, conjunctivitis, dry conjunctiva, changes in color of the iris, keratitis, crust formation on the edges of the eyelids, photophobia, subconjunctival hemorrhages and increased lacrimation.

    From the side of cardio-vascular system: in 1-5% of cases - increased or decreased blood pressure, bradycardia, angina pectoris, chest pain, hypercholesterolemia.

    From the side CNS: in 1-5% of cases - general anxiety, headache, depression.

    From the side urinary system: in 1-5% of cases - urinary incontinence and urinary system infection.

    From the side musculoskeletal system: in 1-5% of cases - arthritis, back pain.

    Other: in 1-5% of cases - flu-like syndrome, sinusitis, bronchitis, dyspepsia.

    Overdose:Symptoms: irritation of the mucous membrane of the eye, hyperemia of the conjunctiva or episclera.

    Treatment: symptomatic therapy.

    Interaction:

    Interaction with other drugs is not currently established.

    Special instructions:

    The drug can cause a gradual change in eye color by increasing the amount of brown pigment in the iris. This effect is revealed mainly in patients with mixed iris color, for example, blue-brown, gray-brown, green-brown or yellow-brown, which is explained by the increase in melanin content in the stromal melanocytes of the iris. Typically, brown pigmentation spreads concentrically around the pupil to the periphery of the iris of the eyes, while the entire iris or parts of it can acquire a more intense brown color.

    In patients with uniformly colored eyes of blue, gray, green or brown, eye color changes after two years of use of the drug were very rare.The color change is not accompanied by any clinical symptoms or pathological changes.

    After the drug was discontinued, there was no further increase in the amount of brown pigment, but the already developed color change may be irreversible.

    Before starting treatment, patients should be informed about the possibility of changing eye color.

    Treatment of only one eye can lead to permanent heterochromia.

    In the presence of nevi or lentigo on the iris, their changes were not observed under the influence of the drug.

    The drug may cause darkening, thickening and lengthening of the eyelashes and / or an increase in their number; rarely - darkening of the skin of the eyelids.

    Travoprost can be used in combination with other antiglaucoma drugs for topical use. In this case, the interval between their use should be at least 5 minutes.

    When wearing contact lenses before instillation of the drug, the lenses should be removed and installed back no earlier than 20 minutes after the procedure.

    The bottle must be closed after each use.

    Do not touch the tip of the pipette to the eye.

    Instructions
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