Τόμος 15 (2001) – Τεύχος 2 – Άρθρο 4 – Επιθεώρηση Κλινικής Φαρμακολογίας και Φαρμακοκινητικής-Διεθνής Έκδοση – Volume 15 (2001) – Issue 2 – Article 4 – Epitheorese Klinikes Farmakologias και Farmakokinetikes-International Edition

Title Comparative cross over study of the effect of Latanoprost 0.005% eye drops and Timolol 0.5% eye drops in the intraocular pressure of patients suffering from primary open angle glaucoma: their effect on the respiratory system of patients with mild or moderate bronchial asthma
Authors Panagiotis Bournas¹, Dimitrios Kanellas¹, Thrassivoulos Dimopoulos¹, Emmanouel Vaikoussis¹ and Haris Karageorgiou²

1.       Glaucoma Dept, Eye Clinic, General Hospital of Nikaia, Piraeus, Greece

2.      Pharmacology Department, Medical School, Athens University, Athens, Greece

Citation Bournas, P., Kanellas, D., Dimopoulos, T., Vaikoussis, E., Karageorgiou, H.: Comparative cross over study of the effect of Latanoprost 0.005% eye drops and Timolol 0.5% eye drops in the intraocular pressure of patients suffering from primary open angle glaucoma: their effect on the respiratory system of patients with mild or moderate bronchial asthma, Epitheorese Klin. Farmakol. Farmakokinet. 15(2): 97-103 (2001)
Publication Date Received for publication: 15 March 2001

Accepted for publication: 30 April 2001

Full Text Language English
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Keywords Latanoprost, timolol, intraocular pressure, human, glaucoma, bronchial asthma.
Other Terms review article
Summary The aim of this study is to investigate the effects of Latanoprost (L), Timolol (T) and their combination (L+T) in primary open angle glaucoma (POAG), and their possible effect, on the respiratory system of patients with mild or moderate asthma. Twenty seven patients were treated with (L) 0.005% for 3 months and, after a washout period, they were treated with (T) 0.5% for another 3 months (GROUP 1). Twenty six patients were treated with (T) 0.5% for 3 months and, after a washout period, (T) was replaced by (L) for 3 months as well (GROUP 2). Both groups were treated with the combination of (L+T) for 3 months. (L) reduced intraocular pressure (IOP) in either group by 8 mm Hg. (T) reduced the IOP by 6 mm Hg. (L+T) reduced the IOP by 9.5 mm Hg. (L) was more effective than (T) (P< 0.01) in either group 1 or 2. (L+T) was more effective than either drug alone reducing the IOP (P< 0.01). In order to examine the effects of these two medications in patients with mild or moderate bronchial asthma, when given topically in eye drops, 15 patients were studied (GROUP 3). No one was suffering from POAG. The FVC, FEV1, FEV1%, FEF50, FEF75, FEF25-75 values were measured. Then saline eye drops as placebo, were instillated and the above values were measured 15, 60 and 120 min. Later the same procedure was repeated for (L), (T) and (L+T) with a washout period of two weeks in between. It is concluded that (L) is rather safe for the treatment of POAG in patients with mild or moderate bronchial asthma because no respiratory changes were observed after each administration. Only topic effects as conjunctival hyperemia, smarting and iridal pigmentation were observed. Timolol, as it was expected, caused statistically significant reduction of the FVC, FEV1, FEV1%, FEF50, FEF75 and FEF25-75 values or indices.
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