Duotrav of eye drops: manual, price, reviews, analogs
Duotrav is a combined tool designed for use topically at elevated pressure inside the eye.
Due to the presence in a preparation of components such as timolol and travoprost that complement each other, is reduced, increased pressure within the eye. Travoprost is analogous prostaglandin F2-alpha and helps reduce pressure inside the eye due to the fact that improves outflow watery moisture, and its production is almost not affected.
Timolol is a nonselective blocker of β-receptors, which do not have a depressive effect on the myocardium. This substance also reduces the production of aqueous humor and improve drainage. The absorption of both substances is carried out through the cornea. Means into the bloodstream, can cause systemic side effects.
Pressure inside the eye is reduced 2 hours after the treatment, and the maximum effect possible 12 hours later. Reduced pressure is maintained for 24 hours.
The composition and form of issue
Available in drops for the eyes, which are represented by transparent (or yellowish) and a sterile solution. The main active ingredients are travoprost and timolol. Auxiliary – benzalkonium chloride, boric acid, disodium edetate, glycerylmonostearate macrogol, mannitol, trometamol, water. Drops are in a bottle whose volume is 2.5 ml.
Indications for use
Used Duotrav in order to reduce the pressure inside the eye, and for the treatment of open-angle glaucoma. Assign it can only specialist that establishes the correct diagnosis eye disease and determines the appropriate treatment. To apply the remedy should at the recommended dosage.
Method of application
The solution is instilled in the eye 1 drop per day. This is done either in the morning or in the evening. If Duotrav is designated as replacing other drops for the eyes, then using it to start the next day. In any case do not exceed the daily dose. When sharing Duotrav with other drugs for the eye, buried it in 15 minutes after applying the previous means.
You need to make pressing on the nasolacrimal duct or to cover the eyelids after instillation to reduce systemic absorption of components of the droplets and to reduce the risk of side effects.
Contraindications to use are:
- the patient’s age up to 18 years;
- hypersensitivity to drops;
- bronchial asthma;
- allergic rhinitis severe;
- obstructive pulmonary disease in a heavy form;
- heart failure in the chronic form;
- sinus bradycardia;
- pregnancy and breast-feeding period;
- dystrophy of the cornea.
The drug can be used with particular caution by patients:
- with narrow and angle-closure, neovascular, congenital, pseudoexfoliation glaucoma;
- with inflammatory diseases of the organ of vision;
- with aphakia or pseudophakia, which ruptured the back of the lens;
- with uveitis;
- with irit;
- with the likelihood of developing macular edema.
When backfilling Duotrav may cause side effects, local and system-wide. Local can often be accompanied by:
- the appearance of uncomfortable sensations in the body;
- redness and swelling of the eye;
- increased secretion of tears;
- fear of the light;
- the blurred vision;
- a decrease in visual acuity.
- growth and thickening of eyelashes;
It is also possible to corneal disorders, conjunctivitis, iritis, keratitis, meibomianitis, formation of crusts on the edge of the eyelids, the appearance of ptosis of the eyelids and macular oedema.
System-wide may often occur:
- increase in blood pressure;
- allergic manifestations;
- pain in the head;
- pain in the joints;
- the color change around the eyes.
Also sometimes you may receive such common side effects:
- shortness of breath;
- increased heartbeat;
- abnormal hair growth;
- chest pain;
- secretions from the nasopharynx;
- heart failure.
When exceeding the recommended dose may develop hypotension, bradycardia, heart failure and bronchospasm. Treatment of overdose is symptomatic. When you use the drops in dosage is exceeded need to wash the eyes with warm water in large quantity.
Interaction with other drugs
You can use Duotrav with other droplets to the eye, lowering intraocular pressure. In this case the drops should be used 15 minutes after the previous Zakopane. But to use simultaneously two analogue of prostaglandin, or two β-adrenoblocker is strictly prohibited.
When using drops with anti-arrhythmic means, guanetidinom, calcium channel blockers and cardiac glycosides may increase the hypotensive effect or to develop a bradycardia that will be pronounced.
Before the procedure, instillation should remove the lenses and install them back only 15 minutes later. Using it can have a negative impact on systems such as the cardiovascular and respiratory. Therefore, the application of drops only under the supervision of a cardiologist or physician. Also drops can cause discoloration of the organ of vision, especially if therapy is subject to the one eye. The resulting color change is irreversible.
Important! The drug reduces for some time, visual acuity, therefore, immediately after its instillation in the eye can not get behind the wheel of a car or to operate mechanisms which require attention.
Natalia, 47 years
«Impaired vision associated with increased intraocular pressure require special attention. It is as constant medication and regular examination. I have tried many drops and after applying Duotrav can say that they are analogous to many of them. In principle, the part of it similar to the majority of such preparations and expected therapeutic effect is the same. Much better I after applying not have noticed, but deterioration either, and that is important too. Note that using these drops it is necessary to limit the TSA, and here is me really really not happy, Yes the lenses are removed for a long time is not very convenient. In principle, can not say anything bad, but also enthusiastic to Express also can’t.»
March, age 45
«I have increased intraocular pressure. Went on reception to the doctor, he prescribed drops of Duotrav. The result after applying there — for the better. Only they are not cheap.»
Similar to this tool are:
- Drops fotil;
Replace drops Duotrav on a similar medicine may only ophthalmologist. Doing it yourself is not recommended.
The cost drops in Russian pharmacies is from 700 to 790 rubles.