Many generics are not nearly as good as the brand names. For instance brominidine is not nearly as good as the glaucoma drop Alphagan-P but there are many that work as good as brand names. latanoprost is one of them. There are over 20 companies that make latanoprost. Studys have shown that some are underfilled and some produce drops that are so large that the bottle will not last the expected 6 weeks.
...I left out: Pfizer makes Xalatan. By the way, if you use pills, your MD (I doubt) will agree, because the drug is not concentrated in the eye, plus you have "systemic" side effects because the drug is running through your body (rather than staying mostly in the eye). Xalatan, and the others that are similar lower IOP more than other drug classes...you need to ask what your IOP is and see that it stays in the healthy range, since glaucoma damage can be permanent. However...
Azopt is a great medicine but sometimes expensive. Lumigan I really dislike because it causes red, inflammed, irritated eye, permanent dark circles around the eyelids and orbital fat atrophy with sunken in eyes and droopy lids way too often. Travatan-A is much better, longer acting, lowers IOP more and doesn't cause near the side effects of Lumigan.
If you still have it read the package insert that you get when you get a new bottle of medicine. Or go on the internet and read the side effects. I would be worried about being under the care of anyone that did not recognize these as common problems. If you see an optometrist I would suggest switching to an Eye MD ophthalmologist, if you see an ophthalmologist I would suggest getting a second or third opinion from a different Eye MD perhaps one that specializes in glaucoma.
I have taken Lumigan for open Angle Glaucoma for a couple of years in one eye only. In April the ophthalmologist asked me to put them in both eyes. I have no problems with that and my IOP is well controlled. However, I noticed my PVC's have gone up considerably since taken the drops. At first with only one eye I had about 15,000 per day, now with drops in both eyes they have gone up to almost 30,000 per day. There where no other medication changes during that time.
Doctor Hagan, I DID have high pressure in that eye when I went in for my first post-op exam (7 DAS). At that time the Dr prescribed Lumigan drops which I used for 7 days and when I went in for the next visit (14 DAS), the pressure was fine and I was told I could stop the drops. I have had the pressure checked 2x since then and the pressure was fine.
I have pseudo-exfoliation in left eye. Started out on xalatan, then switched over to Lumigan when I was Glaucoma Suspect with ocular pressure 21-30. Under control low 20's on Lumigan, optic nerve healthy, no visual fields defects on test 5 months ago. However, last visit hemorrhage on optic nerve found and added Alpgagan P to Lumigan, did not do a thing after 6 weeks, pressure 24 today. Dr.
So I was taken off of the glaucoma medication alphagan because it was not working well and caused severe dry eye and floaters and then I was put on and am currently on lumigan 0.01% that helps the pressure but makes the dry eye and floaters still a problem.
For the uveitis I am on pred Forte 0.01% and has caused a slight cataracts.
For my dry eye syndrome, I am allergic to most of the things prescribed to me so I take preservative-free over the counter refresh tears four to six times a day.
Timolol is a beta blocker that is very inexpensive and works well for glaucoma BUT I use it last in my choice of the 4 times of glaucoma drops because of the potential for major side effects. It cannot be used in people with asthma or reactive airway disease, a history of slow heart rate (bradycardia) and can cause many problems like chronic cough, severe loss of energy, chronic nasal congestion (seems like sinus problem that won't go away), very cold extremeties, etc.
When I had the cataract in my other eye removed last year I was prescribed Lumigan drops (along with other drops) after surgery. I have green eyes and everything I read worried me about my eye changing color which fortunately didn't happen. I am scheduled to have the other eye done next month and after researching it appears the Timolol could be used instead and I would not have to be worried about eye color.
I was given Alphagan P for elevated pressure post cataract surgery in February in addition to some other glaucoma meds I was on prior to the surgery. I developed a very bad red eye, itching aching eyes, crusty dry skin eyelids, and other visible manifestations. In addition, the Alphagan affected my low light/night vision to the point I was having quite a bit of trouble seeing in other than bright outdoor light.
SIR TWICE A DAY CAN I USE PRED FORTE AND ATROPINE ONES A DAY
i am have some eyes trouble medicine Lumigan and regular eye drops in to my eyes.having major problems getting them in to my eyes.as soon as the tip of the bottle gets close to my eyes they will close. i have tried to do this many times i have had my mother and some of my friends try to put them in now luck. i went on to amazon and bought auto drop and ezy drop eye guide. i cannot tell if the medicine is getting in to the eye or not. the only thing i can tell is medicine is runs down my face.
l have been taking Xalatan for a year and there has'nt been any side effects except my eyes feeling a bit dry l have developed some floaters but my doctor says it most likley has nothing to do with the xalatan ,
but the past few weeks it has been starting to sting or feel a bit , sometimes l put in two drops at a time instead of one , could putting too much in cause this soreness, is there an eye drop such as a lubricant eye drop l could take that relieves the soreness.
It is safe, effective, inexpensive. It makes the eyelashes longer which women (and some men) love. Side effects are very rare. Darkening around the eyelids, and atrophy of the fat within the socket are extremely rare (they are however very common with Lumigan a stronger, longer lasting medicine in the same family and it is brand name and expensive). Iris color change is only a consideration in iris that are hazel a mix of blue and brown.
I generally offer one/drop day trial of latanoprost, lumigan or Travatan-Z or SLT. If patient chooses drops and one drop once per day I strongly recommend SLT before adding a second or third drop. The biggest change in glaucoma over the coming years will be putting MIGS device in eye at time of surgery (small drainage valve MIGS = minimally invasive glaucoma surgery) to try and eliminate need for any drops.
I am in my 50's, blonde and blue eyed. I've been using lumigen eye drops for my glaucoma and also brushing it on my eyebrows. My eyelashes were minimal and pale; they are now dark, long, and lush. It took about 3 weeks to start noticing a difference. My eyebrows are now fuller, darker and the hairs longer. The results for the eyebrows are more subtle than the eyelashes, but definitely an improvement. The eyebrows took about 10 weeks to notice a difference.
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