DrugInfoSys

Dorzolamide

Drug #894

Dorzolamide (HCl) reduces intraocular (eye) pressure and is used to treat glaucoma and elevated intraocular (eye) pressure. Dorzolamide and bringolamide both work by inhibiting earbonic cmhydrase (isoemynell which is found in the ciliary body epithelium. This reduce the formation of biearbonate ions, which recluces fluid transport and thus IOP. reduces IOP by reducing aqueous humar production. They are licensed for use in pateints resistant to beta-blokess or those in whom beta-blockess are contra-indicated. They are used alone or as an adjuant to a topical beta-blocker.

Primary Characteristics

Dorzolamide is also known as Dorzolamide (HCl).

It is of Synthetic origin and belongs to Sulphonamide.

It is classified in Antiglaucoma pharmacological group. It is also classified under Opthalmic Products .

Molecular Weight: 360.9 · Solubility in Water: soluble · Solubility in Alcohol: slightly soluble · Non-proprietary name: Dorzolamide (HCl).

Molecular structure of Dorzolamide

Pharmacokinetics

Distribution: Dorzolamide has a plasma protein binding is 33%.

Elimination: renal excretion is 20% (metabolite).

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Indications

Dorzolamide is primarily indicated in conditions like Ocular hypertension, Open-angle glaucoma, Pseudoexfoliative glaucoma, Raised iop.

Contraindications

Dorzolamide is contraindicated in conditions like Renal impairment, Hyperchloremic acidosis.

Dosage

Dorzolamide's dosage details are as follows:

DoseSingle DoseFrequencyRouteInstructions
Adult Dosage
1 mg1 mgEvery 8hOphthalmic -
2 %2 %Every 8hOphthalmicdrops with topical beta-blockers apply towice daily.
Paediatric Dosage (20kg)
0 – 0Not recommended in this age group
Neonatal Dosage (3kg)
0 – 0Not recommended in this age group

Drug Interactions

Unknown2 interactions

Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.

Side Effects

Dorzolamide is known to cause more or less tolerable side effects which are usually transient. These include Asthenia , Burning, Conjunctivitis, Inflammation, Keratitis, Lacrimation, Local allergies, Nausea, Ocular irritation, Photophobia , Rarely hypersensitivity reactions, Stinging, Tearing, Urticaria, Vision disturbances, Xerophthalmia.

Warnings / Precautions

The preservative in this medication may be absorbed by soft contact lenses; therefore, it is recommended that soft contact lenses not be worn while using this medication. Dorzolamide should not be administered to patients with carbonic anhydrase inhibitor hypersensitivity. In addition, since dorzolamide is a sulfonamide derivative, it should not be used in patients with sulfonamide hypersensitivity. Topical administration of dorzolamide can result in systemic absorption. In sulfonamide-sensitive patients, administration of sulfonamides by any route can precipitate a possibly severe reaction. Its use as a single agent is insufficient for the management of closed-angle glaucoma. The use of multiple dose containers of ophthalmic products has been associated with bacterial keratitis. Inadvertent contamination of the product may occur if the patient has an ocular infection, or corneal abrasion. If there is any damage to the ocular epithelial surface dorzolamide should be used with caution. It should be used with caution in patients with hepatic disease. It is classified as pregnancy category C. Should be use during pregnancy only if the benefits outweigh the possible risks to the fetus. Cuation:- Systemic alesorption follows topical application; history of renal calculi; chronic corneal defects, history of intra-ocular surgury.

Interference in Pathology

Dorzolamide may interfere in the diagnosis of Not well documented.

Available Brands

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Single Ingredient

Multi-Ingredient Combinations

Eye Drops
Soln

Storage Conditions

Dorzolamide should be stored Eye Drops.

Drug Classification

  1. 1.21.4.4Carbonic anhydrase inhibitors

Manufacturers