Rhopressa  (U.S.N.L.M.) | |
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Dosing | 1 drop in the evening |
Chem Specs | netarsudil dimesylate 0.02% |
Quantities | 2.5ml |
Cost | 341.88 |
Class | Rho kinase1 and norepinephrine transporter inhibitor. |
Action | Increases trabecular outflow and decreases aqueous production. |
Usage | Indicated for lowering IOP with open-angle glaucoma or ocular hypertension. |
IOP reduction similar (or slightly less) than latanaprost. When used in combination with latanaprost the number of patients achieving 30% IOP reduction increases from 40% to 65%. |
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Side Effects | Mild conjunctival hyperemia occurs in 50% to 60%, but is consistently observed in only 10% and so is considered "well tolerated". Corneal epithelial macrocysts, small conjunctival hemorrhages, and cornea verticillata(20%) which resolve on discontinuation have been reported. |
Contraindications | None |
Pediatric use | Safety and effectiveness in pediatric patients have not been established. |
Pregnancy | Rat embryofetal lethality shown at 126 times normal human dose but not at 40x. |
If used concomitantly with other drops, administer each at least 5 minutes apart. BAK 0.015% |