My advice would be to familiarize yourself with all of the medicines and drops available that are commonly used by ophthalmologists. There really are a lot more agents that you will be using than you realize. Some will be ophthalmic fomulations of drugs you are familiar with, others will be new to you. I'll type a summary, maybe it will be helpful. You will use most of these commonly. There are some ocular pharmacology books, but dont waste your money. I think there is a pharmacology section in first book of the Basic Science Series.
Good luck.
Adrenergic Drops:
Alpha1Agonists: Phenylephrine-dilating drop
Alpha2 Agonists: Brimonidine, Iopidine-for glaucoma
Beta2agonstis: epinephrine, dipivephrine-rarely used, for glaucoma
Beta Blockers: Timolol (timoptic), Betaxalol, levobunolol-for glaucoma
Alpha blocker: Dapiprazole-dilating reversal
Other adrenergic: Cocaine (gtt and for nasal packing), hydroxyamphetamine (drop)-horners syndrome dx
Afrin-nasal spray used in pts with orbital fractures, when operating in nose (DCR's)
Cholinergic:
Muscarinic blockers (drops): tropicamide, cyclopentolate, homatropine, atropine-cycloplegic, dilating
Muscarine agonist: Pilocarpine (gtts), Acetycholine (intra-ocular inj)-for glaucoma and pupillary constriction
Nicotinic agonist: Edrophonium (inj)-diagnostic for myasthenia
Antibiotic drops/oint:
Macrolide: Erythromycin oint
Tetracyclines: oral or topical-usually for blepharitis or rosacea or lyme
Quinolones: Cipro, quixin, ocuflox, vigamox, zymar
Aminoglycosides: Gentamycin (gtt or ocular inj), Tobramycin (gtt), Amikacin (compounded) Fortified Tobramycin (compounded drop)
Cephalosporins: Fortified Cephazolin (gtts or intravitreal), Keflex (po), Rocephin (inj), etc..
Sulfa: Polytrim, sulfacetamide
Other: Fortified Vancomycin (drop or inj), Bacitracin, Bacitracin/Polymyxin (oint), Bacitracin/Polymyxin/Neomycin
Antifungals:
Natamycin(drop), Amphotericin (gtt or intravitreal inj), Voriconazole (compounded drops or intravitreal inj).
Anti-protozoal: PHMB (gtt), Chlorhexidine (gtt)-for acanthomoeba keratitis
Carbonic Anyhydrase Inhibitors: Diamox (oral), Trusopt (gtt), Azopt (gtt)-for glaucoma or pseudotumor cerebri
Osmotics: Mannitol (iv)-for high IOP
Prostaglandins (gtts): Xalatan, Lumigan, Travatan-for glaucoma
Steroid gtts: Prednisolone Acetate (pred forte), Fluoromethalone (FML), Lotemax, Vexol, Dexamethasone
Triamcinolone: For peribulbar and intraocular injection
Prednisone and Prednisolone (iv or po)-for giant cell arteritis, optic neuritis, uveitis, corneal graft rejection, scleritis, orbital pseudotumor, graves disease
Anesthetics: Lidocaine (inj), Proparacaine (gtt), Tetracaine (gtt)
NSAIDS: Acular, Voltaren, Nevanac, Xibrom (gtts)
Antihistamines (drops)😛atanol, Zaditor, Emadine, Livostin, optivar, Elestat
Ocular Decongestants: Naphcon, Opcon (gtts)
Mast Cell Stabilizers: Cromolyn (gtt), Nedocromil (gtt)
Antivirals: Viroptic (gtts), Acyclovir (po/inj), Famciclvir(PO), Ganciclovir (po or intravitreal), Foscarnet (intravitreal), Cidofovir (inj)
Chemotherapeutics: Mitomycin C (solution for use in surgery), 5-fu (inj, sol for surgery, trabeculectomies)
Botulinum Toxin: BOTOX (inj), Myoblock (inj)-for blepharospasm, hemifacial spasm, strabismus
Dyes: Fluress (gtt, corneal stain), fluroescein (inj), Indocyamine Green (sol or inj), Trypan Blue (sol for surgery), Rose Bengal (corneal stain), Lissamine Green (corneal stain), Gentian Violet (corneal stain, antimicrobial)
Coupling Agents: Goniosol, Gonak (gtts)
Art.Tears: Refresh, Genteal, Systane, etc...-for dry eye, K-Sicca
Viscoelastics: Provisc, Amvisc,Discovisc, Healon, etc..(all for surgery)
Bioadhesives: Gluestitch, Dermabond, Tisseal (for corneal or conj wound repair).
VEGF inhibitors: Macugen, Avastin, Lucentis (for intravitreal injection)
Biologics: infliximab (inj), etanercept (inj)-for uveitis patients
Immunosuppressants: (for uveitis patients) Methotrexate (po), Cyclosporine (drop form is called Restasis), Tacrolimus, Cellcept, Imuran
Fibrinolytics: TPA (introcular inj)-for intraocular hemmorage
Anti-Fibrinolytics: Amicar (po or inj)-for hyphema patients
Thrombin: Thrombin (sol for surgical use)
Photoactivated free-radical producing dye: Visudyne (iv)-for AMD patients
Corneal Storage media: Optisol, Eusol-C-for storing corneal transplant grafts
Interferons-Avonex, Betaseron-for optic neuritis/Multiple Sclerosis patients
Anti-Malarial: plaquenil-be familiar with dosing and side effects, you will see lots of patients who are on this
Anti-arrythmics-amiodarone-causes corneal verticilata, optic neuropathy
Dermatologics: hydroquinone-cosmetic for skin scars/pigmentation
Betadine: Solution can be used to sterilize ocular surface prior to surgery or ocular injection
Hyaluronidase: Wydase or Vitrase, used for intravitreal injection or more commonly with local anesthetic for retrobulbar anesthesia, orbital, or peri-ocular surgery.
BSS: balanced salt solution. Used in the eye as an aqueous and vitreous replacement.
Muro: a hyperosmotic saline solution used to reduce corneal edema.
Johnson's Baby Shampoo: used for lid hygeine, blepharitis
Silicon Oil: Used as a vitreous substitute after retinal surgery.
SF6 and C3F8: Vitreous substitutes.
AREDS formula vitamins: ICAPS, Preservision, Protectavision-for dry AMD
Anti-depresseants/Anxiolytics: Zoloft, Valium, Lexaprao, Ativan-for making through first year of Ophthalmology.
?
