NBEO Part 3/PEPS - Medications To Know

ocular rosacea

Doxycycline 100 mg PO BID x 2 weeks then taper to QD

chlamydial conjunctivitis

Azithromycin 1000mg PO (taken as a single dose)

toxoplasmosis

1. Bactrim DS BID (Trimethoprim/Sulfamethoxazole 160/800mg) PO BID

2. Prednisone 40 mg PO daily

anterior uveitis

1. Pred Acetate 1% ophthalmic suspension q1h then taper

2. Cyclopentolate 1% ophthalmic solution BID

acute angle closure glaucoma

In office:

1. Brimonidine 0.2% ophthalmic solution

2. Timolol 0.5% ophthalmic gel

3. Dorzolamide 2% ophthalmic solution

4. 4-mirror gonioscopy compression

Immediate referral to OMD within 24 hours

1st choice antibiotic drop

Moxifloxacin 0.5% ophthalmic solution QID x 7 days

backup antibiotic drop

Polytrim 10,000 unit-1 mg/mL ophthalmic sol. QID

antibiotic ointment

Erythromycin 0.5% ophthalmic ointment QID

topical allergies

Pataday 0.2% ophthalmic sol. QD

oral allergies

Claritin 10 mg PO QD

1st choice topical steroid

Loteprednol 0.5% ophthalmic gel

2nd choice topical steroid

Pred Acetate 1% ophthalmic suspension

3rd choice topical steroid

Durezol 0.05% ophthalmic sol.

demodex

Xdemvy 0.25% ophthalmic sol. BID x 6 weeks

corneal ulcer

1. Moxifloxacin 0.5% sol. QID x 7 days

2. Cyclopentolate 1% BID

dry eye (Rx)

1. Restasis 0.05% ophthalmic emulsion BID

2. Xiidra 5% ophthalmic sol. BID

corneal edema

Muro-128 5% ophthalmic sol. q4h

filament keratitis

Acetylcysteine 10% ophthalmic sol. QID x 6 weeks

HSV

1. Zirgan 0.15% ophthalmic gel 5x/day

2. Acyclovir 400 mg PO 5x/day x 7 days

HZV

Acyclovir 800 mg PO 5x/day x 7 days

topical antifungal

Natamycin 5% ophthalmic suspension q1h around the clock

acanthamoeba

1. PHMB 0.02% ophthalmic sol. q1h around the clock

2. Cyclopentolate 1% sol. TID

IIH

Diamox 250 mg PO QID x 2 weeks

topical NSAID

Bromfenac 0.07% ophthalmic sol. QD

oral NSAID

Ibuprofen 400 mg PO TID

1st choice glaucoma

Latanoprost 0.005% ophthalmic sol. QHS

2nd choice glaucoma/CME/uveitis/etc.

Timolol 0.05% ophthalmic sol. qAM

1st choice combo antibiotic/steroid drop

TobraDex 0.3%/0.1% ophthalmic suspension

2nd choice combo antibiotic/steroid drop

Maxitrol 3.5 mg/g-10,000 unit/g-0.1% ophthalmic suspension

canaliculitis

1. Moxifloxacin 0.5% ophthalmic sol. QID x 2 weeks

2. Doxycycline 100 mg PO BID x 2 weeks

dacryocystitis

Augmentin 875mg PO BID x 2 weeks in adults (pediatric dosage in kids)

dacryoadenitis

Augmentin 875mg PO BID for adults (pediatric dosing in kids)

preseptal cellulitis

1. Augmentin 875mg PO BID x 7 days for adults (pediatric dosing for kids)

2. If allergic to PCN, Moxifloxacin 400 mg PO daily

external hordeolum

1. Erythromycin 0.5% ointment BID x 7-14 days

2. Warm compresses QID

3. Ocusoft lid scrubs BID OU

internal hordeolum

Doxycycline 100 mg tablet PO BID x 7 days

episcleritis

1. Mild: PFATs 4-6x/day

2. Moderate/Severe: Loteprednol 0.5% ophthalmic sol. QID x 7 days

scleritis

1. Naproxen 250 mg PO BID

2. Prednisone 70 mg PO daily x 1 week

What type of antibiotic is Augmentin (850mg BID x 10 days)?

Penicillin

What type of antibiotic is Keflex (500mg BID x 10 days)?

Cephalosporin

What kind of antibiotic is Doxycycline (100mg BID x 10 days)?

Tetracycline

What is the black box warning for Azithromycin (take as directed)?

QT prolongation

What are the contraindications for Augmentin (850mg BID x 10 days)?

Penicillin allergy

What are the contraindications for Keflex (500mg BID x 10 days)?

Penicillin allergy

What are the contraindications for Doxycycline (100mg BID x 10 days)?

• Children <8 years

• Pregnant or nursing

What is the black box warning for Levaquin (500mg QD x 10 days)?

Tendinitis, peripheral neuropathy, CNS