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Know when to say “when” in prescribing glaucoma drugs

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WASHINGTON – It often takes more than one pressure-lowering drug for patients with glaucoma to achieve their target IOPs, but physicians should be cautious about the number of agents they prescribe, according to a speaker here.

“When patients are on many medications, it’s hard to tell which ones are working,” said Kuldev Singh, MD, at the American Society of Cataract and Refractive Surgery’s Glaucoma Day.

He also noted that there are cost and compliance factors when prescribing multiple drugs.

“After we try a couple of drugs, then we do trabecular surgery, and we don’t want to do filtration surgery because it’s not a great procedure. So you have to try to find what drugs work best,” Dr. Singh said.