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PHARMACOLOGY

• What types of patients are precautioned for dilation = “THINK”
• Thyrotoxicosis
• Hypertension
• Iris fixed IOL
• Narrow angles
• Kids (Down’s syndrome)
• Adverse reactions of antimuscarinics
• “Mad as a hatter” = CNS effects, delirium
• “Red as a beet” = direct vasodilation
• “Blind as a bat” = cycloplegia, mydriasis
• “Hot as heck” = decreased sweat
• “Dry as a bone” = decreased secretions
• Topical ocular steroid potency order (strongest to weakest)
• Drops – “PDF Ralph Lauren for Men”
• Prednisolone
• Dexamethasone
• Fluorometholone
• Rimexolone
• Loteprednol etabonate
• Medrysone
• Creams & ointments – “Bats Hit The Homerun”
• Betamethasone
• Hydrocortisone butyrate
• Triamcinolone acetonide
• Hydrocortisone OTC
• Cephalosporins: Penicillin’s “Big Brother”
• If you remember Cephalosporins as Penicillin’s “big brother” then you can remember their applications are very similar and that since it’s a “big brother” that the dosage is less frequent (Cephalosporins are stronger therefore less dosage frequency is required)
• Ocular Beta Blockers and iris color
• Think “Light Sensitive” – light irises are more sensitive to ocular beta blockers therefore less dose is needed
• Ophthalmic drug cap color and pupil effect
• “Green army advances” = green cap drops induce miosis
• “Red army retreats” = red cap drops induce mydriasis