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February 26, 2007
Refractive Surgery Protocol for drug regimen
Eyeworld Feb 2007
• Vitamin C: 500 mg twice a day as soon as surgery is scheduled.
• Restasis (cyclosporine ophthalmic emulsion, Allergan, Irvine, Calif.): one drop in both eyes twice a day as soon as surgery is scheduled. Take Restasis for at least three months.
• Prednisone: 80 mg exactly one-half hour before surgery, 80 mg one day post surgery, 40 mg two days after surgery, 20 mg three days post surgery, 10 mg four days post surgery, and 5 mg five days post surgery.
• Zantac (ranitidine, GlaxoSmithKline, Research Triangle Park, N.C.): 150 mg twice a day for six days starting the day of surgery.
• Pred Forte (prednisone, Allergan): one drop in both eyes four times a day for seven days starting the day of surgery.
• Zymar (gatifloxacin ophthalmic solution, Allergan): one drop in both eyes four times a day for seven days starting the day of surgery (for gastritis from prednisone).
• Acular LS (ketorolac tromethamine ophthalmic solution, Allergan): one drop in both eyes four times a day for three days starting the day of surgery.
• Comfort drops (1:20 of 1% tetracaine): one drop in both eyes every hour as needed for pain for the first three days starting the day of surgery.
• Preservative-free artificial tears: every two hours while awake.
• Refresh Celluvisc lubricant eye drops (Allergan): one drop in both eyes at night until bandage contact is removed (approximately six or seven days).
• Refresh PM Ointment (Allergan): every night after bandage contact lens is removed until one month after surgery.
• Tylenol Extra Strength (McNeil Consumer Healthcare, Fort Washington, Pa.): one tablet every four to six hours as needed for pain.
• Mepergan Fortis (promethazine with meperidine, Wyeth-Ayerst Laboratories, Collegeville, Pa.): one tablet every four to six hours
(escape medicine for severe pain).
• Ice packs: as needed at home.
Posted by mehdi khanlari at February 26, 2007 10:47 PM