这几种西药 影响视力,甚至造成失明 ZT

来源: 2019-04-29 12:35:44 [] [旧帖] [给我悄悄话] 本文已被阅读: 次 (7584 bytes)
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这份清单只提供了一些常见的罪魁祸首。

皮质类固醇:人们服用这些疾病可以治疗各种疾病,从哮喘,过敏到关节炎和皮肤病。但无论是乳霜还是药丸形式,它们都会导致眼睛后部或视网膜肿胀,并可能导致白内障。即使像Flonase这样的非处方鼻喷雾也存在风险。

抗组胺药:它们可能对抗过敏,但它们也会引起某些患者患青光眼的风险。有关风险等级特别高的人,请参阅下面的更多信息。

抗精神病药:Thorazine和Mellaril等药物对视网膜有毒。

抗疟药:例如,用于治疗疟疾,狼疮和关节炎的Plaquenil也对视网膜有毒性作用。

其他药物可能会增加眼科手术的风险和其他条件,如果您有疑虑,请咨询您的医生。如果您服用有风险的药物,请务必定期进行眼科检查,以确保它们不会损害您的视力。

谁的风险最高?
服用可的松等药物的人可能会出现视觉副作用。

但如果你患有青光眼或糖尿病,你应该特别警惕。有些人的眼睛被配置成具有“窄角”,使他们处于急性青光眼发作的风险中。像Topamax这样的磺胺类药物,或像Detrol或Ditropan这样的某些抗组胺药或失禁药物,可以引起角度较小的人患青光眼的急性发作。

糖尿病患者特别容易因可的松而出现视力模糊。由于血糖水平过高,眼睛晶状体内会暂时肿胀,导致视力模糊。由于血糖控制不佳,眼内可能发生结构性损伤,导致严重的视力丧失。

Which drugs pose the most concern?

A few stand out, although you should check for potential visual side effects with any new medication. This list offers just a few common culprits.

Corticosteroids: People take these for a range of conditions, from asthma and allergies to arthritis and skin conditions. But whether in cream or pill form, they can cause swelling in the back of the eye or retina and potentially lead to cataracts. Even an over-the-counter nasal spray like Flonase comes with risks.

Antihistamines: They may fight allergies, but they also can raise certain patients’ risk for glaucoma. See more information below for those with particularly high risk levels.

Antipsychotic medications: Drugs such as Thorazine and Mellaril can be toxic to your retina.

Antimalarials: For example, Plaquenil — used to treat malaria, lupus and arthritis — also has toxic effects on the retina.

Other drugs may raise eye surgery risk and other conditions, so talk to your doctor if you have concerns. And if you take a medication that comes with risk, be sure to have regular eye exams to make sure they don’t damage your vision.

Who has the highest risk?

Anyone taking medications such as cortisone and others listed above may experience visual side effects.

But if you have glaucoma or diabetes, you should be especially vigilant. Some people’s eyes are configured to have a “narrow angle” that puts them at risk for an acute onset of glaucoma. Sulfa drugs like Topamax, or certain antihistamines or incontinence medications like Detrol or Ditropan, can trigger an acute attack of glaucoma in someone with a narrow angle.

People with diabetes are especially prone to developing blurred eyesight from cortisones. With high blood sugar levels, there is temporary swelling within the lens of the eye, resulting in blurred vision. With poor control of blood sugar, structural damage can occur within the eye that can cause severe vision loss.

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