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Allergy, Inflammation & Dry Eye

Pharmacology I · Exam 2 · Ophthalmology
17 questions

Before you begin

Rebound hyperemia is the question he promised to ask — “I will tell you, I will ask this question” — so it is here three times over, from the mechanism, the counseling point and the toddler who swallows the bottle. Beyond it: antihistamines work in minutes and mast cell stabilizers take 5 to 14 days, which decides which one an acute presentation gets; and the steroids sit one step above the nonsteroidals in the same cascade. What this lecture does not test. Dosing — “not for memorization sake… you can always look up the dosing if you know which drug you actually want to use in the first place” — and formulations, and the specific combination products (“the specific combinations, I don’t care that you memorize, BUT… what would be a helpful second line agent to add on?” — products out, reasoning in). Two things are narrower than they sound. “Don’t worry so much about indications for use… a lot of them have a lot of crossover” is about the table of overlapping antibiotic indications, not about what an agent is for. And “don’t memorize which ones cause eye irritation or hypersensitivity… any of these can do that” is about the generic irritation, not about the effects that name one drug — ciprofloxacin’s white precipitate, the bitter taste of the carbonic anhydrase inhibitors, the iris color change of the prostaglandins. Indications and agent-specific adverse effects are asked here.

AllergyAntihistaminesMast cell stabilizersNSAIDs & steroidsDry eye

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