Glaucoma medicine may be in eye drop or pill form. The goal of the medicine is to lower eye pressure by slowing the eye from making fluid or helping it drain better.
Here are the basics about each of these medicines. Only common problems with them are listed.
Prescription Medications
- Apraclonidine
- Brimonidine
- Timolol maleate
- Timolol hemihydrate
- Levobunolol
- Metipranolol
- Carteolol
- Betaxolol
- Bimatoprost
- Latanoprost
- Travoprost
- Dorzolamide
- Brinzolamide
Miotics (Parasympathomimetic agents) (rarely used)
- Pilocarpine
- Carbachol/Carbamylcholine
- Echothiophate iodide
Medical marijuana
Eye Drops
Common names are:
- Apraclonidine
- Brimonidine
These medicines lower the amount of fluid in the eye.
Some problems are:
- Allergic reaction
- Eye watering or discharge
- Dry eye
- Eye redness or burning
- Problems seeing, such as blurry vision
- A feeling that something is in the eye
- Dilated pupils
- Dry mouth
- Redness, burning, or swelling of the skin
- Feeling very tired
Common names are:
- Timolol maleate
- Timolol hemihydrate
- Levobunolol
- Metipranolol
- Carteolol
- Betaxolol
These medicines work to lower eye pressure by causing the eye to make fluid more slowly.
Some problems are:
- Damage to the cornea
- Allergic reaction
- Heart failure
- Problems breathing
- Slow heart beat
- Depression
- Erectile dysfunction in men
Topical or Oral Medicines
Common names are:
- Dorzolamide
- Brinzolamide
These medicines work to lower pressure by decreasing the amount of fluid the eye makes. Oral forms are usually only used during a sudden attack. People with sulfa allergies should talk to their doctor before using this medicine. People with some medical problems, such as blood disorders, liver disease, or sickle cell disease should also talk with their doctor about problems that could happen. A person will need regular blood tests while taking these drugs.
Some problems from topical medicines may be:
- A metal taste in the mouth
- Allergic reaction
- Eye swelling
Some problems from oral medicines may be:
- A metal taste in the mouth
- Lack of energy
- Kidney stones
- Depression
- Stevens-Johnson syndrome that causes red or dark sores on the skin and mouth, fever, and other problems
Common names are:
- Pilocarpine
- Carbachol
- Echothiophate
These medicines help fluid drain from the eye. They also reduce the size of the pupil. They can cause problems when used with some anesthetic medicines.
Some problems are:
- Eye irritation
- Tearing
- Headache
- Blurred vision
- Problems seeing in dim light
References
Angle-closure glaucoma. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/angle-closure-glaucoma . Updated October 24, 2016. Accessed April 29, 2020.
Does marijuana help treat glaucoma? American Academy of Ophthalmology website. Available at: https://www.aao.org/eye-health/tips-prevention/medical-marijuana-glaucoma-treament. Updated June 17, 2019. Accessed April 29, 2020.
Facts about glaucoma. National Eye Institute website. Available at: https://nei.nih.gov/health/glaucoma/glaucoma%5Ffacts. Updated March 11, 2020. Accessed April 29, 2020.
Primary open-angle glaucoma. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/primary-open-angle-glaucoma . Updated February 7, 2020. Accessed April 29, 2020.
Prum BE Jr, Rosenberg LF, et al; American Academy of Ophthalmology. Primary Open-Angle Glaucoma Preferred Practice Pattern Guidelines. Ophthalmology. 2016 Jan;123(1):P41-P111.
What is glaucoma? American Academy of Ophthalmology website. Available at: http://www.aao.org/eye-health/diseases/what-is-glaucoma. Updated August 28, 2019. Accessed April 29, 2020.
What is glaucoma? Glaucoma Research Foundation website. Available at: http://www.glaucoma.org/glaucoma. Accessed April 29, 2020.
Revision Information
- Reviewer: EBSCO Medical Review Board Daniel A. Ostrovsky, MD
- Review Date: 02/2020
- Update Date: 04/29/2020