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A double-blind short-term trial of guanethidine 3 % and adrenaline 0.5 % combined in one eye drop

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Summary

A double-blind short-term trial was done to test the effect of guanethidine 3% — adrenaline 0.5% (G-A) in a combined eye drop in 18 patients with open-angle glaucoma and one patient with narrow-angle glaucoma. In 9 of the 19 patients we expected an IOP lowering agent. There was one false-negative result. The mean fall in IOP due to G-A was 10.1 mm Hg (range 3 to 23) and 8.7 mm Hg (range −1 to 26) 6 and 8 h after application respectively. There was no effect on IOP in the 9 eyes that received the placebo.

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References

  • Backer, B., Ley, A.P.: Epinephrine and acetazolamide. Amer. J. Ophthal. 45, 639–643 (1958)

    Google Scholar 

  • Bonomi, L., di Comite, P.: Outflow facility after guanethidine sulfate administration. Arch. Ophthal. 78, 337–340 (1967)

    Google Scholar 

  • Budge, J.: Über die Bewegung der Iris. Braunschweig: Vieweg 1855

    Google Scholar 

  • Cannon, W.B.: A law of denervation. Amer. J. med. sci. 198, 737–750 (1939)

    Google Scholar 

  • Castrén, J.A., Pohjala, S.: Effect of guanethidine on glaucomatous eyes. Acta Ophthal. (Kbh) 40, 308–312 (1962)

    Google Scholar 

  • Castrén, J.A., Pohjala, S., Pakarinen, P., Karjalainen, K.: Guanethidine (Ismelin) in the therapy of glaucoma. Ophthalmologica (Basel) 155, 194–204 (1968)

    Google Scholar 

  • Collignon, J., Pryot, E.: La guanethidine a-t-elle une place dans le traitement d l'hypertension oculaire?. Bull. Soc. belge Ophthal. 165, 344–349 (1973)

    Google Scholar 

  • Crombie, A.L.: Adrenergic hypertensitization as a therapeutic tool in glaucoma. Trans. Ophthal. Soc. U.K. 94, 570–572 (1974)

    Google Scholar 

  • Emmelin, N.: Supersensitivity following “pharmological denervation”, Pharmacol. Rev. 13, 17–37 (1961)

    Google Scholar 

  • Etienne, R.: The non-myotical topical therapy of chemic glaucoma simplex. Amer. Med. Ass. Meeting, Section Ophthalmology (1973)

  • Garner, L.L., Johnstone, W.W., Balantine, E.J., Carroll, M.E.: Effect of 2% Levo-Rotary Epinephrine on the intraocular pressure of the glaucomatous eye. Arch. Ophthal. 62, 230–238 (1959)

    Google Scholar 

  • Gloster, J.: Guanethidine and glaucoma. Trans. Ophthal. Soc. U.K. 94, 573–577 (1974)

    Google Scholar 

  • Hampel, C.W.: The effect of denervation on the sensitivity to adrenine of the smooth muscle in the nictitating membrane of the cat. Amer. J. Physiol. 111, 611–621 (1935)

    Google Scholar 

  • Harris, L.S., Galin, M.A., Lerner, R.: The influence of Low-Dose L-Epinephrine on aqueous outflow facility. Ann. Ophthal. 2, 253–257 (1970)

    Google Scholar 

  • Hendley, E., Eakins, K.: The mechanism of action of guanethidine on aqueous humour dynamics. J. Pharmacol. exp. Ther. 150, 393–397 (1965)

    Google Scholar 

  • Küchle, H.J.: Zur lokalen Wirkung von guanethidine (Ismelin) auf das gesunde und glaukomkranke Auge. Klin. Mbl. Augenheilk. 139, 224–234 (1961)

    Google Scholar 

  • Kutschera, E.: Klinische Erfahrungen mit Ismelin. Klin. Mbl. Augenheilk. 139, 234–241 (1961)

    Google Scholar 

  • Merté, H.J., Toppel, L.: Guanethidine in der Glaukomtherapie. Albrecht v. Graefes Arch. Ophthal. 176, 30–42 (1968)

    Google Scholar 

  • Mitchell, J.R., Oates, J.A.: Guanethidine and related agents. I. Mechanism of the selective blockade of adrenergic neurons and its antagonism by drugs. J. Pharmacol. exp. Ther. 172, 100–107 (1970)

    Google Scholar 

  • Nagasubramanian, S., Tripathi, R.C., Poinoosawny, D., Gloster, J.: Low concentration guanethidine and adrenaline therapy of glaucoma. Trans. Ophthal. Soc. U.K. 96, 179–183 (1976)

    Google Scholar 

  • Paterson, G.D., Paterson, G.: Drug therapy of glaucoma. Brit. J. Ophthal. 56, 288–294 (1972)

    Google Scholar 

  • Paterson, G.D., Paterson, G., Miller, S.H.J.: The non-myotic therapy of open angle glaucoma, in Albi Int. Glaucoma Symp. 343–352 (1974)

  • Romano, J.: Trial with guanethidine 5% and neutrial adrenaline 1% in eyes with advanced glaucoma. Trans. Ophthal. Soc. U.K. 94, 576–577 (1974)

    Google Scholar 

  • Roth, J.A.: Guanethidine and adrenaline used in combination in chronic simple glaucoma. Brit. J. Ophthal. 57, 507–510 (1973)

    Google Scholar 

  • Sears, M.L.: The mechanism of action of adrenergic drugs in glaucoma. Invest. Ophthal. 5, 115–119 (1966)

    Google Scholar 

  • Stepanik, J.: Tonographische und differentialtonometrische Untersuchungen über die Wirkung von Ismelin-Augentropfen (Ciba) bei glaucoma simplex. Albre cht v. Graefes Arch. Ophthal. 164, 6–9 (1961)

    Google Scholar 

  • Tamura, T.: Effect of guanethidine on the vesiculated axon in the dilator muscle area of the rabbit iris. Jap. J. Ophthal. 17, 140–146 (1973)

    Google Scholar 

  • Trendelenburg, U.: Supersensitivity and subsensitivity to sympathomimetic amines. Pharmacol. Rev. 15, 225–276 (1963)

    Google Scholar 

  • Weekers, R., Pryot, E., Gustin, J.: Recent advances and future prospects in the medical treatment of ocular hypertension. Brit. J. Ophthal. 38, 742–746 (1954)

    Google Scholar 

  • Weekers, R., Delmarcelle, Y., Gustin, J.: Treatment of ocular hypertension by adrenaline and diverse sympathomimetic drugs. Amer. J. Ophthal. 40, 666–672 (1955)

    Google Scholar 

  • Weekers, R., Grieten, J., Collignon, J., Demaret, M.: Etude du mécanisme de l'hypotension oculaire provoquée par l'adrénaline. Docum. Ophthal. (Den Haag) 20, 175–183 (1966)

    Google Scholar 

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Hoyng, P.F.J., Dake, C.L. & Greve, E.L. A double-blind short-term trial of guanethidine 3 % and adrenaline 0.5 % combined in one eye drop. Albrecht von Graefes Arch. Klin. Ophthalmol. 203, 73–80 (1977). https://doi.org/10.1007/BF00410049

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