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Angle on Glaucoma: Medications
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Diamox ®

Generic name: acetazolamide
Concentration: 125mg, 250mg, 500mg (sustained release)
Mechanism of action: This is a carbonic anhydrase inhibitor which helps reduce pressure within the eye (intraocular pressure) by decreasing fluid (aqueous humor) production.
Indications: Treatment of open angle glaucoma, secondary glaucoma, and acute angle-closure glaucoma.
Dosage: Take by mouth one 125mg or 250 mg 1 to 4 times per day as directed by your doctor. For the 500mg Diamox Sequels, take one capsule by mouth twice per day.
Use with caution in patients with/during:
  1. Asthma or chronic pulmonary disease (COPD, emphysema, bronchitis, respiratory acidosis).
  2. Diabetes mellitis because it can increase blood glucose levels.
  3. Renal or liver impairment.
  4. Gout.
  5. Taking high doses of asprin.
  6. Sulfonamide hypersensitivity.
  7. Underactive adrenal glands.
  8. Low potassium or sodium levels.
  9. Sulfonamide hypersensitivity.
  10. Pregnancy, breast feeding or in children.
Side effects:
Common
  • Loss of appetite
  • Metallic taste
  • Diarrhea
  • Weakness
  • Tingling sensation in hands or feet or mouth area
  • Hearing disturbness
  • Ringing in the ears

Life Threatening Symptoms

  • Convulsions
  • Shortness of breath or difficulty breathing
  • Unusual bleeding
  • Severe skin rash or eruptions
  • Jaundice (Yellowing of the skin or eyes)

Less Common to Rare
  • Bone marrow suppression
  • Jaundice (shows up as yellowish eyes or skin) with prolonged use
  • Mood changes
  • Depression
  • Blood dyscrasias (abnormal synthesis of different components of the blood)
  • Confusion
  • Blood in urine; discolored urine
  • Drowsiness
  • Easy bleeding or bruising
  • Lower back pain
  • Numbness, tingling, or burning feeling inthe mouth, tongue, or lips
Notes: Acetazolamide is a sulfonamide and has may cause a severe allergic reaction in patients with a sulfa drug allergy.

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URL: http://www.opt.indiana.edu/clinics/pteduc/glaucoma/meds/diamox.htm
Revised: March 19, 2002
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Page design and coding: Terri Greene
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