Timolol 0.5%/dorzolamide 2% fixed combination versus timolol 0.5%/pilocarpine 2% fixed combination in primary open‐angle glaucoma or ocular hypertensive patients

. Purpose:  To establish the efficacy and safety of timolol maleate/dorzolamide fixed combination (TDFC) versus timolol maleate/pilocarpine fixed combination (TPFC), each given twice daily, in primary open‐angle glaucoma or ocular hypertensive patients. Methods:  In this prospective, multicentred, d...

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Veröffentlicht in:Acta ophthalmologica Scandinavica 2003-08, Vol.81 (4), p.349-354
Hauptverfasser: Kałuz̊ny, Jakub J., Szaflik, Jerzy, Czechowicz‐Janicka, Krystyna, Kałuz̊ny, Józef, Orzalkiewicz, Alicja, Zaleska, Anna, Krajewska, Malgorzata, Stewart, Jeanette A., Leech, Jessica N., Stewart, William C.
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container_issue 4
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container_title Acta ophthalmologica Scandinavica
container_volume 81
creator Kałuz̊ny, Jakub J.
Szaflik, Jerzy
Czechowicz‐Janicka, Krystyna
Kałuz̊ny, Józef
Orzalkiewicz, Alicja
Zaleska, Anna
Krajewska, Malgorzata
Stewart, Jeanette A.
Leech, Jessica N.
Stewart, William C.
description . Purpose:  To establish the efficacy and safety of timolol maleate/dorzolamide fixed combination (TDFC) versus timolol maleate/pilocarpine fixed combination (TPFC), each given twice daily, in primary open‐angle glaucoma or ocular hypertensive patients. Methods:  In this prospective, multicentred, double‐masked trial, 37 patients were treated twice daily with timolol for 4 weeks. They were then randomized to one of the treatment medications for 6 weeks, after which they were treated with timolol again for 2 weeks before being placed on the opposite treatment medication for 6 weeks. Results:  A total of 36 patients completed the trial. Their mean baseline intraocular pressure (IOP) was 22.3 ± 3.7 mmHg. Following 6 weeks of treatment, the mean trough (08.00 hours) IOP was 18.0 ± 2.2 mmHg for TDFC and 17.4 ± 2.0 mmHg for TPFC (p = 0.22). The mean diurnal curve IOP was 18.1 ± 2.2 mmHg for TDFC and 16.7 ± 1.9 mmHg for TPFC (p = 0.0007). At the remaining time‐points (10.00, 18.00 and 20.00 hours), TPFC IOPs were statistically lower than TDFC IOPs (p
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Purpose:  To establish the efficacy and safety of timolol maleate/dorzolamide fixed combination (TDFC) versus timolol maleate/pilocarpine fixed combination (TPFC), each given twice daily, in primary open‐angle glaucoma or ocular hypertensive patients. Methods:  In this prospective, multicentred, double‐masked trial, 37 patients were treated twice daily with timolol for 4 weeks. They were then randomized to one of the treatment medications for 6 weeks, after which they were treated with timolol again for 2 weeks before being placed on the opposite treatment medication for 6 weeks. Results:  A total of 36 patients completed the trial. Their mean baseline intraocular pressure (IOP) was 22.3 ± 3.7 mmHg. Following 6 weeks of treatment, the mean trough (08.00 hours) IOP was 18.0 ± 2.2 mmHg for TDFC and 17.4 ± 2.0 mmHg for TPFC (p = 0.22). The mean diurnal curve IOP was 18.1 ± 2.2 mmHg for TDFC and 16.7 ± 1.9 mmHg for TPFC (p = 0.0007). At the remaining time‐points (10.00, 18.00 and 20.00 hours), TPFC IOPs were statistically lower than TDFC IOPs (p &lt; 0.03). There were statistically more unsolicited reports of vision change and ocular pain associated with TPFC (p = 0.04). Six patients were discontinued early from TPFC therapy (17%) versus two from TDFC (6%) (p = 0.13). 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Purpose:  To establish the efficacy and safety of timolol maleate/dorzolamide fixed combination (TDFC) versus timolol maleate/pilocarpine fixed combination (TPFC), each given twice daily, in primary open‐angle glaucoma or ocular hypertensive patients. Methods:  In this prospective, multicentred, double‐masked trial, 37 patients were treated twice daily with timolol for 4 weeks. They were then randomized to one of the treatment medications for 6 weeks, after which they were treated with timolol again for 2 weeks before being placed on the opposite treatment medication for 6 weeks. Results:  A total of 36 patients completed the trial. Their mean baseline intraocular pressure (IOP) was 22.3 ± 3.7 mmHg. Following 6 weeks of treatment, the mean trough (08.00 hours) IOP was 18.0 ± 2.2 mmHg for TDFC and 17.4 ± 2.0 mmHg for TPFC (p = 0.22). The mean diurnal curve IOP was 18.1 ± 2.2 mmHg for TDFC and 16.7 ± 1.9 mmHg for TPFC (p = 0.0007). At the remaining time‐points (10.00, 18.00 and 20.00 hours), TPFC IOPs were statistically lower than TDFC IOPs (p &lt; 0.03). There were statistically more unsolicited reports of vision change and ocular pain associated with TPFC (p = 0.04). Six patients were discontinued early from TPFC therapy (17%) versus two from TDFC (6%) (p = 0.13). Conclusions:  This study suggests that TPFC can provide at least a similar efficacious reduction in IOP as TDFC in patients with primary open‐angle glaucoma or ocular hypertension.</description><subject>Antihypertensive Agents - administration &amp; dosage</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>dorzolamide</subject><subject>Double-Blind Method</subject><subject>Drug Combinations</subject><subject>Female</subject><subject>Glaucoma, Open-Angle - drug therapy</subject><subject>Humans</subject><subject>Intraocular Pressure</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Ocular Hypertension - drug therapy</subject><subject>pilocarpine</subject><subject>Pilocarpine - administration &amp; dosage</subject><subject>Pilocarpine - therapeutic use</subject><subject>Prospective Studies</subject><subject>Safety</subject><subject>Sulfonamides - administration &amp; dosage</subject><subject>Sulfonamides - therapeutic use</subject><subject>Thiophenes - administration &amp; dosage</subject><subject>Thiophenes - therapeutic use</subject><subject>timolol</subject><subject>Timolol - administration &amp; dosage</subject><subject>Timolol - therapeutic use</subject><subject>Treatment Outcome</subject><issn>1395-3907</issn><issn>1600-0420</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkctq3TAQhkVoaG59haJNurOji2-CbkJom0AgiyRrIdujRAdZciU7PaerPkLfoW-WJ4mcc2i7KXQ1A_P9MwwfQpiSnBJenK1yWhGSkYKRnBHCc0KIqPP1Hjr8PXiTei7KjAtSH6CjGFcLRBr2Fh1Q1pSCVfQQ_bozg7feYpKXp2e9D9-9VYPpAbNTrM0aetz5oTVOTcY7_AQhzhFPf4dGY32nwmjcP0LG4TGYQYUN9iO45x8_lXuwgB-smhOnsA_Yd7NVAT9uRggTuGieAI8pDm6KJ2hfKxvh3a4eo_vPn-4uLrPrmy9XF-fXWceLqs647tu20GUhhKhapjXrGaia6BZ416SXa91UvKZVqYkSRUPrXlQqkYJpVUHJj9GH7d4x-K8zxEkOJnZgrXLg5yjrdIZTIRLYbMEu-BgDaLn7T1IiF0FyJRcPcvEgF0HyVZBcp-j73Y25HaD_E9wZScDHLfDNWNj892J5fnObGv4CHlShxw</recordid><startdate>200308</startdate><enddate>200308</enddate><creator>Kałuz̊ny, Jakub J.</creator><creator>Szaflik, Jerzy</creator><creator>Czechowicz‐Janicka, Krystyna</creator><creator>Kałuz̊ny, Józef</creator><creator>Orzalkiewicz, Alicja</creator><creator>Zaleska, Anna</creator><creator>Krajewska, Malgorzata</creator><creator>Stewart, Jeanette A.</creator><creator>Leech, Jessica N.</creator><creator>Stewart, William C.</creator><general>Munksgaard International Publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200308</creationdate><title>Timolol 0.5%/dorzolamide 2% fixed combination versus timolol 0.5%/pilocarpine 2% fixed combination in primary open‐angle glaucoma or ocular hypertensive patients</title><author>Kałuz̊ny, Jakub J. ; Szaflik, Jerzy ; Czechowicz‐Janicka, Krystyna ; Kałuz̊ny, Józef ; Orzalkiewicz, Alicja ; Zaleska, Anna ; Krajewska, Malgorzata ; Stewart, Jeanette A. ; Leech, Jessica N. ; Stewart, William C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3467-3fdbb4f549996b2ff2d2ea70fbe3c81287f8637165f0a94817d96a6b292fa6e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Antihypertensive Agents - administration &amp; dosage</topic><topic>Antihypertensive Agents - therapeutic use</topic><topic>dorzolamide</topic><topic>Double-Blind Method</topic><topic>Drug Combinations</topic><topic>Female</topic><topic>Glaucoma, Open-Angle - drug therapy</topic><topic>Humans</topic><topic>Intraocular Pressure</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Ocular Hypertension - drug therapy</topic><topic>pilocarpine</topic><topic>Pilocarpine - administration &amp; dosage</topic><topic>Pilocarpine - therapeutic use</topic><topic>Prospective Studies</topic><topic>Safety</topic><topic>Sulfonamides - administration &amp; dosage</topic><topic>Sulfonamides - therapeutic use</topic><topic>Thiophenes - administration &amp; dosage</topic><topic>Thiophenes - therapeutic use</topic><topic>timolol</topic><topic>Timolol - administration &amp; dosage</topic><topic>Timolol - therapeutic use</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Kałuz̊ny, Jakub J.</creatorcontrib><creatorcontrib>Szaflik, Jerzy</creatorcontrib><creatorcontrib>Czechowicz‐Janicka, Krystyna</creatorcontrib><creatorcontrib>Kałuz̊ny, Józef</creatorcontrib><creatorcontrib>Orzalkiewicz, Alicja</creatorcontrib><creatorcontrib>Zaleska, Anna</creatorcontrib><creatorcontrib>Krajewska, Malgorzata</creatorcontrib><creatorcontrib>Stewart, Jeanette A.</creatorcontrib><creatorcontrib>Leech, Jessica N.</creatorcontrib><creatorcontrib>Stewart, William C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta ophthalmologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kałuz̊ny, Jakub J.</au><au>Szaflik, Jerzy</au><au>Czechowicz‐Janicka, Krystyna</au><au>Kałuz̊ny, Józef</au><au>Orzalkiewicz, Alicja</au><au>Zaleska, Anna</au><au>Krajewska, Malgorzata</au><au>Stewart, Jeanette A.</au><au>Leech, Jessica N.</au><au>Stewart, William C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Timolol 0.5%/dorzolamide 2% fixed combination versus timolol 0.5%/pilocarpine 2% fixed combination in primary open‐angle glaucoma or ocular hypertensive patients</atitle><jtitle>Acta ophthalmologica Scandinavica</jtitle><addtitle>Acta Ophthalmol Scand</addtitle><date>2003-08</date><risdate>2003</risdate><volume>81</volume><issue>4</issue><spage>349</spage><epage>354</epage><pages>349-354</pages><issn>1395-3907</issn><eissn>1600-0420</eissn><abstract>. Purpose:  To establish the efficacy and safety of timolol maleate/dorzolamide fixed combination (TDFC) versus timolol maleate/pilocarpine fixed combination (TPFC), each given twice daily, in primary open‐angle glaucoma or ocular hypertensive patients. Methods:  In this prospective, multicentred, double‐masked trial, 37 patients were treated twice daily with timolol for 4 weeks. They were then randomized to one of the treatment medications for 6 weeks, after which they were treated with timolol again for 2 weeks before being placed on the opposite treatment medication for 6 weeks. Results:  A total of 36 patients completed the trial. Their mean baseline intraocular pressure (IOP) was 22.3 ± 3.7 mmHg. Following 6 weeks of treatment, the mean trough (08.00 hours) IOP was 18.0 ± 2.2 mmHg for TDFC and 17.4 ± 2.0 mmHg for TPFC (p = 0.22). The mean diurnal curve IOP was 18.1 ± 2.2 mmHg for TDFC and 16.7 ± 1.9 mmHg for TPFC (p = 0.0007). At the remaining time‐points (10.00, 18.00 and 20.00 hours), TPFC IOPs were statistically lower than TDFC IOPs (p &lt; 0.03). There were statistically more unsolicited reports of vision change and ocular pain associated with TPFC (p = 0.04). Six patients were discontinued early from TPFC therapy (17%) versus two from TDFC (6%) (p = 0.13). Conclusions:  This study suggests that TPFC can provide at least a similar efficacious reduction in IOP as TDFC in patients with primary open‐angle glaucoma or ocular hypertension.</abstract><cop>Oxford, UK</cop><pub>Munksgaard International Publishers</pub><pmid>12859261</pmid><doi>10.1034/j.1600-0420.2003.00097.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Antihypertensive Agents - administration & dosage
Antihypertensive Agents - therapeutic use
dorzolamide
Double-Blind Method
Drug Combinations
Female
Glaucoma, Open-Angle - drug therapy
Humans
Intraocular Pressure
Male
Middle Aged
Ocular Hypertension - drug therapy
pilocarpine
Pilocarpine - administration & dosage
Pilocarpine - therapeutic use
Prospective Studies
Safety
Sulfonamides - administration & dosage
Sulfonamides - therapeutic use
Thiophenes - administration & dosage
Thiophenes - therapeutic use
timolol
Timolol - administration & dosage
Timolol - therapeutic use
Treatment Outcome
title Timolol 0.5%/dorzolamide 2% fixed combination versus timolol 0.5%/pilocarpine 2% fixed combination in primary open‐angle glaucoma or ocular hypertensive patients
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