Doctor insights on:
Use travatan z for glaucoma w/minimal side effects. If a 2nd class of drug is added will there be bothersome side effects?
Generally no!: Each class of medication has its own side effects. These drops generally do not amplify each other's side effect! However... More drops means more preservatives which my cause irritation. ...Read more
Don't understand: Your question? Travatan Z® Solution is a prostaglandin analog used for glaucoma. It is used one a day to reduce elevated intraocular pressure. Possible side effects include eye redness, discomfort or itching as well as color changes to the iris or changes to eye lashes. If this info doesn't answer your question then please clarify and re-ask. ...Read more
Travatan: You tun the risk of possible sllergic reaction as well asinfection if the bottle gets contaminated. ...Read more
Options: There are several classes of medications to consider for the treatment. Depending on your health, other than the prostaglandin analogue class (travatan, others), alpha agonists (brimonidine), beta antagonists (timolol, others), carbonic anhydrase inhibitors (dorzolamide, others), parasympathomimetics (pilocarpine, others), & hyperosmotics (not used by patient). Also, laser treatment is a consideration ...Read more
Many: There are several other drops in the same class as travatan. Two are generic (latanoprost and transports) as well as zioptan, lumigan and rescula. There are then 4 other classes of eye drop medications that can be used -beta blockers, carbonic anhydrase inhibitors, alpha adrenergics and parasympathetics. Beyond eye drops there is a laser as well. ...Read more
Works well: In most patients with minimal side-effects. It causes some increase in eye and eyelid redness which subsides over 3-4 weeks. It occasionally causes itching. Over time, the eyelashes often become thick and long. ...Read more
Use travatan z for 2 weeks. Baseline pressure is 28. Pressure reading today is 16. Can 1 drop lower pressure that many points?
Travatan may on average lower the pressure by 30%. This however is only the average and so some eye will respond better. Since the eye pressure varies throughout the day and is affected by many factors, more than one measurement will be required to determine whether the pressure is
(a) definitely at this level
(b) together with other testing, has resulted in satisfactory treatment of glaucoma. ...Read more
Yes: If you have glaucoma, Cosopt and travatan can be helpful. Cosopt contains two medicines (dorzolomide, a carbonic anhydrase inhibitor, and timolol, a beta blocker). Travatan is a prostaglandin analogue. Cosopt is usually taken morning and night. Travatan is usually taken only at night. See an eye md to evaluate glaucoma and response to the eye drops. Individual response can vary. ...Read more
Travatan is: A good first line drug for most open angle glaucoma cases. The class of drug is also available in generic form. You mention though if this is appropriate for a glaucoma suspect. Typically suspects are monitored and only treated if they have the diagnosis of glaucoma proper. There are caveats of course since there are different types of glaucoma as well as a condition named ocular hypertension. ...Read more
Use travatan z in 1eye for glaucoma. Have noticed vision is not as clear and crisp at times. Can this be caused by travatan? I wear contacts.
Possible: Intermittent blurring is typically a tear film issue, commonly dry eye. Occasionally topical drops cause dryness, so do contact lens. Best to get the contact lens fit and prescription checked. ...Read more
Glaucoma pressure 31 target 15-16. After 30 days on travatan pressure 18. 90 days 16. 120 days 13-14. Why the steady decrease after so many days?
Fluctuation: The bottom line is that this is good news. You've had a fantastic response to treatment. Iop fluctuates normally throughout the day, but those readings are great in your case. ...Read more
Common drop: Travoprost is a very good and commonly used topical medication for glaucoma. It is used once daily typically at night and can be effective in lowering eye pressure. If being used one will need to continue follow-up care with an eye provider to make sure adequately lowering the eye pressure to the desired target. ...Read more
Optho: how to diagnosis glaucoma when pressure normal pressure and why do these patients take travatan?
In addition to pressure measurements - which can be 'normal' in some cases, glaucoma is diagnosed by evaluating the damage caused to the optic nerve. This can be tested with visual field testing, optic nerve analysis using oct/hrt/gdx and serial stereo photographs.
If damage is occurring, pressure lowering is the treatment. Travatan is a pressure lowering drop. ...Read more
Been on travatan for 1 mo. Pressure dropped from 28 to 16-18 and pressure re- checked in 3 mos. Is there any reason to believe pressure won't?
If corneal thickness is 510 + 2 and eye pressure reading is 15, then is the true pressure 17? (i'm using travatan z).
No: Most ophthalmologists do not adjust pressures based on corneal thickness. The important measurement is the pressure drop that occurred with treatment. If you have 20-30 percent drop, you are fine. ...Read more
Yes: That drug is known to have that side effect. ...Read more
30 minutes: Almost all my patients go to bed after instilling their prostaglandin analogue (travatan), therefore they are not wearing their contact lenses. I don't recommend sleeping in contacts. For the people who use anti glaucoma medications in the morning, I recommend waiting at least 30' before inserting contact lenses. ...Read more
Using travatan for glaucoma. Pressure down from 31 to 14 over a 90 day period. Does it usually take that long for pressure reduction to bottom out?
Varies: Pressure usually responds very quickly after starting medication, although the response can continue to improve for weeks after starting the medication in some people. It is important to continue taking the medication every day for it to keep working. ...Read more
Switched from travatan to cosopt 1mo. Ago due to side effects. Cosopt lowered pressure 2-3 pts more & near vision improved. Could cosopt cause this?
Yes: Two reasons I think: 1st- is that if you had problems with travatan and it was causing corneal irritation, then switching to Cosopt that doesn't cause this could improve vision. 2nd- unusually Cosopt may cause transient myopia (reversible when stopping) which would improve your near vision. Chronic treatment of glaucoma has been associated with faster cataract formation, usually increased myopia. ...Read more
Could travatan drop cause night blindness when driving such as a starburst pattern of oncoming headlights?
No: Sounds like a lens (cataract) or corneal issue. Go see your eye md. ...Read more