Doctor insights on:
Why Should Valium Not Be Used If I Have Narrow Angle Glaucoma
Pressure can rise: Valium is in a class of drugs that the fda has listed as a contraindication because of a potential further reduction in the angle of the eye responsible for passage of the eye fluid. If that angle is already narrow, any further narrowing may result in blockage of fluid flow causing the eye pressure to build up and cause redness, pain, and glaucoma damage to the eye nerve, which can be permanent. ...Read moreSee 1 more doctor answer
Valium (diazepam) is an older benzodiazepine tranquilizer. It was the #1 prescribed drug (of any kind) in the us in the late 1960s but is used less now due to drug interactions and active metabolites. It is still used for anxiety and as "pre-medication" for uncomfortable medical and minor surgical procedures. It is habit-forming, should not be used with alcohol, ...Read more
It depends: Valium belongs in a class of medications that, in theory, could precipitate an angle closure attack (as a weak anticholinergic). In practice, this is not an absolute contraindication. What is more important is to ensure that your narrow angles are managed by your ophthalmologist (either with laser+/-medication). ...Read more
Could cause pressure: Valium is a muscle relaxant which selectively affects skeletal muscle fibers more than smooth muscle fibers found in the iris and pupil. The thinking would be that if valium or diazepam relaxes the iris muscles it could trigger angle closure glaucoma -a medical emergency. I've never seen that happen to a patient on valium and if you have a laser iridotomy it will prevent this. ...Read more
Laser: Have you had laser peripheral iridotomy and/or goniotomy to prevent closure? The medications that can exacerbate angle closure are anything that dilates the eye, Antihistamines and decongestants; Asthma medicines; Motion sickness medicines, and some medicines used to treat depression (tricyclic antidepressants) ...Read moreSee 1 more doctor answer
Of course: If you know you have narrow angle glaucoma, you probably have had the diagnosis made and the treatment (laser peripheral iridotomy) already administered. There is no relationship between these features and the ability to wear contacts. So if that is your wish, discuss with you ophthalmologist to get the proper design and fit. ...Read moreSee 1 more doctor answer
Anatomical Proble: Angle closure glaucoma is far less common than open angle glaucoma. The pathology is based on an anatomical narrowing of the drainage site where fluid made inside the eye drains out. Think plumbing: a clogged drain backs up, and in the eye the pressure increases dramatically. Very painful and vision can be lost entirely in a few hours. High risk patients should be treated, but only if high risk. ...Read moreSee 1 more doctor answer
Spectrum: A narrow angle vs. A closed angle is a spectrum from partially closed to completely closed as seen on gonioscopy or other angle imaging methods. A closed angle often has scarring, though it can be appositionally closed and thus still able to open. The angle status affects treatment of glaucoma, and sometimes narrow angle configuration is a precursor or risk factor for developing glaucoma. ...Read moreSee 1 more doctor answer
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