Latanoprost, a balanced prostaglandin.

Introduction: Glaucoma is a leading cause of blindness and represents a significant global health and economic concern. Prostaglandin analogs such as latanoprost - which act to reduce intraocular pressure by enhancing uveoscleral flow and slow the development and progression of glaucoma - are recomm...

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Publicado en:Expert Review of Ophthalmology Vol. 14; no. 1; pp. 61 - 73
Autores principales: Martinez-de-la-Casa, Jose M, Donde, Shaantanu, Wierzbowska, Joanna
Formato: research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Feb2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2019
      vid: 14
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/17469899.2019.1567331
        134433868
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        atl: Latanoprost, a balanced prostaglandin.
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        au:
          Martinez-de-la-Casa, Jose M
          Donde, Shaantanu
          Wierzbowska, Joanna
        affil: Ophthalmology, Universidad Complutense de Madrid, Madrid, Spain
      sug:
        subj:
          Latanoprost Administration and Dosage
          Prostaglandins Analogs and Derivatives
          Human
          Systematic Review
          Medline
          PubMed
          Intraocular Pressure Drug Effects
          Glaucoma Drug Therapy
          Quality of Life
      ab: Introduction: Glaucoma is a leading cause of blindness and represents a significant global health and economic concern. Prostaglandin analogs such as latanoprost - which act to reduce intraocular pressure by enhancing uveoscleral flow and slow the development and progression of glaucoma - are recommended as a first-line monotherapy. Areas covered: We review recent efficacy and safety data for latanoprost, both alone and in combination therapy, and vs. other prostaglandin analogs, focusing on the tolerability and adherence to the drug and the subsequent impact on patient-perceived quality of life. Relevant studies were identified by an electronic literature search using MEDLINE PubMed, and current global glaucoma guidelines were reviewed. Expert commentary: Prostaglandin analogs represent the cornerstone in glaucoma therapy. Individual studies demonstrate differences in efficacy between prostaglandin analogs, but within-class differences are generally small - and, on balance, latanoprost presents a good efficacy-safety profile. Low adverse event rates result in greater persistence and improved quality of life for patients. Further, a latanoprost/β-blocker combination represents an efficacious therapeutic alternative where monotherapy does not sufficiently reduce intraocular pressure. However, high-quality randomized controlled trials are required to provide further information regarding fixed-dose combination vs. unfixed combination treatment regimens.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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