Bimatoprost

Bimatoprost Brand Names

DURYSTA | Latisse | Lumigan

What is Bimatoprost

Bimatoprost is a synthetic structural analog of prostaglandin indicated for the reduction of intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension.

The drug lowers IOP by increasing the outflow of aqueous humor through both the trabecular meshwork and uveoscleral routes.

Bimatoprost is also approved for the treatment of hypotrichosis of the eyelashes. In patients with hypotrichosis, bimatoprost increased eyelash prominence, length, fullness or thickness, and darkness after 8, 12, and 16 weeks of use.

The drug is commercially available as an ophthalmic solution (0.1% and 0.3%) and as a 10 mcg intracameral implant; the intracameral implant must be inserted by a health care professional under standard aseptic conditions.

As with latanoprost and travoprost, bimatoprost has been associated with changes to pigmented tissues including increased pigmentation of eyelashes, the iris, and periorbital tissue.

Changes in iridal pigmentation may be permanent.

Indications

  1. glaucoma
  2. hypotrichosis
  3. increased intraocular pressure
  4. ocular hypertension

For the reduction of elevated or increased intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension

Side Effects

  1. asthenia
  2. blepharitis
  3. blurred vision
  4. cataracts
  5. conjunctival hyperemia
  6. conjunctivitis
  7. corneal degeneration
  8. corneal edema
  9. corneal erosion
  10. corneal opacification
  11. dizziness
  12. dyspnea
  13. erythema
  14. foreign body sensation
  15. headache
  16. hirsutism
  17. hypertension
  18. hypertrichosis
  19. hyphema
  20. infection
  21. iridal discoloration
  22. iritis
  23. keratitis
  24. lacrimation
  25. macular edema
  26. maculopapular rash
  27. nausea
  28. ocular discharge
  29. ocular hemorrhage
  30. ocular hypertension
  31. ocular inflammation
  32. ocular irritation
  33. ocular pain
  34. ocular pruritus
  35. photophobia
  36. skin hyperpigmentation
  37. uveitis
  38. visual impairment
  39. xerophthalmia

Monitoring Parameters

  • intraocular pressure
  • ophthalmologic exam

Contraindications

  • aphakia
  • breast-feeding
  • children
  • closed-angle glaucoma
  • contact lenses
  • corneal abrasion
  • corneal transplant
  • infants
  • iritis
  • keratitis
  • neonates
  • ocular infection
  • ocular surgery
  • ocular trauma
  • pregnancy
  • sunlight (UV) exposure
  • uveitis

Interactions

There are no drug interactions associated with Bimatoprost products.

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