Echothiophate

Echothiophate Brand Name– Phospholine Iodide

What is Echothiophate

Echothiophate is an ophthalmic cholinesterase-inhibitor miotic agent. It is used to decrease intraocular pressure in glaucoma, for treatment of strabismus, and as a miotic agent for diagnostic purposes.

Echothiophate is an indirect-acting agent that inhibits the cholinesterase enzyme, which potentiates the action of acetylcholine on the parasympathomimetic receptors.

This drug was approved by the FDA in 1959.

Indications

  • glaucoma
  • strabismus

NOTE: Gonioscopy is recommended prior to initiation of therapy with echothiophate.

Side Effects

  1. blurred vision
  2. cataracts
  3. diarrhea
  4. headache
  5. hyperhidrosis
  6. iritis
  7. lacrimation
  8. myasthenia
  9. myopia
  10. ocular hypertension
  11. ocular irritation
  12. ocular pain
  13. respiratory depression
  14. retinal detachment
  15. urinary incontinence
  16. uveitis

Monitoring Parameters

  • intraocular pressure
  • ophthalmologic exam

Contraindications

  • acute myocardial infarction
  • aphakia
  • asthma
  • bradycardia
  • breast-feeding
  • cardiac disease
  • closed-angle glaucoma
  • contact lenses
  • corneal abrasion
  • GI obstruction
  • hypotension
  • iritis
  • ocular surgery
  • Parkinson’s disease
  • peptic ulcer disease
  • pregnancy
  • retinal detachment
  • seizure disorder
  • urinary tract obstruction
  • uveitis

Interactions

There are no drug interactions associated with Echothiophate products.

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