Review Article
The Role of Medications in Causing Dry Eye
Table 3
Systemic drugs probably causing or aggravating dry eyes [
13].
| Class | Examples |
| Antihypertensive agents (beta-agonists) | Acebutolol | Antihypertensive agent (alpha-agonists) | Atenolol | Antiarrhythmic agents (beta blockers) | Carvedilol | | Labetalol Metoprolol Nadolol Pindolol Clonidine Prazosin Oxprenolol Propranolol |
| Antipsychotic agents | Chlorpromazine | | Fluphenazine Lithium carbonate Perphenazine Prochlorperazine Promethazine Quetiapine Thiethylperazine Thioridazine Brompheniramine Carbinoxamine Chlorphenamine (chlorpheniramine) Clemastine Cyproheptadine Dexchlorpheniramine |
| Bronchodilators | Diphenhydramine | Antispasmodics/ antimuscarinic | Doxylamine | Antiarrythmic agents | Ipratropium | | Atropine Homatropine Tolterodine Hyoscine (scopolamine) Hyoscine methobromide (methscopolamine) Disopyramide |
| Antineoplastic agents | Busulfan | | Cyclophosphamide Interferon (alpha, beta, gamma, or PEG) Vinblastine Cetuximab Erlotinib Gefitinib |
| Antihistamines | Cetirizine | | Desloratadine Fexofenadine Loratadine Olopatadine Tripelennamine |
| Antidepressants | Citalopram | | Fluoxetine Fluvoxamine Paroxetine Sertraline |
| Antileprosy agents | Clofazimine |
| Antirheumatic agents/analgesics | Aspirin | | Ibuprofen |
| Sedatives and hypnotics | Primidone |
| Drugs secreted in tears | Aspirin | | Chloroquine Clofazimine Docetaxel Ethyl alcohol Hydroxychloroquine Ibuprofen Isotretinoin |
| Antiandrogens | Tamsulosin | | Terazosin Doxazosin Alfuzosin |
| Neurotoxins | Botulinum A or B toxin |
| Antimalarial agents | Chloroquine | | Hydroxychloroquine |
| Retinoids | Isotretinoin |
| Antiviral | Aciclovir |
| Thiazides | Bendroflumethiazide | | Chlorothiazide Chlortalidone Hydrochlorothiazide Hydroflumethiazide Indapamide Methyclothiazide Metolazone Polythiazide Trichlormethiazide |
| Cannabinoids | Dronabinol | | Hashish Marijuana |
| Chelating agents | Methoxsalen |
| Strong analgesics | Morphine | | Opium/opioids |
| Antipsychotic agents | Pimozide |
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References for the above systemic medications provided at http://www.eyedrugregistry.com/.
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