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What is Drug used in acute congestive glaucoma are all except: (PGI Nov 2009) and explain in detail?
Ans: A (Atropine) "Mydriatic drugs like atropineQ, cyclopentolate, tropicamide & phenylephrine'' are precipitating factors for angle closure glaucoma ,so not used in treatmentKhurana4th/225Drugs Used in Treatment of Acute Congestive GlaucomaHyperosmotic Agents & Hypotensive LipidsMannitol :Shou!d be given initially to lower IOPGlycerol: It is less suitable for diabetes# Beta Blocker - Decrease rate of production of aqueous humourTimololQLevobunololQBetaxololQCarteololQa agonist - Decrease production & increase aqueous outflowClonidineQBrimonidineQApraclonidineNon-Selective a & p agonistsEpinephrineDipivefrineQCarbonic Anhydrase Inhibitors - decrease production of aqueous humourAcetozolamideQDorzolamideyMethazolamideBrinzolamideQProstaglandin Analogues - Increase uveoscleral outflowLatanoprostQBimatoprostUnoprostoneQTravoprost# Parasympathomimetics - Increase trabecular outflowPilocarpineQCorticosteriod - reduce inflammationDexamethasoneQBetamethasone