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Indications:

This medicine is used to lower raised pressure in the eye and to treat the following forms of glaucoma: • Chronic simple (open-angle) glaucoma • Secondary glaucoma, where glaucoma has developed as a result of other eye disorders • Acute angle-closure glaucoma before undergoing surgery.

Contraindications:

Do not take this medicine if: 1. you are allergic to: • Acetazolamide • medicines called sulphonamides, which are a group of antibiotics used to treat bacterial infections, or sulphonamide related medicines. 2. you have chronic noncongestive angle closure glaucoma. 3. you have any of the following conditions: • marked liver or kidney disease If you have chronic liver disease and you take this medicine you are at risk of brain and nervous system damage. • problems with your adrenal glands • unusual amounts of salt in the body • low levels of sodium, potassium or bicarbonate in your blood 4. you are pregnant. this medicine should not be used in pregnancy, especially during the first trimester.

Adverse reactions:

• tingling or numbness of fingers, toes, hands, feet and face • loss of appetite • feeling extremely thirsty • passing more urine than normal • flushing • headache • dizziness • tiredness • irritability

Interactions:

Some medicines may reduce or increase the action of this medicine. Also this medicine may reduce or increase the action of some other medicines. These include: • aspirin • phenytoin, primidone, medicines used to treat epilepsy • medicines used to stop blood clotting • medicines used for high blood sugar levels • a group of medicines used to treat cancer called folic acid antagonists • medicines used for high blood pressure • medicines used to treat heart failure • cyclosporin, a medicine used after an organ transplant to prevent rejection • lithium, a medicine used to treat emotional disorders • amphetamines (stimulants) • other glaucoma medicines like this medicine. • antibiotics belonging to the methenamine class • sodium bicarbonate, used to treat heartburn or to make your blood or urine less acidic.

Warnings:

You must tell your doctor if: 1. you have any allergies to: • any other medicines • any other substances, such as foods, preservatives or dyes. 2. you are pregnant or plan to become pregnant. Your doctor will discuss the risks and benefits of taking this medicine during pregnancy. 3. you are breastfeeding or plan to breastfeed. Your doctor will discuss the risks and benefits of taking this medicine when breastfeeding. This medicine has been found in low levels in breast milk. 4. you have or have had any other medical conditions including: • emphysema • blockages in the lung • diabetes or impaired glucose tolerance.

Form:

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Consultants Corner

Dr. Tahsin Martini

Dr. Tahsin Martini Degree status: M.D. in Ophthalmology

Dr. Hani Najjar

Dr. Hani Najjar Pediatrics, Neurology

Dr. Faisal Dibsi

Dr. Faisal Dibsi Specialist of Otolaryngology - Head and Neck Surgery

Dr. Samer Al-Jneidy

Dr. Samer Al-Jneidy Pediatrician

Samir Moussa M.D.

Samir Moussa M.D. ENT Specialist

Dr . Dirar Abboud

Dr . Dirar Abboud Hepatologist – Gastroenterologist

Dr. Talal Sabouni

Dr. Talal Sabouni UROLOGY AND KIDNEY TRANSPLANT

Yaser Habrawi , F.R.C.S.Ed

Yaser Habrawi , F.R.C.S.Ed Consultant Ophthalmologist

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