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Potentially inappropriate prescriptions of anticholinergic medications in patients with closed-angle glaucoma

  • Luis Fernando Valladales-Restrepo
  • Jorge Enrique Machado-AlbaEmail author
Original Paper
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Abstract

Purpose

Glaucoma is the leading cause for blindness after cataracts worldwide. The aim was to identify anticholinergic drugs prescribed to patients diagnosed with closed-angle glaucoma in Colombia.

Methods

This cross-sectional study identified the prescribing patterns of cholinergic antagonists related to the increased intraocular pressure in patients diagnosed with closed-angle glaucoma from a Colombian database. The Anticholinergic Drug Scale was used to quantify the anticholinergic burden.

Results

We identified 1958 patients with closed-angle glaucoma, with a mean age of 70.5 ± 10.3 years, 72.9% of whom were women. Cholinergic antagonists were prescribed in at least 32.4% of cases. An age range between 75 and 84 years (odds ratio (OR) 2.35, 95% confidence interval (CI) 1.366–4.059) and being aged 85 years or older (OR 3.40, 95% CI 1.809–6.425) were associated with a greater probability of receiving an anticholinergic burden between 1 and 2 points. Females (OR 1.54, 95% CI 1.096–2.181) had a higher probability of receiving an anticholinergic burden ≥ 3 points. Interactions between antiglaucoma medications and anticholinergic treatments were identified in 32.1% of the patients.

Conclusions

Most patients were prescribed multiple antiglaucoma medications, reflecting a large number of potentially inappropriate prescriptions, with anticholinergic drugs, related to the increased intraocular pressure.

Keywords

Blindness Cholinergic antagonists Closed-angle glaucoma Furosemide Intraocular pressure Pharmacoepidemiology 

Notes

Acknowledgements

We thank Soffy Claritza López for her work in obtaining the database.

Funding

This work did not receive funding.

Compliance with ethical standards

Conflict of interests

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  1. 1.Grupo de Investigación en Farmacoepidemiología y FarmacovigilanciaUniversidad Tecnológica de Pereira-Audifarma S.APereiraColombia
  2. 2.BiomedicinaFundación Universitaria Autónoma de las AméricasPereiraColombia

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