Question #10451
1 day ago
26
How to deal with Gulucoma. Pilocar 2% is not suited. It getting energy. - #10451
Rajesh kumar
I got discover gulucoma in early stage in 2018. I used Rayprost, pilocar 2%. After using pilocarpine, it resulting elergies in eye. I must stop pilocar but eye pressure is increasing. Pls.suggest accordingly.
Age: 53
Chronic illnesses: High BP.
300 INR (~3.53 USD)
FREE! Ask a Doctor — 24/7,
100% Anonymously
100% Anonymously
Get expert answers anytime, completely confidential.
No sign-up needed.
No sign-up needed.

Doctors’ responses
Continue:
Rayprost (Travoprost / Latanoprost)
1 drop at night in both eyes
(Prostaglandin analog – first-line agent)
Discontinue:
Pilocar (Pilocarpine 2%) – due to allergy
Dorzolamide 2% eye drops
1 drop in both eyes twice daily
(Effective with fewer systemic side effects)
219 answered questions
70% best answers
0 replies
Monitoring Plan:
IOP check every 2–3 months
Visual field testing yearly
Optical Coherence Tomography (OCT) to assess optic nerve health
Ensure compliance with drops
Precautions:
Use eye drops exactly as prescribed – spacing between different drops should be at least 5–10 minutes
Avoid rubbing eyes
Avoid overuse of topical steroids
Monitor BP regularly – some glaucoma meds (e.g., beta-blockers) may affect BP or pulse
219 answered questions
70% best answers
0 replies
If IOP is still not controlled:
Your ophthalmologist may consider:
Brimonidine (Alphagan P)
SLT (Selective Laser Trabeculoplasty) – effective for early glaucoma
Surgical options if all else fails (e.g., trabeculectomy)
219 answered questions
70% best answers
0 replies
You can continue rayprost and discontinue pilocarpine due to allergy
Start eye drop Timolol + Brimonidine 2 drop thrice day
Also get checked
Visual fields & OCT test: Every 6–12 months to monitor progression.
IOP monitoring: Recheck 1–2 weeks after switching or adding meds.
Ecg to check for any heart condition
U can opt for surgery if continue facing increased iop
143 answered questions
64% best answers
0 replies
Hello dear
Please be aware
I think probably the infection is spreading fast
You can take itone twice a day for 5 days
I suggest you to please consult opthalmologist for confirmation
Regards
161 answered questions
72% best answers
0 replies
Since pilocarpine caused allergies and your eye pressure is rising, you may need alternative medications like beta-blockers (e.g., timolol), carbonic anhydrase inhibitors, or selective alpha agonists. Rayprost (latanoprost) is effective, but combination therapy is often needed to control glaucoma progression. Consult your ophthalmologist promptly to adjust your treatment and prevent vision loss.
109 answered questions
63% best answers
0 replies
FREE! Ask a Doctor — 24/7,
100% Anonymously
100% Anonymously
Get expert answers anytime, completely confidential. No sign-up needed.
About our doctors
Only qualified doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.
Related questions
Popular questions
low Desire for sex drive and erectile dysfunction
Amiya
21 hours ago
300 INR (~3.53 USD)
6 answers
Could I possibly be pregnant? Realistically I don’t think I could be but I’m scared
Somerlyn
21 hours ago
300 INR (~3.53 USD)
5 answers
I have PCOD and have been trying to conceive for 5 months — is PCOD the reason I'm not getting pregnant, and what should I do next?
Ashna
20 hours ago
300 INR (~3.53 USD)
5 answers
How to reduce inflammation in Rheumatoid arthritis
S Ranikumar
9 hours ago
FREE
2 answers
Skin regarding my 10 month baby
Sumit
8 hours ago
FREE
2 answers
what is going on with my body. this month I feel all out of wack.
Somerlyn
1 hour ago
FREE
0 answers
How to Reduce Acidity n Blood Vomiting
VENKATESH
1 day ago
300 INR (~3.53 USD)
5 answers
How to deal with Gulucoma. Pilocar 2% is not suited. It getting energy.
Rajesh kumar
1 day ago
300 INR (~3.53 USD)
6 answers
How can I get rid of breathing trouble?
Subenoy Bhattacharjee
1 day ago
300 INR (~3.53 USD)
6 answers
Question related sexual relationship
Aditi
1 day ago
FREE
2 answers
Stress, trauma, depression, family issues
Rohail masih
1 day ago
300 INR (~3.53 USD)
4 answers
Don't get periods my periods on time
Suhani
1 day ago
300 INR (~3.53 USD)
5 answers
ACTUALLY WHAT IS MY DISEASE, IS IT FATTY LIVER OR LIVER CRROHSIS
N K GUPTA
1 day ago
300 INR (~3.53 USD)
5 answers
Nasha chodne ke liye koii medicine btao plz
Harsh Deep singh
1 day ago
FREE
1 answers
Premature Ejeculation problems cure
Rahul
1 day ago
FREE
1 answers
after did surgery hernia i got pain on my pein
suleyiman
1 day ago
FREE
1 answers
“Lump on penis with curve and pain during erection, what should I do?”
Saivarshith
1 day ago
300 INR (~3.53 USD)
4 answers
Can I get pregnant by fingering?
Mary
2 days ago
300 INR (~3.53 USD)
4 answers
I want my erection to last longer
Jay
2 days ago
300 INR (~3.53 USD)
4 answers
I want to regain my hair growth which was lost due to minoxidil
Vj
2 days ago
300 INR (~3.53 USD)
3 answers
Periods ane ke baad bhi pregnency control ( pregaend medicine) kha li h kya dikkat ho skti h
Ritika
2 days ago
FREE
1 answers
Loose diarrhea post colonoscopy damage
Avirit Chakraborty
2 days ago
300 INR (~3.53 USD)
4 answers
OCD relief and to avoid mental depression
Megha Pawar
2 days ago
FREE
2 answers
How to cure palmopaoriasis ? Plse.Suggest better treatment.
Tilak Tamang
2 days ago
300 INR (~3.53 USD)
4 answers
Liver cirrhosis & Erectile dysfunction
Sanjay parmar
2 days ago
300 INR (~3.53 USD)
4 answers
Tuberculosisaffected heavy cough and vomit
T S YADAV prasad
2 days ago
300 INR (~3.53 USD)
4 answers
Repetitive Dandruff coming, itchy scalp , hair fall, whitehairs
Prateek
2 days ago
300 INR (~3.53 USD)
4 answers
My period are delayed from last 2 months
Anushka Tiwari
2 days ago
300 INR (~3.53 USD)
4 answers
Ear infectiion, no puss but little like itching
Shivanand
3 days ago
300 INR (~3.53 USD)
4 answers
Can a skin allergy patient take dasutra 30x 50 tablet without sex
Mohd ahmed
3 days ago
300 INR (~3.53 USD)
4 answers
White dishcharge 2,3 times in a day
Anushika
3 days ago
FREE
1 answers
Menstrual periods after 2 month
Pavneet Cheema
3 days ago
FREE
1 answers
Maine periods aane ke baad pregaend medicine kha li h kya isse mujhe nuksaan ho skta h
Ritika
3 days ago
FREE
1 answers
Pregnan kit postive Bt ultrasound me baby dekhta nhe hai
Diksha
3 days ago
FREE
1 answers
I need to know symptoms of sds hiv
Aquib
3 days ago
FREE
0 answers
How to get rid of my pimples and acne? How to make my hair stronger and thicker?
Beulah
3 days ago
FREE
0 answers
How to get rid of vaginal acne..
Sravani
3 days ago
FREE
1 answers
Need to maintain overall body weight
Aditi
3 days ago
FREE
0 answers
LIVER CIRRHOSIS & ERECTILE DYSFUNCTION
Sanjay parmar
3 days ago
FREE
0 answers
Anxiety stress and panic attacks fear
Bhagyashri
3 days ago
FREE
0 answers
How to get the snapping on my legs go away
Marceline
4 days ago
FREE
0 answers
How to make your legs stop snapping?
Marceline
4 days ago
FREE
0 answers
I don't know if this things are normal.
Arjun
4 days ago
FREE
0 answers
Anxity overthinking fear off death
Tonu saini
4 days ago
FREE
0 answers
Tooth removedI getyear pain more than one week
N radharani
4 days ago
FREE
1 answers
My periods are 9 days late. My period date was 3th and it's 12 i have still not got my period
Asvi
4 days ago
FREE
1 answers
How to reduce inflammation in stomach
Yashvi
4 days ago
FREE
0 answers
Knee pain and feet and fingers logging
JEEVANA JYOTHI
4 days ago
FREE
0 answers
Hh bhhu hhhh hhjj gggghhjjj gggjj hhfv
Amit
4 days ago
FREE
0 answers
Main thodi confused hu ki mujheIpill ka infection hua hain ya pregnancy
Swati rathod
4 days ago
FREE
1 answers
© 2024 AskDocDoc. All rights reserved.