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olopatadine ophthalmic (Pataday, Patanol, Pazeo)

 

Classes: Antihistamines, Ophthalmic

Dosing and uses of Pataday, Patanol (olopatadine ophthalmic)

 

Adult dosage forms and strengths

ophthalmic solution

  • 0.1%
  • 0.2%
  • 0.7%

 

Allergic Conjunctivitis

Indicated for the treatment of ocular itching associated with allergic conjunctivitis

0.1% solution (Patanol): 1 gtt BID in affected eye(s) at an interval of 6-8 hr

0.2% solution (Pataday): 1 gtt in affected eye(s) qDay

0.7% (Pazeo): 1 gtt in affected eye(s) qDay

 

Pediatric dosage forms and strengths

ophthalmic solution

  • 0.1%
  • 0.2%
  • 0.7%

 

Allergic Conjunctivitis

Indicated for the treatment of ocular itching associated with allergic conjunctivitis

<2 years (Pataday, Pazeo) or <3 years (Patanol): Safety and efficacy not established

0.1% solution (Patanol): 1-2 gtt BID in affected eye(s) at an interval of 6-8 hr

0.2% solution (Pataday): 1 gtt in affected eye(s) qDay

0.7% solution (Pazeo): 1 gtt in affected eye(s) qDay

 

Pataday, Patanol (olopatadine ophthalmic) adverse (side) effects

1-10%

Headache (7%)

Asthenia (<5%)

Blurred vision (<5%)

Burning or stinging (<5%)

Cold syndrome (<5%)

Dry eye (<5%)

Foreign body sensation (<5%)

Hyperemia (<5%)

Hypersensitivity (<5%)

Keratitis (<5%)

Lid edema (<5%)

Nausea (<5%)

Pharyngitis (<5%)

Pruritus (<5%)

Rhinitis (<5%)

Sinusitis (<5%)

Taste perversion (<5%)

 

Warnings

Contraindications

Documented hypersensitivity

 

Cautions

Remove contact lenses prior to administration; wait 10 min after administration before reinsertion

Do not use contact lenses if eyes are red

 

Pregnancy and lactation

Pregnancy category: C

Lactation: Unknown if distributed into breast milk; use caution

 

Pregnancy categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

 

Pharmacology of Pataday, Patanol (olopatadine ophthalmic)

Mechanism of action

Antihistamine (H1 antagonist); inhibits release of histamine from mast cells and histamine induced effects on conjunctival epithelial cells.

 

Pharmacokinetics

Absorption: Limited systemic

Half-Life: 3 hr

Protein binding: ~55%

Metabolites: N-desmethyl olopatadine; olopatadine N-oxide

Half-life: 3 hr

Excretion: Urine (60-70%); feces (17%)