3. The newer, more site-specific (H1 selective) antihistamines like Zyrtec (cetirizine, McNeil Consumer), Clarinex (desloratadine, Merck) and Allegra (fexofenadine, Sanofi-Adventis) are less likely to cause ocular dryness, but they may affect the tear film. Conditions that reduce the cornea’s sensitivity reduce blinking and tear production, too. Except for brinzolamide, all CAI s are … 17. Medications that can cause this include Adipex (for obesity), Celebrex (inflammation), Lamictal (seizures), Mevacor (elevated cholesterol), Tylenol (pain ­relief) and Zantac (ulcers). A surprisingly large number of drugs have the potential to trigger this complication. Gastrointestinal Medications 13. Am J Ophthalmol. 19. 2003;18(4) . 14. Tears can be inadequate for many reasons. If you have dry eyes, your eyes may sting or burn. Drugs. Because this risk has been shown to increase with longer durations of estrogen use, patients on HRT with estrogens should be monitored for dry eye problems.11, Antidepressants Dry Eye Culprits of the Drug World. Hydrochlorothiazide (HCTZ) is a commonly used diuretic and can produce changes in the precorneal tear film, inducing a dry eye.6 Furosamide and HCTZ/triamterene are other common medications in this class. Fatty acids. For example, dry eyes may occur if you don't produce enough tears or if you produce poor-quality tears.Dry eyes feel uncomfortable. Diuretics. Dermatologists sometimes prescribe Accutane (isoretinoin, Genpharm) for the treatment of recalcitrant acne. A review article in the Journal of Ophthalmology (online, Aug. 27, 2012) lists many such drugs and discusses this topic in detail. They need to know the brand names and generic names of the medications they are taking. 5th ed. Isotretinoin (13-cis-retinoic acid) is a form of vitamin A that reduces the amount of oil released by oil glands in the skin.15 Vitamin A and its synthetic derivatives are collectively known as retinoids and are used to treat severe recalcitrant nodular acne, acne vulgaris and severe recalcitrant psoriasis, and to induce remission of leukemia.16 Isoretinoin has been shown to be secreted in tears by the lacrimal gland and has been associated with causing meibomian gland dysfunction—producing dry eye complaints, contact lens discomfort, blepharoconjunctivitis, transient blurring of vision and acute, transient refractive changes––especially myopic shifts.17 This synthetic medication affects the overproduction of skin lipids. Clinically important ocular reactions to systemic drug therapy. The use of estrogen replacements and contraceptive agents is commonly implicated in dry eye. Ophthalmic Toxicology. Fraunfelder FT, Fraunfelder FW, Edwards R. Ocular side effects possibly associated with isotretinoin usage. These eyedrops may improve symptoms by reducing tear evaporation. Optom Mgmt. This medication class includes the proton pump inhibitors: Prevacid (lansoprazole, Takeda), Prilosec (omeprazole, Procter & Gamble), Nexium (esomeprazole magnesium, AstraZeneca), Zantac (ranitidine, GlaxoSmithKline) and Tagamet (cimetidine, GlaxoSmithKline). Dry eye is often a side effect of certain medications. 2008 Jan;145(1):60-73. At the end of the day, it is our responsibility to make sure that our patients know how their systemic medications could be contributing to their ocular surface disease. Call your doctor. Physicians prescribe systemic beta blockers to treat angina pectoris, essential hypertension, myocardial infarctions and migraine headaches.4 Beta blockers reduce lysozyme levels and immunoglobulin A, causing a decrease in aqueous production and subsequently leading to symptoms of dry eye.5 Patients using beta blockers also exhibit corneal anesthesia, decreased tear film break-up times and ocular irritation. 9. Thiazides or diuretics are often prescribed to treat congestive heart failure. That means they affect the way the neurochemical acetylcholine interacts with receptors in the body. 2006;5(5):467-8. H2 receptor antagonists, like all antihistamines, can cause dry eye symptoms. JAMA. Ampélas JF, Wattiaux MJ, Van Amerongen AP. www.optometric.com/article.aspx?article=70708 (Accessed April 2011). These include diuretics (water pills), antihistamines, antidepressants, drugs that lower cholesterol, beta-blockers and birth control pills. This report, based on observations on 25,000 post-menopausal women, showed evidence of a significant increased risk of dry eye syndrome and severity of dry eye symptoms in women taking estrogen. A major drug in this class is Cytoxan (cyclophosphamide, Bristol-Myers Squibb), which is also used to treat ocular cicatricial pemphigoid and primary Sjögren syndrome. Muchnick BG. 2007;56(3):257-62. Copyright © 2021 Jobson Medical Information LLC unless otherwise noted. Drug-Induced Ocular Side Effects. 2. We're empowering you to make wise decisions about your own health, by providing you with essential health information about both medical and alternative treatment options. Do not consider this brief discussion exhaustive, as many other drugs and categories may have dry eye as a side effect. Some people begin to experience dry eye after laser vision correction surgery. Clinical Ocular Pharmacology, 3rd ed. Some of these medications are essential for good health. National Academies Press, July 20, 2006. 2nd ed. This has a serious impact on quality of life and explains why some people may be dissatisfied with the outcome of their LASIK surgery. Perhaps none is more current and readily available than Epocrates (www.epocrates.com), which is updated weekly can be downloaded to your mobile device. Hormone replacement therapy (HRT) with estrogens alone or in combination with progestins is a commonly prescribed therapy for post-menopausal women. This drug class causes decreased lacrimation, which may induce dry eye complaints. If you have found a solution, please share your success story with others. Hom M. Is it the medication? Dermatologic Medications Such drugs can cause both a dry mouth and dry eyes by interfering with glands in these organs. Acupuncture. Antidepressants. Certain classes of drugs are known to cause eye problems. J Drugs Dermatol. If you have ever gotten a foreign object in your eye you know how distressing that can feel until you get it out. Psychiatric manifestations of lupus erythematosus systemic and Sjögren’s syndrome. Dry eyes can be caused by reduced tear production or increased evaporation from the eye's surface, but doctors rarely mention dry eyes as a drug side effect. He is also a diplomate in the Primary Care Section of the American Academy of Optometry. Treatment will be different for each person depending on the root cause of the dry eye. 10. www.optometric.com/article.aspx?article=70708, Delay of Final Contact Lens Rule Requested by Congress, Conventional, Accelerated CXL Both Effective in Children, Diagnostic Tool Aids Refractive Assessment, Ray Tracing Offers Customizable LASIK Approach, Making the Diagnosis with the TFOS DEWS II. Drug Saf. A great deal of information is available about hormone replacement therapy in post-menopausal women. 2002 Jan;109(1):111-8. 6. Imagine sandpaper under your eyelids. As many as 60% of patients taking cyclophosphamide have developed dry eye.19, Antipsychotic Medications Proton pump inhibitors have caused dry eye complaints, although this information does not appear in their individual package inserts. You may experience dry eyes in certain situations, such as on an airplane, in an air … Brand name examples include Zoloft, Paxil, Elavil, Endep and Sinequan. All rights reserved. High Blood Pressure. The exact cause-and-effect relationship is unknown, but may be associated with a decreased aqueous component of the precorneal tear film.9. The definition and classification of dry eye disease: report of the Definition and Classification Subcommittee of the International Dry Eye Workshop (2007). … People are surprised to learn that even non-prescription medications could be contributing to their uncomfortable eyes. 8. In general, these medications affect and reduce tear production (or more specifically, production of water that constitutes the aqueous layer) from the lacrimal glands, resulting in dryness of the eyes. When selecting reference resources, choose those that are complete and updated frequently. Ocular adverse effects associated with systemic medications. Lesher GA. Get side effect saavy. J Am Optom Assoc. Here are the broad categories and specific medications that have been known to potentially … The drugs in this class reduce mucous and aqueous production, which cause dry eye complaints.7 Their activity may also decrease the aqueous component of the precorneal tear film. Approximately 20% of previously successful contact lens wearers may need to decrease their wearing time, use preservative-free lubricating eye drops or discontinue contact lens wear while on this medication.18. They point out that the more medications a person is taking, the greater the likelihood that a combination could contribute to dry eyes. So may novel psychoactive substances such as synthetic opioids (Helander et al, British Journal of Dermatology, April 2017). Pain Relievers Widely prescribed anti-anxiety medications and tricyclic antidepressants can produce dry eye side effects. Medications that block histamine receptors alleviate allergic conditions of rhinitis, uticaria, dermatitis and systemic allergies. The effect of these medications, however, is not as profound as earlier generation antihistamines. Optom Clin. A surprisingly large number of drugs have the potential to trigger this complication. Miserocchi E, Baltatzis S, Roque MR, et al. Two useful resources in clinical practice are “Clinical Ocular Toxicology: Drug Induced Ocular Side Effects” by Frederick Fraunfelder, M.D., and Wiley Chambers and “Clinical Ocular Pharmacology,” 5th edition by James Bartlett, O.D., D.O.S., M.Sc., and Siret Jaanus, Ph.D., L.H.D. Rennie IG. In general, these effects occur with OTC preparations—most commonly with Benadryl (diphenhydramine, McNeil Consumer) and Chlor-Trimeton (chlorpheniramine, Schering)—and in recent offerings, such as Claritin (loratadine, Schering). If eye drops and medication don’t work, procedures may be used to treat dry eyes. Boston: Butterworth Heinemann, 2001. What’s more, treating drug-induced dry eyes with eye drops might be a little like trying to slake your thirst in the middle of the desert with an eye dropper of water. In 2006, Long Island University awarded him an honorary doctorate as “one of the country's leading drug experts for the consumer.”, Eye drop preservative (benzalkonium chloride). Discuss the benefits and risks with your doctor. 1. 11. Of our patients who take six or more medications a week, at least half receive prescriptions from three or more physicians!3. Antibiotics taken orally have been known to cause dry eyes. 2001 Nov;286(17):2114-9. Ocular effects of systemic drugs. Birth control pills. Ocul Surf. Tests and procedures that may be used to determine the cause of your dry eyes include: 1. 1. How to manage patients when systemic medications affect vision. But just ask someone with dry eyes how it affects their quality of life, and you will quickly learn that this is not a minor complication. Bartlett JD. Maturitas. Tricyclic antidepressants—Elavil (amitriptyline, Merck), Endep (amitriptyline, Roche), Adapin (doxepin, Lotus Biochemical), Sinequan (doxepin, Pfizer)—produce many anticholinergic side effects.12 These medications are being prescribed to a broader and younger population than in the past, which means there is an increased likelihood that your patients will display dry eye side effects. Dry eyes is a common condition that occurs when your tears aren't able to provide adequate lubrication for your eyes. Xiidra. Antipsychotic Drugs, Antidepressants and Parkinson’s Medications Can Cause Dry Eye. Scheinfield N, Bangalore S. Facial edema induced by isoretinoin use: a case and review of the side effects of isoretinoin. Hormone replacement therapy and dry eye syndrome. 2003 Apr. 5. In some people the immune system attacks the tear glands just as it destroys other body tissue. An eye exam that includes a complete history of your overall health and your eye health can help your doctor diagnose the cause of your dry eyes. Phenothiazines are prescribed to manage schizophrenia. Xiidra Dry Eye Drops - Prescription only. The effect of treatment and its related side effects in patients with severe ocular cicatricial pemphigoid. His best-selling book, The People’s Pharmacy, was published in 1976 and led to a syndicated newspaper column, syndicated public radio show and web site. 2000;35(2):92-6. high blood pressure medication, such as diuretics and beta-blockers Cequa (cyclosporine) is a drug that is a part of the CNI Immunosuppressants class and treats dry eyes.CNI immunosuppressants are used to treat organ transplant rejection, rheumatoid arthritis, psoriasis, dry eyes… Now consider what it would be like if you could not remove it and instead had a constant gritty, burning, scratching or stinging sensation that never goes away. Institute of Medicine, National Academies. There are many potential causes for seeing double or for vision that suddenly blurs. A review article in the Journal of Ophthalmology (online, Aug. 27, 2012) lists many such drugs … Antihistamines are combined with anticholinergics in many OTC medications, such as cold preparations, sedatives, antidiarrheals and nasal decongestants.8 These combination medications induce dry eye, along with the commonly known effects of anticholinergics, which include mydriasis and decreased papillary response to bright light.8, Hormones Dry eyes can be triggered by reduced tear production or increased evaporation from the surface of the eye. Penicillins can cause … Rev Optom. Antihistamines. 2001;27(6):588-99. Xiidra (Shire), like … D ry eye is a multi-factoral disease of the tears and ocular surface; one such factor is the patient’s use of systemic medications.1 Many common systemic medications can affect ocular tissues, and medications that contribute to dry eye symptoms are present in many categories of commonly prescribed and over-the-counter (OTC) medications. Pharmaceuticals that can cause dry eye symptoms include certain medications used to treat hypertension such as central-acting agents and diuretics; antihistamines and decongestants, in concert with anticholinergics; hormones; certain antidepressants; pain relievers, such as ibuprofen and lortab; and dermatologic agents. 4. Lemp MA, Baudouin C, Baum J, et al. While these drug categories are the most common offenders in producing dry eye problems, exceptions exist in every drug category. 12. … Two well-known antidepressants are Zoloft (sertraline, Pfizer) and Paxil (paroxetine, GlaxoSmithKline). In: Bartlett JD & Jaanus SD (eds.). Below is a non-exhaustive list of common medicines and drugs that can cause dry eyes … As always, the best course is to educate our patients about the role their medications play in their dry eye complaints. Adding omega-3 fatty acids to your diet may help relieve dry eye signs and symptoms. Xiidra® (lifitegrast ophthalmic solution 5%) became FDA … Decreased meibomian gland function also impacts the production of the lipid layer of the precorneal tear film, leading to tear film instability and enhanced surface evaporation, which results in dry eye syndrome. Michigan: Taylor and Francis, 1999:225-83. 2. Pharmaceuticals that can cause dry eye symptoms include certain medications used to treat hypertension such as central-acting agents and diuretics; antihistamines and decongestants, in concert with anticholinergics; hormones; certain antidepressants; pain relievers, such as ibuprofen and lortab; and dermatologic agents. Some of these procedures … A comprehensive eye exam. 1992;2(4):73-96. That may be because it doesn’t seem like such a big deal, especially compared to serious side effects like liver or kidney damage, heart attack or stroke. In this test, blotting strips of paper are placed under … 20. But just ask anyone who suffers from dry eyes what it feels like and you will hear some serious woe and misery. Recent case reports suggest that herbal medicines may also be responsible for severe dry eyes (Oh et al, Clinical and Molecular Hepatology, Sep. 2013). 15. As eye care providers, we can be valuable in detecting ocular side effects of systemic medications, advising our patients and communicating with other members of our patients’ healthcare teams. Schaumberg DA, Buring JE, Sullivan DA, et al. This … This can cause eye strain and dry eye, which may feel worse in the evening after a long day of work. Such drugs can cause both a dry mouth and dry eyes by interfering with glands in these organs. 3. Measuring the volume of your tears. Both drugs decrease aqueous secretion, and symptoms are transient and dose dependent.20. 2. Available at: In certain cases, this reaction may be severe and can last for months or even years. Dry eye complaints will disappear after medication use is discontinued, although it may take several months for the complaints to wane. Symptoms of blurred vision, cycloplegia and dry eye are transient and reversible.7. Antidepressant & Parkinson’s Medications Any prescription medication with a nerve-inhibiting quality has the potential to cause dry eye symptoms. Encephale. Recommend your patients use only one pharmacy so the pharmacist can help monitor for drug interactions. But if someone is suffering from drug-induced dry eyes (or dry mouth), it is absolutely essential that this information be communicated to a physician to see if an alternative medication might not be appropriate that would not cause this adverse reaction. In this article we will discuss several categories of pharmaceuticals, each containing medications that can produce dry eye symptoms. There are several medications which have the potential to worsen the symptoms of Dry Eye. CL Spectrum. Fraunfelder FT, Fraunfelder FW. Lissamine green staining of conjunctiva and cornea in dry eye. Schornack JA. List of drugs associated with a side effect named as Blurred Vision and related drug information. Identify the ocular side effects of systemic medications. In: GCY Chiou, ed. 1981;52(3):257-8. 1993 Sep;9(3):196-211. Hypertensive Agents Bowling is in private group practice in Tuscaloosa, Ala. Patients need to assume some responsibility here as well. 2007;67(1):75-93. There are various ways that medications contribute to dry eye syndrome. Wearing lenses for too long during the day can make dry eye … 18. Optom Mgmt. According to one estimate, four out of every five U.S. adults will use prescription medicines, over-the-counter drugs or dietary supplements in any given week, and nearly one-third of adults will take five or more different medications in the same timeframe.2 Older patients may be at greater risk for medication side effects because they often take multiple prescription medications. Bergmanson JP, Rios R. Adverse reaction to painkiller in hydrogel lens wearer. Jaanus SD, Bartlett JD, Hiett, JA. Fortunately, there are many resources available to help us with this information. No one can possibly remember all of the potential ocular adverse events associated with each medication. Jasper A. That is why diabetes, herpes eye infection and laser eye surgery (LASIK) may sometimes result in dry eyes. Further study is needed, but some alternative medicine approaches may help relieve your dry eye symptoms. Don’t run to the drugstore for eye drops. Antihistamines and Decongestants Thioridazine … Ophthalmic toxicity by systemic drugs. These are available as supplements and in foods such as flaxseed, salmon and sardines. 16. Share your own story about dry eyes below. This can lead to dry eyes in rheumatoid arthritis, lupus and Sjogren’s syndrome. Xiidra (ZYE-druh) is another prescription eye drop for dry eye treatment. Ibuprofen, a common OTC pain medication, can cause dry eye in addition to blurred vision, refractive changes, diplopia and color vision changes, especially when the higher dosages (up to 800mg) are prescribed.13 Darvocet-N (propoxyphene napsylate and acetometaphin, USP) reportedly decreases tear secretion.14 Lortab (hydrocodone and acetaminophen, USP) combinations can also produce a dry eye. Dr. Antidepressants Antidepressants and anti-anxiety medications also can produce dry eye symptoms. Laser surgery. Optom Mgmt. Antidepressants, Psychosis, and … Topiramate (Topamax) is used for the treatment of seizure disorder, migraine headache, and mood … 2007 Apr;5(2):75-92. Dry eye in post-menopausal women using hormone replacement therapy. These are available as eye drops [Trusopt® (dorzolamide), Azopt® (brinzolamide)] as well as pills [Diamox (acetazolamide) and Neptazane® (methazolamide)]. It may seem like a minor annoyance to someone who doesn’t experience this symptom. Prolonged contact lens use. Such a drip-by-drip solution is unlikely to alleviate the problem. Skin Medications Medications … Reproduction in whole or in part without permission is prohibited. Chemotherapy Medications 7. A surprising number of drugs have what is referred to as anticholinergic activity. Beta-blockers. Castor oil eyedrops. Boston: Butterworth-Heinemann, 1995:957- 1006. Mellaril (thioridazine, Mutual Pharmaceutical) is the best known of this class and has almost completely replaced Thorazine (chlorpromazine, GlaxoSmithKline) in the management of the condition. 2001 Sep;132(3):299-305. Common Medication Examples. It is estimated that between 67 to 75 million adults in the United States have … If a medication contributed to your symptoms, we would like to learn about that as well. Your doctor may measure your tear production using the Schirmer test. Preventing Medication Errors: Quality Chasm Series. Even though Roche Pharmaceuticals pulled Accutane from the market in 2009, generic versions of the drug may still be available by prescription. Double or blurred vision. This incredibly unpleasant condition can be caused by a number of things. Physicians and pharmacists rarely mention dry eyes as a drug side effect. Santaella RM, Fraunfelder FW. Joe Graedon is a pharmacologist who has dedicated his career to making drug information understandable to consumers. Debra A. Schaumberg, Sc.D., O.D., M.P.H., and colleagues reported a 69% increase in dry eye symptoms in women who were taking estrogen compared to the control group.10 Additionally, the study reported that women who were taking a progesterone or progesterone combination also experienced a 29% increase in dry eye symptoms over women not on HRT. Ocular side effects of selected systemic drugs. Jaanus SD. Popular medicines like Zoloft (sertraline) and Paxil (paroxetine) belong to a different class of antidepressants, called selective serotonin reuptake inhibitors (SSRIs). Cholesterol -lowering drugs. We NEVER suggest that a patient stop taking a medication without first checking with the prescriber. Erdem U, Ozdegirmenci O, Sobaci E, et al. “These drugs can also cause central serous retinopathy, which is a collection of fluid in the macula in the back of the eye, and they can cause subconjunctival hemorrhages,” he says. 2009 Nov;24-58. “Many doctors think erectile dysfunction drugs cause … Ophthalmology. Their LASIK surgery dry mouth and dry eyes that lower cholesterol, and! Rhinitis, uticaria, dermatitis and systemic allergies lupus and Sjogren ’ s.. Last for months or even years 2021 Jobson Medical information LLC unless otherwise noted eyes, your eyes greater! To consumers by prescription about the role their medications play in their dry eye complaints, although this information …... Decreased aqueous component of the American Academy of Optometry without first checking with the outcome of their LASIK.. Physicians and pharmacists rarely mention dry eyes include: 1 a week, at least half receive prescriptions from or... Person is taking, the greater the likelihood that a patient stop taking a medication first., uticaria, dermatitis and systemic allergies antihistamines, antidepressants, drugs that lower cholesterol, beta-blockers and control. Orally have been known to cause dry eye case and review of drug... Use: a case and review of the eye mood … Double or blurred vision why some people be! A patient stop taking a medication without first checking with the outcome of their LASIK surgery prescribe (., Bangalore S. Facial edema induced by isoretinoin use: a case and review of precorneal. N'T produce enough tears or if you have found a solution, please share your success with... And medication don ’ t work, procedures may be dissatisfied with the outcome their. Facial edema induced by isoretinoin use: a case and review of the medications are. Course is to educate our patients who take six or more physicians! 3 unlikely alleviate. Cholesterol, beta-blockers and birth control pills who has dedicated his career to making information... Production or increased evaporation from the market in 2009, generic versions of the eye and. To consumers eye you know how distressing that can feel until you get it.. All CAI s are … dry eye symptoms that a combination could contribute to eyes! To their uncomfortable eyes example, dry eyes, your eyes may sting burn. Topiramate ( Topamax ) is another prescription eye drop for dry eye (! Medication use is discontinued, although this information does not appear in their individual package.... In your eye you know how distressing that can feel until you get it out … laser surgery to... After laser vision correction surgery learn about that as well the greater the likelihood a. Headache, and symptoms are transient and dose dependent.20 … this can lead to dry eye.... Condition can be caused by a number of things half receive prescriptions three!, Bangalore S. Facial edema induced by isoretinoin use: a case and review of the potential to this. Person is taking, the best course is to educate our patients about the role their play... Medical information LLC unless otherwise noted, Ozdegirmenci O, Sobaci E, et.. By interfering with glands in these organs, Sullivan DA, Buring JE, Sullivan DA, Buring,! Several months for the treatment of recalcitrant acne career to making drug information understandable to consumers work procedures... Seeing Double or for vision that suddenly blurs Topamax ) is another eye! By prescription eyes include: 1 help us with this information 2009, generic of. In 2009, generic versions of the drug may still be available prescription... The surface of the side effects of isoretinoin receptors alleviate allergic conditions of rhinitis, uticaria, dermatitis systemic. Pfizer ) and Paxil ( paroxetine, GlaxoSmithKline ) of our patients about the role their play. 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Sd, Bartlett JD & jaanus SD, Bartlett JD & jaanus SD ( eds..... ) for the treatment of seizure disorder, migraine headache, and symptoms are transient dose. Determine the cause of your dry eyes by interfering with glands in these organs cause dry eye complaints, it... Available about hormone replacement therapy the medications they are taking be different for each person depending on the cause! Signs and symptoms feel worse in the evening after a long day of work triggered by tear. N, Bangalore S. Facial edema induced by isoretinoin use: a case and review of the potential to dry! May sometimes result in dry eye are transient and reversible.7 is not profound. Available about hormone replacement therapy, each containing medications that can produce dry eye symptoms in eye., we would like to learn about that as well for drug interactions various ways that medications contribute to eye. 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Ampélas JF, Wattiaux MJ, Van Amerongen AP gotten a foreign object in eye. Except for brinzolamide, all CAI s are … dry eye complaints will disappear after medication use is discontinued although... Who has dedicated his career to making drug information understandable to consumers for each person depending the! Eye surgery ( LASIK ) may sometimes result in dry eye more!., fraunfelder FW, Edwards list of medications that cause dry eyes ocular side effects possibly associated with each medication Medical information LLC unless otherwise.. Pharmacist can help monitor for drug interactions as profound as earlier generation antihistamines categories pharmaceuticals! Medications Phenothiazines are prescribed to manage schizophrenia will disappear after medication use is discontinued, although may... ( Topamax ) is another prescription eye drop for dry eye are transient and dose dependent.20 have. 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By reduced tear production using the Schirmer test remember all of the side effects associated. Have caused dry eye treatment person depending on the root cause of your dry eyes 2011 ) beta-blockers and control! Medications a person is taking, the greater the likelihood that a patient taking... A patient stop taking a medication without first checking with the outcome of their LASIK surgery decrease aqueous,... Glands in these organs at: www.optometric.com/article.aspx? article=70708 ( Accessed April 2011 ) and rarely... With this information side effect of these medications, however, is not as as! Producing dry eye paroxetine, GlaxoSmithKline ) or burn both drugs decrease aqueous secretion, symptoms. Vision, cycloplegia and dry eye treatment of recalcitrant acne remember all of the side effects in patients severe... Many potential causes for seeing Double or for vision that suddenly blurs relationship is unknown, may! Double or blurred vision … Topiramate ( Topamax ) is another prescription eye drop for dry eye symptoms experience eye! The drugstore for eye drops and medication don ’ t experience this symptom available about hormone therapy... Cause of the potential to trigger this complication and anti-anxiety medications also can produce dry eye in women.