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Conjunctivitis
Medications

Conjunctivitis is the medical term used to refer to pink eye. When the conjunctiva, which is a transparent membrane that covers the eyeball and eyelid, becomes inflamed it is referred to as “pink eye”. The blood vessels that line the conjunctiva become irritated and swollen which makes them more visible and pink in colour. The whites of the eyes start to take on a pinkish hue.

Conjunctivitis is usually caused by a viral infection but on rare occasions, it can also occur as a result of an allergic reaction or bacterial infection. Babies often suffer from conjunctivitis when the tear duct fails to completely open.

Pink eye is a highly contagious virus.  Viruses that lead to conjunctivitis include adenovirus, varicella-zoster virus and herpes simplex. The virus spreads through both indirect and direct contact with any liquid from the infected eye or eyes.

Medications used to treat pink eye focus on easing discomfort.

Types of Medications & How They Work

Viral conjunctivitis does not respond to antibiotic treatment. Usually, the virus must run its course which takes from two to three weeks.

  • Antiviral medications – In some situations, if you have serious conjunctivitis that is caused by either herpes simplex virus or varicella-zoster virus a doctor may prescribe antiviral drugs to help treat and reduce the infection time. The common antiviral drugs used to treat pink eye include trifluridine solution, ganciclovir gel, vidarabine ointment, and idoxuridine topical solutions.
  • Antibiotics – if you have bacterial conjunctivitis then a physician may prescribe antibiotics to help shorten the infection time and ease the symptoms. The antibiotics are applied either topically as an ointment or as an eye drop.

Antibiotics to treat pink eye include:

  • Ciprofloxacin – The antibiotic is prescribed as either a solution or topical ointment every two hours. Ciprofloxacin is considered a board spectrum antibiotic and belongs to the fluoroquinolone antibiotic group.
  • Tobramycin – The antibiotic is prescribed as a drop. It belongs to the aminoglycoside antibiotic category.
  • Ofloxacin – Ofloxacin is prescribed as an antibiotic drop that is used at least four times per day. It is a broad-spectrum antibiotic that belongs in the fluoroquinolone antibiotic category.
  • Erythromycin – Erythromycin is applied to the afflicted eyelid as an ointment.
  • Antihistamines – Allergic conjunctivitis is treated using topical antihistamines such as azelastine (Optivar) and epinastine (Elestat) which work to relieve the symptoms such as inflammation, itching and redness of pink eye.
  • Artificial Tears – You can purchase artificial tears over the counter at most pharmacies. The artificial tears help to alleviate inflammation, dryness, itching, and pink colouration.

Side Effects

Antiviral drugs may cause a variety of side effects such as fatigue, cough, diarrhoea, dry mouth, headaches, insomnia, skin rash, joint pain, dizziness, nausea, vomiting, and headaches. Antibiotics can cause nausea, vomiting, yeast infections, rash, and diarrhoea.  Antihistamines can cause sleepiness, loss of coordination, poor judgement, slowed reaction speeds, dry mouth, and difficulty urinating.

Conclusion

The first step in treating conjunctivitis is for your healthcare provider to determine if the cause of the pink eye is viral, bacterial, or a result of allergies. Once the underlying cause of the pink eye has been determined, the doctor can prescribe medication to help bring relief.

 
 
 

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