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NR. 4/2009
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Farmakoterapia
jaskry a problem stosowania się pacjentów do zaleceń lekarskich
Glaucoma Pharmacotherapy and Compliance
Magdalena Pilas-Pomykalska1,2,
Janusz Czajkowski2, Dorota Tomaszkiewicz-Mondry1
1 Klinika Okulistyki Instytutu „Centrum Zdrowia Matki
Polki” w Łodzi
P.o. kierownik: dr n. med. Dorota Tomaszkiewicz-Mondry
2 Oculomed – Specjalistyczny Gabinet Okulistyczny w
Łodzi
Kierownik: prof. dr hab. n. med. Janusz Czajkowski |
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| Summary: |
Glaucoma is a progressive,
chronic disease leading to irreversible visual field
loss. Vision is most threatened in patients with severe
neuropathy and rapid progression rate. These patients
need intensive treatment, that usually requires more
than one medication. One of the most important problems
in glaucoma pharmacotherapy is non-compliance. Patients
who need multiple medications are poorer adherers than
those on monotherapy. The authors describe factors
influencing the compliance and methods that could
increase adherence with glaucoma medications. Fixed
combinations represent an effective and convenient
solution for patients who need adjunctive therapy. They
offer good efficacy, reduced exposure to BAK and often
better tolerability than single components, offer better
convenience and, therefore, compliance. Patients
switching to a fixed combination regimen from multiple
medications find the fixed combination easier to use and
are more likely to continue therapy, that increases both
the success chances of the therapy and the quality of
life. |
| Key words: |
glaucoma, pharmacotherapy,
fixed combinations, compliance, quality of life. |
| Słowa kluczowe: |
jaskra, terapia
farmakologiczna jaskry, leki łączone, compliance, jakość
życia. |
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