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DEFINITIONS
Hay fever: An allergy caused by pollen or dust in which the mucous membranes of the eyes and nose are inflamed, causing running of the nose and watery eyes
Antihistamine: Drugs that combat the histamine released during an allergic reaction by blocking the action of the histamine on the tissue
Extra Information
Visine Allergy Eye Drops [Naphazoline + Pheniramine] 1, 2
- Can only be used for up to 5 days only therefore it is not the most suitable option to use throughout the spring season
- Safe to use in children above 12years old
- Avoid use in pregnancy due to lack of data
- Avoid use in breastfeeding due to lack of data
Livostin Eye Drops [Levocabastine]3, 4
- Can be used for the entire spring season; however Zaditen has the added benefit of mast cells stabilisation which makes it the preferred choice
- Safe to use in children above 6 years old
- Avoid use in pregnancy due to lack of data
- Avoid use in breastfeeding due to lack of data
Opticrom Eye Drops [Sodium Cromoglycate]5, 6
- This medicine has a delayed onset of action therefore it is not the preferred choice for a patient who has already started to experience symptoms. Ideally, this medicine should be commenced 2-4 weeks before the onset of the hay fever season
- Safe to use in pregnancy
- Considered safe to use in breastfeeding
Zaditen Eye Drops [Ketotifen]7, 8
- This medicine is the preferred choice due to its dual acting properties (i.e. antihistamine plus mast cell stabilising effects)
- Safe to use in children above 3 years old
- Avoid use in pregnancy due to lack of data
- Avoid use in breastfeeding due to lack of data
In conclusion, Zaditen (Ketotifen) is the best choice for a person who is and will be experiencing red, watery, and itchy eyes due to hay fever throughout the season. In the event that a person is pregnant or breastfeeding, Opticrom (Sodium Cromoglycate) should be considered due to its safety rating over the other medicines.
References
- Australian Medicines Handbook [Internet]. Adelaide SA: Australian Medicines Handbook; [updated 2017; cited 2017 Sept 11]. Available from: https://amhonline.amh.net.au/chapters/chap-11/allergic-inflammatory-conditions/vasoconstrictors-eye/naphazoline?menu=vertical
- eMims Cloud. Medicines Information [Internet]. Mims Australia; [updated September 2017; cited 11 September 2017]. Available from: http://www.emims.com.au/Australia/drug/info/Visine%20Allergy%20with%20Antihistamine/Visine%20Allergy%20with%20Antihistamine?type=full
- Australian Medicines Handbook [Internet]. Adelaide SA: Australian Medicines Handbook; [updated 2017; cited 2017 Sept 11]. Available from: https://amhonline.amh.net.au/chapters/chap-11/allergic-inflammatory-conditions/antihistamines-eye/levocabastine-eye?menu=vertical
- eMims Cloud. Medicines Information [Internet]. Mims Australia; [updated September 2017; cited 11 September 2017]. Available from: http://www.emims.com.au/Australia/drug/info/Livostin%20Eye%20Drops/Livostin%20Eye%20Drops?type=full
- Australian Medicines Handbook [Internet]. Adelaide SA: Australian Medicines Handbook; [updated 2017; cited 2017 Sept 11]. Available from: https://amhonline.amh.net.au/chapters/chap-11/allergic-inflammatory-conditions/mast-cell-stabilisers/cromoglycate-eye?menu=vertical
- eMims Cloud. Medicines Information [Internet]. Mims Australia; [updated September 2017; cited 11 September 2017]. Available from: http://www.emims.com.au/Australia/drug/info/Opticrom/Opticrom?type=brief
- Australian Medicines Handbook [Internet]. Adelaide SA: Australian Medicines Handbook; [updated 2017; cited 2017 Sept 11]. Available from: https://amhonline.amh.net.au/chapters/chap-11/allergic-inflammatory-conditions/antihistamines-eye/ketotifen?menu=vertical
- eMims Cloud. Medicines Information [Internet]. Mims Australia; [updated September 2017; cited 11 September 2017]. Available from: http://www.emims.com.au/Australia/drug/info/Zaditen/Zaditen?type=full
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