Drugs That May Be Used by Certain Optometrists
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1 Drugs That May Be Used by Certain Optometrists Approved drugs. (a) Administration and prescription of pharmaceutical agents. Optometrists who are certified to prescribe and administer pharmaceutical agents for therapeutic purposes under section 4.1 of the Optometric Practice and Licensure Act (35 P. S a), may prescribe and administer the drugs listed in subsection (b) in their practice of optometry. (b) Allowable pharmaceutical products. Optometrists may prescribe and administer the following pharmaceutical products or the A-rated generic therapeutically equivalent drug: (1) Topical anesthetics. (i) Proparacaine. (ii) Benoxinate. (iii) Tetracaine. (iv) Lidocaine. (2) Topical ocular lubricants. (3) Topical ophthalmic dyes and stains. (i) Fluorescein. (ii) Rose Bengal. (iii) Fluorexen. (iv) Lissamine green. (4) Topical hyperosmotic agents. (5) Autonomic drugs topical only. (i) Cholinergic agonists. (A) Pilocarpine nitrate and pilocarpine hydrochloride diagnostic use only. (B) Physostigmine. (C) DFP (diisopropylfluorophosphate). (D) Echothiopate. (ii) Cholinergic antagonists. (A) Homatropine hydrobromide. Pennsylvania Optometric Association Page 1 of 8
2 (B) Tropicamide. (C) Atropine sulfate. (D) Cyclopentolate hydrochloride. (E) Scopolamine hydrobromide. (iii) Adrenergic agonists. (A) Hydroxyamphetamine hydrobromide. (B) Phenylephrine hydrochloride. (C) Tetrahydrozoline. (D) Nephazoline. (E) Oxymetazoline. (F) Antazoline. (iv) Adrenergic antagonists diagnostic use only. (A) Dapiprazole. (B) Thymoxamine. (6) Nonsteroidal antiinflammatory drugs topical only. (i) Diclofenac. (ii) Ketorolac. (iii) Flurbiprofen. (iv) Suprofen. (v) Nepafenac. (vi) Bromfenac. (7) Antimicrobial agents. (i) Antibacterial topical use only. (A) Cell wall inhibitors. (I) Bacitracin. (II) Cephalosporins. Pennsylvania Optometric Association Page 2 of 8
3 (III) Penicillins. (IV) Vancomycin. (V) Povidone-iodine (Betadine) (B) Protein synthesis inhibitors. (I) Aminoglycosides. (II) Tetracycline. (III) Erythromycin. (IV) Chloramphenicol. (V) Azithromycin. (C) Intermediary metabolism inhibitors. (I) Sodium sulfacetamide and sulfisoxazole. (II) Trimethoprim. (D) DNA synthesis inhibitors. (I) Ciprofloxacin. (II) Norfloxacin. (III) Ofloxacin. (IV) Levofloxacin. (V) Moxifloxacin. (VI) Gatifloxacin. (VII) Besifloxacin. (E) Cell membrane permeability. (I) Polymyxin B. (II) Gramicidin. (ii) Antibacterial oral. (A) Cell wall inhibitors. (I) Penicillins including in combination with clavulanic acid. Pennsylvania Optometric Association Page 3 of 8
4 (II) Cephalosporins. (-1-) First generation cephalexin and cefadroxil. (-2-) Second generation cefaclor and cefuroxime. (B) Protein synthesis inhibitors. (I) Tetracycline. (II) Doxycycline. (III) Minocycline. (IV) Erythromycin. (V) Azithromycin. (iii) Antivirals topical only. (A) Idoxurine. (B) Vidarabine. (C) Trifluridine. (D) Ganciclovir. (iv) Antivirals oral. (A) Acyclovir. (B) Valacyclovir. (C) Famciclovir. (v) Antifungal and antiparasitic topical only. (A) Amphotericin B, nystatin, natamycin. (B) Miconazole, ketoconazole, clotrimazole. (C) Thiabendazole. (D) Neomycin and polymyxin B. (E) Paromycin. Pennsylvania Optometric Association Page 4 of 8
5 (8) Analgesic drugs oral and topical. (i) Analgesic drugs oral. (A) Codeine in combination with acetaminophen or aspirin. (B) Hydrocodone. (C) Pentazocine. (D) Propoxyphene. (E) Tramadol. (9) Anti-allergy (i) Antihistamines and mast cell stabilizers topical only. (A) Pheniramine. (B) Pyrilamine. (C) Antazoline. (D) Levocabastine. (E) Cromolyn. (F) Nedocromil. (G) Lodoxamide. (H) Olopatadine. (I) Pemirolast potassium. (J) Emedastine difumarate. (K) Azelastine. (L) Ketotifen fumarate. (M) Epinastine. (N) Bepotastine besilate. (O) Alcaftadine ophthalmic solution 0.25%. (10) Steroids Topical, Oral and Combination Agents (i) Steroids Topical. Pennsylvania Optometric Association Page 5 of 8
6 (A) Prednisolone. (B) Medrysone. (C) Fluorometholone. (D) Hydrocortisone. (E) Dexamethasone. (F) Rimexolone. (G) Loteprednol. (H) Triamcinolone. (I) Difluprednate. (ii) Steroids Oral. (A) Prednisone. (B) Methylprednisolone. (iii) Antibiotic-Steroid Combination Agents. (A) Prednisolone Acetate-Sulfacetamide Sodium. (B) Fluorometholone-Sulfacetamide Sodium. (C) Neomycin sulfate-polymixin B Sulfate- Prednisolone Acetate. (D) Gentamicin Sulfate-Prednisolone Acetate. (E) Dexamethosone-Tobramycin. (F) Lotoprednol Etabonate-Tobramycin. (11) Immunomodulators Topical Only (A) Cyclosporine. (12) Glaucoma Agents. (i) Beta Adrenergic Receptor Blockers. (A) Non-Selective. (I) Timolol. (II) Levobunolol. Pennsylvania Optometric Association Page 6 of 8
7 (III) Metipranolol. (IV) Carteolol. (B) Selective. (I) Betaxolol. (II) Levobetaxolol. (ii) Cholinergic Receptor Agonists. (A) Direct Acting. (I) Pilocarpine. (II) Carbachol. (B) Indirect Acting. (I) Physostigmine. (II) Demecarium. (III) Echothiophate Iodide. (iii) Adrenergic Receptor Agonists. (A) Non-Selective. (I) Epinephrine. (II) Dipivefrin. (B) Selective Alpha 2 Agonists. (I) Apraclonidine. (II) Brimonidine. (iv) Topical Carbonic Anhydrase Inhibitors. (A) Dorzolamide. (B) Brinzolamide. (v) Prostaglandin Analogs. (A) Eicosanoid Derivatives. (I) Latanoprost. Pennsylvania Optometric Association Page 7 of 8
8 (II) Travoprost. (III) Bimatoprost. (B) Docosanoid Derivatives. (I) Unoprostone. Pennsylvania Optometric Association Page 8 of 8
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