Pharm II Dextenza: Anti-Inflammatory Drugs Quiz
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Questions and Answers

What is the duration of the effect of the dexamethasone intravitreal implant (Ozurdex)?

  • 1-3 months (correct)
  • 1-2 weeks
  • 3-6 months
  • 6-12 months
  • What is the purpose of the dexamethasone intravitreal implant (Ozurdex)?

  • To treat allergic conjunctivitis
  • To treat cataract surgery
  • For inflammation and macular edema (diabetic or VO) (correct)
  • All of the above
  • What is the form of the dexamethasone intravitreal implant (Ozurdex)?

  • Tablet
  • Liquid
  • Solid polymer sustained release and dissolvable (correct)
  • Ointment
  • What is the relationship between the duration of the dexamethasone insert and the patient's relief after cataract surgery?

    <p>The patient feels relief for a longer duration than the insert lasts (45 days)</p> Signup and view all the answers

    What is the purpose of steroids in the treatment of macular edema?

    <p>To decrease neovascularization and linkage from BV</p> Signup and view all the answers

    What is the structural relationship of fluorometholone to progesterone?

    <p>Fluorometholone is structurally related to progesterone</p> Signup and view all the answers

    What is the potential of fluorometholone to elevate intraocular pressure (IOP)?

    <p>Fluorometholone has a relatively low potential to elevate IOP</p> Signup and view all the answers

    What is the most common adverse reaction associated with DEXTENZA?

    <p>Headache</p> Signup and view all the answers

    Which ocular issue was NOT associated with allergic conjunctivitis in patients using DEXTENZA?

    <p>Corneal edema</p> Signup and view all the answers

    What percentage of patients experienced increased intraocular pressure (IOP) following ophthalmic surgery with DEXTENZA?

    <p>6%</p> Signup and view all the answers

    What significant improvement was noted as early as Day 4 in patients with allergic conjunctivitis treated with DEXTENZA?

    <p>Reduction in inflammatory cells</p> Signup and view all the answers

    Which symptom associated with allergic conjunctivitis was reported in all patients treated with DEXTENZA?

    <p>Pain relief</p> Signup and view all the answers

    Which condition showed potential for relief of ocular itching for up to 4 weeks when treated with DEXTENZA?

    <p>Allergic conjunctivitis</p> Signup and view all the answers

    What is the main reason why Medrysone is considered the weakest ophthalmic steroid?

    <p>Limited corneal penetration</p> Signup and view all the answers

    Why is Medrysone no longer available in the US market?

    <p>Due to causing a rise in intraocular pressure</p> Signup and view all the answers

    What distinguishes Loteprednol from other steroids like Medrysone?

    <p>Has a ketone group at position 20</p> Signup and view all the answers

    What is the main advantage of Loteprednol being a site-specific/soft drug?

    <p>Gets to the receptor site and does the job without causing a rise in IOP</p> Signup and view all the answers

    Why is Loteprednol less likely to cause an increase in intraocular pressure compared to other steroids?

    <p>Ketone group at position 20 is absent</p> Signup and view all the answers

    Which steroid is suitable for treating superficial ocular inflammations like allergic conjunctivitis?

    <p>Medrysone</p> Signup and view all the answers

    What feature of Loteprednol possibly contributes to its low chance of increasing intraocular pressure?

    <p>Ketone group at position 20 is absent</p> Signup and view all the answers

    Why is Medrysone considered no longer available in the US despite being a synthetic derivative of progesterone?

    <p>Due to causing a rise in intraocular pressure</p> Signup and view all the answers

    What is the abbreviation 'FML' referring to in the context of the text?

    <p>An abbreviation not related to cortisol like the other steroids, but related to progesterone</p> Signup and view all the answers

    What is the key difference between the fluorometholone alcohol and acetate formulations mentioned in the text?

    <p>The fluorometholone acetate formulations have higher anti-inflammatory efficacy compared to the alcohol formulations</p> Signup and view all the answers

    Which fluorometholone product is indicated to have a higher concentration compared to the others mentioned?

    <p>Fluorometholone alcohol 0.25%</p> Signup and view all the answers

    Based on the information provided, which steroid appears to have the highest anti-inflammatory efficacy in the presence of an intact epithelium?

    <p>Prednisolone acetate 1%</p> Signup and view all the answers

    What is the key difference in anti-inflammatory efficacy between the fluorometholone alcohol 0.1% and 0.25% formulations?

    <p>The 0.25% formulation has significantly higher anti-inflammatory efficacy compared to the 0.1% formulation</p> Signup and view all the answers

    Which statement best describes the relationship between the fluorometholone alcohol and acetate formulations in terms of anti-inflammatory efficacy?

    <p>The fluorometholone acetate formulations have higher anti-inflammatory efficacy than the alcohol formulations</p> Signup and view all the answers

    What is the key advantage of the fluorometholone formulations mentioned in the text compared to other steroid formulations?

    <p>They stay on the ocular surface and do not significantly enter the eye, making them a good option for dry eye patients with inflammation</p> Signup and view all the answers

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