Medication Consultation for Glaucoma Patients During the Pandemic - Family Medicine

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Medication consultation


Due to the pandemic, I went to buy Litanping Enhanced Tablets and Xinle Le Aisi Coated Tablets today.
I have a problem with glaucoma.
Can I take both of these medications, or is there one that I should avoid? Additionally, if I feel unwell after getting vaccinated, which medication can I take? And what can I take for mild symptoms? Thank you, Doctor Jona.

jona, 40~49 year old female. Ask Date: 2022/04/23

Dr. Lin Zhebin reply Family Medicine


Hello: The active ingredients in Li-Ting Pain Relief Tablets are Acetaminophen and Caffeine, primarily used for fever reduction and pain relief.
The active ingredients in Xinle Le Aisi Coated Tablets include Acetaminophen, Chlorpheniramine Maleate, Pentoxyverine Citrate, Potassium Guaiacolsulfonate, and Caffeine, which are mainly used for fever reduction, pain relief, and alleviating symptoms of runny nose, nasal congestion, and cough.
Since you mentioned having glaucoma, the components of concern related to glaucoma in these two medications are the Caffeine in Li-Ting Pain Relief Tablets and the Pentoxyverine Citrate, Potassium Guaiacolsulfonate, and Caffeine in Xinle Le Aisi Coated Tablets.
In terms of safety, Li-Ting Pain Relief Tablets may be relatively safer; however, it is still important to monitor for any symptoms such as headaches, eye pain, or blurred vision after taking them.
The use of vaccines and medications for mild symptoms should primarily depend on the individual's discomfort.
Both of these medications are for symptom relief, and unless there are contraindications or concerns about side effects, they can theoretically be used.

Reply Date: 2022/04/23

More Info


When it comes to managing glaucoma and considering medication interactions, especially during a pandemic, it is crucial to be cautious about the medications you take. In your case, you mentioned two medications: LitiPang (立停疼加強錠) and Xinerle (欣樂樂愛思糖衣錠).
Firstly, it is important to understand the active ingredients in these medications. LitiPang typically contains a combination of analgesics and anti-inflammatory agents, while Xinerle is often used for its antihistamine properties. Both medications can have side effects and potential interactions, especially in patients with pre-existing conditions like glaucoma.

For glaucoma patients, certain medications can exacerbate the condition or interfere with glaucoma treatments. For instance, medications that cause pupil dilation (mydriasis) can increase intraocular pressure, which is detrimental for someone with glaucoma. Therefore, it is essential to check the specific ingredients in these medications to ensure they do not have such effects.

In general, over-the-counter pain relievers like acetaminophen (Tylenol) are usually safe for glaucoma patients, while non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen may be acceptable but should be used with caution. Always consult your ophthalmologist or healthcare provider before starting any new medications.

Regarding vaccinations, if you experience mild discomfort after receiving a vaccine, you can typically take acetaminophen to alleviate symptoms. It is advisable to avoid NSAIDs immediately after vaccination, as there is some debate about whether they might interfere with the immune response. However, if you have a history of severe reactions or specific concerns, it is best to consult your healthcare provider for personalized advice.

In summary, before taking LitiPang or Xinerle, consult your ophthalmologist to ensure they are safe for your specific situation. Always inform your healthcare providers about all medications you are taking, including over-the-counter drugs, to avoid any potential interactions. If you experience any adverse effects or have concerns about your glaucoma management, do not hesitate to reach out to your healthcare provider for guidance. Your health and safety are paramount, especially during these challenging times.

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