Medication Consultation for High Eye Pressure and Asthma Concerns - Family Medicine

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Medication consultation


I have high intraocular pressure but no glaucoma, and I need to use eye drops to lower my eye pressure daily.
I also have asthma, and I'm planning to travel soon.
I'm concerned about motion sickness, so my pharmacist prescribed me with Scopolamine.
However, I found online that some people say that motion sickness medications are not suitable for those with high eye pressure and asthma.
Is it safe for me to take this? Additionally, I have a pain medication allergy and can only take acetaminophen (Tylenol).
Will I have an allergic reaction to this medication? Thank you.

Zhang, 30~39 year old female. Ask Date: 2024/03/28

Dr. Liao Yaopan reply Family Medicine


Hello, Shun An Ning is an antihistamine medication.
If you have any concerns while using it, it is advisable to consult your ophthalmologist to assess your eye condition and choose a more suitable prescription.
Online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2024/03/28

More Info


When it comes to managing high eye pressure, especially in the context of asthma and concerns about medication interactions, it is crucial to approach the situation with caution and informed decision-making. You mentioned that you have high eye pressure but not glaucoma, and you are currently on medication to lower your eye pressure. Additionally, you have asthma and are considering taking a medication for motion sickness, specifically "Suan An Ning" (which I assume is a form of dimenhydrinate or a similar antihistamine), while also being aware of your allergy to certain pain medications.

First, let's address the concerns regarding the use of motion sickness medication in the context of high eye pressure and asthma. Antihistamines, including those used for motion sickness, can have various side effects. One of the potential side effects of these medications is sedation, which can be beneficial for some individuals but may not be suitable for everyone, particularly those with respiratory issues like asthma. Some antihistamines can cause dryness in the mucous membranes, which could potentially exacerbate asthma symptoms in sensitive individuals. However, not all antihistamines have the same effect, and many people with asthma use them without issues.
Regarding your specific concern about whether the motion sickness medication could affect your eye pressure, it is important to note that most common antihistamines do not directly influence intraocular pressure (IOP). However, there are exceptions, and some medications can have anticholinergic effects that may lead to increased eye pressure in susceptible individuals. Therefore, it is essential to consult with your healthcare provider or a pharmacist who is familiar with your medical history and current medications before starting any new medication.

As for your allergy to pain medications, particularly your sensitivity to non-steroidal anti-inflammatory drugs (NSAIDs) and your reliance on acetaminophen (Tylenol), it is crucial to ensure that any new medication you take does not contain ingredients that could trigger an allergic reaction. Most motion sickness medications do not contain NSAIDs, but it is always best to read labels carefully and consult with a healthcare professional.

In summary, while motion sickness medications can be effective for managing symptoms of nausea and dizziness, their use in individuals with high eye pressure and asthma should be approached with caution. Here are some recommendations:
1. Consult Your Doctor: Before taking any new medication, especially if you have multiple health concerns, consult with your healthcare provider. They can provide personalized advice based on your medical history and current medications.

2. Monitor Symptoms: If you do decide to take the motion sickness medication, monitor your asthma symptoms closely. If you notice any worsening of your asthma or any unusual side effects, seek medical attention promptly.

3. Consider Alternatives: If you are concerned about the potential effects of the medication on your eye pressure or asthma, discuss alternative options for managing motion sickness with your healthcare provider. There are non-medication strategies, such as acupressure bands or behavioral techniques, that may help.

4. Stay Informed: Always keep yourself informed about the medications you are taking, including their potential side effects and interactions. This knowledge empowers you to make safer choices regarding your health.

In conclusion, while it is possible to take motion sickness medication with high eye pressure and asthma, it is essential to do so under the guidance of a healthcare professional to ensure safety and efficacy.

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