June 10, 2013 | POSTED BY | Articles, Clinical Optometry
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Sometimes, your patient won’t know the name of their medication, but they will almost always know the color of the cap. The first time someone told me they took the “one with the blue cap” 2 times a day, I had no idea what they meant! If I had known that blue caps are often glaucoma medications, I would already be tipped off on what to look for during my exam. This list is by no means exhaustive, but is a good quick reference in a pinch.

Pink: Steroids

Indications: anterior seg inflammation (e.g., allergic conjunctivitis, SPK, HZV, keratitis, iritis, anterior uveitis, etc.)

 

Generic Name

Common Dosage

Alrex (0.2%)

Lotemax (0.5%)

Loteprendol qid

Flarex

FML (white cap but pink sticker)

flurometholone bid-qid

Econopred

Pred Mild (0.12%)

Pred Forte (1%)

Prednisolone qid

Vexol

Rimexolone qid

 

Gray: NSAIDs

Indications: pain/inflammation relief post-op

 

Generic Name

Common Dosage

Acular LS

ketorolac tromethamine qid

Nevanac

nepafenac tid

Xibrom

bromfenac bid

 

Green: Miotics

Indications: miosis, glaucoma (open angle, acute angle closure)

 

Generic Name

Common Dosage

Isoptocarpine

Pilocarpine tid-qid for open angle glaucoma (more often in acute angle closure)

Carboptic

Miostat

Carbachol qid

 

Yellow and Blue: Beta-Blockers

Indications: glaucoma

 

Generic Name

Common Dosage

Combigan

Brimonidine/timolol (combo: alpha agonist w/ beta blocker) bid

Cosopt

Dorzoloamide/timolol (combo: CAI w/ beta blocker) bid

Istalol (0.5%)

Timoptic (0.25%)

Timolol Istalol: qdTiomtic: bid

 

Purple: adrenergic agonists

Indications: glaucoma

 

Generic Name

Common Dosage

Alphagan P

Brimonidine Tid

 

Orange: CAIs

Indications: glaucoma

 

Generic Name

Common Dosage

Azopt

Brinzolamide tid

Trusopt

Dorzolamide tid

 

Turquiose: prostaglandin analogues

Indications: glaucoma

 

Generic Name

Common Dosage

Lumigan

Bimatoprost Qhs

Travatan

Travoprost Qhs

 

Tan: Anti-infectives and anti-biotics

Indications: bacterial eye infections (e.g., conjunctivitis, corneal ulcers)

 

Generic Name

Common Dosage

Besivance

Besifloxacin tid x 7 days

Ciloxan

Ciprofloxacin qid

Iquix (1.5%)

Quixin (0.5%)

Levofloxacin q2h x 2 days, then q4h

Ocuflox

Ofloxacin q2-4h x 2 days, qid

Vigamox

Moxiflacin tid

Zymar

Gatifloxacin qid

 

Red: Cycloplegics

Indications: cycloplegia, mydriasis, ocular inflammation

 

Generic Name

Common Dosage

Mydriacyl

Tropicamide

Cyclogly

Cyclopentolate tid (for mild anterior uveitis)

Equipin

Homatropine bid-tid (for moderate anterior uveitis)

Isopto Hyoscine

Scopolamine

Isopto atropine

Atropine bid-tid (for severe anterior uveitis)