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Myambutol and Optic neuritis

Result of checking the interaction of drug Myambutol and disease Optic neuritis for safety when used together.

Check result:
Myambutol <> Optic neuritis
Relevance: 23.07.2019 Reviewer: Shkutko P.M., M.D., in

When checking interaction based on authoritative sources Drugs.com, Rxlist.com, Webmd.com, Medscape.com there are contraindications or side effects that may cause harm or increase the negative effect from drug use in presence of concomitant diseases.

Consumer:

Ethambutol is contraindicated in patients with known optic neuritis unless clinical judgement determines that it may be used. Ethambutol can produce decreases in visual acuity which appear to be due to optic neuritis. This may be related to dose and duration of treatment, and is generally reversible when administration of the drug is discontinued promptly. However, irreversible blindness has been reported. Ethambutol should not be used in patients who are unable to identify and report visual side effects or changes in vision such as young children or unconscious patients. It should be administered cautiously and only after careful consideration of risks and benefits in patients with preexisting visual defects such as cataracts, diabetic retinopathy, or recurrent inflammatory conditions of the eye. Ophthalmologic testing of visual acuity, visual field, and color discrimination is required before and during treatment. However, visual changes may be difficult to evaluate in some cases, since they may be related to the underlying disease rather than the drug.

References:
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  • Schild HS, Fox BC "Rapid-onset reversible ocular toxicity from ethambutol therapy." Am J Med 90 (1991): 404-6
  • Jimenez-Lucho VE, del Busto R, Odel J "Isoniazid and ethambutol as a cause of optic neuropathy." Eur J Respir Dis 71 (1987): 42-5
  • Bandopadhya P, Dash RJ "Toxic ocular effects of ethambutol." Can Med Assoc J 138 (1988): 493
  • Joubert PH, Strobele JG, Ogle CW, van der Merwe CA "Subclinical impairment of colour vision in patients receiving ethambutol." Br J Clin Pharmacol 21 (1986): 213-6
  • "Product Information. Myambutol (ethambutol)." Lederle Laboratories, Wayne, NJ.
  • Polak BC, Leys M, van Lith GH "Blue-yellow colour vision changes as early symptoms of ethambutol oculotoxicity." Ophthalmology 191 (1985): 223-6
  • Chatterjee VK, Buchanan DR, Friedmann AI, Green M "Ocular toxicity following ethambutol in standard dosage." Br J Dis Chest 80 (1986): 288-91
  • Lees AW, Allan GW, Smith J, et al "Toxicity from rifampicin plus isoniazid and rifampicin plus ethambutol therapy." Tubercle 52 (1971): 182-90
  • DeVita EG, Miao M, Sadun AA "Optic neuropathy in ethambutol-treated renal tuberculosis." J Clin Neuroophthalmol 7 (1987): 77-83
  • Smith JL "Should ethambutol be barred?" J Clin Neuroophthalmol 7 (1987): 84-6
Myambutol

Generic Name: ethambutol

Brand Name: Myambutol

Synonyms: n.a.

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