title: [New perspectives in glaucoma therapy with epinephrine and epinephrine derivatives (author's transl)].
abstract: Some problems of epinephrine use in glaucoma are summarized, including side effects and increased responsiveness in POAG. -- DPE is a pro-drug that differs from epinephrine by the addition of two pivalyl side chains. This alteration provides a more lipophilic compound which penetrates the corneal barrier 17 times better. -- Fifteen POAG patients took part in a single-dose trial in order to determine the mydriatic and IOP-lowering effect of 0.2% DPE. DPE 0.2% is a potent mydriatic and lowers IOP approximately 10 times as efficiently as epinephrine. In view of the lower dose a reduction in systemic and ocular side effects may be expected.
mesh_terms: D004305:Dose-Response Relationship, Drug; D004837:Epinephrine / Q000031:analogs & derivatives* / Q000627:therapeutic use*; D005901:Glaucoma / Q000188:drug therapy*; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects
chemical_list: D004837:Epinephrine
vernacular_title: Neue Aspekte zur Glaukomtherapie mit Adrenalin und Adrenalinderivaten.