The typical starting dose of acetazolamide for glaucoma is 250 mg twice daily. This dosage can be adjusted based on individual response and tolerance.
Adjusting the Acetazolamide Dose
Your ophthalmologist will monitor your intraocular pressure (IOP) and adjust your dosage accordingly. Higher doses, up to 1000 mg daily, may be prescribed, but this is typically divided into multiple doses throughout the day to minimize side effects.
- Higher Doses: Increased dosage is usually implemented gradually to assess tolerance. Lower Doses: In some cases, a lower dose, perhaps 250 mg once daily, may be sufficient to manage IOP.
Important Considerations
Acetazolamide’s effectiveness varies between patients. Regular IOP monitoring is crucial. Also, remember to discuss potential side effects with your doctor. These can include:
Tingling in the extremities Kidney stones Metabolic acidosis Electrolyte imbalances
Alternative Treatments and Combination Therapies
Acetazolamide often works best in combination with other glaucoma medications. Your doctor may recommend a combination therapy approach to optimize IOP control. Other glaucoma treatments include topical eye drops and laser procedures. The specific treatment plan depends on your individual needs and the severity of your glaucoma.
