As the patient continues to undergo treatment with pilocarpine (Pilocar), he begins to experience itching of the eye. The most appropriate response of the health care provider is:
a. This could be symptomatic of pinpoint hemorrhaging within the eye.
b. This is an expected adverse reaction to the medication, and treatment to relieve this symptom will be initiated.
c. This is an unexpected, idiosyncratic response to the medication; the patient must be switched to a different drug.
d. This could be symptomatic of retinal damage.
ANS: B
Adverse effects commonly associated with cholinergic miotics such as pilocarpine include irrita-tion, conjunctivitis, and blepharitis. Itching would be caused by the conjunctivitis.
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