A patient with ocular hypertension will begin using brimonidine (Alphagan) for long-term reduction of increased ocular pressure (IOP). The nurse teaches the patient about this medication
Which statement by the patient indicates understanding of the teaching?
a. "After using the drops, I should wait 15 minutes before putting in contacts."
b. "Because this is a topical medication, drowsiness will not occur."
c. "I will not have cardiovascular side effects when using this medication."
d. "If my eyes begin to itch or turn red, it means I am allergic to this drug."
ANS: A
Patients using this drug should wait 15 minutes before putting in contacts, because soft contacts can absorb the drug. Even though the medication is topical, it can be absorbed systemically, causing systemic side effects such as drowsiness or lowered blood pressure. Itching and hyperemia may occur and do not indicate allergy.
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