Fluorescein (Fluorescein) locally detects lesions on the surface of the eye to measure convex eye surface pressure. Wounds and foreign objects in the eye, tears leakage and eye leakage tests, and hard lens inserts are used, in case of sensitivity to Fluorescein Either any of the components of the product or with soft contact lenses should not be used. Also medicine Fluorescein It should not be used for angiography in pregnant women (especially in the first trimester of pregnancy).
Fluorescein during pregnancy and lactation
During pregnancy and lactation, you should not use the drug arbitrarily without consulting your doctor. Fluorescein should not be used, especially in the first trimester of pregnancy. Fluorescein should be used during pregnancy only if absolutely necessary. This drug is secreted in milk, so breastfeeding should be stopped for 2-3 days after injection.
The effect of fluorescein on driving
Fluorescein does not cause blurred vision, dizziness, or drowsiness. If you do not have these symptoms, you do not need to avoid driving or operating machinery.
Fluorescein drug interactions
Drug interactions may alter the performance of drugs and increase the risk of serious side effects. Make a list of all the medicines (including prescription / over-the-counter and herbal medicines) you use and share them with your doctor and pharmacist. Do not change the dose of your medicine without consulting your doctor or stop taking the medicine. Fluorescein is an alkaline medicine, acidic medicines should not be injected intravenously with this medicine.
Long-term use of the drug is not recommended because it may reduce the duration of anesthesia, delay wound healing, and cause corneal infection or turbidity with decreased permanent vision or perforation of the cornea, leading to systemic toxicity (central nervous system stimulation and inhibition). Cardiovascular function is rare, however. Protecting the eye from other irritating chemicals and foreign objects is important during anesthesia. Use caution in patients with known allergies, heart disease, or hyperthyroidism. In people with a history of allergies, allergies or asthma, this drug should be used with caution and always tested in small amounts at first. This drug stains soft contact lenses, skin and clothing. In case of intravenous injection, equipment Necessary for resuscitation (1: 1000 epinephrine, antihistamines, steroids, injectable amniophylline, and oxygen) should be available. In case of allergy, the drug should be discontinued.
Fluorescein drug recommendations
The tip of the fluorescein strip should be moistened with a normal drop of saline or sterile distilled water before use. The tape should be applied to the conjunctiva or mucous membrane in front of the eye. For best results, the patient should press the eyelid firmly on the tape several times after placing the tape. If the solution contains sediment, do not use it. After using this product, the color of urine (for 24-36 hours) changes to light yellow. When fluorescein is used, the eye should be rinsed with sterile saline and the contact lens should not be repositioned for at least one hour. Any vascular leakage should be avoided during injection, as fluorescein vascular leakage causes tissue damage and severe pain in the arm. Be.
Recommendations for the patient to take fluorescein
1- After injecting this drug, the skin and urine will turn yellow, which will disappear after a while (6 to 12 hours for the skin and 24 to 36 hours for urine).
Tell your doctor before taking fluorescein if you have kidney or heart disease.
Tell your doctor if you have a history of allergies.
Source: Saed News