Miscellaneous ocular agents:
Indications for EYLEA:
Neovascular (wet) age-related macular degeneration (AMD). Macular edema following retinal vein occlusion (RVO). Diabetic macular edema (DME). Diabetic retinopathy (DR).
Give by intravitreal injection. AMD: 2mg (0.05mL) once every 4 weeks (~28 days, monthly) for the 1st 12 weeks (3 months), followed by 2mg (0.05mL) once every 8 weeks (2 months); some may need the monthly dosing after the 1st 3 months. May also treat with 1 dose every 12 weeks after one year of successful therapy (not as effective); assess regularly. RVO: 2mg (0.05mL) once every 4 weeks (~25 days, monthly). DME, DR: 2mg (0.05mL) once every 4 weeks (~28 days, monthly) for the 1st 5 injections, followed by 2mg (0.05mL) once every 8 weeks (2 months); some may need the monthly dosing after the 1st 5 months.
Ocular or periocular infections. Active intraocular inflammation.
Must only be administered by a qualified physician. Monitor for endophthalmitis and retinal detachments during the week following injection. Monitor intraocular pressure and perfusion of optic nerve head after injection. Potential risk of arterial thromboembolic events (eg, nonfatal stroke or MI, vascular death). Pregnancy. Advise females of reproductive potential to use effective contraception prior to initial dose, during therapy, and for at least 3 months after last injection. Nursing mothers: not recommended.
Recombinant fusion protein (human VEGF inhibitor + human IgG1).
Conjunctival hemorrhage, eye pain, cataract, vitreous detachment, vitreous floaters, increased intraocular pressure; hypersensitivity reactions.
Generic Drug Availability:
Kit—1 (single-use vial w. supplies); Single-use prefilled syringe—1