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Medical Forum / General / Vision / June 2006

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Pirenzepine / Atropine for myopia prevention

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buywheels@hotmail.com - 16 Jun 2006 16:32 GMT
Hi,

I am just wondering if these two topical eye drop / gels are already
available in the US or Canada ? If not does anybody know if they are
available in other parts of the world ?

I am highly myopic and recently my 8 year old son was found to have
begun his 'myopia journey". Really want to do something about it and
read about these two drugs on the Internet.

Thanks in advance.
Anon E. Muss - 16 Jun 2006 18:23 GMT
>I am just wondering if these two topical eye drop / gels are already
>available in the US

Topical ophthalmic atropine sulfate is available in both drop and
ointment form as a prescription medication, and has been for dozens of
years, in most (if not all) countries.

As far as pirenzepine...

<http://www.valleyforgepharmaceuticals.com/What_is_the_study_medication.htm>

    [...]
    Pirenzepine ophthalmic gel is not approved anywhere in the
    world and is available only through sponsored investigational
    trials.
    [...]

[snip]

>I am highly myopic and recently my 8 year old son was found to have
>begun his 'myopia journey". Really want to do something about it

A good start would be to get him some glasses.

[snip]
otisbrown@pa.net - 16 Jun 2006 18:34 GMT
Dear Myopic Friend,

If you child is not yet too deep into myopia -- you may
find an anternative method discussed at:

www.chinamyopia.org

Some people have a serious adverse reaction to
atropine sulfate.  The preventive method is less
drastic that a drug.

You also might want to consult with a behavioral optometrist -- as
they support preventive methods as the second-opinion.

Best,

Otis

> Hi,
>
[quoted text clipped - 7 lines]
>
> Thanks in advance.
Mike Tyner - 16 Jun 2006 19:10 GMT
> Some people have a serious adverse reaction to
> atropine sulfate.  The preventive method is less
> drastic that a drug.

Valley Forge Pharmaceuticals has data showing that pirenzipine works,
slowing myopia by as much as 50%.

Where is the data showing that your "preventive method" works?

-MT
buywheels@hotmail.com - 16 Jun 2006 20:36 GMT
Back to my original question: Is Pirenzepine commercially available yet
?

> > Some people have a serious adverse reaction to
> > atropine sulfate.  The preventive method is less
[quoted text clipped - 6 lines]
>
> -MT
Neil Brooks - 16 Jun 2006 20:42 GMT
> Back to my original question: Is Pirenzepine commercially available yet
> ?

For what it's worth ...

1) I could only find the standard truckload of information about its
being in clinical trials, but most of that was from 2003.  I would
think that--if it HAD been approved--then either Novartis or Valley
Forge would be touting it fairly strongly.  I don't see that;

2) You asked about Pirenzepine AND Atropine.  At least the Atropine
part of the questions WAS answered....

Best of luck in your quest.
Mike Tyner - 17 Jun 2006 06:53 GMT
> Back to my original question: Is Pirenzepine commercially available yet

Not in the gel form used in the clinical trials.

I believe you could sign up for the clinical trials but not all participants
will get the treatment.

Atropine has been used in the eye for a long time but the side effects are
debilitating.

-MT
otisbrown@pa.net - 17 Jun 2006 01:17 GMT
Dear Mike,

That issue would be resolved with Steve Leung's consultation
with the person in question.  See:

www.chinamyopia.org

for details.

The method is less risky than atropine sulfate.

But as always, prevention is the second-opinion -- and
should be UNDERSTOOD THAT WAY.

Otis

> > Some people have a serious adverse reaction to
> > atropine sulfate.  The preventive method is less
[quoted text clipped - 6 lines]
>
> -MT
Neil Brooks - 17 Jun 2006 01:31 GMT
> Dear Mike,
>
> That issue would be resolved with Steve Leung's consultation
> with the person in question.  See:
>
> www.chinamyopia.org

Mike,

The answer to your question:

"Where is the data showing that your "preventive method" works?"

Would then be ... there isn't any.....
Mike Tyner - 17 Jun 2006 06:57 GMT
> The method is less risky than atropine sulfate.

Not to mention ineffective. We asked how you know it works. You haven't
provided a satisfactory answer.

And atropine sulfate will not likely be used for myopia control.

-MT
p.clarkii@gmail.com - 17 Jun 2006 12:11 GMT
disregard any myopia treatments recommended by Otis Brown.  he is
currently under investigation by the state of pennsylvania for
practicing medicine without a license.  sometimes his recommended
treatment of using plus reading glasses can cause harm. one child
developed diplopia (double-vision) after using it for a while.  it has
been tested already in clinical studies and found to be ineffective.
Otis doesn't care about the outcome of scientifically-controlled
studies so he recommends it anyway.

nothing, aside from pirenzepine/atropine, has been found to be
effective in preventing nearsightedness.  unfortunately, those
compounds are still in clinical trials at the present time.  atropine
will likely never be used for preventative purposes at least in this
country (side-effects, undesirable dilation and profound cycloplegia).
a milder form like pirenzepine is more likely.  until then, correct
myopia with glasses and contact lenses is the recommended treatment.
minus lenses do not increase myopia development-- that has been proven
too.

regards,

===============================

> Hi,
>
[quoted text clipped - 7 lines]
>
> Thanks in advance.
 
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