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Medical Forum / General / Vision / February 2008

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Re: What questions should I ask

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Salmon Egg - 13 Feb 2008 23:40 GMT
In article
<703029ae-c991-4c73-84a8-396b453f6966@u10g2000prn.googlegroups.com>,
Neil Brooks <neil0502@yahoo.com> wrote:

> For example (only): the BAK thing.  If your doctor dismisses it,
> doesn't know about it, or flat-out says it's untrue, you do a quick
> bit of research (or e-mail me and I send it to you) that shows he's
> clinically wrong .... if, that is, he uses randomized controlled
> clinical tests to inform ANY of his medical decisions.

I visited my doc today. She knew about BAK. From what she said, the BAK
could "chew up" the surface of the eye in people who react poorly to
BAK. If that is truly the case, the BAK could account for both excessive
tearing and the light scattering.

She gave me a sample of Allergan's combination of brimonidine and
timolol (Combigan). But surprise surprise! It also uses BAK as a
preservative.

Bill

PS  I have been having trouble with MT-NewsWatcher. My responses may not
have been the best they could be. It is tough when the application quits
when you try to send a reply. :=)
Neil Brooks - 14 Feb 2008 04:37 GMT
> In article
> <703029ae-c991-4c73-84a8-396b453f6...@u10g2000prn.googlegroups.com>,
[quoted text clipped - 14 lines]
> timolol (Combigan). But surprise surprise! It also uses BAK as a
> preservative.

Hm.

I have no idea why she would do that ... except that she didn't know.

Would you consider mentioning it to her ... even via a phone call???

Since she seemed to know about the Evils of BAK, it seems really
unlikely that she'd have /intentionally/ Rx'd it again.

BTW: in the numerous studies that I'VE seen, EVERYBODY "reacts poorly
to BAK."  It's more a matter of how much reserve you have (eg,
quantity and quality of tear film) before it becomes a problem.

Why risk it?

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