{"id":53239,"date":"2022-04-25T14:33:04","date_gmt":"2022-04-25T14:33:04","guid":{"rendered":"https:\/\/staging.womeninoptometry.com\/?p=53239"},"modified":"2022-05-19T20:37:47","modified_gmt":"2022-05-19T20:37:47","slug":"a-true-once-a-day-option-for-patients-with-allergic-conjunctivitis","status":"publish","type":"post","link":"https:\/\/staging.womeninoptometry.com\/newsmakers\/article\/a-true-once-a-day-option-for-patients-with-allergic-conjunctivitis\/","title":{"rendered":"A True Once-a-day Option for Patients With Allergic Conjunctivitis"},"content":{"rendered":"<figure id=\"attachment_53241\" aria-describedby=\"caption-attachment-53241\" style=\"width: 200px\" class=\"wp-caption alignleft\"><img decoding=\"async\" class=\"wp-image-53241 size-medium\" src=\"https:\/\/staging.womeninoptometry.com\/wp-content\/uploads\/2022\/04\/MG_GrayStone_181130_ECOT_3-2-200x300.jpg\" alt=\"\" width=\"200\" height=\"300\" \/><figcaption id=\"caption-attachment-53241\" class=\"wp-caption-text\">Dr. Autry<\/figcaption><\/figure>\n<p><strong>Jill Autry, OD, RPh<\/strong>, tells her patients at the Eye Center of Texas in Bellaire, Texas, that she is \u201callergic to April and September.\u201d It\u2019s not uncommon for patients with seasonal allergies to suffer ocular symptoms twice a year. \u201cAbout 40 percent of the population has allergic conjunctivitis,\u201d she says. \u201cThose of us who have it try to avoid the allergens, but what do you do in April? Stay inside all month? How can we help them?\u201d<\/p>\n<p>Dr. Autry says she is pleased that LASTACAFT\u00ae (alcaftadine ophthalmic solution) 0.25% is now available over the counter, providing her patients with effective relief. Traditionally, the earlier over-the-counter medications were mostly decongestants, and eventually, prescription products came along. But some patients\u2019 insurance benefits did not cover the medications, and patients were unwilling to pay out-of-pocket for these.<\/p>\n<p>Since then, some products have moved from prescription to over the counter, but even there, some of her patients were not getting the relief they needed from once-a-day dosing.<\/p>\n<p>\u201cThis is what is so exciting for LASTACAFT. It\u2019s an effective once-a day medication,\u201d she says, noting that the product is a combination of an antihistamine and a mast cell stabilizer. It also works fast, as demonstrated in the well-structured conjunctival allergen challenge. Patients who had ocular allergies on a first visit in the challenge were introduced to an allergen and scored their itchiness and redness symptoms on a scale of 0 to 4. Patients who scored 3 or 4 were included, and for 93 percent of them, their scores dropped to 2 or lower after instilling LASTACAFT.<\/p>\n<p>Sixteen hours later, the study subjects had the allergen introduced again to their eyes, \u201cand they didn\u2019t get the itch. That\u2019s a very long-lasting effect.\u201d\u00a0 Plus, it works against common allergens like pet dander, pollen, grass and ragweed.<\/p>\n<h4><strong>DIFFERENTIATORS<\/strong><\/h4>\n<p>With LASTACAFT now over the counter, that means that the patients don\u2019t have to worry whether they\u2019ll be surprised at the pharmacy counter to learn that their insurance might not cover the prescription. It\u2019s available in a 5ml bottle, a 60-day supply and about twice as large as other brand once daily products at the same price.\u00a0 Plus, it\u2019s approved for children as young as 2.<\/p>\n<p>What also sets it apart, says Dr. Autry, is that it has the category B rating from the Food and Drug Administration \u2013 noting that there is no demonstrated evidence that this medication presents a risk to the fetus in pregnant women but that no large, controlled studies have been done. \u201cThat\u2019s important for women who are pregnant and nursing and don\u2019t want to have to stop treating their allergy symptoms for a few months or for patients who may be trying to get pregnant.,\u201d she says.<\/p>\n<h4><strong>ENCOURAGE PATIENTS NOT TO SELF-DIAGNOSE<\/strong><\/h4>\n<p>Being able to tell patients that there are effective OTC products is great \u2013 but staff and doctors should also encourage patients to have a diagnosis made by a provider. \u201cWhen allergy season comes along, some patients will simply say that their symptoms are due to allergies, when in fact it might be dry eye or something else,\u201d says Dr. Autry.<\/p>\n<p>She likes to let patients know that there are effective products for nearly every concern, but she wants to make sure they\u2019re treating their condition with the right products. A mast cell stabilizer, for example, might make dry eye conditions worse. \u201cWhen a patient\u2019s nose runs and their ears itch, that\u2019s probably but not always allergy-related. But itchy, burning or watery eyes could be dryness, so maybe we\u2019d want to start that patient on RESTASIS.\u201d<\/p>\n<p>Patients will make assumptions, like the 65-year-old patient she recently saw who was convinced her watery eyes were a result of her exposure to grasses and trees. \u201cI did a dry eye assessment, and that\u2019s what it was,\u201d says Dr. Autry.<\/p>\n<h4><strong>BE PROACTIVE<\/strong><\/h4>\n<p>Optometrists should be proactive in talking to patients about seasonal and other ocular allergies. \u201cAllergists and family physicians are certainly going to be talking about it,\u201d she says, and it\u2019s important that patients start their treatments with the best products for their condition. \u201cWe now have a true once-a-day product that is highly effective, widely available and is not contraindicated for nursing and pregnant women. We have so many options for OTC products, but patients need their optometrists\u2019 guidance,\u201d she says.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Jill Autry, OD, RPh, tells her patients at the Eye Center of Texas in Bellaire, Texas, that she is \u201callergic to April and September.\u201d It\u2019s not uncommon for patients with seasonal allergies to suffer ocular symptoms twice a year. \u201cAbout 40 percent of the population has allergic conjunctivitis,\u201d she says. \u201cThose of us who have [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":53241,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_links_to":"","_links_to_target":""},"categories":[122],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>A True Once-a-day Option for Patients With Allergic Conjunctivitis | Women In Optometry<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/staging.womeninoptometry.com\/newsmakers\/article\/a-true-once-a-day-option-for-patients-with-allergic-conjunctivitis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A True Once-a-day Option for Patients With Allergic Conjunctivitis | Women In Optometry\" \/>\n<meta property=\"og:description\" content=\"Jill Autry, OD, RPh, tells her patients at the Eye Center of Texas in Bellaire, Texas, that she is \u201callergic to April and September.\u201d It\u2019s not uncommon for patients with seasonal allergies to suffer ocular symptoms twice a year. \u201cAbout 40 percent of the population has allergic conjunctivitis,\u201d she says. \u201cThose of us who have [&hellip;]\" \/>\n<meta property=\"og:url\" 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