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Travoprost

Glaucoma · Rx
Trade namesTravatan Z, iDose TR (implant)
Drug classProstaglandin analog (FP agonist)
Strength0.004%
AvailabilityRx
Mechanism of actionPotent FP-receptor agonist increasing uveoscleral outflow.
Indication / reason for useOpen-angle glaucoma and ocular hypertension.
Usual adult dosing1 drop once daily in the evening.
PreservativeTravatan Z is BAK-free (uses SofZia / polyquaternium) , a preservative-free option exists
Contact lensesTravatan Z's non-BAK preservative is gentler, but the label still advises removing lenses and reinserting after 15 minutes.
Common / important adverse effectsHyperemia, iris/periocular pigmentation, lash changes, periorbitopathy; class CME caution.
Contraindications & cautionsAs for the PGA class.
Pregnancy / lactationAvoid where possible, animal data show fetal loss.
Practice notesA good PGA choice when BAK sensitivity or ocular surface disease is a concern.
Chair-side reference only. Dosing, contraindications and pregnancy guidance here are not exhaustive. Confirm against the current prescribing information and the patient’s full history before prescribing or advising.

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