Latanoprost

Generic name
Latanoprost
Brand name
ATC Code
S01EE01

Latanoprost

Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Pharmacokinetics in children

Compared to adults, the systemic exposure to the free acid of latanoprost was approximately twice as high in children aged 3 to < 12 years and six times as high in children < 3 years old, but this is still well within the safety margin in view of the occurrence of systemic side effects. The median time to peak plasma concentration was 5 minutes after dosing in all age groups. The median elimination half-life from the plasma was short (< 20 minutes) and similar in both paediatric and adult patients; it did not result in accumulation of the free acid of latanoprost in the systemic circulation under steady state conditions. (source: SPC)

dose recommendation of formulary compared to licensed use (on-label versus off-label)

No information is present at this moment.

Available formulations

No information is present at this moment.

Dosages

Reduction of intraocular pressure (in for example glaucoma)
  • Ocular
    • 0 years up to 18 years
      • 1 drop(s)/dose once daily. In the evening, in the affected eye.

Renal impaiment in children > 3 months

No information available on dose adjustment in renal impairment.

The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects in children

Transient redness and irritation, hypertrichosis of the lashes, increased pigmentation of the iris and lashes, possible sleep disorders. Colds and fever are side effects that occur more often in children than in adults.

The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications

No information available on specific contra indications in children.

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions in children

Efficacy and safety data in the age group <1 year old (4 patients) are very limited. No data are available for premature babies (less than 36 weeks gestational age). In children 0 to <3 years of age who mainly suffer from primary congenital glaucoma (PCG), surgery (eg trabeculotomy / goniotomy) remains the treatment of choice. Long-term safety in children has not yet been established.

Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

ANTIGLAUCOMA PREPARATIONS AND MIOTICS

This pages provides a list of drugs from the same ATC class for comparison. This does not necessarily mean that these drugs are interchangeable.

Parasympathomimetics
S01EB01
Carbonic anhydrase inhibitors
S01EC01
S01EC03
Beta blocking agents
S01ED01
Prostaglandin analogues
S01EE03
S01EE04
Other antiglaucoma preparations
S01EX
OTHER ANTIGLAUCOMA PREPARATIONS
S01EX

References

  1. Black AC, et al, Latanoprost in pediatric glaucoma--pediatric exposure over a decade, J AAPOS, 2009, Dec;13(6), 558-62
  2. Elgin U, et al, The comparison of eyelash lengthening effect of latanoprost therapy in adults and children, Eur J Ophthalmol, 2006, Mar-Apr;16(2), 247-50
  3. Pfizer BV, SPC Xalatan (RVG 21304) 31-03-2022, www.geneesmiddeleninformatiebank.nl
  4. Enyedi LB, et al, Latanoprost for the treatment of pediatric glaucoma, Surv Ophthalmol, 2002, Aug;47 Suppl 1, S129-32
  5. Enyedi LB, et al, The effectiveness of latanoprost for the treatment of pediatric glaucoma, J AAPOS, 1999, Feb;3(1), 33-9

Changes

Therapeutic Drug Monitoring


Overdose