Young Dr. Gott Ask Dr. Gott, M.D.
by Dr. Peter Gott, M.D. and staff.
Reviewed by Board Certified physician.

Was eye-drop med to blame?

July 9th, 2010

DEAR DR. GOTT: I am a female who used Timoptic eye drops for glaucoma about 20 years ago. The beta blocker caused me many side effects, most of which went away when I discontinued the medicine. However, I still have shortness of breath and difficult urination. Is there anything that can be done to relieve these side effects?

DEAR READER: Even today, Timoptic is contraindicated for patients with a history of chronic bronchitis, emphysema, bronchial asthma, chronic obstructive pulmonary disease and a number of cardiac conditions. I cannot tie in your shortness of breath 20 years following usage, but I wonder whether you had an existing condition even then that might have been exacerbated by the medication. This can best be determined by a pulmonologist, who will listen to your lungs, and perhaps order a chest X-ray, CT or MRI to determine just what is and isn’t going on.

I am unaware of a link to urinary difficulties with Timoptic but can offer some other possible causes for the condition. Retention can be caused by an obstruction in the urinary tract or by mixed signals between the bladder and the brain. Diabetes, pelvic injury, vaginal childbirth, bladder stones and infection of the spinal cord are but a few more options. An infection can cause inflammation and irritation, resulting in urinary retention.

A cystocele can result when the wall between the bladder and the vagina weakens, allowing the bladder to sag into the vagina. A rectocele occurs when the rectum sags into the back wall of the vagina. Both conditions can force the bladder out of position, causing incontinence and retention.

I feel you need a referral to an urologist for a complete examination to rule out specific conditions, while allowing concentration on others. Unless your specialist discovers something unexpected, the issue may be controlled completely by medication. Should surgical correction be necessary, you can then discuss the pros and cons of such a procedure to determine whether it is appropriate for you. Also, he or she might have an idea whether the Timoptic may have caused the condition, or whether other circumstances came into play at the same time as your breathing difficulties.

To provide related information, I am sending you copies of my Health Reports “Pulmonary Disease” and “Vaginal Infections and Disorders.” Other readers who would like copies should send a self-addressed stamped No. 10 envelope and a $2 check or money order for each report to Newsletter, P.O. Box 167, Wickliffe, OH 44092-0167. Be sure to mention the title(s) or print an order form off my website at www.AskDrGottMD.com.

Tags: , , ,

This letter is part of a weekly column.

Related Letters


Osteoarthritis not linked to employment
Partial sleep apnea?
Sudden-onset bedwetting needs testing
Dollar-store glasses fill the bill
Plantar-wart remedies sought
Touting the virtues of vitamin E
Irregular periods require investigation
Popcorn OK on Gott diet
Dealing with dry mouth and increased thirst
Cat-scratch disease causes numb feet




Website © 2010 Gott & Storm LLC. Content is © 1995-2010 United Feature Syndicate, Inc.

Disclaimer: All information contained herein is the opinion and view of the writer. It is intended to provide helpful and informative material on the subjects addressed and is not meant to malign any pharmaceutical company, organization, religion, ethnic group, or individual. Readers should consult their personal physicians or specialists before adopting any of the recommendations or drawing inference from information contained herein. The writer specifically disclaims all responsibility for any liability, loss, risk -- personal or otherwise -- incurred as a consequence, directly or indirectly, from the use and application of any material provided.

Website Updated Tuesday, December 28th, 2009