fluorescein (Fluor-I-Strip, Fluress, Funduscein, AK-Fluor, Fluorescite, Ful-Glo)

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Indications

solution
- 1-2 drop of 2% solution
- allow to stand for a few seconds
- wash out excess with irrigation solution
strips
- moisten strip with sterile water
- place strip at fornix into the lower cul-de-sac close to the punctum
injection
- MUST perform intradermal skin test prior to use
- usual dose: 500-750 mg in antecubital vein

Injection: 10% (5 mL), 25% (3 mL) Strip ophthalmic 1 mg (300s); 9 mg (300s) Solution ophthalmic: (Fluress) 0.25% with benoximate HCl 0.4% (5 mL)

not common (1-10%)
- temporary stinging, burning, irritation
uncommon (< 1%)
- severe shock, cardiac arrest, syncope, hypotension, basilar artery ischemia, thrombophlebitis, headache, nausea, GI distress, vomiting
other
- extravasation results in local tissue damage
- soft contact lenses will become discolored
- skin stains for about 6-12 hours
- urine stains for about 24-36 hours CAUTIONS:
do NOT replace contact lenses for at least 1 hours
flush out eye prior to replacement of contact lenses

↑ Drug Information & Medication Formulary, Veterans Affairs, Central California Health Care System, 1st ed., Ravnan et al eds, 1998
↑ Kaiser Permanente Northern California Regional Drug Formulary, 1998
↑ Department of Veterans Affairs, VA National Formulary