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Mirtogenol potentiates latanoprost in lowering intraocular pressure and improves ocular blood flow in asymptomatic
Robert D Steigerwalt1, Gianni Belcaro, Paolo Morazzoni
1Department of Biomedical Sciences, University of Chieti-Pescara, San Valentino, Italy.
Purpose:
The dietary supplement Mirtogenol((R)) was previously shown to lower elevated intraocular pressure (IOP). We here present the effects of this supplement on IOP in comparison as well as in combination with latanoprost eye drops.
Methods:
Seventy-nine patients with asymptomatic ocular hypertension were randomly assigned to three groups receiving either the supplement, or latanoprost eye drops, or both in combination. Intraocular pressure and retinal blood flow were investigated in monthly intervals over 24 weeks.
Results:
Mirtogenol alone lowered IOP from baseline 38.1 to 29.0 mmHg after 16 weeks, with little further improvement during the following eight weeks. Latanoprost rapidly lowered IOP from baseline 37.7 to 27.2 mmHg within four weeks, without further effects thereafter. The combination of the supplement and latanoprost lowered IOP from 38.0 to 27.3 mmHg after four weeks, and further decreased IOP to 24.2 mmHg after six weeks. After 24 weeks IOP with the combination treatment (23.0 mmHg) was significantly lower than with latanoprost alone (27.2 mmHg). Mirtogenol and latanoprost individually showed comparable effects for gradually increasing central artery blood flow with treatment duration. Combination treatment showed higher systolic blood flow velocity throughout the trial period. The diastolic blood flow velocity gradually increased with treatment duration in all three groups. From twelve weeks onwards, the diastolic component with combination treatment was higher than with individual treatments.
Conclusions:
Mirtogenol lowered elevated IOP in patients almost as effectively as latanoprost, however, it takes much longer (24 vs 4 weeks). The combination of both was more effective for lowering IOP and the combination yielded better retinal blood flow. No serious side effects occurred during the study, apart from standard side effects in patients related to Latanoprost. These promising results warrant further research of Mirtogenol with a larger patient group.
Insights
Mirtogenol effectively lowers intraocular pressure (IOP), though slower than latanoprost. Combining Mirtogenol with latanoprost eye drops significantly reduces IOP and improves retinal blood flow more than latanoprost alone.
Area of Science:
- Ophthalmology
- Pharmacology
- Optometry
Background:
- Elevated intraocular pressure (IOP) is a risk factor for glaucoma.
- Mirtogenol, a dietary supplement, has demonstrated potential in lowering IOP.
- Latanoprost eye drops are a common treatment for elevated IOP.
Purpose of the Study:
- To compare the efficacy of Mirtogenol and latanoprost eye drops in lowering IOP.
- To evaluate the combined effect of Mirtogenol and latanoprost on IOP and retinal blood flow.
- To assess the safety and tolerability of Mirtogenol and latanoprost treatment.
Main Methods:
- Seventy-nine patients with asymptomatic ocular hypertension were randomized into three groups.
- Groups received Mirtogenol, latanoprost eye drops, or a combination of both.
- Intraocular pressure and retinal blood flow were monitored monthly over 24 weeks.
Main Results:
- Mirtogenol alone reduced IOP from 38.1 to 29.0 mmHg over 16 weeks.
- Latanoprost rapidly lowered IOP from 37.7 to 27.2 mmHg within 4 weeks.
- Combination therapy achieved significantly lower IOP (23.0 mmHg) after 24 weeks compared to latanoprost alone (27.2 mmHg).
- Combination treatment also demonstrated superior effects on systolic and diastolic blood flow velocity in retinal arteries.
Conclusions:
- Mirtogenol is a viable option for lowering IOP, though its onset of action is slower than latanoprost.
- The combination of Mirtogenol and latanoprost offers superior IOP reduction and enhanced retinal blood flow.
- Further research with larger patient cohorts is warranted to confirm these promising findings.
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