Papilledema medical therapy

Medical Therapy

• To decrease ICP, medications can be administered by increasing the absorption of Cerebrospinal fluid (CSF) or decreasing its production. Such medicines include diuretics like acetazolamide and lasix.
• steroids can reduce inflammation (if this is a contributing factor to increased ICP), and may help to prevent vision loss. However, steroids have also been known to cause increased ICP, especially with a change in dosage. However, if a severe inflammatory condition exist, such as multiple sclerosis, steroids with anti-inflammatory effects such as Methylprednisolone and prednisone can help.
• The removal of potentially causative medicines including tetracyclines and vitamin A analogues may help decrease ICP, however this is only necessary if the medication is truly felt to contribute to ICP increase.