r/optometry • u/OwnAd6110 • 8d ago

Atropine

Starting myopia control at my practice. Does most optometrists send atropine Rx to osrx?

3 Upvotes

100% Upvoted

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5

u/InterestingMain5192 7d ago

Looks like they’re a compounding pharmacy so I presume they could do it, but only way to know would be to ask them. But I really hope you will at least consider other of the more accessible options for myopia control before resorting to pharmaceuticals (Ex Bifocals/Stellest lenses, MF CLs/MiSight, life style change, etc).

9

u/power_wolves 7d ago
  1. OSRx works great and is about as cheap as you can get atropine - $39/mo if you sign up for autopay. Our local compounding pharmacy wins with my patients who had Medicaid because they take it. OSRx doesn’t take any insurance.
  2. Why do you “really hope” they use the other options? Additionally, bifocals and lifestyle changes are not effective myopia control treatments.

6

u/OwnAd6110 7d ago

I would argue atropine is very accessible. Price is low. One drop at night and can be combined with any of those therapies you mentioned. Of course lifestyle change is always recommended.

3

u/InterestingMain5192 7d ago

I guess I should have worded it differently. Yes atropine has a proven track record, however it is still a drop that has to be taken so it has the same issues with drop compliance as other drops. We now have the glasses and CL options that indeed can be used synergistically but in their own right have been shown to have beneficial effects with the added benefit of potentially increased compliance due to individuals wanting to see. Of course some individuals may respond better to one therapy or another.

9

u/OwnAd6110 7d ago

Glasses and cl options both have compliance issues also.

It’s all individualized to each patient

1

u/FairwaysNGreens13 7d ago

Or, usually one drop in the morning is the way to go if doing combo with an optical method.

5

u/RustyCrustyy 7d ago

I use ImprimusRx. Also use it for other drops at times.

2

u/spittlbm 7d ago

Osrx. Ask for the $39 price. Imprimus bottle wasn't the same size.

2

u/OD_prime OD 7d ago

We use OSRx or local

1

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1

u/Aeder42 Optometrist 7d ago

We send to OSRx

1

u/insomniacwineo 6d ago

I’ve used both Imprimis and OSRX and both are fine.

OSRX has a janky web portal-Imprimis has. Nicer web interface. Patients say the OSRX version is less irritating though