A corneal ulcer, or ulcerative keratitis, is an inflammatory condition of the cornea involving loss of its outer layer. It is very common in dogs and is sometimes seen in cats. In veterinary medicine, the term corneal ulcer is a generic name for any condition involving the loss of the outer layer of the cornea, and as such is used to describe conditions with both inflammatory and traumatic causes. Corneal anatomy of the dog and cat
The cornea is a transparent structure that is part of the outer layer of the eye. It refracts light and protects the contents of the eye. The cornea is about one-half to one millimeter thick in the dog and cat. The trigeminal nerve supplies the cornea via the long ciliary nerves. There are pain receptors in the outer layers and pressure receptors deeper. Transparency is achieved through a lack of blood vessels, pigmentation, and keratin, and through the organization of the collagen fibers. The collagen fibers cross the full diameter of the cornea in a strictly parallel fashion and allow 99 percent of the light to pass through without scattering. There are four important layers in the dog and cat cornea. The outer layer is the epithelium, which is 25 to 40 micrometers and five to seven cell layers thick. The epithelium holds the tear film in place and also prevents water from invading the cornea and disrupting the collagen fibers. This prevents corneal edema, which gives it a cloudy appearance. It is also a barrier to infectious agents.
A downward dose adjustment may be necessary with this particular instance of polypharmacy.Severe hypotension was reported with Fentanyl anesthesia when it was combined with other Calcium Channel Blockers. Even though Isradipine, another Calcium Channel Blocker, has not been used in conjunction with Fentanyl anesthesia in any studies, caution is advised.Note: There was no significant interaction between Isradipine and Warfarin (Coumadin), Isradipine and Microzide Hydrochlorothiazide, Isradipine and Lanoxin (Digoxin), and Isradipine and Nitrostat (Nitroglycerin). Overdose
Symptoms of an Isradipine overdose include:
Lethargy
Sinus tachycardia
Transient hypotension

Stereochemistry
Isradipine contains a stereocenter and consists of two enantiomers, more precisely atropisomers. This is a racemate, i.e. a 1: 1 mixture of ( R ) - and the ( S ) - Form:

References
Further reading
External links
MedlinePlus DrugInfo medmaster-a693048
Diseases Database (DDB): 30003
Drug offers hope for Parkinsons - BBC News, 11 June 2007. [1] - Commentary of Chan et al. publication
[2] - ArsTechnica - Why neurons die in Parkinsons patients