Thursday, October 27, 2016

loteprednol ophthalmic


Generic Name: loteprednol ophthalmic (lo te PRED nol off THAL mik)

Brand Names: Alrex, Lotemax


What is loteprednol ophthalmic?

Loteprednol is in a group of drugs called corticosteroids. It prevents the release of substances in the body that cause inflammation.


Loteprednol ophthalmic (for the eye) is used to treat eye swelling caused by surgery, infection, allergies, and other conditions.

Loteprednol ophthalmic may also be used for other purposes not listed in this medication guide.


What is the most important information I should know about loteprednol ophthalmic?


Do not use this medication while you are wearing contact lenses. This medication may contain a preservative that can be absorbed by soft contact lenses. Wait at least 15 minutes after using loteprednol before putting your contact lenses in. Do not allow the dropper to touch any surface, including the eyes or hands. If the dropper becomes contaminated it could cause an infection in your eye, which can lead to vision loss or serious damage to the eye. Stop using loteprednol and call your doctor at once if you have signs of a new eye infection such as swelling, redness, irritation, or drainage, or if you have problems with your vision, or severe pain, burning, or stinging when you use the eye drops. Call your doctor if your symptoms do not improve after 2 days of treatment.

What should I discuss with my healthcare provider before using loteprednol ophthalmic?


You should not use this medication if you are allergic to loteprednol, or if you have any type of fungal, viral, or bacterial infection of your eye.

If you have any of these other conditions, you may need a dose adjustment or special tests to safely use this medication:



  • glaucoma;




  • cataracts (or if you have recently had cataract surgery); or




  • herpes infection of your eye.




FDA pregnancy category C. It is not known whether loteprednol is harmful to an unborn baby. Before taking this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether loteprednol ophthalmic passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I use loteprednol ophthalmic?


Use this medication exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Follow the instructions on your prescription label.


Do not use this medication for longer than 2 weeks unless your doctor tells you to.


Wash your hands before using the eye drops.


Shake the eye drops well just before each use.

To apply the eye drops:



  • Tilt your head back slightly and pull down on the lower eyelid. Hold the dropper above the eye with the dropper tip down. Look up and away from the dropper. Squeeze out a drop and close your eye.




  • Gently press your finger to the inside corner of the eye (near the nose) for about 1 minute to keep the liquid from draining into your tear duct.




Do not allow the dropper to touch any surface, including the eyes or hands. If the dropper becomes contaminated it could cause an infection in your eye, which can lead to vision loss or serious damage to the eye.

Do not use this medication while you are wearing contact lenses. This medication may contain a preservative that can be absorbed by soft contact lenses. Wait at least 15 minutes after using loteprednol before putting your contact lenses in.


Call your doctor if your symptoms do not improve after 2 days of treatment.

To be sure loteprednol is not causing harmful effects, your vision may need to be checked after using the medication for 10 days or longer. Do not miss any scheduled visits to your doctor.


Store loteprednol ophthalmic with the cap on at room temperature, away from moisture and heat. Do not use the eye drops if the liquid changes colors or has particles in it. Call your doctor for a new prescription.

What happens if I miss a dose?


Use the medication as soon as you remember the missed dose. If it is almost time for your next dose, skip the missed dose and use the medicine at your next regularly scheduled time. Do not use extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention if you think you have used too much of this medicine.

An overdose of loteprednol ophthalmic is not likely to cause life-threatening symptoms.


What should I avoid while using loteprednol ophthalmic?


Avoid using other medications in your eyes during treatment with loteprednol ophthalmic unless your doctor has told you to.


Loteprednol ophthalmic side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using loteprednol and call your doctor at once if you have any of these serious side effects:

  • signs of a new eye infection such as swelling, redness, irritation, or drainage;




  • problems with your vision; or




  • severe pain, burning or stinging when using the eye drops.



Less serious side effects may include:



  • minor burning when using the eye drops;




  • dry, red, itchy, or watery eyes;




  • feeling that something is in your eye;




  • being more sensitive to light;




  • headache; or




  • runny nose, sore throat.



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


Loteprednol ophthalmic Dosing Information


Usual Adult Dose for Seasonal Allergic Conjunctivitis:

Instill 1 drop (0.2% suspension) into the affected eye(s) 4 times daily.

Usual Adult Dose for Acne Rosacea:

Instill 1-2 drops (0.5% suspension) into the affected eye(s) 4 times daily. The dose may be increased up to 1 drop hourly, if necessary, during the first week.

Usual Adult Dose for Iritis:

Instill 1-2 drops (0.5% suspension) into the affected eye(s) 4 times daily. The dose may be increased up to 1 drop hourly, if necessary, during the first week.

Usual Adult Dose for Keratitis:

Instill 1-2 drops (0.5% suspension) into the affected eye(s) 4 times daily. The dose may be increased up to 1 drop hourly, if necessary, during the first week.

Usual Adult Dose for Conjunctivitis:

Instill 1-2 drops (0.5% suspension) into the affected eye(s) 4 times daily. The dose may be increased up to 1 drop hourly, if necessary, during the first week.

Usual Adult Dose for Cyclitis:

Instill 1-2 drops (0.5% suspension) into the affected eye(s) 4 times daily. The dose may be increased up to 1 drop hourly, if necessary, during the first week.

Usual Adult Dose for Postoperative Ocular Inflammation:

0.5% suspension:
Instill 1 to 2 drops into the operated eye(s) beginning 24 hours after surgery and continuing for 2 weeks.

0.5% ointment:
Apply a small amount (approximately ½ inch ribbon) into the conjunctival sac(s) four times daily beginning 24 hours after surgery and continuing throughout the first 2 weeks of the postoperative period.


What other drugs will affect loteprednol ophthalmic?


It is not likely that other drugs you take orally or inject will have an effect on loteprednol used in the eyes. But many drugs can interact with each other. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.



More loteprednol ophthalmic resources


  • Loteprednol ophthalmic Side Effects (in more detail)
  • Loteprednol ophthalmic Dosage
  • Loteprednol ophthalmic Use in Pregnancy & Breastfeeding
  • Loteprednol ophthalmic Drug Interactions
  • Loteprednol ophthalmic Support Group
  • 0 Reviews for Loteprednol - Add your own review/rating


  • Alrex Prescribing Information (FDA)

  • Alrex Drops MedFacts Consumer Leaflet (Wolters Kluwer)

  • Alrex Advanced Consumer (Micromedex) - Includes Dosage Information

  • Lotemax Prescribing Information (FDA)

  • Lotemax Drops MedFacts Consumer Leaflet (Wolters Kluwer)



Compare loteprednol ophthalmic with other medications


  • Conjunctivitis
  • Cyclitis
  • Iritis
  • Keratitis
  • Postoperative Ocular Inflammation
  • Rosacea
  • Seasonal Allergic Conjunctivitis


Where can I get more information?


  • Your pharmacist can provide more information about loteprednol ophthalmic.

See also: loteprednol side effects (in more detail)


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