Loteprednol

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Generic Name: Loteprednol Brand Name(s): Generics only. No brands available.

Uses

What is Loteprednol used for?

This medication is used to treat certain eye conditions due to inflammation or injury. It is also used after eye surgery. Loteprednol works by relieving symptoms such as swelling, redness, and itching. It belongs to a class of drugs known as corticosteroids.

How should I take Loteprednol?

Unless otherwise directed by your doctor, do not wear contact lenses while you are using this medicine. Sterilize contact lenses according to the manufacturer’s directions, and check with your doctor before you begin using them again.

If your doctor does approve the wearing of contact lenses during treatment with this medication, remove the lenses before using the eye drops. The preservative in this product may be absorbed by contact lenses. Wait at least 15 minutes after each dose of the eye drop before wearing the lenses again.

To apply eye drops, wash your hands first. Shake the bottle well before using. To avoid contamination, do not touch the dropper tip or let it touch your eye or any other surface.

Tilt your head back, look upward, and pull down the lower eyelid to make a pouch. Hold the dropper directly over your eye and place 1 drop into the pouch. Look downward and gently close your eyes for 1 to 2 minutes. Place one finger at the corner of your eye (near the nose) and apply gentle pressure. This will prevent the medication from draining out. Try not to blink and do not rub your eye. Repeat these steps for your other eye if so directed and if your dose is for more than 1 drop.

Apply as often as directed by your doctor. Do not rinse the dropper. Replace the dropper cap after each use.

If you are using another kind of eye medication (for example, other drops or ointments), wait at least 5 to 10 minutes before applying other medications. Use eye drops before eye ointments to allow the drops to enter the eye.

Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same time(s) each day.

The dosage and length of treatment are based on your medical condition and response to treatment. Do not use this medication more often or for longer than prescribed because doing so may increase your risk of side effects.

Continue to use this medication for the full time prescribed. Do not stop using this medication without consulting your doctor. Some conditions may become worse when the drug is suddenly stopped. Your dose may need to be gradually decreased.

Do not use this product if it becomes contaminated (for example, drops turn a dark color). Use of contaminated eye medication can cause infection, serious damage to the eye, and loss of vision. Contact your doctor or pharmacist for more information.

Tell your doctor if your condition does not improve after 2 days or if it worsens.

How do I store Loteprednol?

Loteprednol is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Loteprednol in the bathroom or the freezer. There may be different brands of Loteprednol that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush Loteprednol down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using Loteprednol?

Before using loteprednol, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: eye infections, cataracts, glaucoma (open-angle type), severe nearsightedness (myopia), diabetes.

After you apply this drug, your vision may become temporarily blurred. Do not drive, use machinery, or do any activity that requires clear vision until you are sure you can perform such activities safely.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

If you develop a new eye infection or injury, or require eye surgery, ask your doctor if you should continue to use your current bottle of loteprednol eye drops or start a new bottle.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is not known if the medication in this product passes into breast milk. Consult your doctor before breast-feeding.

Is it safe during pregnancy or breast-feeding?

There are no adequate studies in women for determining risk when using this Loteprednol during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Loteprednol. Loteprednol is pregnancy risk category C according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk,
  • B=No risk in some studies,
  • C=There may be some risk,
  • D=Positive evidence of risk,
  • X=Contraindicated,
  • N=Unknown

Side effects

What side effects can occur from Loteprednol?

Stinging/burning of the eyes for 1 to 2 minutes and temporary blurred vision may occur when you apply this medication. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Use of this medication for prolonged periods or in high doses may cause serious eye problems (such as high pressure inside the eyes and cataracts). Tell your doctor right away if any of these unlikely but serious side effects occur: vision problems, eye pain.

This medication may mask the signs of an eye infection. It may also put you at greater risk of developing an eye infection, especially with prolonged use. Report any new or worsening symptoms such as eye discharge/swelling/redness, vision problems, or no improvement of your current eye condition. Your doctor will need to adjust your treatment.

Tell your doctor right away if any of these unlikely but serious side effects occur: headache, dizziness.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with Loteprednol?

Loteprednol may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Does food or alcohol interact with Loteprednol?

Loteprednol may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with Loteprednol?

Loteprednol may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using this Loteprednol.

What is the dose of Loteprednol for an adult?

Usual Adult Dose for Seasonal Allergic Conjunctivitis

0.2% suspension: 1 drop instilled into the affected eye(s) four times per day

Comments:

-Shake well before using.

Use: Temporary relief of the signs and symptoms of seasonal allergic conjunctivitis

Usual Adult Dose for Acne Rosacea

0.5% suspension:1 to 2 drops instilled into the conjunctival sac of the affected eye four times per day

Comments:

-Shake well before using.

-During the initial treatment within the first week, the dosing may be increased, up to 1 drop every hour, if needed.

-Care should be taken not to discontinue therapy prematurely.

-If signs and symptoms fail to improve after two days, the patient should be re-evaluated.

Use: Treatment of steroid responsive inflammatory conditions of the palpebral and bulbar conjunctiva, cornea and anterior segment of the globe such as allergic conjunctivitis, acne rosacea, superficial punctate keratitis, herpes zoster keratitis, iritis, cyclitis, selected infective conjunctivitis, when the inherent hazard of steroid use is accepted to obtain an advisable diminution in edema and inflammation

Usual Adult Dose for Iritis

0.5% suspension:1 to 2 drops instilled into the conjunctival sac of the affected eye four times per day

Comments:

-Shake well before using.

-During the initial treatment within the first week, the dosing may be increased, up to 1 drop every hour, if needed.

-Care should be taken not to discontinue therapy prematurely.

-If signs and symptoms fail to improve after two days, the patient should be re-evaluated.

Use: Treatment of steroid responsive inflammatory conditions of the palpebral and bulbar conjunctiva, cornea and anterior segment of the globe such as allergic conjunctivitis, acne rosacea, superficial punctate keratitis, herpes zoster keratitis, iritis, cyclitis, selected infective conjunctivitis, when the inherent hazard of steroid use is accepted to obtain an advisable diminution in edema and inflammation

Usual Adult Dose for Keratitis

0.5% suspension:1 to 2 drops instilled into the conjunctival sac of the affected eye four times per day

Comments:

-Shake well before using.

-During the initial treatment within the first week, the dosing may be increased, up to 1 drop every hour, if needed.

-Care should be taken not to discontinue therapy prematurely.

-If signs and symptoms fail to improve after two days, the patient should be re-evaluated.

Use: Treatment of steroid responsive inflammatory conditions of the palpebral and bulbar conjunctiva, cornea and anterior segment of the globe such as allergic conjunctivitis, acne rosacea, superficial punctate keratitis, herpes zoster keratitis, iritis, cyclitis, selected infective conjunctivitis, when the inherent hazard of steroid use is accepted to obtain an advisable diminution in edema and inflammation

Usual Adult Dose for Conjunctivitis

0.5% suspension:1 to 2 drops instilled into the conjunctival sac of the affected eye four times per day

Comments:

-Shake well before using.

-During the initial treatment within the first week, the dosing may be increased, up to 1 drop every hour, if needed.

-Care should be taken not to discontinue therapy prematurely.

-If signs and symptoms fail to improve after two days, the patient should be re-evaluated.

Use: Treatment of steroid responsive inflammatory conditions of the palpebral and bulbar conjunctiva, cornea and anterior segment of the globe such as allergic conjunctivitis, acne rosacea, superficial punctate keratitis, herpes zoster keratitis, iritis, cyclitis, selected infective conjunctivitis, when the inherent hazard of steroid use is accepted to obtain an advisable diminution in edema and inflammation

Usual Adult Dose for Cyclitis

0.5% suspension:1 to 2 drops instilled into the conjunctival sac of the affected eye four times per day

Comments:

-Shake well before using.

-During the initial treatment within the first week, the dosing may be increased, up to 1 drop every hour, if needed.

-Care should be taken not to discontinue therapy prematurely.

-If signs and symptoms fail to improve after two days, the patient should be re-evaluated.

Use: Treatment of steroid responsive inflammatory conditions of the palpebral and bulbar conjunctiva, cornea and anterior segment of the globe such as allergic conjunctivitis, acne rosacea, superficial punctate keratitis, herpes zoster keratitis, iritis, cyclitis, selected infective conjunctivitis, when the inherent hazard of steroid use is accepted to obtain an advisable diminution in edema and inflammation

Usual Adult Dose for Postoperative Ocular Inflammation

0.5% ointment: A small amount (approximately 0.5 inch ribbon) should be applied into the conjunctival sac(s) four times per day beginning 24 hours after surgery and continuing throughout the first 2 weeks of the post-operative period

0.5% gel/0.5% suspension: 1 to 2 drops should be applied into the conjunctival sac of the affected eye four times per day beginning 24 hours after surgery and continuing throughout the first 2 weeks of the post-operative period

Comments:

-0.5% gel: Invert closed bottle and shake once to fill tip before instilling drops.

-0.5% suspension: Shake well before using.

Use: Treatment of post-operative inflammation following ocular surgery

What is the dose of Loteprednol for a child?

The dosage has not been established in pediatric patients. It may be unsafe for your child. It is always important to fully understand the safety of the drug before using. Please consult with your doctor or pharmacist for more information.

How is Loteprednol available?

Loteprednol is available in the following dosage forms and strengths:

  • Ophthalmic suspension,
  • Ophthalmic ointment,
  • Ophthalmic gel.

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of Loteprednol, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Sources

Review Date: March 23, 2018 | Last Modified: March 23, 2018

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