Lotemax (loteprednol etabonate ophthalmic gel) 0.5%
Lotemax contains 5 mg/g of loteprednol etabonate, as a sterile preserved ophthalmic gel; it is a corticosteroid indicated for the treatment of post-operative inflammation and pain following ocular surgery.
Lotemax is a corticosteroid indicated for the treatment of post-operative inflammation and pain following ocular surgery.
Important Risk Information
- Lotemax Gel is contraindicated in most viral diseases of the cornea and conjunctiva including epithelial herpes simplex keratitis (dendritic keratitis), vaccinia, and varicella, and also in mycobacterial infection of the eye and fungal diseases of ocular structures.
Warnings and Precautions:
- Intraocular pressure (IOP) increase - Prolonged use of corticosteroids may result in glaucoma with damage to the optic nerve, defects in visual acuity and fields of vision. If this product is used for 10 days or longer, IOP should be monitored.
- Cataracts- Use of corticosteroids may result in posterior subcapsular cataract formation.
- Delayed healing - Use of steroids after cataract surgery may delay healing and in crease the incidence of bleb formation and occurrence of perforations in those with diseases causing corneal and scleral thinning. The initial prescription and renewal of the medication order should be made by a physician only after examination of the patient with the aid of magnification.
- Bacterial infections–Prolonged use of corticosteroids may suppress the host response and thus increase the hazard of secondary ocular infection. In acute purulent conditions, steroids may mask infection or enhance existing infection.
- Viral infections- Use of corticosteroid medication in the treatment of patients with a history of herpes simplex required great caution. Use of ocular steroids may prolong the course and exacerbate the severity of many viral infections of the eye (including herpes simplex).
- Fungal infections–Fungal infections of the cornea are particularly prone to develop coincidentally with long-term local steroid application. Fungus invasion must be considered in any persistent corneal ulceration where a steroid has been used or is in use.
- Contact lens wear - Patients should not wear contact lenses when using Lotemax Gel.
- The most common adverse drug reactions were anterior chamber inflammation (5%), eye pain (2%), and foreign body sensation (2%).
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