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Elestat vs. Loteprednol

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Epinastine and Loteprednol are both medications used to treat eye conditions related to allergies, but they belong to different drug classes. Epinastine is an antihistamine eye drop used to prevent eye itchiness from allergies, while Loteprednol is a corticosteroid used for a broader range of eye conditions, including dry eye disease, eye inflammation, and post-surgery inflammation. Epinastine is available as a lower-cost generic and is typically used twice a day, whereas Loteprednol comes in various forms and strengths, such as suspensions, gels, and ointments, and may need to be used up to four times a day. Common side effects of Epinastine include a burning feeling in the eye and eye redness, while Loteprednol can cause blurry vision, itching, and a feeling like there's something in your eye. Loteprednol also carries risks of high eye pressure and cataracts with long-term use, which are not associated with Epinastine. Additionally, Loteprednol is not recommended for use with certain eye infections, whereas Epinastine does not have such contraindications.

Epinastine

 

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Loteprednol

(Lotemax)

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Summary for Elestat

Prescription only

Epinastine hydrochloride is an antihistamine eye drop medication. It's used to prevent eye itchiness that's related to allergies. The eye drops are available by prescription for adults and children 2 years of age and older. The medication is placed directly into the eyes twice a day. Side effects include a burning feeling in the eye and eye redness.

Indications for Elestat

Pros and Cons for Elestat

Pros

  • Works within 5 minutes
  • Applied directly to the eye(s), so there aren't many side effects
  • Can be used by children ages 2 years and older

Cons

  • Must use twice a day
  • Requires a prescription from a healthcare professional
  • Only approved for preventing eye itchiness from allergies

Common Side Effects for Elestat

  • Burning feeling in the eye (up to 10%)
  • Eye redness (up to 10%)
  • Small bumps around the eye (up to 10%)
  • Itchy eye (up to 10%)
  • Upper respiratory tract infection (e.g., common cold; 10%))

Warnings for Elestat

  • For use in the eye only
  • Risk for bacterial infections in the eye if you use contaminated medication
  • Don't use while wearing contact lenses

Summary for Loteprednol

Prescription only

Loteprednol (Lotemax) is a steroid eye medication that comes in many strengths and forms to treat various eye conditions including recent eye surgery, dry eye, inflammation, and seasonal allergies.

Indications for Loteprednol

  • Dry eye disease
  • Eye inflammation conditions
  • Inflammation and pain after eye surgery
  • Eye inflammation due to seasonal allergies

Pros and Cons for Loteprednol

Pros

  • Applied directly where the pain or inflammation is
  • Causes fewer serious side effects than oral medications
  • Available as a suspension, gel, and ointment form

Cons

  • Slows healing and raises your risk of eye infection
  • May have to be used up to four times a day
  • Most forms are brand name only and may be expensive.

Common Side Effects for Loteprednol

  • Blurry vision
  • Burning after placing the drops into the eye
  • Itching
  • Feeling like there's something in your eye

Warnings for Loteprednol

  • HIGH EYE PRESSURE (GLAUCOMA)
  • CATARACTS
  • NEW OR WORSENED INFECTION
  • EYE INJURY OR DAMAGE
  • CONTACT LENS USE

Prices with our coupons for Elestat vs. Loteprednol

Price Card Drug Icon
Epinastine1 eye dropper / 5ml of 0.05%
$30.93$132.99
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Price Card Drug Icon
Loteprednol1 eye dropper / 5ml of 0.5%
$61.52$197.00
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