Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Zaditor (ketotifen) and loteprednol (Lotemax) are both eye medications, but they serve different purposes and belong to different drug classes. Zaditor is an over-the-counter antihistamine used to relieve itchy eyes caused by allergies. On the other hand, loteprednol is a prescription-only corticosteroid used to treat various eye conditions, including dry eye disease, inflammation, and pain after eye surgery. While Zaditor is typically used twice a day, loteprednol may need to be used up to four times a day depending on the condition being treated. Additionally, loteprednol 0.5% gel and suspension forms are available as generics, while other strengths are only available as the brand medication. Zaditor, on the other hand has one strength (0.025%) and is available as a low-cost generic. Both medications can cause eye irritation, but loteprednol carries more risks, such as high eye pressure and cataracts, especially with long-term use.
Zaditor (ketotifen)
Loteprednol (Lotemax)
Zaditor (ketotifen)
Loteprednol (Lotemax)
Summary of Zaditor vs. Loteprednol
Summary for Antihistamine
Zaditor (ketotifen) is an antihistamine eye drop that's available over the counter for allergy-related itchy eyes. It works by blocking histamine and stopping your body from releasing chemicals that cause allergy symptoms. Adults and children can use Zaditor (ketotifen). The typical dosage is one drop into the affected eye(s) twice daily. Side effects can include headache, blurry vision, and dry eyes.
Summary for Corticosteroid
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.