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Zaditor vs. Loteprednol

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)

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Loteprednol

(Lotemax)

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Summary for Zaditor

Over-the-counter

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.

Indications for Zaditor

  • Allergy-related itchy eyes

Pros and Cons for Zaditor

Pros

  • Works within 15 minutes to relieve itchy eyes
  • Available over the counter
  • Can use in children age 3 or older
  • Only need to use 1 drop twice a day

Cons

  • Won't treat an eye infection
  • Shouldn't be used for irritation caused by contact lenses
  • Can only be used for a short period of time
  • Need to take your contact lens out before placing the eye drop

Common Side Effects for Zaditor

Warnings for Zaditor

  • Not to be used with contact lenses
  • Allergy to ingredients
  • Risk for eye infection

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 Zaditor vs. Loteprednol

Price Card Drug Icon
Ketotifen1 eye dropper / 5ml of 0.025%
$10.65-
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Price Card Drug Icon
Loteprednol1 eye dropper / 5ml of 0.5%
$61.52$197.00
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