fluorometholone
Fluorometholone is a steroid medication that treats allergic reactions and inflammation (swelling) in the eye. It's available as an eye suspension (eye drop) and an ointment.
What is Fluorometholone?
What is Fluorometholone used for?
Eye inflammation conditions
How Fluorometholone works
Fluorometholone is a corticosteroid that is like cortisol, a natural hormone your body makes. When it's used in the eyes, it lowers certain chemicals in your eyes that cause inflammation (swelling, redness, pain, and itchiness).
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What are the side effects of Fluorometholone?
Common Side Effects
- Burning or stinging in the eye
- Eye irritation
- High pressure in your eyes
Other Side Effects
- Inflammed cornea
- Open cut (ulcer) in the cornea
- Dilated (widened) pupils
- Feeling of a foreign body in your eye
- Eyelid redness or swelling
- Eye redness, discharge, pain, or itching
- Excess tears
- Blurry vision
- Losing part of your field of vision
- Inability to focus on objects at a close distance
- Eye infections (with long-term use)
- Abnormal taste
- Rash
Source: DailyMed
The following side effects have also been reported
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Incidence not known
Bigger, dilated, or enlarged pupils (black part of the eye)
blurred vision or other change in vision
burning, dry, or itching eyes
decreased vision
delayed wound healing
discharge from eye
headache
increased sensitivity of the eyes to light
nausea or vomiting
redness, pain, swelling of the eye, eyelid, or inner lining of the eyelid
tearing
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Incidence not known
Burning and stinging sensation when medicine is applied
drooping upper eyelids
feeling of having something in the eye
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
Pros and cons of Fluorometholone
Pros
Available as an ointment and a suspension
0.1% suspension is available as a lower-cost generic medication
Generic and brand names, except Flarex, can be used in children 2 years of age and older
Cons
Might need to be used up to 3 to 4 times per day
Certain suspensions and ointment only available as expensive, brand medications
Might need to get your eyes checked periodically if using fluorometholone long term
Pharmacist tips for Fluorometholone
If the inflammation and pain in your eye(s) don't improve after 2 days of using fluorometholone, talk to your provider to see if you should continue using this medication.
If you wear contact lenses, take them out before using fluorometholone to prevent any damage to the lenses. Then, wait at least 15 minutes after using the medication to put them back into your eye(s). If you have an eye infection, it's generally not recommended to wear contact lenses until your infection goes away.
The bottle or tube tip of fluorometholone must stay clean and free of bacteria (sterile). Don't touch the tip with your hands or to your eye or any other surface when giving yourself the medication. Doing so can introduce bacteria (contaminate) to the bottle or tube tip, which can cause eye infections. Make sure to keep the medication capped and closed tightly when you're not using it. Don't share the medication with anyone to prevent the infection from spreading to other people. If the medication tip becomes contaminated, clean it with an alcohol wipe.
If you're using more than one eye drop medication, wait at least 5 minutes between using medications. This makes sure your eye can fully absorb each medication.
How to use the eye drops (suspension): Wash and dry your hands before and after using the eye drops. Shake the bottle well. Tilt your head backward and look up. Then, gently pull your lower eyelid down to form a small pocket and squeeze one drop of medication into this pocket. Don't blink or wipe your eyes. Close your eyes while pressing a finger against the inside corner of your eye for about 1 minute to help keep the medication in your eye. If you need to take more than one drop, wait a few minutes in between each drop.
How to use the eye ointment: Wash and dry your hands before and after using the eye ointment. Tilt your head backward and look up. Then, gently pull your lower eyelid down to form a small pocket and squeeze a half-inch ribbon of ointment into the pocket. Blink gently, then close your eye for 1 to 2 minutes. Wipe any extra ointment away from your eye with a tissue paper. With a new tissue paper, wipe the tube clean.
Store fluorometholone in a cool and dry place at room temperature and keep away from children.
Frequently asked questions about Fluorometholone
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What are the risks and warnings for Fluorometholone?
Fluorometholone can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Eye problems, eye infections, and slow healing
Risk factors: Long-term use | History of glaucoma or cataracts | History of viral infections (including herpes simplex) in the eye | Recent surgery in the cornea
Long-term use of fluorometholone raises your risk of glaucoma, vision problems, and thinning of the cornea (outer layer of your eye). It can also cause new or worsening eye infections. Don't take this medication if you have an eye infection, including herpes simplex. If you've had recent surgery in your cornea, using fluorometholone can slow the healing process. If you need to take fluorometholone for a long time (10 days or longer), you'll need regular eye exams to check the health of your eyes. Let your provider know if you have vision changes or eye pain while taking this medication.
Avoid contact lenses
Risk factors: Using generic fluorometholone suspension, FML suspension, FML Forte, or Flarex
All suspension forms of fluorometholone contain a preservative called benzalkonium chloride. The preservative can get absorbed into soft contact lenses and damage them. Because of this, take out your contact lenses before you use the suspension, and wait at least 15 minutes after using the medication to put them back into your eye(s).
Fluorometholone dosage forms
Typical dosing for Fluorometholone
Generic fluorometholone 0.1% suspension, FML 0.1% suspension, or FML Forte 0.25% suspension: The typical dose is 1 drop into the affected eye(s) 2 to 4 times daily. If your symptoms are severe, you can use 1 drop up to every 4 hours during the first 1 to 2 days.
Flarex 0.1% suspension: The typical dose is 1 to 2 drops into the affected eye(s) 4 times daily. If your symptoms are severe, you can use up to 2 drops every 2 hours during the first 1 to 2 days.
FML 0.1% ointment: The typical dose is a small amount (half-inch ribbon) of ointment placed into the bottom eyelid of the affected eye(s) 1 to 3 times daily. If your symptoms are severe, you can use the eye ointment up to every 4 hours during the first 1 to 2 days.
Interactions between Fluorometholone and other drugs
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.
How much does Fluorometholone cost?
Fluorometholone contraindications
Bacterial, viral, or fungal infections in the eye
What are alternatives to Fluorometholone?
Eye injury
Swelling or allergies in the eye
Eye inflammation - all formulations of dexamethasone 0.1% drops
Ear inflammation - generic dexamethasone 0.1% solution only
Fluorometholone images
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