
fluorometholone
Fluorometholone is a prescription steroid eye drop used to treat eye inflammation symptoms. It can be used for adults and children as young as 2 years old. The eye drops are available in two strengths. The 0.1% strength is known under the brand name FML and also has a generic version. But the 0.25% strength comes as only the brand name FML Forte. The medication is applied directly into the affected eye 2 to 4 times a day. Common side effects include blurry vision and a burning feeling in the eye.
What is Fluorometholone (FML)?
What is Fluorometholone (FML) used for?
How Fluorometholone (FML) works
Fluorometholone (FML) is a corticosteroid. The exact way it works isn't fully known. But it's thought to block certain chemicals in the body that cause inflammation.
When used in the eye, fluorometholone (FML) helps lower inflammation in the eye. It helps relieve symptoms like swelling, itchiness, and redness.
Drug facts
| Common Brands | FML, FML Forte |
|---|---|
| Drug Class | Corticosteroid |
| Controlled Substance Classification | Not a controlled medication |
| Generic Status | Lower-cost generic available |
| Availability | Prescription only |
Side effects of Fluorometholone (FML)
The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.
Common Side Effects
- Burning or stinging in the eye
- Eye irritation
Less Common Side Effects
- Rise in eye pressure
- Feeling like something is in your eye
- Eyelid redness
- Eyelid swelling
- Eye discharge
- Eye pain
- Itchy eye
- Watery eye
- Blurry vision
- Losing part of your field of vision
- Abnormal taste
- Rash
Fluorometholone (FML) serious side effects
Contact your healthcare provider immediately if you experience any of the following.
- High eye pressure or eye injury: eye pain, discomfort, change in vision that doesn't go away
- Eye infection: eye pain, eye discharge, eye redness, swelling around the eye
The following Fluorometholone (FML) 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.
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Pros and cons of Fluorometholone (FML)
Pros
- Should start to work within 2 days
- Can be used for adults and children 2 years of age and older
Cons
- Might need to use up to 4 times per day
- Might need to get your eyes checked periodically if you use the eye drops for a long time
Pharmacist tips for Fluorometholone (FML)
- Fluorometholone (FML) should start to work soon after you begin using the eye drops. If your eye inflammation and pain don't improve or get worse after 2 days, talk to your care team. They can see if you should keep using the medication or if you should get your eyes checked out again.
- Be sure to wash and dry your hands before you use fluorometholone (FML). Also wash your hands well after using.
- How to use the fluorometholone eye drops: Shake the eye drop bottle well before using. Then, tilt your head backward, look up, and gently pull your lower eyelid down. Hold the bottle upside down with the tip above your eye and squeeze one drop into this pocket. Then, close your eye and press a finger to the inner corner of your eye for about a minute. This helps keep the medication in your eye.
- If you wear contact lenses, take them out before using fluorometholone (FML). Then, wait at least 15 minutes after using the medication to put them back into your eye(s). The eye drops contain a preservative that can damage the lenses.
- Don't let the tip of the fluorometholone (FML) bottle touch your eye or any other surface. Also don't touch the tip with your hands. Then, keep the bottle capped and closed tightly when you're not using it. This all help to prevent getting germs into the medication. Using contaminated medication can raise your risk of an eye infection.
- Don't share fluorometholone (FML) with anyone. This helps prevent the spread of germs if the medication gets contaminated.
- If you use other eye medications with fluorometholone (FML), make sure to wait at least 5 minutes between each one. This gives your eye time to absorb each medication.
- Store the fluorometholone eye drops (FML) in a cool and dry place at room temperature (up to 77ºF).
Risks and warnings for Fluorometholone (FML)
Fluorometholone (FML) 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.
Risk of eye infection with long-term use
- Risk factors: Long-term use | History of viral eye infections (including herpes simplex in the eye) | Untreated eye infection
Long-term use of fluorometholone (FML) can raise your risk of an eye infection. It can also make eye infections you already have worse or take longer to go away. Before starting this medication, tell your prescriber if you currently have an eye infection. This includes a herpes infection in the eye. You shouldn't use the eye drops until the infection is treated.
Get medical care if you notice more eye pain, redness, or swelling. Also get medical care if you see eye discharge, have blurry vision, or have itchy or burning eyes. These can be signs of an eye infection that needs to get checked out.
Risk of eye problems, like higher eye pressure, with long-term use
- Risk factors: Long-term use | History of glaucoma or cataracts
Long-term use of fluorometholone (FML) can raise your eye pressure. This can put you at higher risk of glaucoma. Long-term use can also cause other eye problems, like cataracts or thinning of the cornea. These problems can damage the eye and affect your vision.
If you need to use fluorometholone (FML) for a long time (10 days or longer), you'll need to get regular eye exams. This helps check your eye health. Let your prescriber know if you have any vision changes or eye pain while using this medication.
Slow healing of the eye after cataract surgery
Steroid eye drops like fluorometholone (FML) can slow healing after eye surgery. Tell your prescriber if you recently had cataract surgery or some other eye surgery. If you need to use this medication after eye surgery, follow your care team's instructions so your eye can heal well.
Avoid contact lenses
Fluorometholone (FML) contains 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 eye drops. Then, wait at least 15 minutes after using the medication to put your contacts back in.
Fluorometholone (FML) dosage
Interactions between Fluorometholone (FML) 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 (FML) cost?
Fluorometholone (FML) contraindications
Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Fluorometholone (FML) will not be safe for you to take.
- Bacterial, viral, or fungal infection in the eye
- Allergy to other corticosteroids
What are alternatives to Fluorometholone (FML)?
News about Fluorometholone (FML)
