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.
Dry eye disease
Eye inflammation conditions
Inflammation and pain after eye surgery
Eye inflammation due to seasonal allergies
Loteprednol (Lotemax) is a steroid medication for your eyes. It helps block chemicals in the eye that cause inflammation, itching, and redness.
Source:Â DailyMed
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:
More common
Blurred vision or other change in vision
redness or swelling of the eye
sensitivity of the eyes to light
swelling of the membrane covering the white part of the eye
Less common
Decreased vision
discharge from the eye
eye discomfort, irritation, or pain
redness of the eyelid or inner lining of the eyelid
tiny bumps on the inner lining of the eyelid
Incidence not known
Blindness
gradual blurring or loss of vision
loss of vision
slow wound healing
tearing
vomiting
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:
More common
Burning feeling when medicine is applied
feeling of something in the eye
headache
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.
Applied directly where the pain or inflammation is
Causes fewer serious side effects than oral medications
Available as a suspension, gel, and ointment form
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.
Wash your hands before and after using loteprednol (Lotemax). Don't touch the tip of the container with your eye, hands, or any other surface. This will help you avoid contaminating the medication with germs or bacteria.
Suspension form: Shake the bottle well before each use. Gently pull down your lower eyelid and place the drop(s) into the space between your eyelid and eyeball. Afterwards, close your eye and put one finger to the inner corner of your eye by the nose and press lightly for a minute or two. This helps make sure your eye absorbs the drop.
Ointment form: Gently pull down your lower eyelid and put the ointment into the space between your eyelid and eyeball. Then, let go of the eyelid, look downwards, and close your eye for a minute or two so the medication is able to reach all the necessary parts of the eye.
Don't put any other medications in the eye for at least 5 minutes before or after loteprednol (Lotemax).
If your symptoms don't start to get better after 2 days, or if they get worse, contact your provider.
If you are using loteprednol (Lotemax) for more than 10 days, it's best to follow-up with your provider regularly to monitor for side effects like high eye pressure.
Loteprednol (Lotemax) 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 factors: Using loteprednol (Lotemax) for a long time | History of glaucoma
Using steroid eye medications like loteprednol (Lotemax) for a long time can lead to high eye pressure (glaucoma) which can damage your eye nerves and affect your vision. Let your provider know right away if you notice any eye pain, discomfort, or change in vision that doesn't go away. If you are going to be using loteprednol (Lotemax) for a while, you should be following up with your provider to check the pressure in your eyes.
Steroid eye medications like loteprednol (Lotemax) can cause cataracts. Let your provider know right away if your vision gets worse or if you see glares or halos from lights at nighttime. It's okay to use this medication if you just had cataract(s) removed, but don't use it for longer than two weeks, and remember to follow-up with your provider regularly.
Risk factors: Using loteprednol (Lotemax) for a long time | History of herpes eye infection
Since steroids slows the immune system, using loteprednol (Lotemax) raises your chance of getting a fungal or viral eye infection. Steroids can also affect the symptoms of the infection by making them better or worse. If your eye(s) feel worse while using loteprednol (Lotemax), or if your symptoms don't start to get better after a couple of days, talk to your provider right away. You will need to follow up with your provider if you finish your prescription of loteprednol (Lotemax) and feel like you need a refill.
Risk factors: Using steroids in the eye for a long time | Thin corneas or sclera (the white part of your eye) | Recent cataract surgery
Steroids eye drops like loteprednol (Lotemax) can make certain parts of your eye thinner. When the corneas or sclera (the white part of your eye) get too thin, they can tear and cause more serious damage. Your risk of these problems is higher if you already have thin corneas or sclera or if you are using this medication for a long time. If you recently had cataract surgery, using loteprednol (Lotemax) can slow down the healing process and raise your risk of getting blebs (fluid-filled blisters) in the eye. Call your provider right away if you experience eye pain or discomfort, if your eye is tearing up more than usual, or if your vision gets worse.
It's best not to wear contacts if you recently had eye surgery or if you're dealing with eye conditions such as inflammation and allergies. Ask your provider whether you can wear contacts while you are on loteprednol (Lotemax). If you are allowed to wear contacts, keep in mind that some forms of loteprednol (Lotemax) have a preservative, benzalkonium chloride, which can damage soft contact lenses. Remove soft contacts before using a dose of loteprednol (Lotemax), and wait at least 15 minutes after your dose before putting them back in.
Dry eye disease: Place 1 to 2 drops of Eysuvis (0.25% suspension) into each eye four times daily for up to two weeks.
Eye inflammation conditions: Place 1 to 2 drops of the 0.5% suspension into the affected eye(s) four times daily. During the first week, you may need to use it as often as one drop every hour. Continue using it until your provider tells you to stop.
Inflammation and pain after eye surgery:
If using Lotemax SM (0.38% gel): Apply one drop into the affected eye(s) three times daily. Start 24 hours after surgery and continue it for a total of two weeks.
If using Lotemax 0.5% ointment: Apply a half-inch ribbon into the affected eye(s) four times daily. Start 24 hours after surgery and continue it for a total of two weeks.
If using the 0.5% gel or suspension: Place 1 to 2 drops into the affected eye(s) four times daily. Start 24 hours after surgery and continue it for a total of two weeks.
If using Inveltys (1% suspension), place 1 to 2 drops into the affected eye(s) twice daily. Start on the day after surgery and continue it for a total of two weeks.
Eye inflammation due to seasonal allergies: Place one drop of Alrex (0.2% suspension) in the affected eye(s) four times daily.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Viral, fungal, or mycobacterial infection in the eye
Allergy to loteprednol, other corticosteroids, or any other ingredient in loteprednol (Lotemax)
Dry eye disease
Eye inflammation conditions
Inflammation and pain after eye surgery
Eye inflammation due to seasonal allergies
Eye injury
Swelling or allergies in the eye
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