Lotemax SM 0.38 % eye gel drops

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Medication name

Generic name:
Loteprednol gel - ophthalmic

Pronunciation
(LOE-te-PRED-nol)

Brand name(s)
Lotemax

Uses

This medication is used to treat eye inflammation and pain after eye surgery. Loteprednol works by relieving symptoms such as swelling, redness, and itching. It belongs to a class of drugs known as corticosteroids.

How to use

Use this medication in the affected eye(s) as directed by your doctor, usually 4 times a day.

Do not wear contact lenses while you are using this medication. Sterilize contact lenses according to the manufacturer's directions, and check with your doctor before you begin using them again.

To apply the eye gel, wash your hands first. To avoid contamination, do not touch the bottle tip or let it touch your eye or any other surface. Turn the bottle upside down and shake once to fill the tip with the gel. Gently pull down the lower eyelid to make a pouch. Place the prescribed number of drops into the pouch. Gently close the eye and roll the eyeball in all directions to spread the medication. Try not to blink or rub your eye.

Repeat these steps for your other eye if so directed.

If you are using another kind of eye medication (for example, drops, ointments, or other gels), wait at least 5 to 10 minutes before applying other medications. Use eye drops before eye ointments or gels to allow the drops to enter the eye.

Wait several minutes for your vision to clear before driving or operating machinery.

Use this medication regularly to get the most benefit from it. To help you remember, use it at the same times each day.

The dosage and length of treatment are based on your medical condition and response to treatment. Do not increase your dose or use this drug more often than prescribed. Your condition will not improve any faster, and your risk of side effects will increase.

Continue to use this medication for the full time prescribed. Do not stop using this medication without consulting your doctor. Some conditions may become worse when this drug is suddenly stopped. Your dose may need to be gradually decreased.

Do not use this product if it becomes contaminated (for example, the gel turns a dark color or develops particles in it). Using contaminated eye medication can cause infection, serious damage to the eye, and loss of vision. Ask your doctor or pharmacist for more information.

Tell your doctor if your condition does not get better after a few days or if it gets worse.

Side effects

Temporary blurred vision may occur when you apply this medication. A feeling as if something is in your eye may also occur. If these effects last or get worse, tell your doctor or pharmacist promptly.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Using this medication for prolonged periods or in high doses may cause serious side effects, including serious eye problems (such as cataracts and high pressure inside the eyes). Tell your doctor right away if you have any serious side effects, including:

  • vision problems/changes
  • eye pain
  • headache
  • dizziness

This medication may mask the signs of an eye infection. It may also put you at greater risk of developing an eye infection, especially with prolonged use. Report right away any new or worsening symptoms such as eye discharge/swelling/redness/itching/pain, vision problems/changes, or no improvement of your current eye condition. Your doctor will need to adjust your treatment.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including:

  • rash
  • itching/swelling (especially of the face/tongue/throat)
  • severe dizziness
  • trouble breathing

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before using loteprednol, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

  • eye infections
  • cataracts
  • glaucoma
  • severe nearsightedness (myopia)
  • diabetes

After you apply this drug, your vision may become temporarily blurred. Do not drive, use machinery, or do anything that needs clear vision until you can do it safely.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

If you develop a new eye infection or injury, or require eye surgery, ask your doctor if you should continue to use your current bottle of loteprednol eye gel or start a new bottle.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is unknown if the medication in this product passes into breast milk. Consult your doctor before breastfeeding.

Drug interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Overdose

This medicine may be harmful if swallowed. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call 1-800-222-1222. Canada residents can call 1-844-764-7669.

Notes

Do not share this medication with others.

This medication has been prescribed for your current condition only. Do not use it later for another eye condition unless your doctor directs you to do so. A different medication may be necessary in that case.

Lab and/or medical tests (such as eye exams, measurement of the pressure inside the eyes) may be done while you are using this medication. Keep all medical and lab appointments. Consult your doctor for more details.

Missed dose

If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.

Storage

Store upright at room temperature. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Important note

HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.

Information last revised November 2024.

Selected from NATIONAL DRUG DATA FILE (NDDF) data included with permission and copyrighted by First Databank, Inc., 2019. This copyrighted material has been downloaded from a licensed data provider.

The above information is intended to supplement, not substitute for, the expertise and judgment of your health care professional. You should consult your health care professional before taking any drug, changing your diet, or commencing or discontinuing any course of treatment.