Monograph Details

Eye Disorders > Ocular allergy/inflammation
LOTEMAX
Manufacturer
Bausch & Lomb Pharmaceuticals
Legal Classification
Rx
Pharmacological Class
Steroid.
Generic Name
Loteprednol etabonate 0.5%; oph susp; contains benzalkonium chloride.
Indications
Steroid-responsive ocular diseases. Post-op inflammation after ocular surgery.
Children
Not recommended.
Adults
Steroid-responsive diseases: 1–2 drops into affected eye(s) 4 times daily. May give up to 1 drop every 1 hr within the 1st week of therapy. Post-op: 1–2 drops into operated eye(s) 4 times daily beginning 24 hrs after surgery, continue for 2 wks post-op.
Contraindications
Ocular fungal, viral, or mycobacterial infections.
Precautions
Reevaluate if no improvement after 2 days. Prescribe initially and renew after 14 days only after appropriate exam. Corneal or scleral thinning. Glaucoma. History of herpes simplex. Monitor IOP and for secondary infections in prolonged therapy (>10 days). Avoid abrupt cessation. Soft contact lenses (remove during therapy). Pregnancy (Cat.C). Nursing mothers.
Adverse Reactions
Local reactions (e.g., blurred vision, burning, itching, dry eye), photophobia, headache, rhinitis, pharyngitis. May mask or exacerbate ocular infections. Prolonged use may increase: IOP, optic nerve damage, visual acuity and field defects, cataract formation, corneal perforation. May delay healing and increase bleb formation after cataract surgery.
How Supplied
Susp— 2.5mL, 5mL, 10mL, 15mL