| Lotemax SM (gel) (U.S.N.L.M.) | |
|---|---|
| Dosing | 1 or 2 drops tid, for 2 weeks beginning the day after surgery. Invert and shake prior to use. |
| Chem Specs | loteprednol etabonate 0.38% |
| Quantities | Gel: 5g in 10ml bottle. |
| Cost | 245.31 |
| Class | Ester based "soft" steroid. |
| Action | Anti-inflammatory |
| Indications | Post-operative inflammation and pain. |
| Often used for inflammatory dry eye, uveitis, inflamed pinguecula and pterygia. | |
| Taper after long term use; monitor intraocular pressure. Prolonged use may cause glaucoma, cataracts, bacterial and fungal overgrowth. |
|
| Contraindications | Most viral diseases of the cornea and conjunctiva including epithelial herpes simplex keratitis, vaccinia, and varicella, mycobacterial and fungal disease. Hypersensitivity to any of the ingredients of this preparation and to other corticosteroids. |
| Pediatric use | Safety and effectiveness in pediatric patients have not been established. |
| Pregnancy | Teratogenic in rabbits at 4.2x the recommended human ophthalmic dose |
| SM = submicron particle size. Contact lenses should not be used during course of therapy. Gel contains moisturizers glycerin and propylene glycol. BAK (0.003%). |