Fluocinolone acetonide implant

Generic Name: fluocinolone acetonide (floo-oh-SIN-oh-lone)
Brand Name: Retisert

Fluocinolone acetonide implant is used for:

Treating a certain type of inflammation of the eye (chronic noninfectious uveitis).

Fluocinolone acetonide implant is a corticosteroid. Exactly how it works is unknown. It may decrease the production of certain substances that cause inflammation. Fluocinolone acetonide implant releases slowly over 30 months through a surgical implant in the eye.

Do NOT use fluocinolone acetonide implant if:

  • you are allergic to any ingredient in fluocinolone acetonide implant or other corticosteroids (eg, prednisone)
  • you have certain viral, bacterial, or fungal eye infections (eg, herpes simplex, mycobacterial infection)
  • you have chickenpox or a certain infection due to smallpox vaccination (vaccinia)

Contact your doctor or health care provider right away if any of these apply to you.

Slideshow: View Frightful (But Dead Serious) Drug Side Effects

Before using fluocinolone acetonide implant:

Some medical conditions may interact with fluocinolone acetonide implant. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have other eye problems (eg, glaucoma, increased pressure in the eyes)

Some MEDICINES MAY INTERACT with fluocinolone acetonide implant. Because little, if any, of fluocinolone acetonide implant is absorbed into the blood, the risk of it interacting with another medicine is low.

Ask your health care provider if fluocinolone acetonide implant may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use fluocinolone acetonide implant:

Use fluocinolone acetonide implant as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Fluocinolone acetonide implant will be surgically implanted into the eye at your doctor's office, hospital, or clinic.
  • If you miss a dose of fluocinolone acetonide implant, contact your doctor right away.

Ask your health care provider any questions you may have about how to use fluocinolone acetonide implant.

Important safety information:

  • After implantation of fluocinolone acetonide implant, follow-up eye exams will be required. Be sure to keep all doctor and lab appointments.
  • Most patients experience an immediate and temporary decrease in vision in the implanted eye for about 1 to 4 weeks after surgery. Do not drive or perform other possibly unsafe tasks until you know how you react to fluocinolone acetonide implant. Contact your doctor if your vision does not return to normal after 4 weeks.
  • Fluocinolone acetonide implant treats inflammation in the eye, but it may not treat the disease that caused the inflammation. You may need to use other medicines along with this one. Carefully follow your doctor's instructions for other eye medicines.
  • Fluocinolone acetonide implant may increase pressure in your eyes. You may need to use medicines or have procedures to control the pressure in your eyes. Carefully follow your doctor's instructions for other eye medicines.
  • Fluocinolone acetonide implant may cause cataracts. It may also decrease the ability of your eyes to heal after cataract surgery. Discuss any concerns with your doctor.
  • Fluocinolone acetonide implant may increase the severity of eye infections and mask symptoms of eye infections. Contact your doctor if you suspect you have an eye infection.
  • Lab tests, including eye exams, may be performed while you use fluocinolone acetonide implant. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Fluocinolone acetonide implant should not be used in CHILDREN younger than 12 years old; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using fluocinolone acetonide implant while you are pregnant. It is not known if fluocinolone acetonide implant is found in breast milk. If you are or will be breast-feeding while you use fluocinolone acetonide implant, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of fluocinolone acetonide implant:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Abnormal sensation in the eye; back or limb pain; blurred vision; cough; dizziness; drooping eyelids; dry eye; eye irritation, itching, or redness; eye pain; fever; flu-like symptoms; headache; increased tearing; joint pain; nausea; nose and throat irritation; reduced vision; sinus inflammation; swelling of the eye or eyelid; upper respiratory tract infection; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bleeding of the eye; eye discharge; eye infection; eye pain; implant problems; vision changes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org ), or emergency room immediately.

Proper storage of fluocinolone acetonide implant:

Fluocinolone acetonide implant is usually handled and stored by a health care provider. If you are using fluocinolone acetonide implant at home, store fluocinolone acetonide implant as directed by your pharmacist or health care provider. Keep fluocinolone acetonide implant out of the reach of children and away from pets.

General information:

  • If you have any questions about fluocinolone acetonide implant, please talk with your doctor, pharmacist, or other health care provider.
  • Fluocinolone acetonide implant is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take fluocinolone acetonide implant or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about fluocinolone acetonide implant. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to fluocinolone acetonide implant. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using fluocinolone acetonide implant.

Issue Date: July 2, 2014
Database Edition 14.3.1.001
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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