fluorometholone ophthalmic

Generic Name: fluorometholone ophthalmic (FLURE oh METH oh lone off THAL mik)
Brand Name: Flarex, FML Forte Liquifilm, FML Liquifilm, FML S.O.P., Fluor-Op, Eflone

What is fluorometholone ophthalmic?

Fluorometholone is a steroid medicine. It prevents the release of substances in the body that cause inflammation.

Fluorometholone ophthalmic (for the eyes) is used to treat eye swelling caused by infections, injury, surgery, or other conditions.

Fluorometholone ophthalmic may also be used for purposes not listed in this medication guide.

What is the most important information I should know about fluorometholone ophthalmic?

You should not use this medication if you have any type of infection, especially a fungal or viral eye infection (such as ocular herpes), tuberculosis, or an untreated infection such as chickenpox in your eye or elsewhere.

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What should I tell my healthcare provider before using fluorometholone ophthalmic?

You should not use this medication if you are allergic to fluorometholone or other steroid medications, or if you have any type of infection, especially:

  • a fungal eye infection;

  • any type of viral eye infection, such as ocular herpes;

  • tuberculosis; or

  • an untreated infection in your eye or elsewhere, including chickenpox.

To make sure fluorometholone ophthalmic is safe for you, tell your doctor if you have:

  • a history of cataracts;

  • a history of glaucoma or increased pressure inside your eyes.

FDA pregnancy category C. It is not known whether fluorometholone ophthalmic will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

It is not known whether fluorometholone ophthalmic passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

How should I use fluorometholone ophthalmic?

Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Do not use this medication while wearing contact lenses. Fluorometholone ophthalmic may contain a preservative that can discolor soft contact lenses. Wait at least 15 minutes after using this medicine before putting in your contact lenses.

Wash your hands before using eye medication.

Shake the eye drops well just before each use.

To apply the eye drops:

  • Tilt your head back slightly and pull down your lower eyelid to create a small pocket. Hold the dropper above the eye with the tip down. Look up and away from the dropper and squeeze out a drop.

  • Close your eyes for 2 or 3 minutes with your head tipped down, without blinking or squinting. Gently press your finger to the inside corner of the eye for about 1 minute, to keep the liquid from draining into your tear duct.

  • Use only the number of drops your doctor has prescribed. If you use more than one drop, wait about 5 minutes between drops.

  • Wait at least 10 minutes before using any other eye drops your doctor has prescribed.

Do not use the eye drops if the liquid has changed colors or has particles in it. Call your pharmacist for new medicine.

To apply the ointment:

  • Tilt your head back slightly and pull down your lower eyelid to create a small pocket. Hold the ointment tube with the tip pointing toward this pocket. Look up and away from the tip.

  • Squeeze out a ribbon of ointment into the lower eyelid pocket without touching the tip of the tube to your eye. Blink your eye gently and then keep it closed for 1 or 2 minutes.

  • Use a tissue to wipe excess ointment from your eyelashes.

  • After opening your eyes, you may have blurred vision for a short time. Avoid driving or doing anything that requires you to be able to see clearly.

Do not touch the tip of the eye dropper or ointment tube or place it directly on your eye. A contaminated applicator tip can infect your eye, which could lead to serious vision problems.

Call your doctor if your symptoms do not improve after 2 days of treatment with fluorometholone ophthalmic.

If you use fluorometholone ophthalmic for 10 days or longer, you may need frequent eye tests at your doctor's office.

Store at room temperature away from moisture and heat. Do not freeze. Keep the tube or bottle tightly closed when not in use.

Store eye drops with the bottle upright. Throw away any unused eyedrops 4 weeks after opening the bottle.

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

An overdose of fluorometholone ophthalmic is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication.

What should I avoid while using fluorometholone ophthalmic?

Do not wear any contact lens that has not been approved by your doctor.

Do not share this medication with another person, even if they have the same symptoms you have.

Do not use other eye medications unless your doctor tells you to.

Fluorometholone can cause side effects that may impair your vision. Be careful if you drive or do anything that requires you to see clearly.

Fluorometholone ophthalmic side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using fluorometholone ophthalmic and call your doctor at once if you have:

  • worsening or no improvement in your symptoms after 48 hours of use;

  • pain behind your eyes, sudden vision changes, severe headache;

  • sudden eye irritation;

  • severe burning, redness, or irritation of your eyes;

  • blurred vision, tunnel vision, eye pain, or seeing halos around lights; or

  • signs of new eye infection, such as pain, itching, swelling, draining, or crusting of your eyes.

In rare cases, steroid medicine used in the eyes can be absorbed into the blood stream, which may cause steroid side effects throughout the body. Tell your doctor if you develop any of the following symptoms of steroid absorption:

  • thinning skin, easy bruising;

  • headaches, back aches, weakness, confusion;

  • weight gain, roundness in your face;

  • increased acne or facial hair;

  • changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and waist); or

  • menstrual problems (in women), impotence or loss of interest in sex (in men).

Common side effects may include:

  • mild stinging, burning, itching, or irritation in your eyes;

  • feeling like something is in your eye;

  • red or puffy eyelids;

  • watery eyes;

  • increased sensitivity to light;

  • altered sense of taste; or

  • mild skin rash.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

Fluorometholone ophthalmic dosing information

Usual Adult Dose for Steroid Responsive Inflammatory Conditions:

Suspension 0.1%: 1 drop into the affected eye(s) 2-4 times daily. May be administered every 4 hours during the first 24-48 hours.

Flarex Suspension 0.1%: 1 or 2 drops into the conjunctival sac(s) four times daily. May administer 2 drops every 2 hours during the first 24 to 48 hours.

Suspension 0.25%: Instill 1 drop into the affected eye(s) 2-4 times daily. May be administered every 4 hours during the first 24-48 hours.

Ointment: Apply one-half inch ribbon to conjunctival sac 1-3 times daily. May be administered every 4 hours during the first 24-48 hours.

Duration of therapy: Re-evaluate if signs and symptoms fail to improve after 2 days of suspension or ointment treatment; Physician should be contacted if no improvement is seen after 2 weeks of Flarex treatment.

Comments: Shake the suspension well prior to administration

Usual Pediatric Dose for Steroid Responsive Inflammatory Conditions:

2-18 years:
Suspension 0.1%: Instill 1 drop into the affected eye(s) 2-4 times daily. May be administered every 4 hours during the first 24-48 hours.

Suspension 0.25%: Instill 1 drop into the affected eye(s) 2-4 times daily. May be administered every 4 hours during the first 24-48 hours.

Ointment: Apply one-half inch ribbon to conjunctival sac 1-3 times daily. May be administered every 4 hours during the first 24-48 hours

Duration of therapy: Re-evaluate if signs and symptoms fail to improve after 2 days

Comments: Shake the suspension well prior to administration

What other drugs will affect fluorometholone ophthalmic?

Tell your doctor about all medicines you use, and those you start or stop using during your treatment with fluorometholone ophthalmic, especially:

  • an oral, nasal, inhaled, or injectable steroid medicine.

This list is not complete. Other drugs may interact with fluorometholone ophthalmic, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Where can I get more information?

  • Your pharmacist can provide more information about fluorometholone ophthalmic.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 4.02. Revision Date: 2013-05-13, 4:12:13 PM.

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