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Alrex Side Effects

Generic Name: loteprednol ophthalmic

Note: This document contains side effect information about loteprednol ophthalmic. Some of the dosage forms listed on this page may not apply to the brand name Alrex.

For the Consumer

Applies to loteprednol ophthalmic: ophthalmic gel/jelly, ophthalmic ointment, ophthalmic suspension

Along with its needed effects, loteprednol ophthalmic (the active ingredient contained in Alrex) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking loteprednol ophthalmic:

More common
  • Blurred vision or other change in vision
  • redness or swelling of the eye
  • sensitivity of the eyes to light
  • swelling of the membrane covering the white part of the eye
Less common
  • Discharge from the eye
  • eye discomfort, irritation, or pain
  • redness of the eyelid or inner lining of the eyelid
  • tiny bumps on the inner lining of the eyelid
Incidence not known

Some side effects of loteprednol ophthalmic may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common
  • Burning when medicine is applied
  • dry eyes
  • feeling of something in the eye
  • headache
  • itching
  • runny nose
  • sore throat
  • tearing or watery eye

For Healthcare Professionals

Applies to loteprednol ophthalmic: ophthalmic gel, ophthalmic ointment, ophthalmic suspension


The most common reported side effects were anterior chamber inflammation, eye pain, and foreign body sensation.[Ref]


Common (1% to 10%): Corneal defect, eye discharge, ocular discomfort, dry eye, epiphora, foreign body sensation in eyes, conjunctival hyperemia, ocular itching, burning on instillation
Uncommon (0.1% to 1%): Abnormal vision, blurring of vision, chemosis, conjunctivitis, conjunctival hyperemia, iritis, eye irritation, eye pain, conjunctival papillae, photophobia, uveitis, keratoconjunctivitis
Frequency not reported: Elevated intraocular pressure, optic nerve damage, visual acuity and field defects, posterior subcapsular cataract formation[Ref]


Rare (less than 0.1%): Urticaria, rash, dry skin, eczema[Ref]


Rare (less than 0.1%): Diarrhea, nausea, vomiting[Ref]


Rare (less than 0.1%): Urinary tract infection, urethritis[Ref]


Rare (less than 0.1%): Weight gain[Ref]

Nervous system

Rare (less than 0.1%): Migraine, taste perversion, dizziness, paresthesia, tinnitus[Ref]


Rare (less than 0.1%): Breast neoplasm[Ref]


Uncommon (0.1% to 1%): Asthenia
Rare (less than 0.1%): Chills, fever, pain, face edema
Frequency not reported: Delayed wound healing[Ref]


Rare (less than 0.1%): Nervousness[Ref]


Uncommon (0.1% to 1%): Rhinitis, pharyngitis
Rare (less than 0.1%): Chest pain, cough[Ref]


1. "Product Information. Alrex (loteprednol ophthalmic)." Bausch and Lomb, Tampa, FL.

2. "Product Information. Lotemax (loteprednol ophthalmic)." Bausch and Lomb, Tampa, FL.

3. Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0

Some side effects of Alrex may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.

Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. This information is a reference resource designed as supplement to, and not a substitute for, the expertise, skill , knowledge, and judgement of healthcare practitioners in patient care. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. does not assume any responsibility for any aspect of healthcare administered with the aid of materials provided. 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 substances you are taking, check with your doctor, nurse, or pharmacist.