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Active Substance: bromfenac sodium sesquihydrate
Common Name: bromfenac
ATC Code: S01BC11
Marketing Authorisation Holder: PharmaSwiss Ceska Republika s.r.o
Active Substance: bromfenac sodium sesquihydrate
Status: Authorised
Authorisation Date: 2011-05-18
Therapeutic Area: Ophthalmologic Surgical Procedures Pain, Postoperative
Pharmacotherapeutic Group: Ophthalmologicals

Therapeutic Indication

Treatment of postoperative ocular inflammation following cataract extraction in adults.

What is Yellox?

Yellox is an eye drop solution that contains the active substance bromfenac.

What is Yellox used for?

Yellox is used in adults to treat inflammation in the eye that occurs after an operation to remove a cataract (clouding of the lens).

The medicine can only be obtained with a prescription.

How is Yellox used?

The dose of Yellox is one drop into the affected eye(s) twice a day beginning the day after the cataract operation and continued for two weeks. Treatment should not exceed two weeks.

If more than one eye medicine is being used, they should be given at least five minutes apart.

How does Yellox work?

The active substance in Yellox, bromfenac, is a non-steroidal anti-inflammatory drug (NSAID). It works by blocking an enzyme called cyclo-oxygenase, which produces prostaglandins, substances that are involved in the inflammation process. By reducing the production of prostaglandins in the eye, Yellox can reduce the inflammation caused by eye surgery.

How has Yellox been studied?

The effects of Yellox were first tested in experimental models before being studied in humans.

In two main studies, Yellox was compared with placebo (a dummy treatment) in 527 patients with inflammation following cataract surgery. The main measure of effectiveness was the number of patients with no signs of inflammation after two weeks.

What benefit has Yellox shown during the studies?

Yellox was more effective than placebo in treating inflammation in the eye following cataract surgery. In one study, 66% of patients treated with Yellox (104 out of 158) had no signs of inflammation after two weeks compared with 48% of patients receiving placebo (35 out of 73). In the second study, the figures were: 63% (124 out of 198) for patients treated with Yellox and 40% (39 out of 98) for those treated with placebo.

What is the risk associated with Yellox?

The most common or most important side effects seen with Yellox are abnormal sensation in eye (0.5%), mild or moderate erosion of the cornea (the transparent layer in front of the eye) (0.4%), eye pruritus (itching) (0.4%), eye pain (0.3%) and eye redness (0.3%). For the full list of all side effects reported with Yellox, see the package leaflet.

Yellox should not be used in people who may be hypersensitive (allergic) to bromfenac, to any of the other ingredients or to other NSAIDs. It must not be used in patients who get asthma attacks, urticaria (itchy rash) or acute rhinitis (stuffy and runny nose) from taking acetylsalicylic acid (aspirin) or other NSAIDs.

Why has Yellox been approved?

The CHMP decided that Yellox’s benefits are greater than its risks and recommended that it be given marketing authorisation.

Other information about Yellox

The European Commission granted a marketing authorisation valid throughout the European Union for Yellox to Croma-Pharma GmbH on 18 May 2011. The marketing authorisation is valid for five years, after which it can be renewed.

For more information about treatment with Yellox, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist.

Source: European Medicines Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.