Drug Detail:Fluorometholone ophthalmic (Fluorometholone ophthalmic [ flure-oh-meth-oh-lone-off-thal-mik ])
Drug Class: Ophthalmic steroids
Usual Adult Dose for Steroid Responsive Inflammatory Conditions
Fluorometholone 0.1%/0.25% suspension: 1 drop into the conjunctival sac 2 to 4 times per day
Fluorometholone acetate suspension: 1 to 2 drops instilled into the conjunctival sac(s) 4 times per day
Ointment: A small amount (approximately 1.5 inch ribbon) of ointment should be applied to the conjunctival sac 1 to 3 times per day
Comments:
- Fluorometholone acetate: During the initial 24 to 48 hours, the dosage may be safely increased to 2 drops every 2 hours.
- Fluorometholone ophthalmic suspension and ointment: During the initial 24 to 48 hours, the dosing frequency may be increased to 1 application every 4 hours.
- Withdrawal of treatment should be carried out by gradually decreasing the frequency of applications.
- If signs and symptoms fail to improve after 2 days, the patient should be re-evaluated.
Uses:
- Treatment of corticosteroid-responsive inflammation of the palpebral and bulbar conjunctiva, cornea, and anterior segment of the globe.
Usual Pediatric Dose for Steroid Responsive Inflammatory Conditions
2 years or older:
Fluorometholone 0.1%/0.25% suspension: 1 drop into the conjunctival sac 2 to 4 times per day
Ointment: A small amount (approximately 1.5 inch ribbon) of ointment should be applied to the conjunctival sac 1 to 3 times per day
Comments:
- Fluorometholone acetate: During the initial 24 to 48 hours, the dosage may be safely increased to 2 drops every 2 hours.
- Fluorometholone ophthalmic suspension and ointment: During the initial 24 to 48 hours, the dosing frequency may be increased to 1 application every 4 hours.
- Withdrawal of treatment should be carried out by gradually decreasing the frequency of applications.
- If signs and symptoms fail to improve after 2 days, the patient should be re-evaluated.
Uses:
- Treatment of corticosteroid-responsive inflammation of the palpebral and bulbar conjunctiva, cornea, and anterior segment of the globe.
Renal Dose Adjustments
Data not available
Liver Dose Adjustments
Data not available
Precautions
Fluorometholone 0.1%/0.25% suspension and ointment: Safety and efficacy have not been established in patients younger than 2 years.
Fluorometholone acetate: Safety and efficacy have not been established in patients younger than 18 years.
Consult WARNINGS section for additional precautions.
Dialysis
Data not available
Other Comments
Administration advice:
- Bottle should be shaken before use.
Patient advice:
- Care should be taken to avoid touching the applicator tip to the eye or to any other surface.
- In order to minimize systemic absorption of eye drops, pressure should be applied to the tear duct immediately following administration of the drug.
Storage requirements:
- Do not freeze
- Store in an upright position