Drug Class: Ophthalmic steroids with anti-infectives
Usual Adult Dose for Uveitis
Suspension: Instill 2 drops into the conjunctival sac of the affected eye(s) every 4 hours during the day and at bedtime
Ointment: Apply small amount (about 1/2 inch ribbon) into the conjunctival sac of the affected eye(s) 3 to 4 times per day and once or twice at night
Solution: Instill 2 drops into the affected eye(s) every 4 hours
Comments:
- Care should be taken as to not discontinue therapy prematurely.
- If signs/symptoms fail to improve after 2 days of treatment, the patient should be re-evaluated.
- Withdrawal of therapy in chronic conditions should be carried out by gradually decreasing frequency of applications.
- Not more than 8 g of ointment or 20 mL of suspension or solution should be prescribed initially.
Use: For the treatment of steroid responsive inflammatory ocular conditions for which a corticosteroid is indicated and where superficial bacterial ocular infection or risk of bacterial ocular infection exists
Usual Adult Dose for Bacterial Conjunctivitis
Suspension: Instill 2 drops into the conjunctival sac of the affected eye(s) every 4 hours during the day and at bedtime
Ointment: Apply small amount (about 1/2 inch ribbon) into the conjunctival sac of the affected eye(s) 3 to 4 times per day and once or twice at night
Solution: Instill 2 drops into the affected eye(s) every 4 hours
Comments:
- Care should be taken as to not discontinue therapy prematurely.
- If signs/symptoms fail to improve after 2 days of treatment, the patient should be re-evaluated.
- Withdrawal of therapy in chronic conditions should be carried out by gradually decreasing frequency of applications.
- Not more than 8 g of ointment or 20 mL of suspension or solution should be prescribed initially.
Use: For the treatment of steroid responsive inflammatory ocular conditions for which a corticosteroid is indicated and where superficial bacterial ocular infection or risk of bacterial ocular infection exists
Usual Adult Dose for Keratitis
Suspension: Instill 2 drops into the conjunctival sac of the affected eye(s) every 4 hours during the day and at bedtime
Ointment: Apply small amount (about 1/2 inch ribbon) into the conjunctival sac of the affected eye(s) 3 to 4 times per day and once or twice at night
Solution: Instill 2 drops into the affected eye(s) every 4 hours
Comments:
- Care should be taken as to not discontinue therapy prematurely.
- If signs/symptoms fail to improve after 2 days of treatment, the patient should be re-evaluated.
- Withdrawal of therapy in chronic conditions should be carried out by gradually decreasing frequency of applications.
- Not more than 8 g of ointment or 20 mL of suspension or solution should be prescribed initially.
Use: For the treatment of steroid responsive inflammatory ocular conditions for which a corticosteroid is indicated and where superficial bacterial ocular infection or risk of bacterial ocular infection exists
Usual Adult Dose for Keratoconjunctivitis
Suspension: Instill 2 drops into the conjunctival sac of the affected eye(s) every 4 hours during the day and at bedtime
Ointment: Apply small amount (about 1/2 inch ribbon) into the conjunctival sac of the affected eye(s) 3 to 4 times per day and once or twice at night
Solution: Instill 2 drops into the affected eye(s) every 4 hours
Comments:
- Care should be taken as to not discontinue therapy prematurely.
- If signs/symptoms fail to improve after 2 days of treatment, the patient should be re-evaluated.
- Withdrawal of therapy in chronic conditions should be carried out by gradually decreasing frequency of applications.
- Not more than 8 g of ointment or 20 mL of suspension or solution should be prescribed initially.
Use: For the treatment of steroid responsive inflammatory ocular conditions for which a corticosteroid is indicated and where superficial bacterial ocular infection or risk of bacterial ocular infection exists
Usual Adult Dose for Blepharitis
Suspension: Instill 2 drops into the conjunctival sac of the affected eye(s) every 4 hours during the day and at bedtime
Ointment: Apply small amount (about 1/2 inch ribbon) into the conjunctival sac of the affected eye(s) 3 to 4 times per day and once or twice at night
Solution: Instill 2 drops into the affected eye(s) every 4 hours
Comments:
- Care should be taken as to not discontinue therapy prematurely.
- If signs/symptoms fail to improve after 2 days of treatment, the patient should be re-evaluated.
- Withdrawal of therapy in chronic conditions should be carried out by gradually decreasing frequency of applications.
- Not more than 8 g of ointment or 20 mL of suspension or solution should be prescribed initially.
Use: For the treatment of steroid responsive inflammatory ocular conditions for which a corticosteroid is indicated and where superficial bacterial ocular infection or risk of bacterial ocular infection exists
Usual Pediatric Dose for Uveitis
6 years or older:
- Suspension: Instill 2 drops into the conjunctival sac of the affected eye(s) every 4 hours during the day and at bedtime
- Ointment: Apply small amount (about 1/2 inch ribbon) into the conjunctival sac of the affected eye(s) 3 to 4 times per day and once or twice at night
- Solution: Instill 2 drops into the affected eye(s) every 4 hours
Comments:
- Care should be taken as to not discontinue therapy prematurely.
- If signs/symptoms fail to improve after 2 days of treatment, the patient should be re-evaluated.
- Withdrawal of therapy in chronic conditions should be carried out by gradually decreasing frequency of applications.
- Not more than 8 g of ointment or 20 mL of suspension or solution should be prescribed initially.
Use: For the treatment of steroid responsive inflammatory ocular conditions for which a corticosteroid is indicated and where superficial bacterial ocular infection or risk of bacterial ocular infection exists
Usual Pediatric Dose for Bacterial Conjunctivitis
6 years or older:
- Suspension: Instill 2 drops into the conjunctival sac of the affected eye(s) every 4 hours during the day and at bedtime
- Ointment: Apply small amount (about 1/2 inch ribbon) into the conjunctival sac of the affected eye(s) 3 to 4 times per day and once or twice at night
- Solution: Instill 2 drops into the affected eye(s) every 4 hours
Comments:
- Care should be taken as to not discontinue therapy prematurely.
- If signs/symptoms fail to improve after 2 days of treatment, the patient should be re-evaluated.
- Withdrawal of therapy in chronic conditions should be carried out by gradually decreasing frequency of applications.
- Not more than 8 g of ointment or 20 mL of suspension or solution should be prescribed initially.
Use: For the treatment of steroid responsive inflammatory ocular conditions for which a corticosteroid is indicated and where superficial bacterial ocular infection or risk of bacterial ocular infection exists
Usual Pediatric Dose for Keratitis
6 years or older:
- Suspension: Instill 2 drops into the conjunctival sac of the affected eye(s) every 4 hours during the day and at bedtime
- Ointment: Apply small amount (about 1/2 inch ribbon) into the conjunctival sac of the affected eye(s) 3 to 4 times per day and once or twice at night
- Solution: Instill 2 drops into the affected eye(s) every 4 hours
Comments:
- Care should be taken as to not discontinue therapy prematurely.
- If signs/symptoms fail to improve after 2 days of treatment, the patient should be re-evaluated.
- Withdrawal of therapy in chronic conditions should be carried out by gradually decreasing frequency of applications.
- Not more than 8 g of ointment or 20 mL of suspension or solution should be prescribed initially.
Use: For the treatment of steroid responsive inflammatory ocular conditions for which a corticosteroid is indicated and where superficial bacterial ocular infection or risk of bacterial ocular infection exists
Usual Pediatric Dose for Keratoconjunctivitis
6 years or older:
- Suspension: Instill 2 drops into the conjunctival sac of the affected eye(s) every 4 hours during the day and at bedtime
- Ointment: Apply small amount (about 1/2 inch ribbon) into the conjunctival sac of the affected eye(s) 3 to 4 times per day and once or twice at night
- Solution: Instill 2 drops into the affected eye(s) every 4 hours
Comments:
- Care should be taken as to not discontinue therapy prematurely.
- If signs/symptoms fail to improve after 2 days of treatment, the patient should be re-evaluated.
- Withdrawal of therapy in chronic conditions should be carried out by gradually decreasing frequency of applications.
- Not more than 8 g of ointment or 20 mL of suspension or solution should be prescribed initially.
Use: For the treatment of steroid responsive inflammatory ocular conditions for which a corticosteroid is indicated and where superficial bacterial ocular infection or risk of bacterial ocular infection exists
Usual Pediatric Dose for Blepharitis
6 years or older:
- Suspension: Instill 2 drops into the conjunctival sac of the affected eye(s) every 4 hours during the day and at bedtime
- Ointment: Apply small amount (about 1/2 inch ribbon) into the conjunctival sac of the affected eye(s) 3 to 4 times per day and once or twice at night
- Solution: Instill 2 drops into the affected eye(s) every 4 hours
Comments:
- Care should be taken as to not discontinue therapy prematurely.
- If signs/symptoms fail to improve after 2 days of treatment, the patient should be re-evaluated.
- Withdrawal of therapy in chronic conditions should be carried out by gradually decreasing frequency of applications.
- Not more than 8 g of ointment or 20 mL of suspension or solution should be prescribed initially.
Use: For the treatment of steroid responsive inflammatory ocular conditions for which a corticosteroid is indicated and where superficial bacterial ocular infection or risk of bacterial ocular infection exists
Renal Dose Adjustments
Data not available
Liver Dose Adjustments
Data not available
Precautions
Safety and efficacy have not been established in patients younger than 6 years.
Consult WARNINGS section for additional precautions.
Dialysis
Data not available
Other Comments
Administration advice:
- Suspension: Shake well before use.
Storage requirements:
- Solution and suspension: Store in an upright position; protect from light and freezing; avoid use if solution has darkened.
Monitoring:
- Ocular: Eyelid cultures and tests to determine susceptibility of organisms to sulfacetamide may be indicated if signs/symptoms persist or recur despite recommended course of treatment.
Patient advice:
- Discontinue use and contact your physician if inflammation or pain persists longer than 48 hours or becomes aggravated.
- Avoid allowing the tip of the dropper/tube to touch they eyelid or to any surface as this may cause contamination.
- Avoid wearing of contact lenses while using the suspension.