Ophthalmic corticosteroids (cortisone-like medicines) are used to prevent permanent damage to the eye, which may occur with certain eye problems. They also provide relief from redness, irritation, and other discomfort.
Corticosteroids for use in the eye are available only with your doctor's prescription.
Tell your doctor if you have ever had any unusual or allergic reaction to medicines in this group or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Children less than 2 years of age may be especially sensitive to the effects of ophthalmic corticosteroids. This may increase the chance of side effects. If this medicine has been ordered for a young child, you should discuss its use with your child's doctor. Be sure you follow all of the doctor's instructions very carefully.
Although there is no specific information about the use of ophthalmic corticosteroids in the elderly, they are not expected to cause different side effects or problems in older people than they do in younger adults.
Although studies on birth defects with ophthalmic corticosteroids have not been done in humans, these medicines have not been reported to cause birth defects or other problems. However, in animal studies, dexamethasone, fluorometholone, hydrocortisone, and prednisolone caused birth defects when applied to the eyes of pregnant animals. Also, fluorometholone and medrysone caused other unwanted effects in the animal fetus.
Ophthalmic corticosteroids have not been reported to cause problems in nursing babies.
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
Other medical problems
The presence of other medical problems may affect the use of medicines in this class. Make sure you tell your doctor if you have any other medical problems, especially:
For patients who wear contact lenses:
For patients using an ophthalmic solution or suspension (eye drop) form of this medicine:
For patients using an ointment form of this medicine:
Do not use corticosteroids more often or for a longer time than your doctor ordered. To do so may increase the chance of side effects, especially in children 2 years of age or younger.
Do not use any leftover medicine for future eye problems without first checking with your doctor. This medicine should not be used if certain kinds of infections are present. To do so may make the infection worse and possibly lead to eye damage.
The dose medicines in this class will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of these medicines. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.
Keep out of the reach of children.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Do not keep outdated medicine or medicine no longer needed.
If you will be using this medicine for more than a few weeks, an ophthalmologist (eye doctor) should examine your eyes at regular visits to make sure it does not cause unwanted effects.
If your eye condition does not improve after 5 to 7 days, or if it becomes worse, check with your doctor.
Along with its needed effects, a medicine 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:
Check with your doctor as soon as possible if any of the following side effects occur:
Some side effects 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:
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.