Fluorometholone (ophthalmic route)


    Brand Name

    US Brand Name

    Flarex

    Fluor-OP

    FML Forte Liquifilm

    FML Liquifilm

    FML S.O.P.

    Canadian Brand Name

    Fml Forte

    Fml Liquifilm

    Pms-Fluorometholone


    Description

    Fluorometholone is used to treat eye conditions caused by inflammation (swelling). This medicine is a corticosteroid (steroid medicine) that helps reduce the swelling in the eye.

    This medicine is available only with your doctor's prescription.

    This product is available in the following dosage forms:

    • Suspension

    Before Using

    In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

    Allergies

    Tell your doctor if you have ever had any unusual or allergic reaction to this medicine 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.

    Pediatric

    Appropriate studies have not been performed on the relationship of age to the effects of fluorometholone in the pediatric population. Safety and efficacy have not been established in children younger than 2 years of age.

    Appropriate studies have not been performed on the relationship of age to the effects of Flarex® eye drops in the pediatric population. Safety and efficacy have not been established.

    Geriatric

    Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of fluorometholone in the elderly.

    Breastfeeding

    There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

    Drug Interactions

    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.

    Other Interactions

    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 this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

    • Cataracts or
    • Cornea problems, history of or
    • Glaucoma or
    • Herpes simplex infection, history of or
    • Sclera problems, history of—Use with caution. May make these conditions worse.
    • Cataract surgery—Use with caution. May cause delayed healing.
    • Fungal eye infection or
    • Herpes simplex eye infection or
    • Mycobacterial (tuberculosis) eye infection or
    • Vaccinia (smallpox) eye infection or
    • Varicella (chickenpox) eye infection—Should not be used in patients with these conditions.

    Proper Use

    Your eye doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to. This medicine is not for long-term use.

    Wash your hands with soap and water before and after using this medicine.

    To use the eye drops:

    • Shake the bottle well just before each use.
    • Lie down or tilt your head back and, pressing your finger gently on the skin just beneath the lower eyelid, pull the eyelid away from the eye to make a space. Drop the medicine into this space.
    • Let go of the eyelid and gently close the eye. Do not blink. Keep the eye closed for 1 or 2 minutes to allow the medicine to be absorbed by the eye.
    • If you think you did not get the drop of medicine into your eye properly, repeat the process with another drop.
    • To keep the medicine as germ-free as possible, do not touch the applicator tip to any surface (including the eye). Also, keep the container tightly closed. Serious damage to the eye and possible loss of vision may result from using contaminated eye medicines.

    Remove contact lenses before you use the eye drops. Wait at least 15 minutes before putting the contact lenses back in.

    To use the eye ointment:

    • Hold the tip of the tube close to your eye with the other hand. Avoid touching the tip of the tube to your eye or finger.
    • Lie down or tilt your head back. With your index finger, pull down the lower lid of your eye to form a pocket.
    • Squeeze a small amount (1/2 inch ribbon) of ointment into the pocket between your lower lid and eyeball.
    • Close your eyes for 1 to 2 minutes.
    • Wipe the tip with a clean tissue and close the tube tightly. Keep the tube tightly closed when you are not using it.

    Dosing

    The dose of this medicine 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 this medicine. 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.

    • For eye conditions caused by swelling:
      • For ophthalmic dosage form (Flarex® eye drops):
        • Adults—One to two drops in the affected eye(s) 4 times a day. Your doctor may adjust your dose as needed.
        • Children—Use and dose must be determined by your doctor.
      • For ophthalmic dosage form (FML® eye drops and FML® Forte eye drops):
        • Adults—One drop in the affected eye two to four times a day. During the first 24 to 48 hours, you may use this medicine every 4 hours, as directed by your doctor.
        • Children 2 years of age and older—Dose must be determined by your doctor.
        • Children younger than 2 years of age—Use and dose must be determined by your doctor.
      • For ophthalmic dosage form (eye ointment):
        • Adults—Use a small amount (1/2 inch ribbon) in the affected eye one to three times a day. During the first 24 to 48 hours, you may use this medicine every 4 hours, as directed by your doctor.
        • Children 2 years of age and older—Dose must be determined by your doctor.
        • Children younger than 2 years of age—Use and dose must be determined by your doctor.

    Missed Dose

    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.

    Storage

    Keep out of the reach of children.

    Do not keep outdated medicine or medicine no longer needed.

    Ask your healthcare professional how you should dispose of any medicine you do not use.

    Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

    Fluorometholone eye drops may be refrigerated. Keep from freezing.


    Precautions

    Your eye doctor will want to examine your eye(s) at regular visits to make sure the medicine is working properly and is not causing unwanted effects, especially if you will be using this medicine for 10 days or longer.

    This medicine is not for long-term use. Steroid eye drops may cause an increased pressure in the eye, which can damage the optic (eye) nerve, and other eye problems (eg, glaucoma, cataracts). Slow or delayed healing may also occur while you are using this medicine after cataract surgery. You will need to have regular eye exams with your doctor to check for these problems.

    If you hurt your eye or develop an eye infection, talk with your doctor right away. You may need to change your medicine or stop using it.

    If your symptoms do not improve within 2 days or if they becomes worse, check with your doctor.


    Side Effects

    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:

    Incidence not known

    • Bigger, dilated, or enlarged pupils (black part of the eye)
    • blurred vision or other change in vision
    • burning, dry, or itching eyes
    • decreased vision
    • delayed wound healing
    • discharge from eye
    • headache
    • increased sensitivity of the eyes to light
    • loss of vision
    • nausea or vomiting
    • redness, pain, swelling of the eye, eyelid, or inner lining of the eyelid
    • tearing

    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:

    Incidence not known

    • Burning and stinging sensation when medicine is applied
    • change or loss of taste
    • drooping upper eyelids
    • feeling of having something in the eye

    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.






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