Lotepro-DS
Generic Name
Loteprednol Etabonate Ophthalmic Suspension 1%
Manufacturer
Leading Pharma Co. (Hypothetical)
Country
Bangladesh
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Price Details
Current market pricing information
Variant | Unit Price | Strip Price |
---|---|---|
lotepro ds 1 suspension | ৳ 230.00 | N/A |
Description
Overview of the medicine
Lotepro-DS 1% Suspension is an ophthalmic corticosteroid used to treat inflammation and pain associated with eye surgery or to manage certain allergic and inflammatory conditions of the eye. It contains loteprednol etabonate, a 'soft' steroid designed to minimize systemic side effects.
Uses & Indications
Dosage
Adults
For post-operative inflammation: 1-2 drops instilled into the conjunctival sac of the affected eye(s) 4 times daily, starting 24 hours after surgery and continuing for 2 weeks. For inflammatory conditions: 1-2 drops instilled into the conjunctival sac of the affected eye(s) 4 times daily.
Elderly
No specific dosage adjustment is required for elderly patients.
Renal_impairment
No specific dosage adjustment is required for patients with renal impairment due to minimal systemic absorption.
How to Take
Shake well before use. Instill drops into the conjunctival sac of the affected eye(s). Avoid touching the dropper tip to any surface to prevent contamination. If more than one ophthalmic drug is used, instill them at least 5 minutes apart.
Mechanism of Action
Loteprednol etabonate is a corticosteroid that acts by binding to glucocorticoid receptors in the cytoplasm, leading to the formation of steroid-receptor complexes that translocate to the nucleus. This modulates gene expression, resulting in the inhibition of various inflammatory mediators such as prostaglandins, leukotrienes, and cytokines. Its 'soft' steroid nature means it is rapidly metabolized into inactive compounds after exerting its local therapeutic effects, thereby reducing the potential for systemic side effects.
Pharmacokinetics
Onset
Anti-inflammatory effects typically begin within a few hours.
Excretion
Metabolites primarily excreted via urine and feces.
Half life
Rapidly metabolized; effective half-life in ocular tissues is short. Systemic half-life of primary metabolites is approximately 8-10 hours.
Absorption
Minimal systemic absorption following ocular administration. Peak plasma levels of unchanged loteprednol etabonate are typically below the quantification limit (0.1 ng/mL).
Metabolism
Rapidly metabolized in ocular tissues to inactive carboxylic acid metabolites by esterases.
Side Effects
Contraindications
- Most viral diseases of the cornea and conjunctiva, including epithelial herpes simplex keratitis (dendritic keratitis), vaccinia, and varicella.
- Mycobacterial infection of the eye.
- Fungal diseases of ocular structures.
- Hypersensitivity to any component of the medication or to other corticosteroids.
Drug Interactions
None significant
Due to minimal systemic absorption, clinically significant drug-drug interactions with ophthalmic loteprednol etabonate are unlikely.
Storage
Store upright at room temperature (15°-25°C or 59°-77°F). Protect from freezing. Keep out of reach of children.
Overdose
An acute overdose with ophthalmic administration is unlikely to lead to systemic toxicity due to the limited absorption. If accidentally ingested, symptomatic and supportive measures should be taken.
Pregnancy & Lactation
Pregnancy Category C. Should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. It is not known whether topical ocular administration of corticosteroids could result in sufficient systemic absorption to produce detectable quantities in human milk. Caution should be exercised when administered to a nursing mother.
Side Effects
Contraindications
- Most viral diseases of the cornea and conjunctiva, including epithelial herpes simplex keratitis (dendritic keratitis), vaccinia, and varicella.
- Mycobacterial infection of the eye.
- Fungal diseases of ocular structures.
- Hypersensitivity to any component of the medication or to other corticosteroids.
Drug Interactions
None significant
Due to minimal systemic absorption, clinically significant drug-drug interactions with ophthalmic loteprednol etabonate are unlikely.
Storage
Store upright at room temperature (15°-25°C or 59°-77°F). Protect from freezing. Keep out of reach of children.
Overdose
An acute overdose with ophthalmic administration is unlikely to lead to systemic toxicity due to the limited absorption. If accidentally ingested, symptomatic and supportive measures should be taken.
Pregnancy & Lactation
Pregnancy Category C. Should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. It is not known whether topical ocular administration of corticosteroids could result in sufficient systemic absorption to produce detectable quantities in human milk. Caution should be exercised when administered to a nursing mother.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
Typically 24-36 months. Discard 28 days after opening.
Availability
Pharmacies, Hospitals, Eye Clinics
Approval Status
Approved by regulatory bodies (e.g., FDA, DGDA)
Patent Status
Expired for generic loteprednol etabonate
Clinical Trials
Extensive clinical trials have demonstrated the efficacy and safety of loteprednol etabonate for its approved indications, showing significant anti-inflammatory effects with a favorable safety profile compared to traditional corticosteroids due to its rapid metabolism.
Lab Monitoring
- Intraocular pressure (IOP) should be monitored if used for longer than 10 days.
- Regular eye examinations.
Doctor Notes
- Emphasize the importance of not touching the dropper tip to prevent contamination.
- Advise patients about the potential for transient blurred vision immediately after instillation.
- Instruct patients to report any signs of infection, worsening symptoms, or significant eye pain immediately.
Patient Guidelines
- Do not touch the dropper tip to any surface.
- Shake the bottle well before each use.
- Remove contact lenses before applying and wait at least 15 minutes before reinserting.
- Inform your doctor if your condition worsens or does not improve after a few days.
Missed Dose Advice
If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not apply a double dose to make up for a missed one.
Driving Precautions
May cause temporary blurred vision immediately after instillation. Patients should be advised to refrain from driving or operating machinery until their vision has cleared.
Lifestyle Advice
- Maintain good eye hygiene.
- Avoid rubbing eyes excessively.
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Global Brand Names
International brand names for this medicine. Click a brand to search for detailed information.