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When using the medication loteprednol (Lotemax), it is crucial to be aware of the following safety warnings and precautions. Carefully review this information, and consult your healthcare provider if you have any concerns or questions.

• High Eye Pressure (Glaucoma): Long-term use of steroid eye medications like loteprednol can increase eye pressure, leading to glaucoma, which may damage eye nerves and impair vision. Notify your healthcare provider immediately if you experience persistent eye pain, discomfort, or changes in vision. Regular eye pressure monitoring is advised if using loteprednol for an extended period, especially if you have a history of glaucoma.

• Cataracts: Using steroid eye medications such as loteprednol can lead to cataracts. Contact your healthcare provider if you notice worsening vision or see glares or halos around lights at night. If you've recently undergone cataract surgery, limit use of loteprednol to no more than two weeks and schedule regular follow-ups.

• Infections: Steroids, including loteprednol, can weaken the immune system, increasing the risk of fungal or viral eye infections. Symptoms may be masked or exacerbated by the medication. If your eye condition worsens while using loteprednol, or if symptoms do not improve within a few days, consult your healthcare provider. Follow-up is necessary if you feel the need for a refill after finishing your prescription.

• Eye Injury or Damage: Loteprednol can thin certain parts of the eye, such as the cornea or sclera, increasing the risk of tears and more severe damage, especially with prolonged use. Those with naturally thin corneas or sclera, or recent cataract surgery, may be at higher risk. Seek immediate medical attention if you experience eye pain, excessive tearing, or deteriorating vision.

• Contact Lens Use: Avoid wearing contact lenses after recent eye surgery or when experiencing eye inflammation or allergies. Consult your provider regarding contact lens use during loteprednol treatment. If permitted, be aware that the preservative benzalkonium chloride in some forms of loteprednol can damage soft contact lenses. Remove lenses before application and wait at least 15 minutes post-application before reinsertion.

Contraindications: Loteprednol should not be used under the following conditions, as it may pose serious health risks. Consult your healthcare provider if you have:

• An eye infection caused by viruses, fungi, or mycobacteria.
• A known allergy to loteprednol, other corticosteroids, or any ingredient in loteprednol (Lotemax).

When using this medication, you may experience mild side effects such as stinging or burning of the eyes for a short duration, temporary blurred vision, itching, or a sensation of something in the eye. These are generally not severe but should be mentioned to your healthcare provider if they persist or worsen.

More moderate side effects that can occur include eye inflammation, redness, headache, runny nose, and throat irritation. It's important to be aware of these and seek advice if they become troublesome. Prolonged use or high doses of this medication can lead to more serious eye issues, such as increased eye pressure or cataracts, which require prompt medical attention.

In rare cases, severe side effects like vision problems, eye pain, or symptoms indicating an eye infection such as discharge or swelling may develop. These require immediate medical care. A very serious allergic reaction is uncommon but requires urgent help if symptoms like severe dizziness, rash, or breathing difficulties occur. Always communicate with your healthcare provider about any persistent or severe symptoms to ensure safe medication usage.