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The following guidelines outline critical safety information regarding the use of this medication. Please review these carefully and consult your healthcare provider if you have any questions or concerns.

• Increased Eye Pressure (Glaucoma): Extended use of steroid eye medications, such as loteprednol (Lotemax), may lead to elevated eye pressure (glaucoma), potentially damaging the optic nerves and impairing vision. Notify your healthcare provider immediately if you experience persistent eye pain, discomfort, or changes in vision. Regular check-ups with your provider are necessary if you are using loteprednol (Lotemax) for an extended period, especially if you have a history of glaucoma.

• Cataracts: Loteprednol (Lotemax) can contribute to the development of cataracts. Inform your healthcare provider promptly if you notice any deterioration in vision or see glares or halos around lights, especially at night. The medication is permissible after cataract removal, but usage should not exceed two weeks, with regular follow-ups advised.

• New or Worsening Infections: Steroids like loteprednol (Lotemax) can suppress the immune system, increasing the risk of fungal or viral eye infections. Steroids can also mask or exacerbate infection symptoms. Consult your provider immediately if your eye condition worsens or if symptoms do not improve within a few days. Follow-up is necessary if a refill is needed after completing the prescription. This is particularly important for individuals with a history of herpes eye infections or prolonged use of the medication.

• Eye Injury or Damage: Loteprednol (Lotemax) may cause thinning of the cornea or sclera, leading to potential tears and severe damage. The risk is heightened if you have pre-existing thin corneas or sclera or are on long-term medication use. Post-cataract surgery use may delay healing and increase the risk of blebs (fluid-filled blisters). Contact your provider if you experience eye pain, discomfort, excessive tearing, or vision deterioration.

• Contact Lens Use: Avoid wearing contact lenses if you have recently undergone eye surgery or have eye conditions like inflammation or allergies. Consult your provider regarding contact lens use while taking loteprednol (Lotemax). If permitted, remember that some forms of the medication contain benzalkonium chloride, which can damage soft lenses. Remove lenses before applying the medication and wait at least 15 minutes before reinserting them.

Contraindications:

This medication should not be used if you have any of the following conditions, as it may lead to serious health risks. Consult your healthcare provider if these apply to you:

• Eye infections caused by viruses, fungi, or mycobacteria.
• Allergy to loteprednol, other corticosteroids, or any ingredient in loteprednol (Lotemax).

When using this medication, some common side effects you may experience include stinging or burning sensations in the eyes, temporary blurred vision, and a feeling of itching or the presence of something in the eye. These effects are generally mild and should not cause alarm, but if they persist or worsen, it is advisable to consult a healthcare provider. Additionally, symptoms such as eye inflammation, redness, headache, runny nose, and throat irritation may occur.

In some cases, more serious side effects can develop, especially with prolonged use, such as increased eye pressure, cataracts, or slower healing of eye injuries. These conditions may also mask or increase the risk of eye infections. Symptoms to watch for include persistent vision problems, eye discharge, swelling, or redness. If you experience any severe or unusual symptoms, prompt medical attention is necessary.

Rarely, a serious allergic reaction may occur, characterized by rash, itching or swelling (particularly of the face, tongue, or throat), severe dizziness, or trouble breathing. If you notice these symptoms, seek emergency medical help immediately. While this is not an exhaustive list of side effects, any new or concerning symptoms should be discussed with a healthcare professional to ensure safety and proper management.