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Here are important safety and warning details regarding the use of loteprednol (Lotemax), a steroid eye medication. Please read carefully and consult your healthcare provider if you have any concerns.

• High Eye Pressure (Glaucoma): Long-term use of loteprednol (Lotemax) can increase eye pressure, potentially leading to glaucoma, which may damage optic nerves and impair vision. Notify your healthcare provider immediately if you experience persistent eye pain, discomfort, or vision changes. Regular eye pressure monitoring is advised, especially for individuals with a history of glaucoma.

• Cataracts: Loteprednol (Lotemax) may contribute to cataract formation. If you notice worsening vision or experience glare or halos around lights, inform your provider right away. After cataract surgery, use this medication for no more than two weeks and ensure regular follow-ups with your provider.

• New or Worsened Infections: As steroids can weaken the immune system, loteprednol (Lotemax) increases the risk of fungal or viral eye infections and may alter infection symptoms. Contact your provider promptly if your eye condition worsens or does not improve within a few days. Follow up with your provider if you feel a refill is necessary after completing your prescription. Individuals with a history of herpes eye infections should be particularly cautious.

• Eye Injury or Damage: Extended use of loteprednol (Lotemax) can thin the corneal or sclera tissues, increasing the risk of tears and further complications. This risk is elevated for those with naturally thin corneas or sclera and those recently undergoing cataract surgery, as healing may be delayed, and blebs (fluid-filled blisters) may form. Seek medical advice immediately if you experience eye pain, excessive tearing, or deteriorating vision.

• Contact Lens Use: Avoid wearing contact lenses if you've recently had eye surgery or are experiencing eye conditions such as inflammation or allergies. Consult your provider about contact lens use while on loteprednol (Lotemax). If permitted, remember that some formulations contain benzalkonium chloride, which can harm soft lenses. Remove lenses before application and wait at least 15 minutes before reinsertion.

Contraindications:

• Avoid using loteprednol (Lotemax) if you have viral, fungal, or mycobacterial eye infections.
• Do not use if you are allergic to loteprednol, other corticosteroids, or any ingredient in this medication.

These guidelines ensure safe and effective use of loteprednol (Lotemax). Always consult your healthcare provider for personal medical advice.

When using this medication for your eyes, you might experience some mild side effects such as temporary blurred vision, a stinging or burning sensation lasting 1 to 2 minutes, and occasional itching. These effects are typically short-lived and not a cause for concern unless they persist or worsen, in which case you should consult your healthcare provider.

Other side effects that have been reported include a feeling of something in the eye, eye inflammation, redness, headache, runny nose, and throat irritation. It's important to monitor these symptoms, as prolonged use or high doses of the medication can lead to more serious issues like increased eye pressure, cataracts, slower healing, or infections. If you notice symptoms such as worsening vision, eye discharge or swelling, or no improvement in your condition, contact your doctor.

Serious side effects, although rare, require immediate medical attention. These include severe allergic reactions characterized by rash, itching or swelling (particularly of the face, tongue, or throat), severe dizziness, and trouble breathing. You should also seek urgent care if you experience persistent eye pain, discomfort, or vision changes, as these could indicate high eye pressure, injury, or infection. Always stay vigilant and report any unusual or severe symptoms to your healthcare provider.