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This document outlines essential safety and warning information regarding the use of Maxitrol, a medication intended for ocular surface application. Please review the following points carefully and consult your healthcare provider with any questions or concerns:

• Surface Use Only: Maxitrol should only be applied to the surface of the eye. It is not suitable for oral, nasal, or any other body application, nor should it be used as an injection in the eye.

• Increased Eye Pressure: Prolonged use of steroid-containing eye medications like Maxitrol can increase intraocular pressure, potentially leading to eye damage and vision issues. Discuss the risks and benefits with your healthcare provider, especially if you have a history of glaucoma or elevated eye pressure. This risk heightens with use beyond 10 days.

• Risk of Eye Infections: Extended use of Maxitrol may elevate the risk of developing fungal or bacterial eye infections. It should not be used for viral eye infections as it may exacerbate the condition. Seek immediate medical attention if you experience symptoms such as eye pain, redness, blurry vision, photophobia, or watery discharge.

• Potential for New Eye Problems: Maxitrol use may cause thinning of the cornea or sclera, potentially leading to eye damage. Long-term use may also contribute to cataract formation. If you notice vision loss, blurry vision, increased eye watering, or eye pain, consult a healthcare professional immediately. The risk is higher for those with a history of cataracts or use exceeding 10 days.

• Allergic Reactions: Maxitrol contains neomycin, which may trigger allergic reactions. Inform your healthcare provider if you have allergies to neomycin or similar antibiotics like gentamicin or tobramycin to avoid potential allergic responses.

Contraindications: Maxitrol should not be used if you have viral eye infections caused by conditions such as chickenpox or shingles (varicella), herpes, or if you have mycobacterial or fungal eye infections. Always consult your healthcare provider if any of these conditions apply to you before using this medication.

When using this medication, some common side effects include mild eye irritation and temporary blurred vision, which usually resolve on their own. If these symptoms persist, consulting a healthcare provider is advisable. Occasionally, users might experience eye redness or headaches, which are typically mild but should be monitored if they worsen.

It's important to be aware of more serious side effects, although they are rare. Prolonged use of this medication can lead to slowed eye healing or contribute to other eye conditions like glaucoma or cataracts. Symptoms such as new or worsening eye issues, such as redness, discharge, or eye pain, should be reported to a healthcare provider immediately.

In very rare instances, individuals may have a severe allergic reaction characterized by symptoms like swelling of the face, tongue, or throat, severe dizziness, or difficulty breathing. High eye pressure, indicated by eye pain during movement or touch, also requires urgent medical attention. If you observe any of these serious symptoms, seek medical help promptly to ensure your safety and well-being.