Inhouse product
Indications
Flurolon ophthalmic
suspension is indicated for the treatment of steroid responsive inflammation of
the palpebral and bulbar conjunctiva, cornea and anterior segment of the globe.
* রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন'
Pharmacology
Fluorometholone
Acetate is a corticosteroid with an excellent anti-inflammatory action to
inciting agents of mechanical, chemical or immunological in nature.
Fluorometholone is thought to act by the induction of phospholipase A2
inhibitory proteins, collectively called lipocortins. It is postulated that
these proteins control the biosynthesis of potent mediators of inflammation
such as prostaglandins and leukotrienes by inhibiting the release of their
common precursor arachidonic acid. Arachidonic acid is released from membrane
phospholipids by phospholipase A2. In clinical studies on patient's eyes
treated with both Dexamethasone and Fluorometholone suspensions,
Fluorometholone demonstrated a lower propensity to increase intraocular
pressure than did Dexamethasone.
Dosage & Administration
Bottle should be
shaken before use. 1 to 2 drops instilled into the conjunctival sac two to four
times daily. During the initial 24 to 48 hours, the dosage may be safely
increased to 2 drops every hour. Care should be taken not to discontinue
therapy prematurely.
Use in Children: Safety and effectiveness have not been
demonstrated in children under 2 years of age.
* রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন'
Interaction
Specific drug
interaction studies have not been conducted with Flurolon ophthalmic
suspension.
Contraindications
Contraindicated in
patients with acute superficial Herpes simplex keratitis, fungal diseases of
ocular structures, vaccinia, varicella, mycobacterial infection of the eye and
most other viral diseases of the cornea and conjunctiva, tuberculosis of the
eye, or hypersensitivity to the constituents of this medication.
Side Effects
Elevation of
intraocular pressure with possible development of glaucoma, loss of visual
acuity or defects in fields of vision, eye irritation, ocular hyperaemia, eye
pain, visual disturbance, foreign body sensation, eyelid edema, blurred
vision, eye discharge, eye pruritus, eye swelling, posterior subcapsular cataract
formation, ulcerative keratitis, ocular infection (including bacterial fungal
and viral), punctate keratitis, hypersensitivity, rash and delayed wound
healing.
Pregnancy & Lactation
Pregnancy Category B3.
Fluorometholone ophthalmic suspension should be used during pregnancy only if
the potential benefit justifies the potential risk to the fetus. It is not
known whether ophthalmic use of corticosteroids could result in sufficient
systemic absorption to produce detectable quantities in breast milk. Because of
the potential for serious adverse reactions in nursing infants from a decision
should be made whether to discontinue nursing or the drug, taking into account
the importance of the drug to the mother.
Precautions & Warnings
Steroid medication in
the treatment of patients with a history of Herpes simplex keratitis requires
great caution. Eye drops contain a corticosteroid should not be used for more
than 10 days except under strict supervision with regular checks for
intraocular pressure. Corticosteroids may mask, activate or aggravate an
infection of the eye. If no improvement is seen after a few days of
application, other form of treatment should be used.
Therapeutic Class
Ophthalmic Steroid
preparations
Storage Conditions
Store in a dry place
and away from light. Keep out of reach of children. To prevent contamination of
the dropper tip and suspension, care should be taken, not to touch the eyelids,
surrounding areas, finger or other surfaces with the dropper tip of the bottle.
The bottle should be tightly closed when not in use. Do not use after 4 weeks
of first opening.
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