Lotemax Compared to Alrex

Post written by PHS Staff Writer on December 7, 2022
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**Lotemax vs Alrex: An Overview**
Lotemax, produced by Bausch + Lomb, is available in several forms: a 0.5% ophthalmic solution, a 0.5% ophthalmic ointment, and a 0.5% ophthalmic gel.

The 0.5% suspension is also approved to treat other inflammatory eye conditions such as allergies, keratitis, iritis, and some infections. All three forms are also used to manage pain and inflammation following eye surgery and are typically administered four times daily.

Alternatively, Bausch + Lomb offers Alrex, a treatment for the temporary relief of seasonal allergic conjunctivitis symptoms. Alrex is available as a 0.2% ophthalmic suspension and is also used four times daily, similar to Lotemax.

Lotemax is notably prescribed for inflammation and pain post-cataract surgery as well as other inflammatory conditions like iritis and allergic conjunctivitis. It is significantly more potent than Alrex.

 

Understanding Lotemax

Lotemax, known generically as Loteprednol, is a steroid eye medication used to manage various eye conditions, including dry eyes post-surgery, inflammation, and seasonal allergies.

It is classified as a Corticosteroid and is only available with a prescription from a healthcare provider.

Typical Lotemax Dosages

Dry Eye Disease: Instill 1–2 drops of the 0.25% suspension into each eye daily for up to two weeks.

Eye Inflammation: Instill 1–2 drops of the 0.5% suspension into the affected eye(s) four times a day. In the initial week, hourly application might be necessary.

Pain and Inflammation Post-Eye Surgery:

  • For Lotemax SM (0.38% gel), apply one drop to the affected eye(s) three times daily starting the day after surgery for two weeks.
  • With Lotemax 0.5% ointment, apply a half-inch ribbon into the affected eye(s) four times daily beginning the day after surgery for two weeks. Lotemax 0.5%
  • For the 0.5% gel or suspension, instill 1–2 drops into the affected eye(s) four times daily starting the day following surgery for two weeks.
  • When using Inveltys (1% suspension), apply 1–2 drops twice daily to the affected eye(s) starting the day after surgery for two weeks.

 

Understanding Alrex

Alrex is a prescription medication used to relieve eye symptoms associated with seasonal allergies. It can be used alone or with other medications. Alrex is part of the Corticosteroids, Ophthalmic drug class.

Typical Alrex Dosages

Shake the bottle well before use. Instill one drop into the affected eye(s) four times daily.

Lotemax and Alrex Side Effects

Common side effects of Alrex include:

  • Mild stinging or burning upon application,
  • Temporary blurred vision,
  • Dry eyes,
  • Eye irritation,
  • Watery or itchy eyes,
  • Sensation of a foreign object in the eye,
  • Sensitivity to light,
  • Headache,
  • Stuffy nose,
  • Sore throat.

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