Brand Name Ilevro Nevanac Common Name nepafenac eye drops
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How does this medication work? What will it do for me?
Nepafenac belongs to the class of medications known as nonsteroidal anti-inflammatory drugs (NSAIDs). It works by reducing pain, swelling, and inflammation. Nepafenac eye drops are used to reduce eye pain and inflammation before and after cataract surgery.
Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are using this medication, speak to your doctor. Do not stop using this medication without consulting your doctor.
Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to use this medication if their doctor has not prescribed it.
How should I use this medication?
The recommended dose of nepafenac eye drops is 1 drop in the affected eye 3 times daily, starting the day before cataract surgery, continued on the day of surgery, and for as long as your doctor asks you to keep using them. This may be for as long as 2 weeks after the surgery.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.
To use eye drops properly:
- Wash your hands before using the eye drops.
- Shake the container well before use to ensure the medication is evenly mixed throughout the bottle.
- Remove the cap and place it in a clean location. To avoid possible contamination, keep the tip of the container away from contact with any surface.
- Tilt your head back and look towards the ceiling.
- With your index finger, gently pull the lower eyelid down and away from the eye to form a pouch.
- Apply one drop into the pouch but do not allow the tip of the container to touch the eye or areas around the eye.
- Gently apply pressure to the inner corner of the eye (at the bridge of the nose) for about 30 seconds. (This is called nasolacrimal occlusion.) This prevents the medication from dripping down through the tear duct and entering the bloodstream, which could cause you to experience some side effects.
- Repeat with the other eye, if prescribed by your physician.
- Wash your hands again to remove any medication.
If you are using more than one topical eye medication (eye drops or ointment), wait at least 5 minutes before putting another medication in the eye. Contact lenses should not be worn during treatment with this medication.
Ask your doctor or pharmacist to show you the correct method of applying eye drops. It is very important to avoid touching the dropper tip to any surface, skin, or your eye. This contamination can result in a bacterial infection. Report any signs of an eye infection (e.g., redness, irritation, pain) to your doctor immediately.
It is important that this medication be used exactly as prescribed by your doctor. If you miss a dose, instill it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not instill a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Store this medication at room temperature, protect it from light and moisture and keep it out of the reach of children.
Safely discard any medication remaining in the dropper bottle after you have used the medication for the full length of time recommended by your doctor. Discard any remaining medication 28 days after opening the bottle.
What form(s) does this medication come in?
Each mL of ophthalmic suspension contains nepafenac 3 mg (0.3%). Nonmedicinal ingredients: boric acid, propylene glycol, carbomer 974P, sodium chloride, guar, carmellose sodium, disodium edetate, sodium hydroxide and/or hydrochloric acid (to adjust pH), purified water, and the preservative benzalkonium chloride 0.005%.
Who should NOT take this medication?
Do not use this medication if you:
- are allergic to nepafenac or any ingredients of this medication
- are allergic or sensitive to other NSAIDs (e.g., naproxen, acetylsalicylic acid [ASA], diclofenac)
- have developed asthma, itching, or a runny nose after taking ASA or NSAIDs
What side effects are possible with this medication?
The side effects listed below are not experienced by everyone who uses this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.
The following side effects have been reported by least 0.1% of people using this medication. Many of these side effects can be managed, and some may go away on their own over time.
- blurred vision
- crusty eyelids
- dry eyes
- eyelid swelling
- eye pain
- increased tear production
- itchy eyes
- sensation of something in the eye
Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
- inflammation of the surface of the eye
- increased sensitivity to light
- red, irritated, or bloodshot eyes
- watery eyes
Stop taking the medication and seek immediate medical attention if any of the following occur:
- eyes become redder or more painful while using the drops
- reduced vision
- signs of a serious allergic reaction (i.e., abdominal cramps, difficulty breathing, nausea and vomiting, or swelling of the face and throat)
Are there any other precautions or warnings for this medication?
Allergies: Some people who are allergic to ASA or nonsteroidal anti-inflammatory medications (NSAIDs) also experience allergic reactions to nepafenac. Before you use these eye drops, tell your doctor about any previous side effects you have had to medications, especially NSAIDs and ASA. Contact your doctor at once if you experience signs of an allergic reaction, such as skin rash, itching, difficulty breathing, or swelling of the face and throat.
Bleeding problems: Nepafenac eye drops may increase the time it takes for your blood to clot. If you have a history of prolonged bleeding time or a bleeding disorder, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
If you experience unusual irritation or redness of the eye or area around the eye, bruising, or unexpected bleeding, contact your doctor immediately.
Contact lenses: Contact lenses should not be worn following cataract surgery. Do not wear contact lenses while you are using nepafenac eye drops.
Diabetes: People with diabetes are at an increased risk of side effects that can cause the loss of sight. If you have diabetes, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Eye disorders: People with other eye disorders such as dry eye syndrome or those who have had complicated eye surgeries may be at risk of effects that could cause the loss of sight. If you have other eye disorders or have had complicated eye surgery, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Rheumatoid arthritis: People with rheumatoid arthritis are at an increased risk of side effects that can cause the loss of sight. If you have rheumatoid arthritis, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Slowed healing: Topical NSAIDs, including nepafenac, may slow down the healing process. If you do not experience improvement in your condition, or if your eyes become redder, more painful, or more sensitive to the light, contact your doctor as soon as possible.
Vision: This medication can cause blurred or reduced vision. If you experience these symptoms, do not drive or operate machinery until these symptoms go away.
Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while using this medication, contact your doctor immediately.
Breast feeding: It is not known if nepafenac passes into breast milk. If you are a breast-feeding mother and are using this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of using this medication have not been established for children.
What other drugs could interact with this medication?
There may be an interaction between nepafenac eye drops and any of the following:
- corticosteroid eye drops (e.g., dexamethasone, prednisolone, etc.)
- other NSAIDs (e.g., acetylsalicylic acid, diclofenac, ketorolac)
- stop taking one of the medications,
- change one of the medications to another,
- change how you are taking one or both of the medications, or
- leave everything as is.
All material copyright MediResource Inc. 1996 – 2018. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/drug/getdrug/Ilevro-Nevanac