Loteprednol Etabonate
Loteprednol etabonate is a corticosteroid eye medication used to treat eye inflammation from various causes, relieve dry eye disease symptoms, and manage pain and inflammation after eye surgery.
🧬 Where this information comes from Click to expand
The clinical label records used on this page are FDA-filed Structured Product Labeling (SPL) retrieved through openFDA. We identified 26 clinical label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. Forms, routes, brands, labelers, strengths, and NDC product-record counts are built separately from matching FDA National Drug Code Directory records. The linked DailyMed document is a representative official source for verification, not the page’s only clinical source. View the linked label on DailyMed →
📖 Loteprednol Etabonate: Patient Information Guide
A plain-language walkthrough of Loteprednol Etabonate — what it treats, how it works, how it’s taken, side effects, warnings and interactions. Tap any section to expand it.
🎯What it's used for▾
Loteprednol etabonate is a corticosteroid eye medication available in several branded products, each approved for specific uses:
- Alrex (eye drops): temporary relief of the signs and symptoms of seasonal allergic conjunctivitis (eye allergies)
- Eysuvis (eye drops): short-term treatment (up to two weeks) of the signs and symptoms of dry eye disease
- Inveltys (eye drops/topical suspension): treatment of post-operative inflammation and pain following eye surgery
- Lotemax (eye drops/suspension): treatment of steroid-responsive inflammatory eye conditions — including allergic conjunctivitis, iritis (iris inflammation), cyclitis, herpes zoster keratitis, superficial punctate keratitis, acne rosacea affecting the eye, and selected eye infections — as well as post-operative inflammation after eye surgery
- Lotemax (ointment): post-operative inflammation and pain following eye surgery
- Lotemax (gel): post-operative inflammation and pain following eye surgery
- Lotemax SM (gel): post-operative inflammation and pain following eye surgery
- Loteprednol etabonate ophthalmic suspension: steroid-responsive inflammatory eye conditions and post-operative inflammation after eye surgery
⚙️How it works▾
Loteprednol etabonate is a corticosteroid that binds to glucocorticoid receptors in eye tissue. Once activated, it dials down multiple parts of the inflammatory process — reducing swelling, blocking immune cells from flooding the area, inhibiting the formation of new blood vessels in inflamed tissue, and suppressing the production of prostaglandins (chemicals that drive pain and swelling). The result is less redness, pain, and irritation in the eye.
💊How it's taken▾
Loteprednol etabonate is applied directly to the eye and is never taken by mouth. Always wash your hands before use and shake the bottle as directed for your specific product. Frequency depends on the product and condition being treated:
- Alrex eye drops: one drop in the affected eye(s) four times daily
- Eysuvis eye drops: one to two drops in each eye four times daily, for up to two weeks
- Inveltys: one to two drops in the affected eye twice daily, starting the day after surgery and continuing for 2 weeks
- Lotemax eye drops (inflammatory conditions): one to two drops four times daily; in the first week your doctor may adjust this
- Lotemax eye drops (post-operative): one to two drops four times daily starting 24 hours after surgery, for 2 weeks
- Lotemax ointment: a small ribbon applied four times daily starting 24 hours after surgery, for 2 weeks
- Lotemax gel: one to two drops four times daily starting the day after surgery, for 2 weeks
- Lotemax SM gel: one drop three times daily starting the day after surgery, for 2 weeks
If you miss a dose of Eysuvis, take it as soon as you remember. If you use other eye drops, wait at least 5 minutes between each product. Always follow your prescriber's specific instructions.
🤒Side effects — in detail▾
Most people tolerate loteprednol etabonate eye products well, but some side effects can occur:
- Eye pain
- Posterior capsular opacification — clouding behind the lens after cataract surgery
- Elevated intraocular pressure (increased pressure inside the eye)
- Delayed wound healing after eye surgery
- Increased risk of secondary eye infections with prolonged use
Contact your doctor right away if you notice significant eye pain, changes in your vision, increasing redness or discharge, or any sign of a new or worsening eye infection — these can be signs of a more serious problem that needs prompt attention.
⚠️Warnings & precautions▾
- Rising eye pressure (IOP): Long-term use can raise pressure inside the eye, potentially damaging the optic nerve and leading to glaucoma. If you use this medication for 10 days or more, your eye pressure should be checked regularly.
- Cataract formation: Corticosteroid eye drops used over time can cause posterior subcapsular cataracts (a specific type of lens clouding).
- Infection risk: Steroids suppress the eye's immune defenses. Prolonged use raises the risk of bacterial, viral, or fungal eye infections. Fungal infections of the cornea are a particular concern with long-term use.
- Herpes simplex: If you have a history of herpes simplex eye infection, use this medication only under close supervision — steroids can prolong or worsen the infection.
- Delayed healing: Using steroid eye drops after cataract surgery may slow healing and increase the chance of bleb formation (fluid-filled pockets). In people with thinning of the cornea or sclera, rare perforations have occurred.
- Contact lenses: Do not wear contact lenses during treatment with loteprednol etabonate ophthalmic gel.
🔀What it interacts with▾
The FDA label for loteprednol etabonate eye products does not specify particular drug interactions. However, there are important administration points to be aware of:
- Other eye drops: Wait at least 5 minutes between instilling loteprednol etabonate and any other eye drops to avoid washing out the medication before it has time to work
This is not a complete list of interactions. Always talk with your doctor or pharmacist before starting, stopping, or changing any medication.
📋Before taking it▾
- Viral eye infections: Do not use loteprednol etabonate if you have epithelial herpes simplex keratitis (dendritic keratitis), chickenpox (varicella), or vaccinia affecting the eye
- Fungal or mycobacterial eye infections: This medication is contraindicated (must not be used) with these infections
- Glaucoma or high eye pressure: Tell your doctor — this drug can raise eye pressure further
- History of herpes simplex eye infection: Tell your doctor — steroid eye drops can reactivate or worsen this infection
- Pregnancy: Animal studies showed birth defects at doses relevant to human use; discuss risks and benefits carefully with your doctor
- Breastfeeding: It is not known whether this drug passes into breast milk; talk to your doctor about the risks and benefits
- Children: Loteprednol etabonate ophthalmic gel has established safety and effectiveness in children from birth to age 11
- Older adults: No significant differences in safety or effectiveness compared to younger patients have been found
- Contact lens wearers: Do not wear contact lenses during your course of treatment
🔬Pharmacokinetics — how your body processes it▾
When loteprednol etabonate eye drops are applied as directed, blood levels of the drug remain below detectable limits — meaning very little, if any, is absorbed into the bloodstream. Studies with Lotemax suspension applied up to 8 times daily found that plasma concentrations of the drug and its primary inactive metabolite stayed below 1 ng/mL at all time points. The ointment form is not expected to result in higher systemic exposure than the suspension used at standard doses. This low systemic absorption is a meaningful safety advantage of ophthalmic (eye-based) corticosteroid delivery.
📦How to store it▾
Store upright at 15º to 25º C (59º to 77º F).
📄 Written from Loteprednol Etabonate’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Every point is grounded in that labeling — nothing is invented. How we use AI →
🩺 Pharmacist Counseling Corner
Quick, plain-English answers to the questions patients ask most about Loteprednol Etabonate — the kind of thing our pharmacy team would talk through with you at the counter.
What is loteprednol etabonate actually used for? ▾
How do I use these eye drops correctly? ▾
How long will I need to use this medication? ▾
Can this medication raise my eye pressure? ▾
Is it safe to use if I'm pregnant or breastfeeding? ▾
Can I wear my contact lenses while using this medication? ▾
Is Loteprednol Etabonate available over the counter? ▾
When was Loteprednol Etabonate first available? ▾
Who makes Loteprednol Etabonate? ▾
💬 Answers drafted from Loteprednol Etabonate’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Grounded in that labeling — nothing is made up. How we use AI →
🧰 Keep exploring
💊 How Loteprednol Etabonate comes
Loteprednol Etabonate is available in 3 forms. Different forms and brands can have different approved uses, doses, schedules, and directions. Follow the instructions for your exact product, and do not switch forms without guidance from your prescriber or pharmacist.
Eye drops
How this form is used
- Alrex is used for temporary relief of seasonal allergic conjunctivitis (eye allergy symptoms)
- Eysuvis is used for short-term treatment (up to two weeks) of dry eye disease signs and symptoms
- Inveltys is used for post-operative inflammation and pain following eye surgery
- Lotemax eye drops and loteprednol etabonate ophthalmic suspension treat steroid-responsive inflammatory eye conditions and post-operative inflammation after eye surgery
- Alrex: shake vigorously before use; instill one drop into the affected eye(s) four times daily
- Eysuvis: shake for two to three seconds before use; instill one to two drops into each eye four times daily for up to two weeks; wash hands before each use
- Inveltys: shake for one to two seconds before use; instill one to two drops into the affected eye twice daily, beginning the day after surgery and continuing for the first 2 weeks after surgery
- If using other eye drops alongside any of these products, wait at least 5 minutes between applications
Eye ointment
How this form is used
- Lotemax ointment is used for post-operative inflammation and pain following eye surgery
- Lotemax ointment: wash hands before use
- Lotemax ointment: apply a small ribbon (about half an inch) into the conjunctival sac four times daily, beginning 24 hours after surgery and continuing for the first 2 weeks after surgery
Topical suspension
How this form is used
- Inveltys topical suspension is indicated for post-operative inflammation and pain following eye surgery
- Inveltys: shake for one to two seconds before use
- Inveltys: instill one to two drops into the affected eye twice daily beginning the day after surgery, continuing throughout the first 2 weeks of the post-operative period
- Inveltys: wash hands well before each use; if using other eye drops, wait at least 5 minutes between applications
📊 Loteprednol Etabonate across the U.S. market
How Loteprednol Etabonate appears in the FDA’s National Drug Code Directory — including its dosage forms, strengths, brand names, manufacturers, and FDA-listed product records. These are directory records, not sales or prescription volume.
FDA-listed product records by dose form (tablet variants merged) — FDA National Drug Code Directory. Record counts are not sales or prescription volume.
Also listed with the FDA, not a patient dose form: Powder (13) — bulk drug substance sold to compounders/manufacturers and multi-item kits. These aren’t counted in the dose-form total above.
Share of FDA-listed product records by manufacturer — FDA National Drug Code Directory. Record counts are not sales or prescription volume.
📈 How widely Loteprednol Etabonate is used
A general measure of how commonly Loteprednol Etabonate is prescribed, based on Medicaid — one of the largest public drug programs. The figure below is prescriptions filled in Q1–Q4 2025, summed across every form and brand of the drug.
Think of this as a proxy for how widely Loteprednol Etabonate is used, drawn from freely available public data. Medicaid is just one program — these numbers don’t include Medicare, other government coverage, or commercial and cash-pay prescriptions, so real-world use is higher than what’s shown here.
How commonly is Loteprednol Etabonate prescribed? Of the 1,596 medications we measure, Loteprednol Etabonate ranks #710 by Medicaid prescriptions — more than 56% of them.
Utilization by Loteprednol Etabonate product
Pick a product to see its own Medicaid numbers. Each chip is one clinical product — a specific strength & dosage form as defined by RxNorm — with brand-name and generic versions combined.
loteprednol etabonate 5 MG/ML Ophthalmic Suspension Most dispensed
Summed across the 13 of 36 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 311382
loteprednol etabonate 2.5 MG/ML Ophthalmic Suspension
Summed across the 1 of 3 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2464838
loteprednol etabonate 2 MG/ML Ophthalmic Suspension
Summed across the 5 of 13 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 311381
loteprednol etabonate 0.005 MG/MG Ophthalmic Gel
Summed across the 4 of 8 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1312625
loteprednol etabonate 0.005 MG/MG Ophthalmic Ointment
Summed across the 1 of 2 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1099500
loteprednol etabonate 0.0038 MG/MG Ophthalmic Gel
Summed across the 1 of 3 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2118537
loteprednol etabonate 10 MG/ML Ophthalmic Suspension
Summed across the 1 of 4 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2055281
Shares are of the Medicaid prescriptions shown here. Product grouping follows RxNorm (the National Library of Medicine’s drug terminology), so “one product” means one strength & dosage form regardless of manufacturer. Dollar figures are gross Medicaid reimbursement before mandatory rebates — rebates (often large, especially for brand-name drugs) are confidential, so actual net cost to Medicaid is lower than shown.
Source: Medicaid State Drug Utilization Data (CMS), aggregated by generic ingredient — summed across every NDC (all brands, strengths, salt forms and dosage forms) of Loteprednol Etabonate, and across all states and both fee-for-service and managed-care claims. A general popularity signal; it excludes Medicare, commercial insurance and cash prescriptions, so it is not total U.S. use. Based on the 26 of 69 listed Loteprednol Etabonate NDCs with Medicaid activity.
🔍 Compare Loteprednol Etabonate products
A representative set of FDA-listed product records for Loteprednol Etabonate — across manufacturers, strengths, and dosage forms, grouped by form with each product’s manufacturer and how the FDA approved it. The same medicine may be made and packaged by different companies, so a single drug can have many directory entries. (It’s also why a refill can look different — a new shape, color, or box — even though it contains the same medication.)
| Strength | Route | Manufacturer / Labeler | Category ⓘ | Details |
|---|---|---|---|---|
| 💊Eye drops | ||||
| 5 mg/mL | Ophthalmic | Akorn | ANDA | View NDC → |
| 2.5 mg/mL | Ophthalmic | Alcon Laboratories, Inc. × 3 listings | NDA | View NDC → |
| 10 mg/mL | Ophthalmic | Alcon Laboratories, Inc. × 2 listings | NDA | View NDC → |
| 2 mg/mL | Ophthalmic | Amneal Pharmaceuticals NY LLC × 2 listings | ANDA | View NDC → |
| 5 mg/mL | Ophthalmic | Amneal Pharmaceuticals NY LLC | ANDA | View NDC → |
| 2 mg/mL | Ophthalmic | Armas Pharmaceuticals Inc. × 2 listings | ANDA | View NDC → |
| 5 mg/mL | Ophthalmic | Armas Pharmaceuticals Inc. | ANDA | View NDC → |
| 2 mg/mL | Ophthalmic | Bausch & Lomb Americas Inc. | NDA AUTHORIZED GENERIC | View NDC → |
| 5 mg/mL | Ophthalmic | Bausch & Lomb Americas Inc. × 2 listings | NDA AUTHORIZED GENERIC | View NDC → |
| 2 mg/mL | Ophthalmic | Bausch & Lomb Incorporated | NDA | View NDC → |
| 5 mg/mL | Ophthalmic | Bausch & Lomb Incorporated × 2 listings | NDA | View NDC → |
| 5 mg/mL | Ophthalmic | Lupin Pharmaceuticals, Inc. | ANDA | View NDC → |
| 5 mg/mL | Ophthalmic | NorthStar RxLLC × 2 listings | ANDA | View NDC → |
| 5 mg/mL | Ophthalmic | Oceanside Pharmaceuticals | NDA AUTHORIZED GENERIC | View NDC → |
| 2 mg/mL | Ophthalmic | Padagis US LLC × 2 listings | ANDA | View NDC → |
| 5 mg/mL | Ophthalmic | Padagis US LLC | ANDA | View NDC → |
| 2 mg/mL | Ophthalmic | Sentiss Pharmaceuticals LLC | ANDA | View NDC → |
| 5 mg/mL | Ophthalmic | Sentiss Pharmaceuticals LLC | ANDA | View NDC → |
| 2 mg/mL | Ophthalmic | Sportpharm LLC | ANDA | View NDC → |
| 5 mg/mL | Ophthalmic | Sun Pharmaceutical Industries, Inc. × 3 listings | ANDA | View NDC → |
| 💊Eye ointment | ||||
| 5 mg/g | Ophthalmic | Akorn | ANDA | View NDC → |
| 5 mg/g | Ophthalmic | Armas Pharmaceuticals Inc. | ANDA | View NDC → |
| 5 mg/g | Ophthalmic | Bausch & Lomb Americas Inc. × 2 listings | NDA AUTHORIZED GENERIC | View NDC → |
| 3.8 mg/g | Ophthalmic | Bausch & Lomb Incorporated × 3 listings | NDA | View NDC → |
| 5 mg/g | Ophthalmic | Bausch & Lomb Incorporated | NDA AUTHORIZED GENERIC | View NDC → |
| 5 mg/g | Ophthalmic | Bausch & Lomb Incorporated × 5 listings | NDA | View NDC → |
| 5 mg/g | Ophthalmic | Sentiss Pharmaceuticals LLC | ANDA | View NDC → |
| 💊Topical suspension | ||||
| 10 mg/mL | Topical | Alcon Laboratories, Inc. × 4 listings | NDA | View NDC → |
| 💊Bulk drug substance | ||||
| 1 kg/kg | — | Aarti Pharmalabs Limited | BULK INGREDIENT | View NDC → |
| 1 kg/kg | — | Curia Spain S.A.U. | BULK INGREDIENT | View NDC → |
| 1 g/g | — | Farmabios S.p.A. × 2 listings | BULK INGREDIENT | View NDC → |
| 1 kg/kg | — | Industriale Chimica s.r.l. × 2 listings | BULK INGREDIENT | View NDC → |
| 1 g/g | — | Isomedix Operations Inc × 5 listings | DRUG FOR FURTHER PROCESSING | View NDC → |
| 25 kg/25 kg | — | Sun Pharmaceutical Industries, Inc. | BULK INGREDIENT | View NDC → |
| 1 kg/kg | — | Zach System Sa | BULK INGREDIENT | View NDC → |
Showing 62 of 62 products — FDA National Drug Code Directory. See every product, package size and price: browse all 62 Loteprednol Etabonate NDCs →
📈 What people report — real-world data (FDA FAERS)
After a medicine reaches the market, patients, doctors and drugmakers can send the FDA reports of problems they think may be linked to it. Here’s what’s been reported for Loteprednol Etabonate — a signal of what to watch for, not proof the drug caused it.
Source: openFDA, from the FDA Adverse Event Reporting System (FAERS). These are voluntary reports — they don’t prove the drug caused the effect, and counts reflect how often something was reported, not how often it actually happens. Reports also often name the very problem the medicine is taken for — a common reason to file one is that the drug didn’t help — so for a pain reliever you may see “pain” high on the list; that points to why the report was filed, not to the drug causing the symptom. This counts every report that lists Loteprednol Etabonate in any role, so the total runs higher than the FDA’s official dashboard, which counts only cases where the drug is the suspect. For the authoritative figures, see the FDA FAERS Public Dashboard. Always talk to your pharmacist or doctor.
🏛️ The road to your pharmacy
How Loteprednol Etabonate went from FDA review to the pharmacy shelf — the key milestones in its regulatory journey.
Source: Drugs@FDA.
🚨 Recall history
A recall is when a specific batch of a medicine is pulled from the market — usually a manufacturing issue, not a problem with the drug itself. Class I is most serious, Class III least.
Source: openFDA drug enforcement (recall) reports.
RxNorm Concept Web — From Ingredient to Every Form and Strength
This page starts with one ingredient concept (IN). The branches below show its dose-form concepts (SCDF), then the available clinical drug and strength concepts (SCD). Combination products remain separate concepts with their own pages.
RxCUI 52177 3 dose forms · 7 strengths
-
Dose form (SCDF) Ophthalmic Gel RxCUI 1312624In current FDA listings -
Dose form (SCDF) Ophthalmic Ointment RxCUI 1099499In current FDA listingsClinical drug / strength (SCD) 0.005 MG/MGRxCUI 1099500 -
Dose form (SCDF) Ophthalmic Suspension RxCUI 375144In current FDA listings
Look up RxCUI 52177 in the RxCUI Atlas →
RxNorm is the U.S. National Library of Medicine’s normalized drug vocabulary. Its concept hierarchy can include forms that are not currently marketed; the status on each branch compares that concept with current FDA listings. RxCUIs identify vocabulary concepts, not individual packages or manufacturers.
📦 Supply & shortage status
Whether Loteprednol Etabonate is in short supply in the U.S. right now, plus any shortage history the FDA has on record. A shortage usually reflects a manufacturing or demand issue — not a safety problem with the drug.
Source: openFDA, from the FDA Drug Shortages database.
🏷️ Sold under these brand names
🏭 Manufacturers & labelers
🔬 Where this comes from
Core label, product, RxNorm, safety, and utilization data on this page come from the sources identified below. AI-written, editorial, and licensed sections are labeled separately.
How we combine label and product data
HelloPharmacist combines public FDA and NLM records; we don’t author the underlying clinical facts. We identified 26 FDA-filed SPL label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. The representative label is the starting point for the displayed reference monograph; the 12 largest stored in-scope SPL records, which may include that representative, are compared section by section, and the longest available version of each section is retained. Forms, routes, brands, labelers, product-listed strengths, and product-record counts are aggregated separately from ingredient-matched FDA NDC Directory records; package records listed above are associated with the linked SPL; and the normalized concept hierarchy comes from NLM RxNorm.
For canonical ingredient pages, bounded product-attributed indication and administration excerpts may be added to the AI evidence, and the generator is instructed to preserve available product, brand, route, and form qualifiers instead of treating one label as universal. Where a section is identified as AI-written, its plain-language text is generated from bounded label evidence. New draft drug pages remain in the admin review queue before first publication. Alcon Laboratories, Inc. is the representative DailyMed label linked for verification and dates; it is not the sole source used for the page.
This is general education, not medical advice — always consult your doctor or pharmacist about your medications and any medical condition. For the exact wording of the linked representative label, view that label on DailyMed; some displayed composite sections may come from other in-scope SPL labels. Learn how we use AI and our data sources & update cadence.