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Pronunciation |
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(flure
oh METH oh
lone) |
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U.S. Brand
Names |
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Flarex®; Fluor-Op®; FML®;
FML®
Forte |
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Generic
Available |
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No |
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Pharmacological Index |
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Corticosteroid, Ophthalmic; Corticosteroid, Topical |
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Use |
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Inflammatory conditions of the eye, including keratitis, iritis, cyclitis,
and conjunctivitis |
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Pregnancy Risk
Factor |
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C |
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Contraindications |
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Herpes simplex, keratitis, fungal diseases of ocular structures, most viral
diseases, hypersensitivity to any component |
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Warnings/Precautions |
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Not recommended in children <2 years of age, prolonged use may result in
glaucoma, elevated intraocular pressure, or other ocular damage; some products
contain sulfites |
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Adverse
Reactions |
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1% to 10%: Ocular: Blurred vision
<1%: Stinging, burning eyes, increased intraocular pressure, open-angle
glaucoma, defect in visual acuity and field of vision, cataracts
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Overdosage/Toxicology |
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When consumed in excessive quantities, systemic hypercorticism and adrenal
suppression may occur; in those cases, discontinuation and withdrawal of the
corticosteroid should be done judiciously |
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Drug
Interactions |
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No data reported |
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Mechanism of
Action |
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Decreases inflammation by suppression of migration of polymorphonuclear
leukocytes and reversal of increased capillary permeability |
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Pharmacodynamics/Kinetics |
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Absorption: Into aqueous humor with slight systemic
absorption |
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Usual Dosage |
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Children >2 years and Adults: Ophthalmic:
Solution: Instill 1-2 drops into conjunctival sac every hour during day,
every 2 hours at night until favorable response is obtained, then use 1 drop
every 4 hours; for mild to moderate inflammation, instill 1-2 drops into
conjunctival sac 2-4 times/day |
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Mental Health: Effects
on Mental Status |
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None reported |
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Mental Health:
Effects on Psychiatric
Treatment |
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None reported |
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Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
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No effects or complications reported |
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Patient
Information |
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For ophthalmic use only. Store solution in refrigerator. Apply prescribed
amount as often as directed. Wash hands before using and do not let tip of
applicator touch eye or contaminate tip of applicator. Tilt head back and look
upward. Gently pull down lower lid and put drop(s) in inner corner of eye. Close
eye and roll eyeball in all directions. Do not blink for
1/2
minute. Apply gentle pressure to inner corner of eye for 30 seconds. Wipe away
excess from skin around eye. Do not use any other eye preparation for at least
10 minutes. Do not touch tip of applicator to eye or contaminate tip of
applicator. Do not share medication with anyone else. May cause sensitivity to
bright light (dark glasses may help); temporary stinging or blurred vision may
occur. Inform prescriber if you experience eye pain, redness, burning, watering,
dryness, double vision, puffiness around eye, vision disturbances, or other
adverse eye response; worsening of condition or lack of improvement within 3-4
days. Pregnancy/breast-feeding precautions: Inform prescriber if you are
pregnant. Consult prescriber if breast-feeding. |
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Nursing
Implications |
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Use a separate individual container for each patient |
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Dosage Forms |
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Ophthalmic:
Suspension:
Flarex®, Fluor-Op®,
FML®: 0.1% (2.5 mL, 5 mL, 10 mL)
FML® Forte: 0.25% (2 mL, 5 mL, 10 mL, 15 mL)
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