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Alrex

Alrex (loteprednol etabonate) is a topical corticosteroid eye drop used to treat inflammation and allergic conjunctivitis. It is designed to reduce swelling, redness, and itching associated with various ocular conditions, including seasonal allergies and post-surgical inflammation. Alrex provides targeted relief by acting directly on the tissues of the eye.



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Frequently Asked Questions

How long does it take for Alrex to work?
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Alrex may begin to relieve symptoms within a few hours of application, but it may take several days for optimal results in reducing inflammation.

Can I use Alrex with contact lenses?
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It is recommended to remove contact lenses before applying Alrex and wait at least 15 minutes before reinserting them to avoid potential irritation.

What should I do if I miss a dose of Alrex?
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If you miss a dose, apply it as soon as you remember. If it’s close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule.

Is Alrex safe for long-term use?
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Long-term use of Alrex should be monitored by your healthcare provider to prevent potential complications such as increased intraocular pressure and cataract formation.

Can I stop using Alrex suddenly?
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Yes, you can stop using Alrex without tapering, but consult your healthcare provider if you have any concerns about ongoing management of your condition.

Comprehensive Drug Guide

How Does Alrex Work?

Alrex works by binding to glucocorticoid receptors in the ocular tissues, which inhibits the release of inflammatory mediators such as cytokines and prostaglandins. This action reduces inflammation and allergic symptoms in the eye, providing relief from redness, swelling, and itching.



Common Dosages

  • Ophthalmic solution: 0.2% loteprednol etabonate

Typical Dosing

  • The typical dosing for Alrex is one to two drops instilled into the affected eye(s) four times daily. The frequency may be adjusted based on the severity of the condition and the healthcare provider's instructions.


Typical Dosing

FDA Approved Indications

  • Treatment of inflammation and pain associated with ocular surgery
  • Treatment of seasonal allergic conjunctivitis


Who Shouldn't Take Alrex?

  • Known hypersensitivity to loteprednol etabonate or any components of the formulation
  • Viral infections of the eye (e.g., herpes simplex keratitis)
  • Fungal infections of the eye


Advice From The Pharmacist

  • Administer Alrex exactly as prescribed, ensuring proper technique for eye drop application.
  • Avoid touching the dropper tip to any surface, including the eye, to prevent contamination.
  • Monitor for any signs of worsening symptoms or adverse reactions, and consult your healthcare provider if these occur.
  • Avoid wearing contact lenses while using Alrex, unless otherwise directed by your healthcare provider.


Side Effects of Alrex

Common Side Effects

  • Burning or stinging upon application
  • Redness of the eye
  • Dryness or irritation in the eyes


Uncommon/Severe Side Effects

  • Severe allergic reactions (e.g., rash, itching, swelling, or difficulty breathing)

Risks and Warnings of Alrex

  • Ocular Effects: Long-term use of corticosteroids can lead to increased intraocular pressure, cataract formation, and other ocular complications. Regular monitoring is essential.
  • Infections: Topical corticosteroids can mask infections, so caution is advised if there is a suspicion of an underlying infection.


Interactions with Alrex

Common Drug Interactions

  • Other Ophthalmic Medications: When using multiple eye medications, allow at least 5 minutes between applications to prevent interactions.
  • Caution with Systemic Medications: Inform your healthcare provider about all medications you are taking to avoid potential interactions.


Alternatives to Alrex

  • Other corticosteroid eye drops: Such as prednisolone acetate or dexamethasone may be used for similar indications.
  • Antihistamine eye drops: Such as azelastine or olopatadine for allergic conjunctivitis.
  • Non-steroidal anti-inflammatory eye drops: For inflammation management.