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FML Forte
FML Forte (Fluorometholone Ophthalmic Suspension 0.25%) is a corticosteroid eye drop used to treat inflammation of the eyes caused by allergies, infections, surgery, or injury. It works by reducing swelling, redness, and irritation in the eyes. Fluorometholone is a milder steroid compared to other ophthalmic steroids, making it suitable for conditions that require inflammation control without overly strong steroid effects.
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Frequently Asked Questions
How long does it take for FML Forte to work?
You may start to see improvement in symptoms within 1 to 3 days, but full relief may take a week or more depending on the severity of the inflammation.
Can I use FML Forte for eye infections?
No, FML Forte is not used to treat infections. In fact, it can worsen certain viral or fungal eye infections. It should only be used if prescribed by a doctor to treat inflammation after the infection has been properly managed.
What should I do if I miss a dose?
If you miss a dose, apply it as soon as you remember. If it’s almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double up doses.
Can FML Forte cause vision problems?
Prolonged use of FML Forte can cause cataracts or glaucoma, which may lead to vision problems. If you notice blurred vision, halos around lights, or other vision changes, consult your doctor immediately.
Is FML Forte safe for long-term use?
Long-term use of FML Forte should be monitored closely by an eye doctor, as it can increase the risk of cataracts, glaucoma, and delayed wound healing. Short-term use is generally safer with fewer risks.
Comprehensive Drug Guide
How Does FML Forte Work?
Fluorometholone works by inhibiting the release of inflammatory chemicals in the body, reducing swelling, redness, and pain in the eyes. It suppresses the body’s immune response to inflammation, preventing further damage to the tissues. This is especially helpful for conditions like allergic conjunctivitis, uveitis, or inflammation after eye surgery.
Common Dosages
- 1 to 2 drops into the affected eye(s) 2 to 4 times daily, as directed by your healthcare provider.
- In severe cases, your doctor may recommend more frequent dosing initially (e.g., every 4 hours), gradually tapering down as the inflammation improves.
Typical Dosing
- For mild to moderate inflammation: Instill 1 drop into the affected eye(s) 2 to 4 times daily.
- For severe inflammation: Initial dosing may be 1 drop every 4 hours, followed by a reduction in frequency as symptoms improve.
Typical Dosing
FDA Approved Indications
- Ocular inflammation caused by various conditions such as allergies, surgery, or trauma.
- Non-infectious uveitis, an inflammatory condition affecting the middle layer of the eye.
- Post-operative inflammation following eye surgery.
Who Shouldn't Take FML Forte?
- Viral eye infections, such as herpes simplex keratitis, which can worsen with steroid use.
- Fungal or bacterial eye infections, unless appropriate anti-infective treatment is also used.
- Hypersensitivity to fluorometholone or any of the components in the formulation.
Advice From The Pharmacist
- Shake the bottle well before each use to ensure the medication is evenly mixed.
- Do not touch the dropper tip to your eye or any surface to avoid contamination.
- Contact lenses should be removed before using FML Forte, and you should wait at least 15 minutes before reinserting them.
- Complete the full course of treatment as prescribed, even if symptoms improve early. Abruptly stopping steroid treatment can lead to a flare-up of inflammation.
- Monitor your eye pressure if using the medication long-term, as steroids can increase the risk of glaucoma.
Side Effects of FML Forte
Common Side Effects
- Temporary burning or stinging in the eyes after application
- Blurred vision
- Increased sensitivity to light
- Eye irritation
Uncommon/Severe Side Effects
- Increased intraocular pressure (leading to glaucoma)
- Cataract formation with prolonged use
- Secondary eye infections (due to suppression of the immune response)
- Delayed healing of eye wounds
Risks and Warnings of FML Forte
- Increased Intraocular Pressure: Prolonged use of corticosteroids like FML Forte can lead to glaucoma by increasing intraocular pressure. Regular eye check-ups are important to monitor for this risk.
- Cataracts: Long-term use may contribute to the formation of cataracts, clouding the lens of the eye and impairing vision.
- Delayed Wound Healing: Steroids may delay the healing of eye wounds, particularly after surgery or injury.
- Masking of Infections: Steroid use can suppress symptoms of eye infections, making them harder to detect. Ensure that any eye infections are fully treated before starting FML Forte.
Interactions with FML Forte
Common Drug Interactions
- Other corticosteroids: Combining FML Forte with other steroid medications (oral or topical) may increase the risk of side effects like glaucoma or cataracts.
- Ocular antibiotics: FML Forte can be used in combination with antibiotic eye drops, but both should be used as prescribed to prevent the worsening of infections.
Alternatives to FML Forte
- Prednisolone Acetate (Pred Forte): A stronger corticosteroid eye drop for severe inflammation.
- Loteprednol (Lotemax): Another corticosteroid eye drop with potentially fewer side effects, especially for long-term use.
- Dexamethasone Ophthalmic (Maxidex): A potent corticosteroid eye drop used for treating inflammation.
- Non-steroidal anti-inflammatory eye drops (e.g., ketorolac): For inflammation not requiring corticosteroid treatment.
