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Ilevro
Ilevro (nepafenac) is a nonsteroidal anti-inflammatory drug (NSAID) used as an eye drop solution for the treatment of pain and inflammation following cataract surgery. It helps reduce postoperative inflammation and provides relief from eye discomfort. Ilevro works by inhibiting the production of prostaglandins, which are chemicals in the body that contribute to inflammation and pain.
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Frequently Asked Questions
How long does it take for Ilevro to start working?
Patients may begin to notice relief from symptoms within a few hours after application, but full effects can take a few days.
Can I use Ilevro with contact lenses?
Patients should remove contact lenses before applying Ilevro and wait at least 15 minutes before reinserting them.
What should I do if I miss a dose of Ilevro?
If you miss a dose, apply it as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not double up doses.
What should I do if I miss a dose of Ilevro?
If you miss a dose, apply it as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not double up doses.
Is it safe to use Ilevro during pregnancy?
Ilevro should be used during pregnancy only if clearly needed and prescribed by a healthcare provider, as safety has not been established.
Can Ilevro cause any long-term side effects?
While side effects are generally mild, prolonged use should be monitored by a healthcare provider, particularly in patients with pre-existing eye conditions.
Can Ilevro cause any long-term side effects?
While side effects are generally mild, prolonged use should be monitored by a healthcare provider, particularly in patients with pre-existing eye conditions.
Comprehensive Drug Guide
How Does Ilevro Work?
Ilevro works by inhibiting cyclooxygenase (COX) enzymes, which play a key role in the synthesis of prostaglandins. By reducing the production of these inflammatory mediators, Ilevro helps alleviate pain and swelling in the eye following surgical procedures.
Common Dosages
- Ophthalmic solution: 0.3% concentration in sterile packaging.
Typical Dosing
- The typical dosing regimen is one drop in the affected eye(s) three times daily, starting 1 day before surgery and continuing through 2 weeks postoperatively.
Typical Dosing
FDA Approved Indications
- Postoperative pain and inflammation associated with cataract surgery.
Who Shouldn't Take Ilevro?
- Known hypersensitivity to nepafenac or any components of the formulation
- Active ocular infections or significant corneal epithelial damage
Advice From The Pharmacist
- Ilevro should be used exactly as prescribed by your healthcare provider.
- Patients should avoid touching the tip of the dropper to any surface, including the eye, to maintain sterility.
- Wait at least 5 minutes between applying Ilevro and any other eye drops.
Side Effects of Ilevro
Common Side Effects
- Eye irritation
- Burning or stinging upon application
- Dry eye
- Redness of the eye
Uncommon/Severe Side Effects
- Allergic reactions (swelling, itching, or rash)
- Corneal or retinal damage
Risks and Warnings of Ilevro
- Ocular Effects: Use with caution in patients with a history of ocular surface disease or those undergoing ocular surgery.
- Increased Bleeding Risk: NSAIDs may increase bleeding risks; caution is advised in patients with bleeding disorders.
Interactions with Ilevro
Common Drug Interactions
- Other Ophthalmic Medications: Caution should be taken when using multiple ophthalmic agents; space the administration by at least 5 minutes.
- Systemic NSAIDs: While there is no specific interaction, concurrent use of systemic NSAIDs should be monitored due to the potential for increased side effects.
Alternatives to Ilevro
- Ketorolac (Acular): Another NSAID used for similar indications in ophthalmology.
- Fluorometholone: A corticosteroid eye drop for inflammation.
- Bromfenac (Bromday): An alternative NSAID for postoperative pain and inflammation.
