Bromfenac Sodium
Indications
Bromfenac is indicated for the treatment of
postoperative inflammation and the reduction of ocular pain in patients
who have undergone cataract extraction
Pharmacology
Bromfenac is a nonsteroidal
anti-inflammatory drug (NSAID). The mechanism of anti-inflammatory
activity is thought to be due to its ability to block prostaglandin
synthesis by inhibiting cyclooxygenase 1 and 2. Prostaglandins have been
shown in many animal models to be mediators of certain kinds of
intraocular inflammation. In studies performed in animal eyes,
prostaglandins have been shown to produce disruption of the
blood-aqueous humor barrier, vasodilation, increased vascular
permeability, leukocytosis and increased intraocular pressure.
Dosage & Administration
Adults: 1 drop to the problem eye 2 times a day; treatment should start 24 hours after surgery and should continue for 2 weeks
Children: Use and dose must be determined by the doctor.
Pediatric Use: Safety and efficacy in pediatric patients below the age of 18 have not been established yet.
Children: Use and dose must be determined by the doctor.
Pediatric Use: Safety and efficacy in pediatric patients below the age of 18 have not been established yet.
Contraindications
Bromfenac ophthalmic solution is contraindicated in patients with known hypersensitivity to any ingredients of the formulation.
Side Effects
The most commonly reported adverse
reactions following use of Bromfenac after cataract surgery include:
abnormal sensation in eye, conjunctival hyperemia, eye irritation
(including burning/stinging), eye pain, eye pruritus, eye redness,
headache and iritis. These events were reported in 2-7% of patients
Pregnancy & Lactation
Pregnancy Category C. This drug should be
used during pregnancy only if the potential benefit justifies the
potential risk to the fetus. Caution should be exercised when Bromfenac
ophthalmic solution is administered to a nursing mother.
Precautions & Warnings
All topical NSAIDs may slow or delay
healing. Topical corticosteroids are also known to slow or delay
healing. Concomitant use of topical NSAIDs and topical steroids may
increase the potential for healing problems. It is recommended that
Bromfenac ophthalmic solution be used with caution in patients with
known bleeding tendencies or who are receiving other medications which
may prolong bleeding time. Bromfenac ophthalmic solution should not be
administered while wearing contact lenses.
Bromfenac ophthalmic solution contains Sodium Sulfite, a compound that may cause allergic-type reactions including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible people. The overall prevalence of sulfite sensitivity in the general population is unknown and probably low. Therefore, caution should be used when treating individuals who have previously exhibited sensitivities to these drugs.
Bromfenac ophthalmic solution contains Sodium Sulfite, a compound that may cause allergic-type reactions including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible people. The overall prevalence of sulfite sensitivity in the general population is unknown and probably low. Therefore, caution should be used when treating individuals who have previously exhibited sensitivities to these drugs.
Therapeutic Class
Ophthalmic Non-Steroid drugs
Storage Conditions
Keep out of the reach of children. Store in
a cool, dry place, away from heat and direct light. Do not use more
than 4 weeks after opening.
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