Alrex (ophthalmic)

Generic name: loteprednol (ophthalmic) [ lo-te-PRED-nol-off-THAL-mik ]
Brand names: Alrex, Eysuvis, Inveltys, Lotemax, Lotemax SM
Drug class: Ophthalmic steroids

Medically reviewed by Drugs.com on Dec 1, 2022. Written by Cerner Multum.

What is Alrex ophthalmic?

Alrex (for the eyes) is a steroid medicine that is used to treat eye inflammation caused by allergies, shingles (herpes zoster), severe acne, iritis, or certain other conditions.

Alrex is also used to treat pain and swelling after eye surgery.

The Eysuvis brand of Alrex is used to treat dry eye disease.

Alrex may also be used for purposes not listed in this medication guide.

Warnings

You should not use this medicine if you have an eye infection (including herpes simplex).

Before taking this medicine

You should not use Alrex if you are allergic to it, or if you have an eye infection (including herpes simplex).

Tell your doctor if you have ever had:

• glaucoma; or

• cataracts, or cataract surgery.

Tell your doctor if you are pregnant or breastfeeding.

Alrex is not approved for use by anyone younger than 18 years old.

How should I use Alrex ophthalmic?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Do not use while wearing soft contact lenses. A preservative in Alrex could permanently stain the lenses. Use the medicine at least 15 minutes before inserting your contact lenses.

Wash your hands before using eye medication.

Shake the eye drops well just before each use. If using the gel, turn the bottle upside down and shake once to fill the dropper tip with gel.

To use this medicine: Tilt your head back slightly and pull down your lower eyelid to create a small pocket. Hold the dropper above the eye and squeeze a drop into this pocket. Close your eyes for 1 or 2 minutes.

Use only the number of drops your doctor has prescribed.

Wait at least 5 minutes before using any other eye drops your doctor has prescribed.

Do not touch the tip of the eye dropper or place it directly on your eye. A contaminated dropper can infect your eye, which could lead to serious vision problems.

If you use this medicine for longer than 10 days, you may need frequent vision tests to check the pressure inside your eyes.

This medicine is for short term use. Call your doctor if your symptoms do not improve after 2 days of treatment.

Do not use this medicine for longer than your doctor has prescribed.

Store this medicine in an upright position at room temperature. Do not freeze.

What happens if I miss a dose?

Use the medicine as soon as you can. Do not use two doses at one time.

What happens if I overdose?

An overdose of Alrex ophthalmic is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication.

What should I avoid while using loteprednol ophthalmic?

Do not share Alrex with another person, even if they have the same symptoms you have.

This medicine may cause blurred vision and may impair your reactions. Avoid driving or hazardous activity until you know how this medicine will affect you.

Alrex ophthalmic side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Alrex may cause serious side effects. Call your doctor at once if you have:

• pain when using the eye drops;

• worsening redness or itching;

• eye pain or swelling, trouble closing your eye;

• pain behind your eyes, sudden vision changes;

• tunnel vision, seeing halos around lights; or

• signs of eye infection--redness, severe discomfort, crusting or drainage.

Common side effects of Alrex may include:

• minor burning when using the eye drops;

• eye pain, blurred vision;

• dry or watery eyes;

• feeling like something is in your eye;

• your eyes may be more sensitive to light;

• headache; or

• runny nose, sore throat.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Alrex ophthalmic?

Medicine used in the eyes is not likely to be affected by other drugs you use. But many drugs can interact with each other. Tell each of your healthcare providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.

Where can I get more information?

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Frequently asked questions

• What is the difference between Inveltys, Lotemax and Alrex?

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

Copyright 1996-2023 Cerner Multum, Inc. Version: 4.03.

Alsuma

Generic name: sumatriptan (injection) [ SOO-ma-TRIP-tan ]
Drug class: Antimigraine agents

Medically reviewed by Drugs.com. Last updated on Jun 14, 2021.

What is Alsuma?

Alsuma is a headache medicine that narrows blood vessels around the brain. Sumatriptan also reduces substances in the body that can trigger headache pain, nausea, sensitivity to light and sound, and other migraine symptoms.

Alsuma auto-injector is used to treat migraine headaches and cluster headaches in adults. Alsuma will only treat a headache that has already begun. It will not prevent headaches or reduce the number of attacks.

Alsuma should not be used to treat a common tension headache or a headache that causes loss of movement on one side of your body. Use this medicine only if your condition has been confirmed by a doctor as migraine headaches.

Warnings

You should not use Alsuma if you have ever had heart disease, coronary artery disease, blood circulation problems, Wolff-Parkinson-White syndrome, uncontrolled high blood pressure, severe liver disease, a heart attack or stroke, or if your headache seems to be different from your usual migraine headaches.

Do not use Alsuma if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.

Do not use Alsuma within 24 hours before or after using another migraine headache medicine..

Before using this medicine

You should not use Alsuma if you are allergic to sumatriptan, or if you have ever had:

• heart disease, heart attack, or stroke (including "mini-stroke");

• coronary artery disease, angina (chest pain), blood circulation problems, lack of blood supply to the heart;

• circulation problems affecting your legs, arms, stomach, intestines, or kidneys;

• a heart disorder called Wolff-Parkinson-White syndrome;

• uncontrolled high blood pressure;

• severe liver disease; or

• a headache that seems different from your usual migraine headaches.

Do not use Alsuma if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.

To make sure Alsuma is safe for you, tell your doctor if you have ever had:

• liver or kidney disease;

• epilepsy or other seizure disorder;

• high blood pressure, a heart rhythm disorder; or

• risk factors for coronary artery disease (such as diabetes, menopause, smoking, being overweight, having high cholesterol, having a family history of coronary artery disease, being older than 40 and a man, or being a woman who has had a hysterectomy).

Alsuma can affect your pupils during cataract surgery. Tell your eye surgeon ahead of time that you are using this medicine.

It is not known whether Alsuma will harm an unborn baby. Tell your doctor if you are pregnant. Your name may need to be listed on a sumatriptan pregnancy registry.

Sumatriptan can pass into breast milk, but effects on the nursing baby are not known. To avoid exposing your baby to sumatriptan in breast milk, do not breast-feed for 12 hours after using an injection. If you use a breast pump during this time, throw out any milk you collect.

Alsuma is not approved for use by anyone younger than 18 years old.

How should I use Alsuma?

Use Alsuma auto-injector exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Overuse of migraine headache medicine can actually make your headaches worse.

Alsuma is injected under the skin. You will be shown how to use the Auto-Injector at home. Do not self inject this medicine if you do not fully understand how to give the injection.

Alsuma Auto-Injector comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Use Alsuma as soon as you notice headache symptoms, or after an attack has already begun.

Your doctor may want to give your first dose of this medicine in a hospital or clinic setting to see if you have any serious side effects.

Alsuma is a disposable one time use, pre-filled auto-injector.

After using an injection: If your headache does not completely go away after the injection, call your doctor before using a second Alsuma injection. If your headache goes away and then comes back, you may use a second injection if it has been at least one hour since your first injection. Do not use more than two (2) injections in 24 hours. If your symptoms do not improve, contact your doctor before using any more injections.

Store Alsuma at room temperature away from moisture, heat, and light. Throw away any unused auto-injectors after the expiration date on the label has passed.

What happens if I miss a dose?

Since Alsuma is used as needed, it does not have a daily dosing schedule. Call your doctor promptly if your symptoms do not improve after using Alsuma.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include tremors, skin redness, scabs or scaly skin where you injected the medicine, weakness, lack of coordination, breathing problems, blue-colored lips or fingernails, vision problems, seizure (convulsions), or loss of movement in any part of your body.

What should I avoid while using Alsuma?

Do not use Alsuma within 24 hours before or after using another migraine headache medicine, including:

• sumatriptan tablets or nasal spray, almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig); or

• ergot medicine such as dihydroergotamine (D.H.E. 45, Migranal), ergotamine (Ergomar, Cafergot, Migergot), dihydroergotamine (D.H.E. 45, Migranal), or methylergonovine (Methergine).

Alsuma may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Alsuma side effects

Get emergency medical help if you have signs of an allergic reaction to Alsuma: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using Alsuma and call your doctor if you have:

• sudden and severe stomach pain and bloody diarrhea;

• severe chest pain, shortness of breath, irregular heartbeats;

• a seizure (convulsion);

• blood circulation problems in your legs or feet - cramps, tight or heavy feeling, numbness or tingling, muscle weakness, burning pain, cold feeling, color changes (pale or blue), hip pain;

• dangerously high blood pressure - severe headache, blurred vision, pounding in your neck or ears, nosebleed, anxiety;

• heart attack symptoms - chest pain or pressure, tightness or pain spreading to your jaw or shoulder, nausea, sweating;

• signs of a stroke - sudden numbness or weakness (especially on one side of the body), sudden severe headache, slurred speech, problems with vision or balance; or

• high levels of serotonin in the body - agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting.

Common Alsuma side effects may include:

• numbness or burning sensation;

• pressure or heavy feeling in any part of your body;

• dizziness, drowsiness, feeling weak or tired;

• neck pain or stiffness;

• flushing (warmth, redness, or tingly feeling); or

• pain, redness, bleeding, swelling, or bruising where you injected the medicine.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Alsuma?

Using Alsuma while you are using certain other medicines can cause high levels of serotonin to build up in your body, a condition called "serotonin syndrome," which can be fatal. Tell your doctor if you also use:

• medicine to treat depression;

• medicine to treat a psychiatric disorder;

• a narcotic (opioid) medication; or

• medicine to prevent nausea and vomiting.

This list is not complete. Other drugs may interact with sumatriptan, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Where can I get more information?

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Alsuma only for the indication prescribed.

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Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

Copyright 1996-2023 Cerner Multum, Inc. Version: 8.010.