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About MOXIFLOXACIN+LOTEPREDNOL

LOTEPREDNOL+MOXIFLOXACIN belongs to a group of medications called 'Antibiotics and Corticosteroids' used to treat bacterial eye infections or eye discomfort. It is also used in patients who have undergone eye surgeries. It is effectively used to treat eye inflammation caused by allergies, shingles, severe acne, iritis (inflammation of the coloured part of the eye (iris)), uveitis (inflammation of the middle layer of the eye (uvea)), eye injury, radiation, and chemical burns. A bacterial eye infection occurs when bacteria invade any part of the eyeball or its surrounding tissues, including the cornea (clear front surface of the eye) and the conjunctiva (thin membrane lining the outer eye and inner eyelids). LOTEPREDNOL+MOXIFLOXACIN is used to prevent or treat only bacterial eye infections. It does not work against infections caused by viruses and fungi.

LOTEPREDNOL+MOXIFLOXACIN contains two medicines: Moxifloxacin (antibiotic) and Loteprednol (corticosteroid). Moxifloxacin belongs to a class of drugs called fluoroquinolone antibiotics. Moxifloxacin is an antibiotic that helps treat and prevent a wide range of bacterial infections. It kills bacteria (bactericidal action) by preventing the synthesis of enzymes, namely DNA gyrase and Topoisomerase II and IV, which is essential for the growth and survival of the bacterial cell. Loteprednol belongs to the class of corticosteroids. It blocks prostaglandins' production (chemical messengers), making the eye red, swollen, and itchy. Together, LOTEPREDNOL+MOXIFLOXACIN prevents the spread of eye infections caused by bacteria and reduces inflammation and pain.

LOTEPREDNOL+MOXIFLOXACIN is available in the form of an ophthalmic solution (eye drops). Your doctor will advise on how often you take LOTEPREDNOL+MOXIFLOXACIN based on your medical condition. Some common side effects of eye drop formulation of LOTEPREDNOL+MOXIFLOXACIN include redness in the eyes, blurred vision, burning or stinging sensation in the eye, and eye discomfort. These side effects do not require medical attention and gradually resolve over time.

Please do not use LOTEPREDNOL+MOXIFLOXACIN without consulting your doctor if you have a damaged cornea, ulcers in the eye, eye infection and producing pus, open lesions in the eye, and glaucoma (a condition where the pressure inside the eye is increased). Inform your doctor if you are pregnant or breastfeeding before using LOTEPREDNOL+MOXIFLOXACIN. Avoid touching the eyedropper with bare hands or taking it closer to the eyelids while administering drops since it contaminates the dropper tip and solution. If you wear contact lenses, please inform your doctor since the LOTEPREDNOL+MOXIFLOXACIN may contain additives like Benzalkonium chloride that change the lens's colour. LOTEPREDNOL+MOXIFLOXACIN sometimes may make your eye red after administration; in such cases, please avoid wearing a lens until the eye improves. Avoid driving or operating machines since the administration of eye drops of LOTEPREDNOL+MOXIFLOXACIN cause blurred vision for a while after use.

Uses of MOXIFLOXACIN+LOTEPREDNOL

Bacterial eye infections, allergic eye conditions.

Medicinal Benefits

LOTEPREDNOL+MOXIFLOXACIN is a combination of two medicines: Moxifloxacin and Loteprednol. Moxifloxacin is a fluoroquinolone and broad-spectrum antibiotic. It can act against both gram-positive and gram-negative bacteria. It kills bacteria (bactericidal action) by preventing the synthesis of enzymes, namely DNA gyrase and Topoisomerase II and IV, which is essential for the growth and survival of the bacterial cell. Loteprednol is a corticosteroid with anti-inflammatory properties and acts by inhibiting the chemicals such as prostaglandins production (chemical messengers) that make the eye red, swollen, and itchy. It reduces symptoms associated with infection, such as redness and irritation of the eye, and decreases the risk of infections. Collectively, LOTEPREDNOL+MOXIFLOXACIN treats and prevents bacterial eye infections and eye inflammation caused by allergies, shingles, severe acne, iritis (inflammation of the coloured part of the eye (iris)), uveitis (inflammation of the middle layer of the eye (uvea)), eye injury, radiation, and chemical burns. LOTEPREDNOL+MOXIFLOXACIN is used to prevent or treat only bacterial eye infections. It does not work against infections caused by viruses and fungi.

Directions for Use

LOTEPREDNOL+MOXIFLOXACIN is for ophthalmic use only. Wash your hands thoroughly before and after using LOTEPREDNOL+MOXIFLOXACIN. Lie down and tilt your head backwards. Pull your lower eyelid gently with your index finger to form a pocket. Instil the number of drops as advised by the doctor into the pocket of the lower eyelid. Close your eyes for 1-2 minutes. Replace the outer cap after use. Please do not touch the container’s tip to the eye, eyelids or surrounding areas as it may contaminate LOTEPREDNOL+MOXIFLOXACIN.

Storage

Store in a cool and dry place away from sunlight

Side Effects of MOXIFLOXACIN+LOTEPREDNOL

  • Blurred vision
  • Burning/stinging sensation in the eyes
  • Redness in the eyes
  • Watery eyes
  • Inflammation of cornea

In-Depth Precautions and Warning

Drug Warnings

Please inform your doctor if you are allergic to LOTEPREDNOL+MOXIFLOXACIN or any other medicines. Before taking LOTEPREDNOL+MOXIFLOXACIN, inform your doctor if you have vision problems, severe eye pain, ulcers, glaucoma (raised pressure in the eye), eye injury, or have undergone eye surgery or any other eye drops or eye ointment. If you wear contact lenses, please inform your doctor since LOTEPREDNOL+MOXIFLOXACIN may contain additives like Benzalkonium chloride that change the lens's colour. LOTEPREDNOL+MOXIFLOXACIN sometimes may make your eye red after administration; in such cases, please avoid wearing a lens until the eye becomes better. Do not use eye drops for longer than recommended by your doctor, as it may increase the risk of cataracts (clouding of the eye) and increase the risk of a second infection. So, inform your doctor immediately if you notice any persistent visual disturbances while using this medicine. It is advised to check with your doctor before using LOTEPREDNOL+MOXIFLOXACIN if you are pregnant or breastfeeding. Avoid driving or operating machines since the administration of eye drops of LOTEPREDNOL+MOXIFLOXACIN cause blurred vision for a while after use.

Drug Interactions

Drug-Drug Interactions: LOTEPREDNOL+MOXIFLOXACIN may interact with antiviral (ritonavir, cobicistat, amprenavir, atazanavir, boceprevir) painreliver opthalmatic (bromfenac, diclofenac, flurbiprofen) antifungal (itraconazole, fluconazole, posaconazole, voriconazole), and smallpox vaccine.

Drug-Food Interactions: No interaction found.

Drug-Disease Interactions: LOTEPREDNOL+MOXIFLOXACIN should not be used in patients with fungal eye infections, viral infections such as herpes simplex or varicella, parasitic infections, damaged cornea, and glaucoma (increased pressure inside the eye).

Drug-Drug Interactions Checker List:

  • RITONAVIR
  • COBICISTAT
  • AMPRENAVIR
  • ATAZANAVIR
  • BOCEPREVIR
  • BROMFENAC
  • DICLOFENAC
  • FLURBIPROFEN
  • ITRACONAZOLE
  • FLUCONAZOLE
  • POSACONAZOLE
  • VORICONAZOLE
  • SMALLPOX VACCINE
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      Do not take alcohol while using LOTEPREDNOL+MOXIFLOXACIN as it may affect your ability to fight infections.

    • Safety Warning

      Pregnancy

      caution

      Inform your doctor before receiving LOTEPREDNOL+MOXIFLOXACIN if you have had a kidney impairment/disorder history. Your doctor will prescribe only if the benefits outweigh the risks.

    • Safety Warning

      Breast Feeding

      caution

      Let your doctor know if you are a nursing mother before taking LOTEPREDNOL+MOXIFLOXACIN; your doctor will decide whether LOTEPREDNOL+MOXIFLOXACIN can be taken by breastfeeding mothers or not.

    • Safety Warning

      Driving

      caution

      LOTEPREDNOL+MOXIFLOXACIN may cause side effects like blurry vision, affecting your driving ability. Do not drive or operate machinery in such cases. Drive only when you are alert and have clear vision.

    • Safety Warning

      Liver

      caution

      Inform your doctor before receiving the LOTEPREDNOL+MOXIFLOXACIN if you have had a liver impairment/disorder history. Your doctor will prescribe only if the benefits outweigh the risks.

    • Safety Warning

      Kidney

      caution

      Inform your doctor before receiving the LOTEPREDNOL+MOXIFLOXACIN if you have had a kidney impairment/disorder history. Your doctor will prescribe only if the benefits outweigh the risks.

    • Safety Warning

      Children

      caution

      LOTEPREDNOL+MOXIFLOXACIN should be used with caution in children. It is not recommended for use in newborns.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Try to maintain good hygiene to keep your eyes clean and irritant-free.
    • Do not rub your eyes even though some ophthalmic drugs make your eye itchy.
    • Know your allergy triggers, such as pollen, dust, and other factors.
    • Sleep for at least six to eight hours to rejuvenate your eyes naturally.
    • Wash your eyes with clean water at least two to three times a day
    • Manage stress, eat healthily, drink plenty of water, exercise regularly, and get plenty of sleep.
    • Wash your hands thoroughly, and do not touch the dropper before using drops to avoid contamination.
    • Reduce screen time (by avoiding watching tv or phone) and use sunglasses while going into the sunlight.
    • Avoid alcoholic beverages as they can make you dehydrated and affect your sleep. This effect can also affect your body’s ability to fight off infections.

    Special Advise

    • Please consult an eye specialist if your eye infection persists or worsens after using LOTEPREDNOL+MOXIFLOXACIN for a week.
    • Have frequent follow-up check-ups with your doctor to check for any problems such as cataracts, an increase in pressure, or infections if you are using it is prescribed for long-term use.

    Patients Concern

    Disease/Condition Glossary

    Bacterial eye infections: Bacterial eye infections are the common eye problems seen in a primary care setting. The common eye problems are conjunctivitis (inflammation of the conjunctiva), stye (bump on the eyelid), and keratitis (inflammation of the cornea). The risk for eye infection is high in post-operative patients or patients who have undergone Lasik, cataract, or other eye surgeries.

    Conjunctivitis: A condition caused by the inflammation and irritation of the eye's mucous membrane (conjunctiva).

    FAQs

    How does LOTEPREDNOL+MOXIFLOXACIN work?

    LOTEPREDNOL+MOXIFLOXACIN contains Moxifloxacin and Loteprednol. Moxifloxacin is an antibiotic that prevents bacterial cells from dividing and repairing, thereby killing the bacteria. Loteprednol, a corticosteroid, blocks prostaglandins' production (chemical messengers), making the eye red, swollen and itchy. Collectively, LOTEPREDNOL+MOXIFLOXACIN helps relieve and treat symptoms of bacterial eye infections.

    Can I stop LOTEPREDNOL+MOXIFLOXACIN if my symptoms are relieved?

    You are not recommended to stop using LOTEPREDNOL+MOXIFLOXACIN without consulting your doctor even if you feel better, as it may increase pressure in the eyes and may lead to loss of vision. Your symptoms may improve before the infection is completely cured. Therefore, use LOTEPREDNOL+MOXIFLOXACIN for as long as your doctor has prescribed it, and if you experience any difficulty while taking LOTEPREDNOL+MOXIFLOXACIN, please consult your doctor.

    Can I take other eye drops while using LOTEPREDNOL+MOXIFLOXACIN?

    If you are using other eye drops along with LOTEPREDNOL+MOXIFLOXACIN, maintain an interval of at least 10 minutes before administering other medicines in the same eye to avoid dilution.

    How long should I use LOTEPREDNOL+MOXIFLOXACIN?

    LOTEPREDNOL+MOXIFLOXACIN is generally prescribed for seven days. You should take this medicine for a duration given by your doctor. Avoid prolonged use, as it may cause cataracts (clouding of the eye) and increase the second infection risk. If you use LOTEPREDNOL+MOXIFLOXACIN for longer than ten days, you may need frequent vision tests to check the pressure inside your eyes.

    Does LOTEPREDNOL+MOXIFLOXACIN cause blurry vision?

    LOTEPREDNOL+MOXIFLOXACIN can cause blurry vision for some time in the beginning. Avoid driving and operating machinery in such cases until you feel better. If the effect persists longer, seek medical attention.

    What precautions should I take while using LOTEPREDNOL+MOXIFLOXACIN eye drops?

    Avoid prolonged use, as it may cause cataracts (clouding of the eye) and increase the risk of a second infection. Also, do not wear contact lenses while using LOTEPREDNOL+MOXIFLOXACIN.

    Available Medicines for

    LOTEPREDNOL+MOXIFLOXACIN