If you have a certain kind of eye condition, your doctor might suggest Lotemax as a treatment option for you. It’s a prescription drug used to treat the following conditions in adults:
- pain and inflammation (swelling) after eye surgery
- allergic conjunctivitis
- herpes zoster keratitis (inflammation of the cornea caused by shingles)
- ocular rosacea
- superficial punctate keratitis (a kind of inflammation in your cornea)
- cyclitis (swelling of the ring of muscle behind the iris)
- certain kinds of pink eye
- other types of inflammation affecting your eye
Lotemax is also used for pain and swelling after eye surgery in children from birth to age 17 years.
The active ingredient in Lotemax is loteprednol. (An active ingredient is what makes a drug work.) Lotemax belongs to a group of drugs called corticosteroids.
Lotemax is available in four forms. For details, see the “What is Lotemax’s dosage?” section below.
This article describes the dosages of Lotemax, as well as its strengths and how to take it. To learn more about Lotemax, see this in-depth article.
Note: This article covers Lotemax’s usual dosages, which are provided by the drugmaker. But when using Lotemax, always follow the dosage that your doctor prescribes.
Below is information about Lotemax’s usual dosage.
|Lotemax form||Usual dosage||Standard dosing frequency|
|Lotemax eye drops||1 or 2 drops in the affected eye||4 times per day for 2 weeks or as directed|
|Lotemax eye ointment||about a half-inch ribbon of ointment in the affected eye||4 times per day for 2 weeks|
|Lotemax eye gel||1 or 2 drops in the affected eye||4 times per day for 2 weeks|
|Lotemax SM eye gel||1 drop in the affected eye||3 times per day for 2 weeks|
What are the forms of Lotemax?
Lotemax is available in four forms:
- Lotemax eye drops
- Lotemax eye ointment
- Lotemax eye gel
- Lotemax SM eye gel
What strengths does Lotemax come in?
Lotemax eye drops, eye ointment, and eye gel come in a strength of 0.5%.
Lotemax SM eye gel comes in a strength of 0.38%.
What are the usual dosages of Lotemax?
Your doctor will likely start you on a low dosage and adjust it over time to reach the right amount for you. They’ll ultimately prescribe the smallest dosage that provides the desired effect.
The information below describes dosages that are commonly used or recommended. But be sure to use the dosage your doctor prescribes for you. They’ll determine the best dosage to fit your needs.
Dosage for pain and inflammation (swelling) after eye surgery
In most cases, your doctor will have you start using Lotemax 24 hours after your eye surgery. Your dosage will depend on which form of Lotemax you’re prescribed. See the table above for details.
Dosage for certain eye conditions
Lotemax can be used for several eye conditions. (For a list of conditions, see the “Introduction” section above.) The dosage is typically the same as what’s used for pain and inflammation after surgery.
Your dosage will depend on which form of Lotemax you’re prescribed. See the table above for details.
What’s the dosage of Lotemax for children?
Lotemax eye gel is used for pain and swelling after eye surgery in children from birth to age 17 years.
The usual recommended dosage for pediatric use is one or two drops in the affected eye, four times per day for 2 weeks. A child will start using Lotemax 24 hours after surgery.
If you have questions about your child using Lotemax, talk with their doctor.
Is Lotemax used long term?
No, this drug is not used long term. Lotemax is typically used for 2 weeks following certain eye surgeries or for short-term treatment of certain eye conditions. Your doctor will tell you how long you’ll use Lotemax.
Below are answers to some commonly asked questions about Lotemax’s dosage.
Is Lotemax used to treat dry eye? If so, what’s the dosage?
No, Lotemax isn’t approved to treat dry eyes.
Another prescription eye drop called Eysuvis is used to treat dry eye. Eysuvis has the same active ingredient as Lotemax. (An active ingredient is what makes a drug work.) But Eysuvis comes in a different strength than Lotemax.
If you’re experiencing dry eye, talk with your doctor about your treatment options.
Can I use Lotemax for more than 2 weeks after surgery if I still have eye pain and swelling?
You should only use Lotemax for longer than 2 weeks after eye surgery if your doctor tells you to do so. Using Lotemax or other eye steroids long term can cause certain complications, such as increased risk of fungal infection in your eye.
If your eyes are still bothering you 2 weeks after surgery, talk with your doctor about your options.
The dosage of Lotemax you’re prescribed may depend on several factors. These include:
- the type and severity of the condition you’re using the drug to treat
- your age
- the form of Lotemax you’re using
You’ll use Lotemax in your affected eye according to your doctor’s instructions.
If you’re using Lotemax eye drops, you should shake the bottle a few times before use. If you’re using Lotemax or Lotemax SM eye gel, you’ll tip the bottle upside down and shake it once. This helps make sure there’s enough medication in the applicator tip.
You should always wash your hands before using Lotemax. This helps lower your risk of getting an eye infection.
For tips on applying eye drops, check out this article. To learn more about using an eye ointment, see this article. And for information on the expiration, storage, and disposal of Lotemax, see this article.
If you wear contact lenses, your doctor will let you know whether you can wear your contacts while you’re using Lotemax.
Accessible drug containers and labels
If you find it hard to read the prescription label on your medication, tell your doctor or pharmacist. Some pharmacies provide medication labels that:
- have large print or use braille
- feature a code you can scan with a smartphone to change the text to audio
Your doctor or pharmacist may be able to recommend pharmacies that offer these accessibility features if your current pharmacy doesn’t.
If you miss a dose of Lotemax, take it as soon as you remember. But if it’s almost time for your next dose, skip the missed dose and take your next dose at its regular time.
You should not take two doses of Lotemax at once to make up for a missed dose. Doing so can raise your risk of side effects.
If you need help remembering to take your dose of Lotemax on time, try using a medication reminder. This can include setting an alarm or downloading a reminder app on your phone.
Do not use more Lotemax than your doctor prescribes, as this can lead to serious side effects.
What to do in case you use too much Lotemax
Call your doctor right away if you think you’ve used too much Lotemax. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource. But if you have severe symptoms, immediately call 911 (or your local emergency number) or go to the nearest emergency room.
The sections above describe the usual dosages provided by the drugmaker. If your doctor recommends Lotemax for you, they’ll prescribe the dosage that’s right for you.
Remember, you should not change your dosage of Lotemax without your doctor’s recommendation. Only use Lotemax exactly as prescribed. Talk with your doctor if you have questions or concerns about your current dosage.
Here are some examples of questions you may want to ask your doctor:
- Should my dosage change if Lotemax isn’t working well enough for me?
- Does my Lotemax dosage need to change if I’m taking other drugs along with it?
- Would a different dosage raise or lower my risk of side effects from Lotemax?
To learn more about Lotemax, see these articles:
Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.