DrugindexOnline^{2nd edition}

Generic name: Fluorometholone

Why is Fluorometholone prescribed?

FML is a steroid (cortisone-like) eye ointment that is used to treat inflammation of the eyelid and the eye itself.

Most important fact about Fluorometholone

Do not use FML more often or for a longer period of time than your doctor orders. Overuse can increase the risk of side effects and lead to eye damage. Also, if your eye problems return, do not use any leftover FML without first consulting your doctor.

How should you take Fluorometholone?

FML may increase the chance of infection from contact lenses. Your doctor may advise you to stop wearing your contacts while using Fluorometholone.

Use FML exactly as prescribed. Do not stop until your doctor advises you to do so. To avoid spreading infection, do not let anyone else use your prescription.

To administer FML eyedrops:

1. Wash your hands thoroughly.
2. Shake well before using.
3. Gently pull your lower eyelid down to form a pocket between your eye and eyelid.
4. Hold the eyedrop bottle on the bridge of your nose or on your forehead.
5. Do not touch the applicator tip to any surface, including your eye.
6. Tilt your head back and squeeze the medication into your eye.
7. Close your eyes gently. Keep them closed for 1 to 2 minutes.
8. Do not rinse the dropper.
9. Wait for 5 to 10 minutes before using a second eye medication.

--If you miss a dose...

Apply it as soon as you remember. If it is almost time for your next dose, skip the one you missed and return to your regular schedule. Do not apply a double dose.

--Storage instructions...

Store at room temperature. Protect from extreme heat.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue using FML.

• More common side effects may include:
  Allergic reactions, blurred vision, burning/stinging, cataract formation, corneal ulcers, dilation of the pupil, drooping eyelids, eye inflammation and infection including pinkeye, eye irritation, glaucoma, increased eye pressure, slow wound healing, taste alterations

Why should Fluorometholone not be prescribed?

Do not use FML if you have ever had an allergic reaction to or are sensitive to fluorometholone or similar drugs (anti-inflammatories and steroids) such as Decadron. Tell your doctor about any drug reactions you have experienced.

FML is not prescribed for patients with certain viral, fungal, and bacterial infections of the eye.

Special warnings about Fluorometholone

Prolonged use of FML may result in glaucoma (elevated pressure in the eye causing optic nerve damage and loss of vision), cataract formation (an eye disorder causing the lens of the eye to cloud up), or the development or worsening of eye infections.

Steroids such as FML have been known to cause punctures when used in the presence of diseases that cause thinning of the cornea or the sclera (tough, opaque covering at the back of the eyeball).

The use of a corticosteroid medication could hide the presence of a severe eye infection or cause the infection to become worse.

Internal pressure of the eye should be checked frequently by your doctor.

This medication should be used with caution after cataract surgery.

If pain or inflammation lasts longer than 48 hours, or becomes worse, discontinue use of FML and notify your doctor.

Possible food and drug interactions when taking Fluorometholone

No interactions with food or other drugs have been reported.

Special information if you are pregnant or breastfeeding

The effects of FML in pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, tell your doctor immediately. FML may appear in breast milk and could affect a nursing infant. If using FML is essential to your health, your doctor may advise you to stop breastfeeding until your treatment is finished.

Recommended dosage

ADULTS

FML Ointment

Apply a small amount of ointment (a half-inch ribbon) between the lower eyelid and eyeball 1 to 3 times a day. During the first 24 to 48 hours, your doctor may increase the dosage to 1 application every 4 hours.

FML Liquifilm

Place 1 drop of suspension between the lower eyelid and eyeball 2 to 4 times a day. During the first 24 to 48 hours, the dosage may be increased to 1 application every 4 hours.

CHILDREN

The safety and effectiveness of FML have not been established in children under 2 years of age.

Overdosage

Overdosage with FML will not ordinarily cause severe problems. If FML is accidentally swallowed, drink fluids to dilute the medication.