Nepafenac Ophthalmic Suspension
Buy Ilevro Online
Ilevro is a potent NSAID eye drop formulated to reduce pain & inflammation after cataract surgery and prevent macular edema. Available in a 0.3% solution and packaged in convenient dropper bottles, Ilevro is administered once daily, starting the day before surgery & continuing through the recovery period as prescribed. It is ideal for adult patients seeking effective postoperative eye care.
Product Overview
Ilevro (nepafenac ophthalmic suspension) is a nonsteroidal anti-inflammatory drug (NSAID) designed specifically for ocular use. It effectively reduces pain and inflammation associated with cataract surgery and helps prevent macular edema, a common postoperative complication. Ilevro is available in a 0.3% solution, packaged in 1.7 mL or 3 mL dropper bottles for easy application. Recommended for adults, including the elderly, Ilevro should be instilled once daily, starting one day before surgery and continuing for up to 14 days post-surgery, with some cases extending up to 21 days as directed by a physician. The medication works by inhibiting enzymes involved in the inflammatory process, reducing the production of prostaglandins that cause inflammation and pain. It is not suitable for pediatric patients or those with active ocular infections. Ilevro should be stored at room temperature and handled with clean hands for best results to avoid contamination.
Uses of Ilevro
- Relief from eye pain and inflammation following cataract removal surgery for individuals aged ten years and older.
Benefits of Ilevro
- Reduces eye pain and inflammation post-cataract surgery
- Prevents macular edema after surgery
- Provides relief from surgical ocular pain
- Controls eye inflammation post-operation
Side Effects of Ilevro
- Eye pain or discomfort
- Blurred vision
- Watery eyes
- Dry eyes
- Sensation of something in the eye
- Crusting of the eyelids
- Increased sensitivity to light
[Note: This list is not exhaustive, if you notice any other symptoms not mentioned above, consult your doctor immediately.]
Ilevro Dosage
Forms & Strengths
Ilevro is available in the following form and strength:
- Form: Ophthalmic suspension (eye drops)
- Strength: 0.3% (3 mg/mL)
The suspension comes in a 1.7 mL or 3 mL dropper bottle for topical application to the eye.
Recommended Dosages
- Adults (including the elderly):
- Instill one drop of Ilevro in the affected eye(s) once daily.
- Begin treatment 1 day before cataract surgery.
- Continue on the day of surgery and for the first 14 days post-surgery.
- Some patients may need to continue treatment for up to 21 days, as directed by their doctor.
- Pediatric Patients:
- The safety and efficacy of Ilevro in pediatric patients have not been established; use in children should be determined by a healthcare provider.
- Patients with Hepatic or Renal Impairment:
- No dosage adjustment is typically required, but always consult a healthcare provider for personalized advice.
How to Take Ilevro?
- Start by washing your hands thoroughly to avoid contaminating the dropper.
- Gently shake the Ilevro bottle well before each use.
- Tilt your head back slightly and look up.
- Pull down your lower eyelid to create a small pocket.
- Hold the Ilvero dropper above the eye and squeeze out one drop into the pocket.
- Close your eye gently for 2 to 3 minutes, pressing the inside corner of your eye to prevent the medication from draining.
- Do not touch the Ilvero dropper tip on your eye, hands, or any other surface.
- If using other eye drops, wait at least 5 minutes between applications.
- Securely replace the cap on the bottle after each use.
- Use Ilevro exactly as prescribed, typically once a day after cataract surgery.
Missed Dose
If you miss a dose of Ilevro, apply it as soon as you remember. However, if it’s almost time for your next scheduled dose of Ilvero, skip the missed dosage and continue with your routine dosing schedule. Do not double up on doses of this medication to make up for the missed one. Consistency in application is key for effective treatment.
[Note: Do not take two doses of Ilevro simultaneously to compensate for a missed dose. This can heighten your risk of experiencing side effects.]
Overdose
An overdose of Ilevro is unlikely to cause severe systemic effects due to its topical application. However, excessive use may lead to increased eye irritation, discomfort, or other localized symptoms. If an overdose is suspected, rinse the eyes with water & seek medical advice if symptoms persist.
[Note: If you notice you have taken too much medication, call your local emergency number immediately.]
How Does Ilevro Work?
Ilevro is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the action of specific enzymes (cyclooxygenase-1 and -2) involved in the inflammatory process. By blocking these enzymes, Ilevro reduces the production of prostaglandins, chemicals that promote inflammation, pain, and swelling. This action helps alleviate pain and reduces eye inflammation, particularly after cataract surgery.
Important Safety Precautions
- Always check the label for dosing instructions, expiration dates, and warnings.
- Never exceed the recommended dose unless directed by a healthcare provider.
- Keep medicines in their original packaging at the recommended temperature and away from light and moisture.
- Store all medications and hazardous substances out of the reach of children.
- Be aware of potential drug interactions between medications and foods or beverages.
- Wear appropriate safety gear such as gloves, masks, or goggles when handling chemicals or performing risky activities.
- Follow proper disposal guidelines for expired or unused medications to prevent environmental misuse and harm.
- Notify your healthcare professional of any adverse reactions or side effects promptly.
- Medications prescribed to you are for your use only and should not be shared with others.
- Keep emergency contact numbers and a readily available list of all medications you are taking.
Storage
- Store at an average room temperature of 15°C to 25°C.
- Keep the medication in its original packaging to protect it from light.
- Ensure the cap is tightly closed to avoid contamination.
- Do not freeze.
- Discard 28 days after opening due to the risk of contamination.
Ilevro Interactions
- Other NSAIDs: Concurrent use of Ilevro with other NSAIDs (both systemic and topical) may increase the risk of bleeding or enhanced anti-inflammatory effects.
- Corticosteroids: Using Ilevro with corticosteroids can increase the potential for healing problems in the eye.
- Anticoagulants: Use with medications that thin the blood, such as warfarin or heparin, may elevate the risk of bleeding.
- Antiplatelet drugs: Similar to anticoagulants, combining Ilevro with anti-platelet medications like aspirin or clopidogrel might elevate the risk of bleeding.
- Topical eye medications: If using other topical eye drops or ointments, space out the administration times to avoid dilution or interference with the action of Ilevro.
[Note: This list of Ilevro interactions is not complete. Talk to your doctor if you notice any interaction with food, over-the-counter drugs, prescriptions or supplements.]
Ilevro Alternatives
- Acular (ketorolac tromethamine)
- Nevawhetherc (nepafenac) – same active ingredient as Ilevro but a different formulation
- Prolensa (bromfenac)
- Voltaren Ophthalmic (diclofenac sodium)
- Ocufen (flurbiprofen sodium)
- Xibrom (bromfenac)
- BromSite (bromfenac)
- Acuvail (ketorolac tromethamine)
- Pred Forte (prednisolone acetate) – a steroid alternative
- Durezol (difluprednate) – another steroid option
- Lotemax (loteprednol etabonate) – also a steroid
- FML (fluorometholone) – a milder steroid option
[Note: Your healthcare provider will choose which Ilevro alternative is best for you. Taking or consuming them by yourself may cause serious side effects.]
Frequently Asked Questions
How many drops are in a bottle of Ilevro?
Ilevro bottles come in either 1.7 mL or 3 mL sizes. Each mL of medication provides approximately 20 drops. Therefore, a 1.7 mL bottle contains around 34 drops, while a 3 mL bottle holds about 60 drops. The duration the bottle lasts depends on whether you’re using it for one or both eyes and if any drops are missed during application.
Is Ilevro a steroid?
No, Ilevro (nepafenac) is not a steroid; it’s a non-steroidal anti-inflammatory drug (NSAID). While both steroids and NSAIDs reduce inflammation and pain, they work through different mechanisms. After cataract surgery, you might be prescribed both a steroid and an NSAID eye drop. If so, make sure to wait at least 5 minutes before applying each medication to allow your eyes to fully absorb each drop.
How long should you use Ilevro after cataract surgery?
Ilevro (nepafenac) eye drops are typically used for up to 2 weeks after cataract surgery to reduce inflammation and pain. However, your eye specialist may recommend a different duration based on your individual needs. If you continue to experience inflammation, pain, or redness after completing the prescribed course of Ilevro, inform your healthcare provider for further evaluation and guidance.
Are ketorolac and Ilevro (nepafenac) the same?
No, ketorolac (Acular) and Ilevro (nepafenac) are not the same; although both are NSAID eye drops, they are different medications. Both are used to reduce eye pain and inflammation following cataract surgery. However, ketorolac also has additional uses, such as treating itchy eyes caused by allergies and post-cornea refractive surgery. Furthermore, Ilevro is approved for use in individuals aged 10 years and older, while ketorolac can be used in individuals as young as 2 to 3 years old, depending on the specific indications.
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