Nepafenac

Generic name: Nepafenac Ophthalmic
Brand names: Nevanac
Drug class: Ophthalmic anti-inflammatory agents

Usage of Nepafenac

Nepafenac is a nonsteroidal anti-inflammatory drug (NSAID). It reduces pain and inflammation in the eyes.

Nepafenac ophthalmic suspension is used to reduce pain and swelling after cataract surgery.

Nepafenac ophthalmic suspension may also be used for other purposes not listed in this medication guide.

Nepafenac side effects

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

Call your doctor at once if you have:

  • vision problems;
  • crusting or drainage of your eyes;
  • swollen eyelids; or
  • severe eye pain.
  • Other common nepafenac side effects may be more likely to occur (some are effects of cataract surgery and not side effects of the medication):

  • dry or sticky feeling in the eye;
  • feeling like something is in your eye;
  • eye redness;
  • itching or watering of the eye;
  • increased sensitivity to light;
  • headache;
  • nausea, vomiting; or
  • stuffy nose.
  • Before taking Nepafenac

    You should not use nepafenac ophthalmic if you are allergic to nepafenac.

    To make sure nepafenac ophthalmic is safe for you, tell your doctor if you have:

  • diabetes;
  • dry eye syndrome;
  • an allergy to any other eye drops;
  • arthritis; or
  • a bleeding or blood-clotting disorder, such as hemophilia.
  • FDA pregnancy category C. It is not known whether nepafenac ophthalmic will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

    It is not known whether nepafenac ophthalmic passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

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    How to use Nepafenac

    Usual Adult Dose for Postoperative Ocular Inflammation:

    O.1% ophthalmic suspension: 1 drop instilled in the affected eye(s) three times a day beginning 1 day prior to surgery, on the day of surgery, and for 14 days following surgery. 0.3% ophthalmic suspension: 1 drop instilled in the affected eye(s) once daily beginning 1 day prior to surgery, on the day of surgery, and for 14 days following surgery. An additional drop should be administered 30 to 120 minutes prior to surgery.

    Usual Pediatric Dose for Postoperative Ocular Inflammation:

    Pediatric patients greater than or equal to 10 years or age: O.1% ophthalmic suspension: 1 drop instilled in the affected eye(s) three times a day beginning 1 day prior to surgery, on the day of surgery, and for 14 days following surgery. 0.3% ophthalmic suspension: 1 drop instilled in the affected eye(s) once daily beginning 1 day prior to surgery, on the day of surgery, and for 14 days following surgery. An additional drop should be administered 30 to 120 minutes prior to surgery.

    Warnings

    You should not use nepafenac ophthalmic if you are allergic to it.

    Before using nepafenac ophthalmic, tell your doctor if you are allergic to any other eye drops, or if you have diabetes, dry eye syndrome, arthritis, or a bleeding or blood-clotting disorder such as hemophilia.

    Do not use nepafenac ophthalmic for longer than 14 days after your surgery unless your doctor tells you to.

    Do not use this medication while wearing contact lenses. Nepafenac ophthalmic may contain a preservative that can discolor soft contact lenses. Wait at least 15 minutes after using this medicine before putting in your contact lenses.

    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.

    What other drugs will affect Nepafenac

    Tell your doctor about all medicines you use, and those you start or stop using during your treatment with nepafenac ophthalmic, especially other steroid eye drops.

    It is not likely that other drugs you take orally or inject will have an effect on nepafenac used in the eyes. 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.

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