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Tobradex vs. Lotemax

Are Tobradex and Lotemax the Same Thing?

Tobradex (tobramycin and dexamethasone ophthalmic suspension) and Lotemax (loteprednol etabonate ophthalmic suspension) are used to treat bacterial infections of the eyes.

Lotemax is also used to treat eye swelling caused by surgery, allergies, and other conditions.

Tobradex and Lotemax both contain a steroid. Tobradex also contains an antibiotic.

Side effects of Tobradex and Lotemax that are similar include eye redness, stinging, burning, discomfort, irritation, itching; blurred vision, and sensitivity to light.

Side effects of Tobradex that are different from Lotemax include eyelid itching/swelling. Use of Tobradex for prolonged/repeated periods may result in a new fungal eye infection and may increase your risk for other eye problems (e.g., glaucoma, cataracts).

Side effects of Lotemax that are different from Tobradex include dry eyes, itchy eyes, watery eyes, feeling that something is in your eye, headache, runny nose, and sore throat.

Both Tobradex and Lotemax may interact with

Tobradex may interact with other eye drops or eye medications or oral steroids.

Lotemax may interact with other drugs.

What Are Possible Side Effects of Tobradex?

Common side effects of Tobradex include:

  • eye redness,
  • discomfort,
  • burning,
  • stinging,
  • irritation,
  • itching;
  • eyelid itching/swelling,
  • blurred vision, or
  • sensitivity to light.
  • Use of Tobradex for prolonged/repeated periods may result in a new fungal eye infection and may increase your risk for other eye problems (e.g., glaucoma, cataracts).

What Are Possible Side Effects of Lotemax?

Common side effects of Lotemax include:

  • stinging or burning of the eyes for 1 to 2 minutes and
  • temporary blurred vision when you apply this medication.

Other side effects of Lotemax Ophthalmic Suspension include:

  • dry eyes,
  • eye redness,
  • itchy eyes,
  • watery eyes,
  • feeling that something is in your eye,
  • being more sensitive to light,
  • headache,
  • runny nose, or
  • sore throat.

Use of Lotemax for prolonged periods or in high doses may cause serious eye problems (such as high pressure inside the eyes and cataracts). Tell your doctor if you have unlikely but serious side effects of Lotemax including:

  • vision problems or
  • eye pain.

What Is Tobradex?

Tobradex (tobradex b sulfate) is an antibiotic used to treat bacterial infections such as urinary tract infections, meningitis, blood infections, and eye infections.

What Is Lotemax?

Lotemax (loteprednol etabonate) Ophthalmic Suspension is a corticosteroid used to treat eye swelling caused by surgery, infection, allergies, and other conditions.

What Drugs Interact With Tobradex?

Tobradex may interact with oral steroid medications. Other drugs may interact with Tobradex ophthalmic. Tell your doctor all prescription or over-the-counter medicines or supplements you use. Tobradex should be used only when prescribed during pregnancy. It is not known if this medication passes into breast milk. Consult your doctor before breastfeeding.

What Drugs Interact With Lotemax?

It is not likely that other drugs you take orally or inject will have an effect on Lotemax used in the eyes. But many drugs can interact with each other. Tell your doctor all prescription and over-the-counter medications and supplements you use. During pregnancy, Lotemax should be used only when prescribed. It is not known if the medication in this product passes into breast milk. Consult your doctor before breastfeeding.

How Should Tobradex Be Taken?

One or two drops of Tobradex ophthalmic should be instilled into the conjunctival sac(s) every four to six hours. During the initial 24 to 48 hours, the dosage may be increased to one or two drops every two (2) hours. Do not use other eye drops or medications during treatment with Tobradex ophthalmic unless directed by your doctor.

How Should Lotemax Be Taken?

Apply one to two drops of Lotemax into the conjunctival sac of the affected eye(s) four times daily.

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