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Lodoxamide tromethamine: Drug information

Lodoxamide tromethamine: Drug information
(For additional information see "Lodoxamide tromethamine: Patient drug information")

For abbreviations, symbols, and age group definitions used in Lexicomp (show table)
Brand Names: US
  • Alomide [DSC]
Brand Names: Canada
  • Alomide
Pharmacologic Category
  • Mast Cell Stabilizer
Dosing: Adult
Ocular disorders

Ocular disorders: Ophthalmic: Instill 1 to 2 drops in each affected eye 4 times daily

Dosing: Kidney Impairment: Adult

There are no dosage adjustments provided in the manufacturer's labeling. However, dosage adjustment unlikely due to low systemic absorption.

Dosing: Hepatic Impairment: Adult

There are no dosage adjustments provided in the manufacturer's labeling. However, dosage adjustment unlikely due to low systemic absorption.

Dosing: Older Adult

Refer to adult dosing.

Dosing: Pediatric
Ocular disorders

Ocular disorders: Ophthalmic: Children ≥2 years: Refer to adult dosing.

Dosing: Kidney Impairment: Pediatric

There are no dosage adjustments provided in the manufacturer's labeling. However, dosage adjustment unlikely due to low systemic absorption.

Dosing: Hepatic Impairment: Pediatric

There are no dosage adjustments provided in the manufacturer's labeling. However, dosage adjustment unlikely due to low systemic absorption.

Adverse Reactions

The following adverse drug reactions and incidences are derived from product labeling unless otherwise specified.

>10%: Ophthalmic: Burning sensation of eyes (transient), eye discomfort (transient), stinging of eyes (transient)

1% to 10%:

Central nervous system: Foreign body sensation of eye, headache

Ophthalmic: Blurred vision, crystalline eye deposits, eye pruritus, lacrimation, ocular hyperemia, ocular edema, xerophthalmia

1%, postmarketing, and/or case reports: Asthenopia, blepharitis, chemosis, corneal abrasion, corneal erosion, corneal ulcer, dizziness, drowsiness, dry nose, epitheliopathy, eye pain, keratitis, nausea, ocular warming sensation, skin rash, sneezing, stomach discomfort, swelling of eye

Contraindications

Hypersensitivity to lodoxamide or any component of the formulation

Warnings/Precautions

Concerns related to adverse effects:

• Irritation: May cause discomfort or transient burning or stinging upon instillation.

• Ocular effects: May cause temporary blurred vision or other visual disturbances; caution patients to wait until vision clears before driving or operating machinery.

Special populations:

• Contact lens wearers: Contains benzalkonium chloride which may be absorbed by contact lenses; remove contacts prior to administration and wait 15 minutes before reinserting.

Other warnings/precautions:

• Appropriate use: For topical ophthalmic use only; not for injection. To avoid contamination, do not touch dropper tip to eyelids or other surfaces when placing drops in eyes.

Dosage Forms: US

Excipient information presented when available (limited, particularly for generics); consult specific product labeling. [DSC] = Discontinued product

Solution, Ophthalmic:

Alomide: 0.1% (10 mL [DSC])

Generic Equivalent Available: US

No

Pricing: US

Solution (Alomide Ophthalmic)

0.1% (per mL): $23.69

Disclaimer: A representative AWP (Average Wholesale Price) price or price range is provided as reference price only. A range is provided when more than one manufacturer's AWP price is available and uses the low and high price reported by the manufacturers to determine the range. The pricing data should be used for benchmarking purposes only, and as such should not be used alone to set or adjudicate any prices for reimbursement or purchasing functions or considered to be an exact price for a single product and/or manufacturer. Medi-Span expressly disclaims all warranties of any kind or nature, whether express or implied, and assumes no liability with respect to accuracy of price or price range data published in its solutions. In no event shall Medi-Span be liable for special, indirect, incidental, or consequential damages arising from use of price or price range data. Pricing data is updated monthly.

Dosage Forms: Canada

Excipient information presented when available (limited, particularly for generics); consult specific product labeling.

Solution, Ophthalmic:

Alomide: 0.1% (10 mL) [contains benzalkonium chloride, edetate (edta) disodium]

Administration: Adult

For topical ophthalmic use only, not for injection. Wash hands before use. To avoid contamination, do not touch dropper tip to eyelids or other surfaces when placing drops in eyes. Remove contact lenses prior to administration. Wait 15 minutes or longer before reinserting lenses.

Administration: Pediatric

Ophthalmic: For topical ophthalmic use only, not for injection. Wash hands before use. To avoid contamination, do not touch dropper tip to eyelids or other surfaces when placing drops in eyes. Solution contains benzalkonium chloride; remove contact lenses prior to administration and wait at least 15 minutes after instillation before reinserting lenses.

Use: Labeled Indications

Ocular disorders: Treatment of the ocular disorders referred to by the terms vernal keratoconjunctivitis, vernal conjunctivitis, and vernal keratitis

Medication Safety Issues
International issues:

Thilomide [Greece, Turkey] may be confused with Thalomid brand name for thalidomide [US, Canada]

Metabolism/Transport Effects

None known.

Drug Interactions

There are no known significant interactions.

Pregnancy Considerations

Adverse events have not been observed in animal reproduction studies following oral administration. The amount of lodoxamide available systemically following ophthalmic administration is below the level of detection.

Breastfeeding Considerations

It is not known if lodoxamide is excreted in breast milk. The manufacturer recommends that caution be exercised when administering lodoxamide to nursing women.

Mechanism of Action

Mast cell stabilizer that inhibits the in vivo type I immediate hypersensitivity reaction to increase cutaneous vascular permeability associated with IgE and antigen-mediated reactions

Pharmacokinetics (Adult Data Unless Noted)

Absorption: Topical: Negligible

Half-life elimination: 8.5 hours

Excretion: Urine

Brand Names: International
International Brand Names by Country
For country code abbreviations (show table)

  • (AE) United Arab Emirates: Alomide;
  • (AR) Argentina: Alomide;
  • (AU) Australia: Lomide;
  • (BE) Belgium: Alomide;
  • (BR) Brazil: Alomide;
  • (CL) Chile: Alomide;
  • (CN) China: Alomide;
  • (CO) Colombia: Alomide;
  • (CZ) Czech Republic: Alomide;
  • (DE) Germany: Alomide;
  • (DO) Dominican Republic: Alomide;
  • (EC) Ecuador: Alomide;
  • (EE) Estonia: Alomide;
  • (EG) Egypt: Alomide | Thilomide;
  • (ES) Spain: Alomide;
  • (FI) Finland: Alomide;
  • (FR) France: Almide | Lodoxal;
  • (GB) United Kingdom: Alomide | Alomide allergy;
  • (GR) Greece: Alomide | Thilomide;
  • (HK) Hong Kong: Alomide;
  • (HR) Croatia: Alomide;
  • (HU) Hungary: Alomide;
  • (ID) Indonesia: Alomide;
  • (IE) Ireland: Alomide;
  • (IL) Israel: Alomide;
  • (IT) Italy: Alomide;
  • (JO) Jordan: Alomide;
  • (KR) Korea, Republic of: Alomide;
  • (KW) Kuwait: Alomide;
  • (LB) Lebanon: Alomide;
  • (LT) Lithuania: Alomide;
  • (LU) Luxembourg: Alomide;
  • (LV) Latvia: Alomide;
  • (MA) Morocco: Almide;
  • (MX) Mexico: Alomide;
  • (MY) Malaysia: Alomide;
  • (NO) Norway: Alomide;
  • (NZ) New Zealand: Lomide;
  • (PE) Peru: Alomide;
  • (PK) Pakistan: Alomide;
  • (PL) Poland: Alomide;
  • (PR) Puerto Rico: Alomide;
  • (PT) Portugal: Alomide;
  • (PY) Paraguay: Alomide;
  • (RO) Romania: Alomide;
  • (RU) Russian Federation: Alomide;
  • (SA) Saudi Arabia: Alomide;
  • (SG) Singapore: Alomide;
  • (SI) Slovenia: Alomide;
  • (SK) Slovakia: Alomide;
  • (TH) Thailand: Alomide;
  • (TN) Tunisia: Almide;
  • (TR) Turkey: Alomide | Thilomide;
  • (TW) Taiwan: Alomide;
  • (UA) Ukraine: Alomid;
  • (UY) Uruguay: Alomide;
  • (VE) Venezuela, Bolivarian Republic of: Alomide;
  • (ZA) South Africa: Alomide
  1. Alomide (lodoxamide tromethamine) [prescribing information]. East Hanover, NJ: Novartis Pharmaceuticals Corporation; January 2021.
Topic 9567 Version 123.0

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