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bromfenac ophthalmic
generic
Adult Dosing .
Dosage forms: SOL: 0.07%, 0.075%, 0.09%
ocular inflammation or pain, post-cataract surgery
- [once daily regimen]
- Dose: 1 gtt (0.07% or 0.09%) in eye(s) qd x16 days; Start: 1 day preop
- [twice daily regimen]
- Dose: 1 gtt (0.075%) in eye(s) bid x16 days; Start: 1 day preop
Peds Dosing .
Peds dosing is currently unavailable or not applicable for this drug.
Contraindications / Cautions .
- hypersensitivity to drug or ingredient
- hypersensitivity to sulfites
- asthma, ASA-induced
- asthma, NSAID-induced
- caution: hypersensitivity to ASA
- caution: hypersensitivity to NSAIDs
- caution: hypersensitivity to phenylacetic acid derivatives
- caution: bleeding risk
- caution: ocular surgery, complicated
- caution: ocular surgery, multiple
- caution: corneal denervation
- caution: corneal epithelial defect
- caution: dry eye syndrome
- caution: diabetes mellitus
- caution: rheumatoid arthritis
Drug Interactions .
Overview
bromfenac ophthalmic
NSAID
- antiplatelet effects
- delays ocular healing
- mydriasis effects
Avoid/Use Alternative
- enoxaparin
- fondaparinux
- ketorolac ophthalmic
- omacetaxine mepesuccinate
Monitor/Modify Tx
- abrocitinib
- acalabrutinib
- ado-trastuzumab emtansine
- alteplase
- anacaulase
- anagrelide
- antithrombin
- apixaban
- argatroban
- asparaginase
- aspirin
- avapritinib
- axitinib
- bevacizumab
- binimetinib
- bivalirudin
- bromelain
- cabozantinib
- calaspargase
- cangrelor
- caplacizumab
- carfilzomib
- celecoxib
- cilostazol
- citalopram
- clopidogrel
- dabigatran
- dalteparin
- danshen
- dasatinib
- defibrotide
- desvenlafaxine
- diclofenac
- diclofenac ophthalmic
- diclofenac topical
- diflunisal
- diosmin
- dipyridamole
- duloxetine
- edoxaban
- encorafenib
- epoprostenol
- eptifibatide
- escitalopram
- etodolac
- evening primrose oil
- fenoprofen
- fenugreek
- fluoxetine
- flurbiprofen
- flurbiprofen ophthalmic
- fluvoxamine
- fruquintinib
- garlic
- gemtuzumab ozogamicin
- ginkgo
- heparin
- ibrutinib
- ibuprofen
- ibuprofen lysine
- icosapent ethyl
- iloprost inhaled
- imatinib
- indomethacin
- inotersen
- ketoprofen
- ketorolac
- krill oil
- lenvatinib
- levomilnacipran
- lifileucel
- meclofenamate
- mefenamic acid
- meloxicam
- methyl salicylate topical
- milnacipran
- mitotane
- nabumetone
- naproxen
- nattokinase
- nepafenac ophthalmic
- niacin (vitamin B3)
- nilotinib
- nintedanib
- nusinersen
- omega-3-acid
- oxaprozin
- pacritinib
- paroxetine
- pazopanib
- pegaspargase
- penicillin G
- pentosan polysulfate sodium
- pentoxifylline
- piperacillin
- piroxicam
- pirtobrutinib
- plasminogen, human
- ponatinib
- pralsetinib
- prasugrel
- ramucirumab
- ranibizumab
- regorafenib
- reteplase
- rivaroxaban
- saw palmetto
- selpercatinib
- selumetinib
- sertraline
- sirolimus albumin-bound
- sorafenib
- sotatercept
- sulindac
- sunitinib
- tenecteplase
- ticagrelor
- tipranavir
- tirofiban
- tisotumab vedotin
- tivozanib
- tolmetin
- trametinib
- trazodone
- treprostinil
- valproic acid
- vandetanib
- venlafaxine
- vilazodone
- vinpocetine
- vorapaxar
- vortioxetine
- warfarin
- willow bark
- zanubrutinib
- ziv-aflibercept
Caution Advised
- acetylcholine intraocular
- carbachol intraocular
- dexamethasone ophthalmic
- difluprednate ophthalmic
- fluocinolone intravitreal
- fluorometholone ophthalmic
- hydrocortisone ophthalmic
- loteprednol ophthalmic
- phentolamine ophthalmic
- prednisolone ophthalmic
- triamcinolone intravitreal
- triamcinolone suprachoroidal
Adverse Reactions .
Serious Reactions
- corneal epithelial breakdown
- corneal thinning
- corneal erosion
- corneal ulcer
- corneal perforation
- keratitis
- ocular wound healing delay
- ocular bleeding
- prolonged bleeding time
Common Reactions
- abnormal eye sensation
- ocular irritation
- conjunctival hyperemia
- ocular pain
- ocular pruritus
- ocular erythema
- headache
- iritis
- photophobia
- blurred vision
Safety/Monitoring .
Monitoring Parameters
no routine tests recommended
Pregnancy/Lactation .
Pregnancy
Clinical Summary
may use during pregnancy; no human data available, though risk of fetal harm not expected based on minimal systemic absorption
Lactation
Clinical Summary
may use while breastfeeding; no human data available, though risk of infant harm and adverse effects on milk production not expected based on minimal maternal systemic absorption
Pharmacology .
Metabolism: liver; CYP450: unknown; Info: minimal systemic absorption
Excretion: urine; Half-life 1.3h
Subclass: Nonsteroidal Anti-inflammatory Drugs (NSAIDs), Ophthalmic
Mechanism of Action
exact mechanism of action unknown; inhibits cyclooxygenase, reducing prostaglandin and thromboxane synthesis
Formulary .
No Formulary Selected
Manufacturer/Pricing .
Manufacturer: generic
DEA/FDA: Rx
Approximate Retail Price
from http://www.goodrx.com/bromfenac
ophthalmic solution:
- 0.09 % (1 eye dropper, 1.7 mL): $69.00
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