EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
Issue link: https://digital.eyeworld.org/i/233841
ILEVRO™ Suspension Designed to put potency precisely where you need it 1,2 ONCE-DAIL Y POST-OP One drop should be applied once daily beginning 1 day prior to surgery through 14 days post-surgery, with an additional drop administered 30 to 120 minutes prior to surgery 3 Use of ILEVRO™ Suspension more than 1 day prior to surgery or use beyond 14 days post-surgery may increase patient risk and severity of corneal adverse events3 INDICATIONS AND USAGE ILEVRO™ Suspension is a nonsteroidal, anti-infammatory prodrug indicated for the treatment of pain and infammation associated with cataract surgery. Dosage and Administration One drop of ILEVRO™ Suspension should be applied to the affected eye one-time-daily beginning 1 day prior to cataract surgery, continued on the day of surgery and through the frst 2 weeks of the postoperative period. An additional drop should be administered 30 to 120 minutes prior to surgery. IMPORTANT SAFETY INFORMATION Contraindications ILEVRO™ Suspension is contraindicated in patients with previously demonstrated hypersensitivity to any of the ingredients in the formula or to other NSAIDs. Warnings and Precautions • Increased Bleeding Time – With some nonsteroidal anti-infammatory drugs including ILEVRO™ Suspension there exists the potential for increased bleeding time. Ocularly applied nonsteroidal anti-infammatory drugs may cause increased bleeding of ocular tissues (including hyphema) in conjunction with ocular surgery. • Delayed Healing – Topical nonsteroidal anti-infammatory drugs (NSAIDs) including ILEVRO™ Suspension may slow or delay healing. Concomitant use of topical NSAIDs and topical steroids may increase the potential for healing problems. • Corneal Effects – Use of topical NSAIDs may result in keratitis. In some patients, continued use of topical NSAIDs may result in epithelial breakdown, corneal thinning, corneal erosion, corneal ulceration or corneal perforation. These events may be sight threatening. Patients with evidence of corneal epithelial breakdown should immediately discontinue use. ©2013 Novartis 2/13 ILV13030JAD Patients with complicated ocular surgeries, corneal denervation, corneal epithelial defects, diabetes mellitus, ocular surface diseases (e.g., dry eye syndrome), rheumatoid arthritis, or repeat ocular surgeries within a short period of time may be at increased risk for corneal adverse events which may become sight threatening. Topical NSAIDs should be used with caution in these patients. Use more than 1 day prior to surgery or use beyond 14 days post-surgery may increase patient risk and severity of corneal adverse events. • Contact Lens Wear – ILEVRO™ Suspension should not be administered while using contact lenses. Adverse Reactions The most frequently reported ocular adverse reactions following cataract surgery occurring in approximately 5 to 10% of patients were capsular opacity, decreased visual acuity, foreign body sensation, increased intraocular pressure, and sticky sensation. For additional information about ILEVRO™ Suspension, please refer to the brief summary of prescribing information on adjacent page. References: 1. Ke T-L, Graff G, Spellman JM, Yanni JM. Nepafenac, a unique nonsteroidal prodrug with potential utility in the treatment of trauma-induced ocular inflammation, II: In vitro bioactivation and permeation of external ocular barriers. Inflammation. 2000;24(4):371-384. 2. Data on file. 3. ILEVRO™ Suspension package insert.