Generic name: Loteprednol etabonate.

Other brand names: Altrex.

Lotemax is an ophthalmic anti-inflammatory corticosteroid. It inhibits the growth of bacteria in the eyes by chemically interfering with their ability to survive. 

Quick Facts About Lotemax


Used to treat certain inflammatory eye conditions, such as seasonal allergies, that do not respond to steroids. Also used to treat inflammation after cataract surgery.

Lotemax Dosage

Use exactly as prescribed. Shake vigorously before using and do not touch applicator to your eye or any other surface. Do not wear contact lenses while using. Do not discontinue medication without your doctor’s authorization. To avoid spreading infection, do not share this prescription. Do not continue using beyond what your doctor specifically prescribes; may risk eye damage. If you have recurring eye problems, do not use leftover prescription unless specifically advised by your doctor to do so.

  • Usual adult dose: seasonal allergic conjunctivitis — 1 drop of 0.2% suspension 4 times per day. Steroid response treatment — 1-2 drops of 0.5% suspension 4 times per day. Doctor may increase dose to 1 drop hourly. Postoperative inflammation — 1-2 drops of 0.5% suspension 4 times per day beginning 24 hours after surgery, for 2 weeks.
  • Usual child dose: not generally prescribed for children.
  • Missed dose: take as soon as possible, unless almost time for next dose. In that case, do not take missed dose; go back to regular schedule. Do not double doses.

Lotemax Side Effects

Overdose symptoms:

Lotemax does not usually cause severe problems. If accidentally swallowed, drink plenty of fluids to dilute medication. However, if you suspect an overdose, immediately seek medical attention.

More common side effects: blurred vision, burning or stinging with application, dry eyes, headache, increased eye pressure, increased tearing, itching, light sensitivity, redness, runny nose, sensation of foreign object in eye, sore throat, swelling or discharge from eye.

Less common Lotemax side effects: blind spot, conjunctivitis, corneal abnormalities or inflammation, eye irritation, pain, or discomfort, eyelid redness or irritation, uveitis.


No specific Lotemax drug interactions reported.

No known food/other substance interactions.

Special Cautions

If pregnant or planning to become pregnant, inform your doctor immediately. Appears in breast milk; could affect a nursing infant.

No special precautions apply to seniors.

Not prescribed for children.

  • Do not use if sensitive to or allergic to this or similar medications such as Decadron.
  • Not prescribed for certain viral, fungal, and bacterial eye infections, including herpes and chicken pox.
  • Ongoing use may cause glaucoma, cataract formation, development or worsening of eye infection, or fungal eye infections.
  • Use with caution if you have glaucoma.
  • The use of steroids after cataract surgery may delay healing and increase risk of eye blister formation.
  • If condition fails to improve or worsens after 48 hours, stop taking medication and contact your doctor.
  • Doctor should monitor eye pressure during Lotemax therapy lasting for more than 10 days.
  • Contact lenses absorb the preservatives in Lotemax; should not wear contact lenses during treatment.


HealthSurvey.org provides accurate and independent information prescription pills, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. If you have questions about  dosage, or Lotemax side effects, please contact your healthcare provider.