Difluprednate

Difluprednate Brand Name– Durezol

What is Difluprednate

Difluprednate (Durezol) is an ophthalmic steroid emulsion.

It is FDA-approved for the treatment for postoperative ocular pain and inflammation and endogenous anterior uveitis.

Difluprednate rapidly penetrates the cornea, resulting in a quick decrease in anterior chamber cell count and resolution of flare. In clinical trials, difluprednate showed a rapid resolution of ocular inflammation versus placebo with few treatment related adverse events.

The safety and efficacy of difluprednate dosed four times a day was comparable to betamethasone ophthalmic solution 0.1% in post-operative and uveitis studies.

Durezol was approved by the FDA in June 2008.

Indications

  1. ocular pain
  2. postoperative ocular inflammation
  3. uveitis

For the treatment of postoperative ocular pain and postoperative ocular inflammation

Side Effects

  1. blepharitis
  2. blurred vision
  3. cataracts
  4. conjunctival hyperemia
  5. corneal edema
  6. foreign body sensation
  7. hyperemia
  8. impaired wound healing
  9. iritis
  10. keratitis
  11. lacrimation
  12. macular edema
  13. ocular hypertension
  14. ocular infection
  15. ocular inflammation
  16. ocular irritation
  17. ocular pain
  18. ocular pruritus
  19. photophobia
  20. striae
  21. superinfection
  22. uveitis
  23. visual impairment
  24. xerophthalmia

Monitoring Parameters

  • intraocular pressure
  • ophthalmologic exam

Contraindications

  • breast-feeding
  • cataracts
  • contact lenses
  • corneal abrasion
  • corticosteroid hypersensitivity
  • diabetes mellitus
  • fungal infection
  • glaucoma
  • glycerin hypersensitivity
  • herpes simplex keratitis (dendritic keratitis)
  • increased intraocular pressure
  • mycobacterial infection
  • ocular infection
  • open-angle glaucoma
  • polysorbate 80 hypersensitivity
  • pregnancy
  • varicella
  • viral infection

Interactions

There are no drug interactions associated with Difluprednate products.

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