Nepafenac

Nepafenac Brand Names- ILEVRO | Nevanac

What is Nepafenac

Nepafenac ophthalmic suspension is a topical non-steroidal anti-inflammatory pro-drug for the treatment of the pain and inflammation associated with cataract surgery.

Nepafenac is the first ophthalmic NSAID pro-drug.

Topical nepafenac readily penetrates the cornea and is then metabolized to amfenac, a potent cyclooxygenase (COX)-1 and COX-2 inhibitor. Topical nepafenac is also hypothesized to be a potential drug to treat ocular neovascularization.

Nepafenac was approved by the FDA on August 19th, 2005.

Indications

  • ocular pain
  • postoperative ocular inflammation

For the treatment of ocular pain and postoperative ocular inflammation following cataract surgery

Side Effects

  1. bleeding
  2. conjunctival hyperemia
  3. contact dermatitis
  4. corneal erosion
  5. edema
  6. erythema
  7. foreign body sensation
  8. headache
  9. hypertension
  10. impaired wound healing
  11. keratitis
  12. lacrimation
  13. nausea
  14. ocular hypertension
  15. ocular irritation
  16. ocular pain
  17. ocular pruritus
  18. photophobia
  19. sinusitis
  20. visual impairment
  21. vomiting
  22. xerophthalmia

Monitoring Parameters

  • laboratory monitoring not necessary

Contraindications

  • anticoagulant therapy
  • asthma
  • breast-feeding
  • children
  • coagulopathy
  • contact lenses
  • diabetes mellitus
  • hemophilia
  • infants
  • neonates
  • NSAID hypersensitivity
  • ocular disease
  • ocular surgery
  • pregnancy
  • rheumatoid arthritis
  • salicylate hypersensitivity

Interactions

There are no drug interactions associated with Nepafenac products.

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