Allergic Conjunctivitis Treatments

ALLERGIC CONJUNCTIVITIS TREATMENTS
Generic	Brand		Strength	Size	Dose
ANTIHISTAMINE
cetirizine	Zerviate	Rx	0.24%	5mL, 7.5mL	<2yrs: Not established. ≥2yrs: 1 drop in each affected eye twice daily (~8hrs apart)
CORTICOSTEROID
loteprednol etabonate	Alrex	Rx	0.2%	5mL, 10mL	Children: Not recommended. Adults: 1 drop in affected eye(s) 4 times daily
MAST CELL STABILIZER
cromolyn sodium	—	Rx	4%	10mL	<4yrs: Not established. ≥4yrs: 1–2 drops 4–6 times daily
lodoxamide trometh– amine	Alomide	Rx	0.1%	10mL	<2yrs: Not recommended. ≥2yrs: 1–2 drops 4 times daily for up to 3mos
nedocromil sodium	Alocril	Rx	2%	5mL	<3yrs: Not recommended. ≥3yrs: 1–2 drops in each eye twice daily
MAST CELL STABILIZER/ANTIHISTAMINE
alcaftadine	Lastacaft	Rx	0.25%	3mL	<2yrs: Not recommended. ≥2yrs: 1 drop in each eye once daily
azelastine HCl	—	Rx	0.05%	6mL	<3yrs: Not recommended. ≥3yrs: 1 drop in affected eye(s) twice daily
bepotastine besilate	Bepreve	Rx	1.5%	5mL, 10mL	<2yrs: Not recommended. ≥2yrs: 1 drop in affected eye(s) twice daily
epinastine HCl	Elestat	Rx	0.05%	5mL	<2yrs: Not established. ≥2yrs: 1 drop in each eye twice daily
ketotifen fumarate	Alaway	OTC	0.025%	10mL	<3yrs: Not recommended. ≥3yrs: 1 drop in affected eye(s) every 8–12hrs; max 2 doses/day
ketotifen fumarate	Zaditor	OTC	0.025%	5mL
olopatadine HCl	—	Rx	0.1%	5mL	<3yrs: Not recommended. ≥3yrs: 1 drop in affected eye(s) twice daily, 6–8hrs apart
	Pataday Once Daily Relief	OTC	0.2%	2.5mL	<2yrs: Consult physician. ≥2yrs: 1 drop in affected eye(s) once daily
	Pataday Once Daily Relief Extra Strength	OTC	0.7%	2.5mL	<2yrs: Consult physician. ≥2yrs: 1 drop in affected eye(s) once daily; max once per day
	Pataday Twice Daily Relief	OTC	0.1%	5mL	<2yrs: Consult physician. ≥2yrs: 1 drop in affected eye(s) twice daily, 6–8hrs apart
NSAID
ketorolac trometh– amine	Acular	Rx	0.5%	5mL	<2yrs: Not established. ≥2yrs: 1 drop 4 times daily
VASOCONSTRICTOR + ANTIHISTAMINE
naphazoline HCl + pheniramine maleate	Naphcon-A	OTC	0.025% + 0.3%	15mL	<6yrs: Not recommended. ≥6yrs: 1–2 drops up to 4 times daily
naphazoline HCl + pheniramine maleate	Visine Allergy Eye Relief	OTC	0.025% + 0.3%	15mL
VASOCONSTRICTOR + ASTRINGENT
tetrahydroz– oline HCl + zinc sulfate	Visine-AC	OTC	0.05% + 0.25%	15mL, 30mL	<6yrs: Not recommended. ≥6yrs: 1–2 drops up to 4 times daily
NOTES
Do not wear contact lenses during treatment. To prevent contamination, the dropper tip should not touch the eyelids or surrounding areas. Keep the bottle tightly closed when not in use. All products mentioned contain benzalkonium chloride. May be absorbed by soft contact lenses. Avoid wearing lenses with signs and symptoms of allergic conjunctivitis, especially if eye is red. Contact lenses may be worn but should be removed prior to instillation and reinserted 10min after dosing if eye is not red. Not an inclusive list of medications and/or official indications. Please see drug monograph at www.eMPR.com and/or contact company for full drug labeling. (Rev. 9/2022)

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