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Sonexa

Eye/Ear Drops - 0.10%
1 x 5ml drop

Original price was: Tk. 70.Current price is: Tk. 62.

Description

Medicine Overview of Sonexa 0.10% Eye/Ear Drops

Introduction

Sonexa belongs to a group of medicines called steroids. It is used in the treatment of eye infections. It reduces the redness and swelling caused by infections, allergies, and injuries. It is sometime used after eye surgery.

Never use Sonexa if the seal is broken before you use it for the first time. Wash your hands before using it and shake the bottle well before each use. Make sure you remove contact lenses if you wear them and wait for at least 15 minutes before putting them back.

You should not discontinue using the medicine unless your doctor tells you so. Stopping the medication before time may allow the bacteria to continue their growth, which may result in return of the infection.

It may cause eye irritation, blurred vision, and bitter taste in the mouth. These side effects are usually temporary and resolve with time. If your vision is blurred or you have other changes in sight for a time, do not drive or operate other machines until your vision is clear. If you are pregnant or breastfeeding, you should consult with your doctor before using this medicine.

Uses of Low-Dex Ophthalmic Solution
  • Eye infection
Side effects of Low-Dex Ophthalmic Solution
Common
  • Eye irritation
  • Watery eyes
How to use Low-Dex Ophthalmic Solution
This medicine is for external use only. Take it in the dose and duration as advised by your doctor. Check the label for directions before use. Hold the dropper close to the eye without touching it. Gently squeeze the dropper and place the medicine inside the lower eyelid. Wipe off extra liquid.
How Low-Dex Ophthalmic Solution works
Sonexa is a steroid. It works by blocking the production of certain chemical messengers (prostaglandins) that make the eye red, swollen and itchy.
Quick Tips
  • Your doctor has prescribed Sonexa to treat redness and swelling (inflammation) of the eye.
  • Do not touch the tip of the dropper to any surface, or to your eye, to avoid contaminating the eye drops.
  • If you wear soft contact lenses, remove them before putting in these eye drops and wait at least 15 minutes before putting your lenses back in.
Brief Description
Indication
Allergic conjunctivitis, Ocular inflammation, Superficial punctate keratitis , Herpes zoster keratitis, Iritis , Cyclitis.
Adult Dose

Eye: 1 or 2 drops in conjunctival sac.
Severe or acute inflammation: Every 30 to 60 minutes as initial therapy, reducing the dosage when favourable response is observed to every two to four hours.
Further reduction may be made to one drop three or four times daily if sufficient to control inflammation.

Chronic inflammation: Every three to six hours, or as necessary.
Allergic inflammation: Every three to four hours until the desired response is obtained.

Contraindication
Hypersensitivity; Contraindicated in epithelial herpes simplex, vaccinia, varicella, and most other viral diseases of the cornea and conjunctiva; tuberculosis of the eye; fungal disease of ocular structures; other diseases caused by micro-organisms, may be enhanced by the presence of the steroid. It is contraindicated in patients with perforated ear drum membrane.
Mode of Action
Dexamethasone is a synthetic glucocorticoid which decreases inflammation by inhibiting the migration of leukocytes and reversal of increased capillary permeability. It suppresses normal immune response.
Precaution

Prolonged use may result in ocular hypertension and/or glaucoma, with damage to the optic nerve, defects in visual acuity, and posterior subcapsular cataract formation.Elderly, children and adolescent; pregnancy and lactation.

Lactation: Excretion in milk unknown/use caution

Side Effect

Cataract (4% )
Ocular hypertension, Open-angle glaucoma, optic nerve damage, and defects in visual acuity and field of vision (after prolonged use)

<1%
Transient ocular stinging, burning, local irritation, ocular discharge, ocular discomfort or pain, foreign body sensation, hyperemia, abnormal vision/blurring, pruritus, lid margin crusting, sticky sensation, increased fibrin, dry eye, conjunctival edema, corneal staining, keratitis, tearing, edema, irritation, corneal ulcer, browache, eyelid erythema, corneal edema, infiltrate, corneal erosion, mydriasis, ptosis, epithelial punctate keratitis, and possible corneal or scleral malacia, [posterior subcapsular cataracts] (prolonged use)

Pregnancy Category Note

Pregnancy
There are no adequate or well-controlled studies in pregnant women; should be used during pregnancy only if the potential benefit to the mother justifies the potential risk to the embryo or fetus

However, prolonged or repeated corticoid use during pregnancy has been associated with an increased risk of intra-uterine growth retardation

Lactation
Systemically administered corticosteroids appear in human milk and could suppress growth, interfere with endogenous corticosteroid production, or cause other untoward effects

Unknown whether topical administration of corticosteroids could result in sufficient systemic absorption to produce detectable quantities in human milk

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