Dexamet

• Allergic conjunctivitis
• Ocular inflammation
• Superficial punctate keratitis
• Herpes zoster keratitis
• Iritis, cyclitis
• Otic inflammation
• Steroid-responsive inflammatory conditions of the external auditory meatus
• Allergic otitis externa, infective otitis externa

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.

Eye (Severe/Acute inflammation): Initially 1-2 drops every 30-60 minutes, reduce to every 2-4 hours as improvement; then 1 drop 3-4 times daily.
Eye (Chronic inflammation): Every 3-6 hours or as necessary.
Eye (Allergic inflammation): Every 3-4 hours.
Ear: 2-3 drops every 2-3 hours.

Common (4%): Cataract.
Rare (<1%): Ocular hypertension, open-angle glaucoma, optic nerve damage, defects in visual acuity and field (after prolonged use), transient ocular stinging/burning, local irritation, ocular discharge, discomfort/pain, foreign body sensation, hyperemia, blurred vision, pruritus, dry eye, conjunctival edema, corneal staining, keratitis, corneal ulcer, posterior subcapsular cataracts (prolonged use).

There are no adequate or well-controlled studies in pregnant women; should be used during pregnancy only if potential benefit justifies potential risk. Prolonged or repeated use may increase risk of intra-uterine growth retardation.

Prolonged use may result in ocular hypertension, glaucoma, optic nerve damage, and posterior subcapsular cataract formation. Caution in elderly, children, adolescents, pregnancy, and lactation.

No adequate information on overdose is available.

Store in a cool and dry place, protected from light.