Prednisolone Phos-Bromfenac (prednisolone sodium phosphate/bromfenac sodium/PF)
Ophthalmic NSAIDS Ophthalmic (Eye) Drops
Last reviewed · Source: First Databank (FDB) drug data
Overview
Bromfenac sodium is a prototypical nonsteroidal anti-inflammatory agent (NSAIA).
Prednisolone is a synthetic corticosteroid.
Bromfenac sodium is a prototypical NSAIA. The drug inhibits the synthesis of prostaglandins in body tissues by inhibiting cyclooxygenase (COX), including both COX-1 and COX-2 isoenzymes. The mechanism(s) of the ocular effects of NSAIAs appears to be associated principally with the inhibition of ocular prostaglandin synthesis.
By reducing ocular production of prostaglandins, NSAIAs can inhibit ocular inflammation and other reactions mediated primarily or secondarily by prostaglandins.
Generic name: prednisolone sodium phosphate/bromfenac sodium/PF
Drug class: Ophthalmic NSAIDS
Therapeutic class: Ophthalmic Agents
Reference product & biosimilars
No reference, biosimilar or interchangeable associated with this drug.
Today’s intelligence on Prednisolone Phos-Bromfenac
Indications
No indications are available for this drug.
Dosing
Dosage of bromfenac sodium, which is commercially available as the sesquihydrate, is expressed in terms of bromfenac.
The recommended adult dosage of bromfenac for the management of postoperative ocular inflammation and pain in patients who have undergone cataract extraction is 1 drop of a 0.09% solution in the affected eye(s) twice daily, beginning 24 hours after cataract surgery and continuing through the first 2 weeks of the postoperative period.
Potency of some sodium phosphate preparations is expressed in terms of prednisolone phosphate.
For use in the eye, 1 or 2 drops of prednisolone acetate ophthalmic suspension or prednisolone sodium phosphate ophthalmic solution may be instilled into the conjunctival sac every hour during the day and every 2 hours during the night for initial therapy in severe cases. In mild or moderate inflammation or when a favorable response is attained in severe cases, dosage may be reduced to 1 or 2 drops every 3-12 hours.
Alternatively, prednisolone sodium phosphate ophthalmic ointment may be instilled into the conjunctival sac 3 or 4 times daily initially, and once or twice daily thereafter. The ointment also may be used at night in conjunction with daytime use of a suspension or solution to reduce the frequent applications required with the liquid dosage forms.
The lowest effective concentration should be used and, if improvement does not occur within several days, the drug should be discontinued and other therapy begun. The duration of treatment depends on the type and severity of the disease and may range from a few days to several weeks; long-term therapy should be avoided. When the drug is discontinued, dosage should be gradually tapered to avoid exacerbation of the disease.
Bromfenac sodium is applied topically to the eye as an ophthalmic solution. Care should be taken to avoid contamination of the solution container.
Bromfenac sodium ophthalmic solution should not be administered while wearing contact lenses.
Prednisolone acetate or sodium phosphate is applied topically to the eye. Care should be taken to avoid contamination of the tip of the ointment tube or dropper when the drug is used ophthalmically.
No dosing information is available for this tab.
No dosing information is available for this tab.
Drug interactions
No formal drug interaction studies have been performed to date.
There are no contraindication interactions for this drug.
There are no severe interactions for this drug.
There are no moderate interactions for this drug.
Contraindications
Known hypersensitivity to bromfenac sodium or any ingredient in the formulation.
- Fungal infection of eye
- Herpes simplex dendritic keratitis
- Tuberculosis of the eye
- Vaccinia virus keratitis
- Amebic infection of the eye
- Ocular hypertension
- Corneal erosion
- Diabetes mellitus
- Epithelial keratopathy
- Krukenberg spindle
- Ocular redness
- Open angle glaucoma
- Rheumatoid arthritis
- Severe myopia
Adverse reactions
Adverse effects reported in 2% or more of patients receiving bromfenac sodium ophthalmic solution include abnormal ocular sensation, conjunctival hyperemia, ocular redness or irritation (e.g., pruritus, burning, stinging, pain), headache, and iritis.
Less Frequent
- Impaired wound healing
- Ocular hypertension
Rare or Very Rare
- Adrenocortical insufficiency
- Cataracts
- Central serous chorioretinopathy
- Corneal degeneration
- Corneal degeneration
- Corneal edema
- Corneal erosion
- Corneal erosion
- Corneal ulcer
- Epithelial keratopathy
- Fungal infection of eye
- Glaucoma
- Globe perforation
- Hypercortisolism
- Hypersensitivity drug reaction
- Hyphema
- Iritis
- Keratitis
- Keratitis
- Optic nerve damage
- Punctate keratitis
- Reduced visual acuity
- Uveitis
- Visual changes
- Visual field defect
More Frequent
- Blurred vision
Less Frequent
- Blurred vision
- Conjunctival hyperemia
- Foreign body sensation of eye
- Headache disorder
- Headache disorder
- Iritis
- Ocular hemorrhage
- Ocular irritation
- Ocular itching
- Ocular pain
- Ocular pain
- Ocular redness
- Photophobia
Rare or Very Rare
- Accommodation disorder
- Allergic dermatitis
- Blepharoptosis
- Calcification of cornea
- Chemosis
- Conjunctival hyperemia
- Conjunctivitis
- Dizziness
- Dysgeusia
- Eye tearing
- Foreign body sensation of eye
- Impaired wound healing
- Mydriasis
- Ocular infection
- Ocular irritation
- Ocular itching
- Ocular redness
- Photophobia
- Urticaria
Precautions
No enhanced messaging available.
Safety and efficacy not established in children younger than 18 years of age.
Category C. (See Users Guide.) Avoid use in late pregnancy (i.e., third trimester) because of known effects on fetal cardiovascular system (possible premature closure of the ductus arteriosus).
Not known whether bromfenac is distributed into milk following topical application to the eye. Caution if used in nursing women.
No substantial differences in safety and efficacy relative to younger adults.
ICD codes
No ICD codes are available for this drug.
Formulary status
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Last reviewed · Source: First Databank (FDB) drug data
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