Corticosteroids

Front 1

What are the absolute contraindications for corticosteroids?

Back 1

Virus infections

Front 2

What are some relative contraindications (precautions) for corticosteroids?

Back 2

Acute untreated or purulent infection may be masked or enhanced by steroids

Fungal infections

Significant corneal epithelial defect

Uncomplicated removal of a superficial corneal FB

Prolonged use may increase IOP and or a PSC

CL should not be worn while using drops containg BAC. Wait 10 mins after instilling drops, before reinserting lenses

Front 3

What steroids are suspensions and thus need to be shaken?

Back 3

Lotemax, Pred Fotte, Vexol, Alrex, FML, and Pred Mild

Front 4

In a situation where cost is a big issue, what drug can you prescribe? Explain

Back 4

Maxitrol (dexamethasone and Polymixin B) can be Rx'd even though the antibiotic component is not needed.

It's only $5

Front 5

Explain "binary" tapering

Back 5

A protocol that reduces the daily steroid dose by 50% once inflammation control is achieved (ex qid for 1 week, then bid for 1 week, the bd for the final week).

If inflammation is well under control after only a few days, the taper may be more rapid (ex qid for 3 days, then bid for 3 days, then cease treatment).

Front 6

What are the steroids with moderate to high potency?

Back 6

High: Pred Forte, Durezol, Lotemax, Lotemax ointment, and Dexamethasone

Moderate: FML

Front 7

What is the specific uses of Lotemax?

Back 7

Allergic eye disease, chronic uveitis and keratoconjunctivitis, postoperative inflammation

Front 8

What are the steroids with lower potency?

Back 8

Alrex and Pred Mild

Front 9

What is the general uses of the steroids with lower potency?

Back 9

Mild ocular surface and corneal inflammation

Front 10

What is the specific uses of Alrex?

Back 10

Allergic eye disease, seasonal allergic conjunctivitis, Thygesons's SPK

Front 11

What is the specific uses of FML?

Back 11

Ocular allergy, Thygesons' SPK, adenoviral keratoconjunctivitis