I. Over-the-counter (OTC) MEDICATIONS may be tried before moving onto prescription medications. They are usually cheaper than the name-brand prescription meds and may not be any better. The large pharmacy chains produce their own store-label brands of generic medications. Read the labels carefully. For completeness, Similisan is included. This is an herbal-based medication, which in my opinion, has not been effectively proven to work.
II. PRESCRIPTION MEDICATIONS
Note: which medication a person uses depends as much on the physician prescribing the medication, the patient asking for a medication, and which medication the insurance company will actually pay for. No rhyme nor reason exists for predicting the final result. One piece of advice, patients should try to bring their drug formulary to their doctor visits, so that together physicians and patients may eliminate one step, that of the insurance company denying coverage of a prescribed medication. Prescription medications tend to last longer than OTC eyedrops. In my opinion, there is no uniformly superior medication. For my detailed explanation, go here. Alrex and Lotemax are actually different concentrations of the same corticosteroid eyedrop (made by Bausch and Lomb). I do not use either. I recommend patients using either be under the care of an ophthalmologist, to monitor their intraocular pressure (the pressure inside of their eye). Last, Acular is a non-steroidal anti-inflammatory drug (NSAID) eyedrop. I do not recommend Acular often, based on at best medium effectiveness of symptom relief and the limit of seven days use only per the package insert.
If you have questions, ask your doctor. (Updated 9/4/08)
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