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Precautions and Warnings With Bromfenac

Before using bromfenac, there are many precautions to be aware of, including warnings on who should not use the drug and side effects that may occur. For example, this prescription medicine could cause several adverse reactions, such as corneal problems, serious bleeding problems, and allergic reactions.

What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to using bromfenac ophthalmic solution (Bromday®, Prolensa™, Xibrom®) if you have:
 
  • A condition that causes you to bleed easily
  • Rheumatoid arthritis
  • Diabetes
  • Dry eyes
  • Any other eye condition
  • Had multiple eye surgeries in a short period of time
  • Any allergies, including to medications, foods, dyes, or preservatives.
 
Also, let your healthcare provider know if you are:
 
  • Pregnant or thinking of becoming pregnant
  • Breastfeeding.
 
You should also tell your healthcare provider about all other medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.
 

Specific Bromfenac Precautions and Warnings

Some warnings and precautions to be aware of prior to using this drug include the following:
 
  • Bromfenac contains sodium sulfite, which can cause allergic-type reactions in people with a sulfite sensitivity. It is not common to have a sulfite sensitivity; however, people with asthma appear to have a higher risk. Seek immediate medication attention if you develop signs of an allergic reaction to bromfenac. Reactions to sulfites in people with a sulfite sensitivity can range from mild to severe, and may include:
    • A rash
    • Hives
    • Breathing problems
    • An asthma attack
    • A life-threatening allergic reaction known as anaphylaxis.
 
  • If you are allergic to aspirin (acetylsalicylic acid) or other nonsteroidal anti-inflammatory drugs (NSAIDs), you could also be allergic to bromfenac. Therefore, make sure your healthcare provider knows if you have had an allergic reaction to aspirin or NSAIDs. You will need to be treated with bromfenac cautiously until it is determined you are not allergic to the medication.
 
  • NSAIDs may increase the risk for serious bleeding problems. There have been reports that topical NSAIDs applied to the eye, such as bromfenac, may increase the risk for bleeding in the eye in people who undergo eye surgery. It is recommended that bromfenac be used with caution in people with conditions that cause them to bleed easily or people who take other medications that can cause bleeding problems (see Drug Interactions With Bromfenac).
 
  • Like other NSAIDs, bromfenac has the potential to delay or slow down wound healing. Using bromfenac with corticosteroid ("steroid") eye medicines, which can also slow down or delay healing, may increase the risk for healing problems (see Drug Interactions With Bromfenac). Let your healthcare provider know if you are using a steroid eye medicine. Also, inform your healthcare provider if your symptoms after surgery do not seem to be getting better or are getting worse.
 
  • Bromfenac can increase the risk for keratitis (inflammation of the cornea, the front part of the eye) or other corneal problems, which could be serious enough to cause partial or complete loss of vision. The risk may be higher in people with diabetes, rheumatoid arthritis, conditions that affect the surface of the eyes (such as dry eye syndrome), and people who had complicated eye surgeries or had multiple eye surgeries in a short period of time.

    Let your healthcare provider know right away if you develop any signs of problems with your cornea, such as:
    • Severe eye pain or redness
    • Very watery eyes
    • Blurred vision that does not improve or gets worse
    • Sensitivity to the light.
 
  • Using this medicine for more than 1 day before cataract surgery or for longer than 14 days after your surgery may increase your risk for developing cornea problems. Do not use this medicine for longer than your healthcare provider recommends.
 
  • This medication contains benzalkonium chloride, a preservative that can be absorbed by soft contact lenses. You may not be able to wear contact lenses while using bromfenac.
   
  • Bromfenac is a pregnancy Category C medication. This means that it may not be safe for use during pregnancy, although the full risks are currently unknown (see Bromfenac and Pregnancy).
 
  • It is unknown whether bromfenac passes through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to beginning treatment (see Bromfenac and Breastfeeding).
 

Bromfenac Ophthalmic Solution Information

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