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Precautions and Warnings With Dexamethasone Ophthalmic Suspension

Before using dexamethasone ophthalmic suspension, there are many precautions to be aware of, including warnings on the safety of using this medicine if you have certain eye infections or allergies. In addition, this prescription eye medicine could cause glaucoma, cataracts, and a tear in the cornea. It also may not be safe for use in women who are pregnant or breastfeeding.

What Should I Tell My Healthcare Provider Before Using Dexamethasone Ophthalmic Suspension?

You should talk with your healthcare provider prior to using dexamethasone ophthalmic suspension (Maxidex®) if you have:
  • A viral eye infection, such as a herpes eye infection
  • A tuberculosis eye infection
  • A fungal infection in the eye
  • 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.


Make sure to tell your healthcare provider about all other medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.

Specific Dexamethasone Ophthalmic Suspension Precautions and Warnings

Some warnings and precautions to be aware of prior to using this eye medicine include:
  • Prolonged use of dexamethasone ophthalmic suspension may cause increased pressure in the eyes, glaucoma, and cataracts. If you use this medication for longer than 10 days, your healthcare provider will monitor the pressure in your eyes to check for glaucoma. Contact your healthcare provider if you are using this eye drop and experience any vision problems, such as:
    • Loss of vision
    • Clouded vision
    • Blurred vision.
  • Steroids, including dexamethasone ophthalmic suspension, can suppress the body's immune system, especially if used for long periods of time. This can increase the risk for infections, such as viral or fungal infections of the eye. Dexamethasone ophthalmic suspension can mask an infection or make a current infection worse.
  • Dexamethasone ophthalmic suspension increases the risk for a tear or hole in the cornea (the transparent part of the outer covering of the eye) or sclera (the white outer covering of the eye) in people who have eye conditions that thin these parts of the eyes. Contact your healthcare provider if you experience excessive eye watering, pain, or have the feeling that something is in your eye.
  • To keep the drops sterile and free from contamination, do not touch the tip of the dropper to anything, including the surface of your eye.
  • Dexamethasone ophthalmic suspension is a pregnancy Category C medication, which means that it may not be safe for use during pregnancy, although the full risks are currently unknown (see Maxidex and Pregnancy for more information).
  • It is unknown if dexamethasone ophthalmic suspension passes through breast milk. Therefore, if you are breastfeeding a child, check with your healthcare provider before using this eye medicine (see Maxidex and Breastfeeding).

Dexamethasone Eye Drop Information

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