FML

Generic Name: Fluorometholone

  • What is FML?

    FML is used to treat inflammation of the eyelid and the eye itself. It is available as an ointment or drops.

  • What is the most important information I should know about FML?

    Do not use FML more often or for a longer period of time than your doctor instructs. Overuse can increase the risk of side effects and lead to eye damage. If your eye problems return, do not use any leftover FML without first asking your doctor.

    If inflammation or pain lasts longer than 48 hours or becomes worse, discontinue FML and call your doctor.

    The preservative in FML may be absorbed by soft contact lenses. If you wear soft contacts, you should wait at least 15 minutes after using FML drops to insert your lenses.

    Using FML after cataract surgery may delay healing. Speak with your doctor before going in for the surgery.

  • Who should not take FML?

    Do not use FML if you have ever had an allergic reaction to it or are sensitive to it or to any of its ingredients. You should not use FML if you are allergic to other steroid medications.

    FML is not prescribed for patients with certain viral, fungal, and bacterial infections of the eye.

  • What should I tell my doctor before I take the first dose of FML?

    Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with FML. Also, talk to your doctor about your complete medical history, especially if you have cataracts or other eye diseases, glaucoma, a history of herpes simplex, or if you are pregnant, planning to become pregnant, or breastfeeding.

  • What is the usual dosage?

    The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

    Adults: FML Ointment: Apply a small amount of ointment (about 1/2-inch ribbon) between the lower eyelid and eyeball one to three times a day. During the first 24-48 hours, the frequency of dosing may be increased to one application every 4 hours.

    Adults: FML Suspension: Place one drop of suspension between the lower eyelid and eyeball two to four times a day. During the first 24-48 hours, the frequency of dosing may be increased to one drop every 4 hours.

  • How should I take FML?

    Use FML exactly as prescribed. Do not stop until your doctor advises you to do so. To avoid spreading infection, do not let anyone else use your prescription.

    To administer FML eyedrops, wash your hands thoroughly. Shake the medication well before using. Gently pull your lower eyelid down to form a pocket between your eye and eyelid. Hold the eyedrop bottle on the bridge of your nose or on your forehead. Do not touch the applicator tip to any surface, including your eye. Tilt your head back and squeeze FML into your eye. Close your eyes gently. Keep them closed for 1-2 minutes. Do not rinse the dropper. Wait 5-10 minutes before using a second eye medication.

    To administer FML ointment, wash your hands thoroughly. Hold the tube in your hand for a few minutes to warm it up so that the ointment comes out easily. Tilt your head back slightly and pull down gently on your lower eyelid. Apply a thin film of ointment into your lower eyelid.

    If you are applying another eye medication, allow at least 10 minutes before your next application.

  • What should I avoid while taking FML?

    Do not touch the dropper or tube opening to any surface, including your eyes or hands. If it becomes dirty it could cause an infection in your eye.

    FML may cause blurred vision. Use caution when driving, operating machinery, or performing other potentially hazardous activities.

    If you wear contact lenses, ask your doctor if you can wear them while you are using FML.

  • What are possible food and drug interactions associated with FML?

    No significant interactions with food or other drugs have been reported. However, always tell your doctor about any medicines you take, including over-the-counter drugs, vitamins, and herbal supplements.

  • What are the possible side effects of FML?

    Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

    Side effects may include: allergic reactions, blurred vision, burning or stinging, cataract formation, corneal ulcers, dilation of the pupil, drooping eyelids, eye inflammation and infection (including pinkeye), eye irritation, increased eye pressure, slow wound healing, taste alterations, secondary eye infections

  • Can I receive FML if I am pregnant or breastfeeding?

    The effects of FML during pregnancy and breastfeeding are unknown. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What should I do if I miss a dose of FML?

    Apply the ointment or drops as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your regular schedule. Do not use two doses at once.

  • How should I store FML?

    Store at room temperature and protect from heat.

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I'm Kristen Dore, PharmD. Welcome to PDR Health!

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