Treatment of macular edema following branch retinal vein occlusion (BRVO) or central retinal vein occlusion (CRVO); treatment of noninfective uveitis affecting the posterior segment of the eye; treatment of diabetic macular edema(UTD).
藥理
Decreases inflammation by suppression of neutrophil migration, decreased production of inflammatory mediators, and reversal of increased capillary permeability; suppresses normal immune response.
藥動學
Absorption:
Ocular implant: Systemic levels negligible in majority of patients (?50 pg/mL) ?90 days following implant, highest systemic concentration observed: 102 pg/mL.
Duration of effect: Ocular implant: BRVO/CRVO:
~1 to 3 months (following onset of improvement).
禁忌症
Hypersensitivity to dexamethasone or any component of the formulation or product.
懷孕分類
C(UTD)
哺乳分類
recommended caution be used if administered to a nursing woman.(UTD)
副作用
>10%:
Cardiovascular: Hypertension (13%)
Ophthalmic: Cataract (5% to 68%; incidence increases in patients requiring a second injection), increased intraocular pressure (25%; ?10 mm Hg: 28%; ?30 mm Hg: 15%), conjunctival hemorrhage (22% to 23%).
劑量和給藥方法
Diabetic macular edema (pseudophakic or phakic patients scheduled for cataract surgery) or macular edema (following BRVO or CRVO):
Ocular implant: Intravitreal injection: 0.7 mg implant injected in affected eye
Noninfective uveitis:
Ocular implant: Intravitreal injection: 0.7 mg implant injected in affected eye.(UTD)