loteprednol etabonate 🐶 Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
prednisone and prednisolone derivatives 1611 82034-46-6

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • loteprednol etabonate
  • lenoxin
  • lotemax
An androstadiene derivative corticosteroid that is used as an ANTI-ALLERGIC AGENT for the treatment of inflammatory and allergic eye conditions.
  • Molecular weight: 466.96
  • Formula: C24H31ClO7
  • CLOGP: 3.34
  • LIPINSKI: 0
  • HAC: 7
  • HDO: 1
  • TPSA: 99.13
  • ALOGS: -4.83
  • ROTB: 7

  • Status: OFP

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

None

ADMET properties:

PropertyValueReference
BA (Bioavailability) 0 % Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H

Approvals:

DateAgencyCompanyOrphan
March 9, 1998 FDA BAUSCH AND LOMB

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Eye irritation 244.75 20.46 76 3237 21895 63463814
Eye pain 132.86 20.46 54 3259 33800 63451909
Ocular hyperaemia 115.68 20.46 45 3268 25099 63460610
Intraocular pressure increased 111.51 20.46 31 3282 6047 63479662
Vision blurred 77.07 20.46 52 3261 91872 63393837
Corneal oedema 69.31 20.46 16 3297 1477 63484232
Foreign body sensation in eyes 62.90 20.46 16 3297 2218 63483491
Lacrimation increased 57.96 20.46 26 3287 20605 63465104
Cataract 56.87 20.46 36 3277 57017 63428692
Eye pruritus 50.76 20.46 23 3290 18648 63467061
Photophobia 48.82 20.46 22 3291 17613 63468096
Dry eye 43.83 20.46 27 3286 40734 63444975
Endophthalmitis 42.32 20.46 13 3300 3579 63482130
Dacryostenosis acquired 41.86 20.46 9 3304 600 63485109
Punctate keratitis 41.69 20.46 9 3304 612 63485097
Visual acuity reduced 41.40 20.46 21 3292 21805 63463904
Eye inflammation 32.90 20.46 12 3301 5587 63480122
Corneal defect 29.01 20.46 4 3309 16 63485693
Corneal scar 28.72 20.46 5 3308 108 63485601
Ulcerative keratitis 28.53 20.46 9 3304 2701 63483008
Visual impairment 28.27 20.46 28 3285 84418 63401291
Instillation site pain 28.05 20.46 7 3306 897 63484812
Corneal disorder 27.60 20.46 8 3305 1806 63483903
Ocular discomfort 24.60 20.46 9 3304 4224 63481485
Diffuse lamellar keratitis 24.51 20.46 3 3310 3 63485706
Hypopyon 24.38 20.46 6 3307 726 63484983
Cystoid macular oedema 24.20 20.46 7 3306 1568 63484141
Eye swelling 23.57 20.46 15 3298 23903 63461806

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Eye irritation 93.80 29.53 25 994 7536 34948376
Eye pain 83.75 29.53 26 993 13436 34942476
Intraocular pressure increased 62.95 29.53 17 1002 5366 34950546
Corneal oedema 51.05 29.53 11 1008 1340 34954572
Vision blurred 41.12 29.53 22 997 45941 34909971
Ulcerative keratitis 37.76 29.53 9 1010 1720 34954192
Diffuse lamellar keratitis 35.01 29.53 4 1015 4 34955908
Corneal striae 33.39 29.53 4 1015 8 34955904
Corneal disorder 31.90 29.53 7 1012 927 34954985
Corneal dystrophy 31.73 29.53 5 1014 106 34955806
Corneal infiltrates 29.87 29.53 5 1014 156 34955756

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Eye irritation 216.01 20.89 65 3335 20616 79720372
Eye pain 155.85 20.89 59 3341 37519 79703469
Intraocular pressure increased 109.37 20.89 32 3368 9173 79731815
Corneal oedema 99.72 20.89 23 3377 2597 79738391
Vision blurred 84.88 20.89 54 3346 105844 79635144
Ocular hyperaemia 80.99 20.89 34 3366 28172 79712816
Diffuse lamellar keratitis 66.97 20.89 8 3392 8 79740980
Dacryostenosis acquired 62.86 20.89 12 3388 540 79740448
Ulcerative keratitis 58.15 20.89 16 3384 3673 79737315
Corneal striae 55.12 20.89 7 3393 16 79740972
Foreign body sensation in eyes 51.48 20.89 13 3387 2144 79738844
Photophobia 46.67 20.89 21 3379 20507 79720481
Eye pruritus 46.63 20.89 21 3379 20549 79720439
Corneal deposits 45.48 20.89 9 3391 489 79740499
Endophthalmitis 45.34 20.89 15 3385 6413 79734575
Punctate keratitis 44.77 20.89 10 3390 976 79740012
Corneal infiltrates 43.27 20.89 8 3392 302 79740686
Dry eye 43.03 20.89 24 3376 36907 79704081
Corneal disorder 41.08 20.89 11 3389 2280 79738708
Corneal dystrophy 37.92 20.89 7 3393 262 79740726
Corneal scar 36.97 20.89 7 3393 301 79740687
Cataract 36.12 20.89 26 3374 62094 79678894
Lacrimation increased 35.79 20.89 18 3382 22459 79718529
Visual acuity reduced 33.91 20.89 19 3381 29450 79711538
Corneal opacity 33.77 20.89 8 3392 1012 79739976
Visual impairment 33.00 20.89 29 3371 92102 79648886
Hypopyon 32.87 20.89 8 3392 1134 79739854
Giant papillary conjunctivitis 32.21 20.89 4 3396 7 79740981
Visual acuity tests abnormal 29.35 20.89 5 3395 117 79740871
Corneal thickening 29.09 20.89 4 3396 20 79740968
Cystoid macular oedema 28.51 20.89 8 3392 1972 79739016
Eye inflammation 26.28 20.89 10 3390 6403 79734585
Eye infection 23.35 20.89 11 3389 11909 79729079
Incorrect product administration duration 23.26 20.89 11 3389 12011 79728977
Bladder cyst 23.08 20.89 4 3396 104 79740884
Corneal endothelial cell loss 23.03 20.89 3 3397 9 79740979
Corneal flap complication 22.79 20.89 3 3397 10 79740978
Eye swelling 22.41 20.89 14 3386 26454 79714534
Toxic anterior segment syndrome 21.72 20.89 7 3393 2757 79738231

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC S01BA14 SENSORY ORGANS
OPHTHALMOLOGICALS
ANTIINFLAMMATORY AGENTS
Corticosteroids, plain
FDA MoA N0000175450 Corticosteroid Hormone Receptor Agonists
FDA EPC N0000175576 Corticosteroid
MeSH PA D018926 Anti-Allergic Agents
CHEBI has role CHEBI:35679 antilipemic drugs

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Herpes zoster keratoconjunctivitis indication 42448002
Punctate keratitis indication 42513006 DOID:12197
Iritis indication 65074000 DOID:1406
Perforation of cornea indication 74895004
Iridocyclitis indication 77971008
Corneal abrasion indication 85848002
Uveitis indication 128473001 DOID:13141
Ocular rosacea indication 200933006
Herpes zoster keratitis indication 397573005
Rosacea indication 398909004 DOID:8881
Anterior uveitis indication 410692006 DOID:1407
Allergic conjunctivitis indication 473460002 DOID:11204
Post-Op Ocular Inflammation indication
Ocular hypertension contraindication 4210003 DOID:9282
Glaucoma contraindication 23986001 DOID:1686
Herpes simplex dendritic keratitis contraindication 29943008
Fungal infection of eye contraindication 31194008
Tuberculosis of eye contraindication 49107007
Herpes zoster ophthalmicus contraindication 87513003
Viral eye infection contraindication 312132001
Vaccinia keratitis contraindication 397552005




🐶 Veterinary Drug Use

None

🐶 Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 13.33 acidic

Orange Book patent data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRoutePatent numberPatent expiration datePatent use
1% INVELTYS ALCON LABS INC N210565 Aug. 22, 2018 RX SUSPENSION/DROPS OPHTHALMIC 10058511 May 3, 2033 A METHOD FOR DELIVERING A PHARMACEUTICAL AGENT ACROSS A MUCOSAL BARRIER
1% INVELTYS ALCON LABS INC N210565 Aug. 22, 2018 RX SUSPENSION/DROPS OPHTHALMIC 10864219 May 3, 2033 A METHOD FOR TREATING OCULAR INFLAMMATION
1% INVELTYS ALCON LABS INC N210565 Aug. 22, 2018 RX SUSPENSION/DROPS OPHTHALMIC 11219597 May 3, 2033 A METHOD OF REDUCING POST-SURGICAL PAIN FOLLOWING OCULAR SURGERY
1% INVELTYS ALCON LABS INC N210565 Aug. 22, 2018 RX SUSPENSION/DROPS OPHTHALMIC 11219597 May 3, 2033 A METHOD OF TREATING POSTOPERATIVE INFLAMMATION FOLLOWING OCULAR SURGERY
1% INVELTYS ALCON LABS INC N210565 Aug. 22, 2018 RX SUSPENSION/DROPS OPHTHALMIC 9056057 May 3, 2033 A METHOD FOR DELIVERING A COMPOSITION TO A MUCUS MEMBRANE
1% INVELTYS ALCON LABS INC N210565 Aug. 22, 2018 RX SUSPENSION/DROPS OPHTHALMIC 9532955 May 3, 2033 A METHOD FOR DELIVERING A COMPOSITION TO A MUCUS MEMBRANE
1% INVELTYS ALCON LABS INC N210565 Aug. 22, 2018 RX SUSPENSION/DROPS OPHTHALMIC 9737491 May 3, 2033 A METHOD FOR DELIVERING A PHARMACEUTICAL AGENT ACROSS A MUCOSAL BARRIER
1% INVELTYS ALCON LABS INC N210565 Aug. 22, 2018 RX SUSPENSION/DROPS OPHTHALMIC 9827191 May 3, 2033 A METHOD FOR TREATING INFLAMMATION AND/OR OTHER DISORDERS IN AN EYE OF A PATIENT
0.25% EYSUVIS ALCON LABS INC N210933 Oct. 26, 2020 RX SUSPENSION/DROPS OPHTHALMIC 10058511 May 3, 2033 A METHOD FOR DELIVERING A PHARMACEUTICAL AGENT ACROSS A MUCOSAL BARRIER
0.25% EYSUVIS ALCON LABS INC N210933 Oct. 26, 2020 RX SUSPENSION/DROPS OPHTHALMIC 10857096 May 3, 2033 A METHOD FOR TREATING DRY EYE IN A PATIENT
0.25% EYSUVIS ALCON LABS INC N210933 Oct. 26, 2020 RX SUSPENSION/DROPS OPHTHALMIC 10940108 May 3, 2033 A METHOD FOR TREATING DRY EYE IN A PATIENT
0.25% EYSUVIS ALCON LABS INC N210933 Oct. 26, 2020 RX SUSPENSION/DROPS OPHTHALMIC 10945948 May 3, 2033 A METHOD FOR TREATING DRY EYE IN A PATIENT
0.25% EYSUVIS ALCON LABS INC N210933 Oct. 26, 2020 RX SUSPENSION/DROPS OPHTHALMIC 10993908 May 3, 2033 ADMINISTRATION TO THE EYE OF A PATIENT FOR TREATMENT OF DRY EYE CONDITION
0.25% EYSUVIS ALCON LABS INC N210933 Oct. 26, 2020 RX SUSPENSION/DROPS OPHTHALMIC 11219596 May 3, 2033 A METHOD FOR TREATING DRY EYE IN A PATIENT
0.25% EYSUVIS ALCON LABS INC N210933 Oct. 26, 2020 RX SUSPENSION/DROPS OPHTHALMIC 11596599 May 3, 2033 A METHOD FOR TREATING DRY EYE IN A PATIENT
0.25% EYSUVIS ALCON LABS INC N210933 Oct. 26, 2020 RX SUSPENSION/DROPS OPHTHALMIC 9056057 May 3, 2033 A METHOD FOR DELIVERING A COMPOSITION TO A MUCUS MEMBRANE
0.25% EYSUVIS ALCON LABS INC N210933 Oct. 26, 2020 RX SUSPENSION/DROPS OPHTHALMIC 9532955 May 3, 2033 A METHOD FOR DELIVERING A COMPOSITION TO A MUCUS MEMBRANE
0.25% EYSUVIS ALCON LABS INC N210933 Oct. 26, 2020 RX SUSPENSION/DROPS OPHTHALMIC 9737491 May 3, 2033 A METHOD FOR DELIVERING A PHARMACEUTICAL AGENT ACROSS A MUCOSAL BARRIER
0.25% EYSUVIS ALCON LABS INC N210933 Oct. 26, 2020 RX SUSPENSION/DROPS OPHTHALMIC 9827191 May 3, 2033 A METHOD FOR TREATING DRY EYE IN A PATIENT
0.38% LOTEMAX SM BAUSCH AND LOMB INC N208219 Feb. 22, 2019 RX GEL OPHTHALMIC 11534395 Jan. 26, 2036 TREATMENT OF POST-OPERATIVE INFLAMMATION AND PAIN FOLLOWING OCULAR SURGERY
0.38% LOTEMAX SM BAUSCH AND LOMB INC N208219 Feb. 22, 2019 RX GEL OPHTHALMIC 10596107 Dec. 23, 2036 TREATMENT OF POST-OPERATIVE INFLAMMATION AND PAIN FOLLOWING OCULAR SURGERY

Orange Book exclusivity data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRouteExclusivity dateDescription
0.25% EYSUVIS ALCON LABS INC N210933 Oct. 26, 2020 RX SUSPENSION/DROPS OPHTHALMIC Oct. 26, 2023 NEW PRODUCT

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Glucocorticoid receptor Nuclear hormone receptor AGONIST DRUGBANK CHEMBL

External reference:

IDSource
4021086 VUID
N0000179334 NUI
D01689 KEGG_DRUG
4021086 VANDF
4024100 VANDF
C0126177 UMLSCUI
CHEBI:50848 CHEBI
CHEMBL1200865 ChEMBL_ID
D000069559 MESH_DESCRIPTOR_UI
DB14596 DRUGBANK_ID
7085 IUPHAR_LIGAND_ID
YEH1EZ96K6 UNII
444025 PUBCHEM_CID
DB00873 DRUGBANK_ID
202988 RXNORM
11633 MMSL
1692 MMSL
315769 MMSL
4997 MMSL
007442 NDDF
007443 NDDF
108857005 SNOMEDCT_US
387047007 SNOMEDCT_US
419711001 SNOMEDCT_US
CHEMBL1201389 ChEMBL_ID
6654 INN_ID
129260-79-3 SECONDARY_CAS_RN
9865442 PUBCHEM_CID
Z8CBU6KR16 UNII

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
ALREX HUMAN PRESCRIPTION DRUG LABEL 1 16590-007 SUSPENSION/ DROPS 2 mg OPHTHALMIC NDA 20 sections
Loteprednol Etabonate HUMAN PRESCRIPTION DRUG LABEL 1 17478-830 GEL 5 mg OPHTHALMIC ANDA 23 sections
Loteprednol Etabonate HUMAN PRESCRIPTION DRUG LABEL 1 17478-830 GEL 5 mg OPHTHALMIC ANDA 23 sections
LOTEMAX HUMAN PRESCRIPTION DRUG LABEL 1 24208-299 SUSPENSION/ DROPS 5 mg OPHTHALMIC NDA 19 sections
LOTEMAX HUMAN PRESCRIPTION DRUG LABEL 1 24208-299 SUSPENSION/ DROPS 5 mg OPHTHALMIC NDA 19 sections
ALREX HUMAN PRESCRIPTION DRUG LABEL 1 24208-353 SUSPENSION/ DROPS 2 mg OPHTHALMIC NDA 20 sections
ALREX HUMAN PRESCRIPTION DRUG LABEL 1 24208-353 SUSPENSION/ DROPS 2 mg OPHTHALMIC NDA 20 sections
Zylet HUMAN PRESCRIPTION DRUG LABEL 2 24208-358 SUSPENSION/ DROPS 5 mg OPHTHALMIC NDA 21 sections
Zylet HUMAN PRESCRIPTION DRUG LABEL 2 24208-358 SUSPENSION/ DROPS 5 mg OPHTHALMIC NDA 21 sections
Zylet HUMAN PRESCRIPTION DRUG LABEL 2 24208-358 SUSPENSION/ DROPS 5 mg OPHTHALMIC NDA 21 sections
Lotemax HUMAN PRESCRIPTION DRUG LABEL 1 24208-443 OINTMENT 5 mg OPHTHALMIC NDA 22 sections
Lotemax HUMAN PRESCRIPTION DRUG LABEL 1 24208-443 OINTMENT 5 mg OPHTHALMIC NDA 22 sections
LOTEMAX HUMAN PRESCRIPTION DRUG LABEL 1 24208-503 GEL 5 mg OPHTHALMIC NDA 22 sections
LOTEMAX HUMAN PRESCRIPTION DRUG LABEL 1 24208-503 GEL 5 mg OPHTHALMIC NDA 22 sections
Lotemax SM HUMAN PRESCRIPTION DRUG LABEL 1 24208-507 GEL 3.80 mg OPHTHALMIC NDA 22 sections
Lotemax SM HUMAN PRESCRIPTION DRUG LABEL 1 24208-507 GEL 3.80 mg OPHTHALMIC NDA 22 sections
Loteprednol Etabonate HUMAN PRESCRIPTION DRUG LABEL 1 24208-508 GEL 5 mg OPHTHALMIC NDA authorized generic 22 sections
Loteprednol Etabonate HUMAN PRESCRIPTION DRUG LABEL 1 50383-265 SUSPENSION/ DROPS 5 mg OPHTHALMIC ANDA 17 sections
Loteprednol Etabonate HUMAN PRESCRIPTION DRUG LABEL 1 50383-265 SUSPENSION/ DROPS 5 mg OPHTHALMIC ANDA 17 sections
ALREX HUMAN PRESCRIPTION DRUG LABEL 1 54868-4277 SUSPENSION/ DROPS 2 mg OPHTHALMIC NDA 20 sections
LOTEMAX HUMAN PRESCRIPTION DRUG LABEL 1 54868-4278 SUSPENSION/ DROPS 5 mg OPHTHALMIC NDA 18 sections
Loteprednol Etabonate Human Prescription Drug Label 1 62756-232 SUSPENSION/ DROPS 5 mg OPHTHALMIC ANDA 16 sections
Loteprednol Etabonate HUMAN PRESCRIPTION DRUG LABEL 1 68682-299 SUSPENSION/ DROPS 5 mg OPHTHALMIC NDA authorized generic 18 sections
Inveltys HUMAN PRESCRIPTION DRUG LABEL 1 71571-121 SUSPENSION 10 mg TOPICAL NDA 24 sections
Inveltys HUMAN PRESCRIPTION DRUG LABEL 1 71571-121 SUSPENSION 10 mg TOPICAL NDA 24 sections
Eysuvis HUMAN PRESCRIPTION DRUG LABEL 1 71571-333 SUSPENSION/ DROPS 2.50 mg OPHTHALMIC NDA 23 sections
Eysuvis HUMAN PRESCRIPTION DRUG LABEL 1 71571-333 SUSPENSION/ DROPS 2.50 mg OPHTHALMIC NDA 23 sections
Loteprednol Etabonate HUMAN PRESCRIPTION DRUG LABEL 1 82260-299 SUSPENSION/ DROPS 5 mg OPHTHALMIC NDA authorized generic 10 sections
Loteprednol Etabonate HUMAN PRESCRIPTION DRUG LABEL 1 82260-508 GEL 5 mg OPHTHALMIC NDA authorized generic 22 sections