Bromfenac
Class: Nonsteroidal Anti-inflammatory Agents
- Nonsteroidal Anti-inflammatory Agents, Ophthalmic
- NSAIAs, EENT
- NSAIDs, EENT
VA Class: CN104
Chemical Name: 2-amino-3-(4-bromobenzoyl)benzeneacetic acid sesquihydrate monosodium salt
Molecular Formula: C15H11BrNNaO3
CAS Number: 120638-55-3
Brands: Xibrom
Introduction
Prototypical NSAIA.
Uses for Bromfenac
Postoperative Ocular Inflammation and Pain
Management of ocular inflammation and pain associated with cataract extraction.
Bromfenac Dosage and Administration
Administration
Ophthalmic Administration
Apply topically to the eye as an ophthalmic solution.
Avoid contamination of the solution container.
Do not administer while wearing contact lenses. (See Advice to Patients.)
Dosage
Available as bromfenac sodium sesquihydrate; dosage expressed in terms of bromfenac.
Adults
Postoperative Ocular Inflammation and Pain
Ophthalmic
1 drop of a 0.09% solution in the affected eye(s) twice daily, beginning 24 hours after cataract surgery and continuing through the first 2 weeks of the postoperative period.
Cautions for Bromfenac
Contraindications
Known hypersensitivity to bromfenac sodium or any ingredient in the formulation.
Warnings/Precautions
Warnings
Bleeding
May inhibit platelet aggregation and prolong bleeding time.
May cause increased bleeding of ocular tissues (including hyphemas) when used in conjunction with ocular surgery.
Use with caution in patients with underlying bleeding tendencies or in those receiving drugs known to prolong bleeding time.
Sensitivity Reactions
Hypersensitivity Reactions
Possible cross-sensitivity with aspirin, phenylacetic acid derivatives, and other NSAIAs. Use with caution in patients with history of hypersensitivity to these drugs.
Sulfite Sensitivity
Formulation contains sodium sulfite, which may cause allergic-type reactions (including anaphylaxis and life-threatening or less severe asthmatic episodes) in certain susceptible individuals.
General Precautions
Wound-healing Complications
May slow or delay wound healing. (See Specific Drugs under Interactions.)
Ocular Effects
Use may result in keratitis. In some susceptible patients, continued use may result in epithelial breakdown, corneal thinning, corneal erosion, corneal ulceration, or corneal perforation;