Maxidex - Dexamethasone Eye Suspension

What is this medication?

DEXAMETHASONE (dex a METH a sone) treats eye swelling, redness, or itching caused by infections, injury, or other conditions. It belongs to a group of medications called steroids.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

COMMON BRAND NAME(S): AK-Dex, Decadron, Maxidex

What should I tell my care team before I take this medication?

They need to know if you have any of these conditions:

  • Cataracts
  • Eye infection
  • Glaucoma
  • Wear contact lenses
  • An unusual or allergic reaction to dexamethasone, corticosteroids, other medications, foods, dyes, or preservatives
  • Pregnant or trying to get pregnant
  • Breastfeeding

How should I use this medication?

This medication is only for use in the eye. Follow the directions on the prescription label. Wash hands before and after use. Shake well before using. Tilt your head back slightly and pull your lower eyelid down with your index finger to form a pouch. Try not to touch the tip of the dropper or tube to your eye, fingertips, or other surfaces. Squeeze the prescribed number of drops into the pouch. Close the eye gently to spread the drops. Do not use your medication more often than directed. Finish the full course of medication prescribed by your care team even if you think your condition is better. Do not stop using except on the advice of your care team.

Talk to your care team about the use of this medication in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

What may interact with this medication?

Interactions are not expected. Do not use any other eye products without talking to your care team.

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medication?

Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse.

If you wear contact lenses, ask your care team when you can wear your lenses again.

What side effects may I notice from receiving this medication?

Side effects that you should report to your care team as soon as possible:

  • Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
  • New or worsening eye pain, redness, irritation, or discharge
  • Sudden eye pain or change in vision such as blurry vision, seeing halos around lights, vision loss

Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):

  • Burning or stinging of the eyes after use

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medication?

Keep out of the reach of children and pets.

Store between 8 and 27 degrees C (46 and 80 degrees F). Get rid of any unused medication after the expiration date.

To get rid of medications that are no longer needed or have expired:

  • Take the medication to a medication take-back program. Check with your pharmacy or law enforcement to find a location.
  • If you cannot return the medication, check the label or package insert to see if the medication should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your care team. If it is safe to put it in the trash, empty the medication out of the container. Mix the medication with cat litter, dirt, coffee grounds, or other unwanted substance. Seal the mixture in a bag or container. Put it in the trash.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

© 2024 Elsevier/Gold Standard (2023-05-23 00:00:00)


Additional Information From Chemocare.com About Maxidex

Self-Care Tips:

  • If you are on this medication for a long period of time, you may be more susceptible to infection. Wash your hands well, and report any symptoms of infection to your healthcare provider if noted.
  • If you are given eye drops or eye ointment: You may be more sensitive to the light. Wearing sunglasses may help. It is normal to notice a little blurriness for a short time after the drops or ointment are placed in your eyes. Notify your healthcare provider with any changes in vision, blurriness, or eye pain.
  • If you are given eye drops or eye ointment: Ask your healthcare provider if you may wear contact lenses. Contact lenses may absorb the medication for at least 15 minutes. Wash your hands well before putting eye drops, to decrease the chance of a bacterial infection in your eyes. 
  • If you are dexamethasone as a lotion (topical) to treat skin disorders: Do not apply to open areas of skin, or if you have open or weeping sores. Topical dexamethasone should not be used for a long time. Discuss this with your healthcare provider. 
  • Take this medication with food to lessen an upset stomach. Also take this medication early on in the day (before 12:00 noon, if possible), so you will be able to sleep better at night.
  • If you have diabetes, this medication may increase your blood sugar levels. You may need more frequent monitoring.
  • Drink 2 to 3 quarts of fluid every 24 hours, unless you were told to restrict your fluid intake, and maintain good nutrition. 
  • Avoid sun exposure.  Wear SPF 15 (or higher) sun block and protective clothing.
  • To reduce nausea, take anti-nausea medications as prescribed by your doctor, and eat small, frequent meals.
  • In general, drinking alcoholic beverages should be avoided.  You should also limit caffeine intake (colas, tea, coffee and chocolate, especially). These beverages may irritate your stomach.
  • If you experience symptoms or side effects, especially if severe, be sure to discuss them with your health care team.  They can prescribe medications and/or offer other suggestions that are effective in managing such problems.

When to contact your doctor or health care provider:

Contact your health care provider immediately, day or night, if you should experience any of the following symptoms:

  • Fever of 100.4° F (38° C), chills (possible signs of infection)
  • If you feel an irregular or fast heartbeat, shortness of breath, or chest or jaw pain, seek emergency help and notify your healthcare provider
  • If you become suddenly confused

The following symptoms require medical attention, but are not emergency situations.  Contact your health care provider within 24 hours of noticing any of the following:

  • Extreme fatigue (unable to carry on self-care activities)
  • Any unusual bleeding or bruising
  • Black or tarry stools, or blood in your stools or urine
  • Nausea (interferes with ability to eat and unrelieved with prescribed medications)
  • Vomiting (vomiting more than 4-5 times in a 24-hour period)
  • Dizziness or lightheadedness, feeling faint.
  • Persistent headache
  • Severe hot flashes or mood swings
  • Inability to sleep (insomnia)
  • Severe skeletal (bone) pain
  • Difficult or painful urination; increased urination, or severe thirst
  • Changes in vision, blurred vision, eye pain, enlarged pupils, discharge
  • Any new rashes or changes in your skin
  • Swelling of the feet or ankles.  Sudden weight gain (greater than 3 pounds a week)
  • Swelling, redness and/or pain in one leg or arm and not the other

Always inform your health care provider if you experience any unusual symptoms.


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