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General Medication Fact Sheet for Nevanac
| Field | Information |
|---|---|
| Medication Name | Nevanac |
| Generic Name | Nepafenac |
| Purpose | To treat pain and inflammation following cataract surgery. |
| Mechanism of Action | Nepafenac is a nonsteroidal anti-inflammatory prodrug that inhibits cyclooxygenase (COX) enzymes, specifically COX-1 and COX-2, reducing the production of prostaglandins, which cause pain and inflammation. |
| Dosage Forms | Ophthalmic suspension (eye drops) |
| Available Strengths | 0.1% (1 mg/mL), 0.3% (3 mg/mL) |
| Dosage Frequency | Typically one drop in the affected eye(s) once daily or three times daily, starting 1 day prior to cataract surgery, continued on the day of surgery, and for 1-2 weeks post-surgery. Follow your doctor’s instructions. |
| Common Side Effects | Blurred vision, eye pain, foreign body sensation, increased lacrimation (tearing), headache. |
| Serious Side Effects | Corneal thinning or erosion, corneal perforation, impaired wound healing, allergic reactions, increased bleeding time. |
| Drug Interactions | Anticoagulants (e.g., warfarin), other NSAIDs (oral), corticosteroids (topical or oral). Use with caution. |
| Important Notes | Do not use with contact lenses. Use cautiously in patients with bleeding tendencies or those taking other medications that prolong bleeding time. Consult your doctor if you experience persistent eye irritation or vision changes. Shake well before each use. Avoid touching the dropper tip to any surface to prevent contamination. |
| Storage | Store at room temperature, away from light and moisture. Keep the bottle tightly closed when not in use. |
| Missed Dose | Apply the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up. |
| Alternatives | Bromfenac (Prolensa, Xibrom), Diclofenac (Voltaren Ophthalmic), Ketorolac (Acular, Acuvail) |
Nevanac Alternatives
| Medication | Mechanism of Action | Notes |
|---|---|---|
| Bromfenac (Prolensa, Xibrom) | NSAID; COX-1 and COX-2 inhibitor | Used post-cataract surgery for inflammation and pain. |
| Diclofenac (Voltaren Ophthalmic) | NSAID; COX-1 and COX-2 inhibitor | Used post-cataract surgery for inflammation and pain. |
| Ketorolac (Acular, Acuvail) | NSAID; COX-1 and COX-2 inhibitor | Used for allergic conjunctivitis and post-operative pain and inflammation. |
Nevanac Side Effects
| Common Side Effects | Serious Side Effects |
|---|---|
| Blurred vision | Corneal thinning or erosion |
| Eye pain | Corneal perforation |
| Foreign body sensation | Impaired wound healing |
| Increased lacrimation (tearing) | Allergic reactions (rash, itching, swelling, difficulty breathing) |
| Headache | Increased bleeding time |
Nevanac Dosage Guide
| Condition | Starting Dose | Maintenance Dose | Administration Notes |
|---|---|---|---|
| Post-Cataract Surgery Pain and Inflammation (0.1%) | One drop in the affected eye(s) | One drop in the affected eye(s) once daily for up to 2 weeks | Begin 1 day prior to surgery, continue on day of surgery, and for 1-2 weeks post-surgery. |
| Post-Cataract Surgery Pain and Inflammation (0.3%) | One drop in the affected eye(s) | One drop in the affected eye(s) three times daily for up to 2 weeks | Begin 1 day prior to surgery, continue on day of surgery, and for 1-2 weeks post-surgery. |
Nevanac Price With And Without Insurance
| Purchase Context | Estimated Price |
|---|---|
| With Insurance | $150 |
| Without Insurance (U.S.) | $300 – $450 |
| From CPS | $28 |
