Xiidra (lifitegrast)

Generic name: lifitegrast ophthalmic (LIF e TEG rast off THAL mik)
Brand name: Xiidra
Drug class: Ophthalmic anti-inflammatory agents

Xiidra (lifitegrast) works by blocking a certain protein on the surface of cells in your body. This protein can cause your eyes to not produce enough tears, or to produce tears that are not the correct consistency to keep your eyes healthy.

Xiidra eye drops are used to treat symptoms of dry eye disease.

Xiidra may also be used for purposes not listed in this medication guide.

Warnings

Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

Before taking this medicine

It is not known whether Xiidra will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

It is not known whether lifitegrast ophthalmic passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breastfeeding a baby.

Xiidra is not approved for use by anyone younger than 17 years old.

How should I use Xiidra?

Use Xiidra exactly as directed by your health care provider. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Xiidra is usually given as one drop in each eye twice per day (every 12 hours). Use your doses at regular 12 hour intervals.

Wash your hands before using the eye drops.

Do not use Xiidra eye drops while wearing contact lenses. Wait at least 15 minutes after using this medicine before putting in your contact lenses.

To apply the Xiidra eye drops:

  • Tilt your head back slightly and pull down your lower eyelid to create a small pocket. Hold the dropper above the eye with the tip down. Look up and away from the dropper and squeeze out a drop.
  • Close your eyes for 2 or 3 minutes with your head tipped down, without blinking or squinting. Gently press your finger to the inside corner of the eye for about 1 minute, to keep the liquid from draining into your tear duct.
  • Use only the number of drops your doctor has prescribed. If you use more than one drop, wait about 5 minutes between drops.
  • Wait at least 10 minutes before using any other eye drops your doctor has prescribed.

Do not touch the tip of the Xiidra eye dropper or place it directly on your eye. A contaminated dropper can infect your eye, which could lead to serious vision problems.

Each single-use eye drop container is for only one use in both eyes. Throw away after one use, even if there is still some medicine left in it after using the eye drops

Store Xiidra eye drops at room temperature away from moisture, heat, and light. Keep the eye drop container in its original foil pouch until you are ready to use the medicine.

Dosing information

Usual Adult Dose of Xiidra for Eye Dryness/Redness:

-Recommended dose: 1 drop into each eye 2 times a day

Comments:
-The single-use container may be used to instill 1 drop in both eyes, but should be discarded immediately after use.
-Contacts should be removed before administration, and may be reinserted after 15 minutes.

Use: Treatment of the signs/symptoms of dry eye disease

Usual Pediatric Dose of Xiidra for Eye Dryness/Redness:

17 and older:
-Recommended dose: 1 drop into each eye 2 times a day

Comments:
-The single-use container may be used for both eyes, but should be discarded immediately after use.
-Contacts should be removed before administration, and may be reinserted after 15 minutes.

Use: Treatment of the signs/symptoms of dry eye disease

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

An overdose of Xiidra is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication.

What should I avoid while using Xiidra?

Do not use other eye medications unless your doctor tells you to. Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Xiidra side effects

Get emergency medical help if you have signs of an allergic reaction to Xiidra: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using this medicine and call your doctor at once if you have:

  • vision problems; or
  • severe eye redness or irritation.

Common Xiidra side effects may include:

  • blurred vision;
  • eye irritation;
  • unusual or unpleasant taste in the mouth.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Xiidra?

It is not likely that other drugs you take orally or inject will have an effect on lifitegrast used in the eyes. But many drugs can interact with each other. Tell each of your healthcare providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.