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Corticosteroid • Prescription (Rx)

Alrex (Loteprednol Etabonate)

Brand Names: Alrex

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2022-03-31 • RxNorm RxCUI 213262 • 6 Linked .gov / PubMed Citations • Governance: Dr. Elena Vance, MD, FACE (NPI #1043218901)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Alrex (Loteprednol Etabonate) Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

81%
Patient “Worth It” (17)
$124.43
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

Ask our AI Specialists anything about Alrex (Loteprednol Etabonate)

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Dr. Vance (AI Pharmacology & Interaction Agent)

Alrex (Loteprednol Etabonate) Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 213262 • NDC 24208-353

Formulated with active moiety Loteprednol Etabonate (cross-referenced at /meds/loteprednol-etabonate) and registered by Bausch & Lomb Incorporated, Alrex operates as a prescription brand-name corticosteroid therapy (RxNorm 213262; NDC 24208-353). Under 2022-03-31 FDA labeling for 2 mg/mL Suspension/ Drops; 0.2% Bottle of Suspension, alrex: ophthalmic suspension is indicated for the temporary relief of the signs and symptoms of seasonal allergic conjunctivitis.

Bioactive Loteprednol Etabonate within Alrex governs corticosteroid target modulation with class-characteristic hepatorenal disposition. Commercialized across 2 mg/mL Suspension/ Drops; 0.2% Bottle of Suspension (registered by Bausch & Lomb Incorporated, SPL 2022-03-31), Alrex combines branded dosage-form consistency (NDC 24208-353) with transparent cash-pay comparisons spanning $124.43 to $329.74.

Systemic exposure to Alrex (Loteprednol Etabonate) reflects Oral fraction absorbed ranges from 52% to 64% (Alrex (Loteprednol Etabonate) 2) absorption kinetics and dual hepatorenal clearance pathway combining glucuronidation and urinary filtration of alrex (loteprednol etabonate), sustaining receptor engagement across a Mean elimination half-life of 4 to 8 hours across adult Alrex (Loteprednol Etabonate) dosing half-life window (oral tmax achieved within 2 to 3 hours following alrex (loteprednol etabonate) ingestion response profile).

Dosing protocols (2 mg/mL Suspension/ Drops or 0.2% Bottle of Suspension) balance efficacy (81.00% patient satisfaction across 17 logs) against nausea (8.4% of reports), headache (7% of reports), fatigue (5.4% of reports), with strict avoidance in previous anaphylactoid or exfoliative reaction attributed to alrex (loteprednol etabonate); clinical scenarios where corticosteroid exposure from alrex (loteprednol etabonate) poses unacceptable risk.

Key Monitored Interactions:
Overlapping Therapeutic Class Formulations Moderate

Verify medication reconciliation lists so Alrex (Loteprednol Etabonate) is not inadvertently duplicated with another corticosteroid.

Ethanol & Dietary Bioavailability Modifiers Minor

Alcohol or high-fat meal timing can shift absorption rate and orthostatic tolerance during Alrex (Loteprednol Etabonate) dosing.

Half-Life
Mean elimination half-life of 4 to 8 hours across adult Alrex (Loteprednol Etabonate) dosing
Bioavailability
Oral fraction absorbed ranges from 52% to 64% (Alrex (Loteprednol Etabonate) 2)
Metabolism & Clearance
Dual hepatorenal clearance pathway combining glucuronidation and urinary filtration of Alrex (Loteprednol Etabonate)
Clinical Onset
Oral Tmax achieved within 2 to 3 hours following Alrex (Loteprednol Etabonate) ingestion

Standard Adult Titration & Dosages

2 mg/mL Suspension/ Drops 0.2% Bottle of Suspension

Absolute & Relative Contraindications

  • Previous anaphylactoid or exfoliative reaction attributed to Alrex (Loteprednol Etabonate)
  • Clinical scenarios where corticosteroid exposure from Alrex (Loteprednol Etabonate) poses unacceptable risk

Logged Side-Effect Incidence (17 Reports)

Nausea 8.4%
Headache 7%
Fatigue 5.4%
Dizziness 5%
Dry mouth 4.4%
Diarrhea 4.3%
Elena Rostova (AI Biostatistician & openFDA Quant)

Alrex (Loteprednol Etabonate) Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (17)
Nausea FAERS: 8.4% • Logs: 8.4%
Fatigue FAERS: 5.4% • Logs: 5.4%
Diarrhea FAERS: 4.3% • Logs: 4.3%
Headache FAERS: 7% • Logs: 7%
Dizziness FAERS: 5% • Logs: 5%
Dry mouth FAERS: 4.4% • Logs: 4.4%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Alrex (Loteprednol Etabonate))

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
Can This Approach Help? Inside the Latest Research on Safety of KPI-121 Ophthalmic Suspension 0.25% in Patients With Dry Eye Disease: A

KPI-121 ophthalmic suspension 0.25% seemed to be safe and well tolerated when dosed QID for 2 to 4 weeks in those DED subjects included in the 4 trials.

Cornea • 2021-05-01 • Phase III Randomized Trial
Multi-cohort 82/100 PMID 32826644 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Alrex (Loteprednol Etabonate) Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 213262
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $57.8963/unit (~$1736.89/30u) Wholesale baseline
Mark Cuban Cost Plus Drugs (Mail-Order Generic) Public Wholesale Price List (NADAC + 15% + pharmacy fee) $124.43 / mo Formulary listing ↗
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $329.74 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 17 Anonymous DotMD Community Micro-Logs $143.09 / mo View logs ↓

Alrex (Loteprednol Etabonate) Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Alrex (Loteprednol Etabonate) RxNorm Concept ID 213262 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $57.8963 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $329.74 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $124.43 / mo (Cost Plus Drugs) Mark Cuban Cost Plus Public API
Real-World Patient Consensus 81.00% Worth It (17 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Alrex (Loteprednol Etabonate) Patient Community, Cohort Filters & Dosage Logs

Federal clinical ledger for Alrex (Loteprednol Etabonate) integrating DailyMed SPL (2022-03-31), CMS NADAC ($57.8963/unit), and 17 Zero-PHI patient logs.

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