Indications 

Nevanac is an ophthalmic suspension prescribed for the treatment of pain and 

inflammation associated with cataract surgery. 

Categorized as a nonsteroidal anti-inflammatory drug (NSAID), Nevanac functions by inhibiting the production of prostaglandins – a natural substance that induces inflammation and pain in the body. 

Uses and Dosage 

Before using Nevanac and with each prescription refill, carefully review its medication guide and patient information leaflet. Seek advice from your physician or pharmacist if you have any questions or concerns. 

Typically, one drop of Nevanac is applied to the affected eye three times daily starting a day before cataract surgery, continued the day of surgery, and for 14 days after the surgery. 

To properly apply this eye drop, follow these steps: 

1. Begin by washing your hands thoroughly. 
2. Prior to each dose, give the bottle a gentle shake. 
3. To prevent contamination, avoid touching the dropper tip and refrain from allowing it to come into contact with your eye or any other surface. 
4. Tilt your head backward and gaze upward. Gently pull down your lower eyelid to create a small pocket. 
5. Directly position the dropper above your eye and release one drop into the pocket you formed. 
6. Look downward and gently close your eyes for approximately 1 to 2 minutes. Avoid blinking or rubbing your eye during this time. 
7. If instructed to do so, repeat the above steps for your other eye. 
8. After each use, ensure to replace the dropper cap without rinsing the dropper. 

Wait at least 5 minutes before applying additional eye medications such as other eye drops and ointments. Prioritize the use of eye drops before eye ointments to ensure proper absorption. 

For optimal results, use Nevanac exactly as directed, around the same times every day. Avoid early usage, exceeding recommended dosage, or prolonged use beyond the doctor’s direction, as it may heighten the risk of severe eye-related side effects. 

Side Effects 

Listed below are the potential adverse effects of Nevanac. Notify your doctor promptly if any of them last or worsen. 

Common Side Effects 

• Temporary eye irritation lasting 1-2 minutes upon application 
• Eye redness 
• Headache 

Serious Side Effects 

• Swollen or painful eyes 
• Excessive discharge or watering from the eyes 
• Alterations in vision 

Tell your doctor immediately if any of the following severe side effects are experienced. 

Allergic Reactions 

Although rare, a severe allergic reaction to Nevanac may occur. Promptly seek medical assistance if you notice any of the following: 

• Rash 
• Severe dizziness 
• Itching or swelling (particularly of the face, tongue, or throat) 
• Trouble breathing  

Not all side effects of Nevanac are included in this list. In case of any unlisted effects, notify your doctor immediately. 

Cautions 

Before starting treatment with Nevanac, inform your doctor and pharmacist of any known allergies, particularly to: 

• Nepafenac 
• Aspirin 
• Other NSAIDs (e.g., ibuprofen, celecoxib) 
• Other drugs 
• Any components contained in Nevanac suspension 

To ensure Nevanac is safe for you, disclose to your physician your medical background, especially if you have a history of: 

• Asthma (including breathing difficulties after aspirin or NSAID use) 
• Bleeding problems 
• Previous eye surgery 
• Other eye problems (e.g., dry eye syndrome, corneal problems) 
• Diabetes 
• Rheumatoid arthritis 
• Nasal polyps 

Tell your doctor and pharmacist of all prescription and non-prescription drugs, vitamins, and herbal supplements you are taking to mitigate the risk of drug interaction with Nevanac. 

Some of the products that may interact with Nevanac are: 

• Anti-platelet medications (e.g., clopidogrel) 
• Blood thinners (e.g., warfarin) 
• Corticosteroid drugs (e.g., prednisone) 
• Other eye medications (e.g., corticosteroid eye drops) 

Carefully review all prescription and nonprescription drug labels for NSAIDs like aspirin, ibuprofen, or naproxen, which can increase bleeding risk when combined with Nevanac. 

Low-dose aspirin (81-162 milligrams per day) prescribed by a doctor for medical purposes such as heart attack or stroke prevention should be continued. For further information, consult your doctor or pharmacist. 

Temporary blurring or instability of vision may occur upon application of Nevanac. Refrain from driving, operating machinery, or engaging in visually demanding activities until safe to do so. 

The potential harm of Nevanac on a fetus is unknown. Inform your physician if you are pregnant or intend to conceive while using this medication. 

The potential transfer of nepafenac to breast milk and its effects on nursing infants is unknown. Inform your doctor if you are breastfeeding prior to use.