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Generic name: Nepafenac ophthalmic [ne-PA-fan-ak-off-THAL-mik]
Brand names:  Ilevro and Nevanac.

What is Ilevro?

Nepafenac can be described as an anti-inflammatory non-steroidal drug (NSAID). The ilevro (for eye surgery) is used to ease inflammation and pain after the cataract surgery. Ilevro can be used for other purposes not covered in this medication guide.

Side effects of Ilevro

See a doctor immediately. Get medical attention immediately if you notice symptoms that are warning signs of an allergic response, such as hives, difficulty breathing, and swelling of your lips, face, and tongue.

Certain side effects are due to cataract surgery and are not the side effects of the medicine. Consult your physician immediately if you experience:

  • Redness or eye pain that is severe;

  • Eyelid pain and difficulty closing your eyes

  • Issues with vision;

  • An increase in sensitivity to light

  • Eyes that are watery, crusty, or draining from your eyes;

  • Puffy eyelids or

  • Abnormal bleeding, bruising, and a scar that does not heal.

Common side effects could include:

  • blurred vision or one that is hazy

  • Reduced vision

  • You feel like something is visible in your eyes.

  • A sticky sensation in the eye; or

  • Increased pressure in the eye.

This isn't a complete list of all the side effects. Other side effects could occur. Contact your doctor for advice regarding medical effects. You can report any side effects to the FDA at 1-800-FDA-1088.


Follow the instructions on your prescription label and the package. Inform your healthcare professionals about your medical ailments and allergies, as well as the medicines you are taking.

Prior to use this drug

It is not recommended to make use of Ilevro in the event that you are allergic to nepafenac or any other non-steroidal antidotes.

Speak to your doctor if you are ever diagnosed with:

  • An allergy to different eye drops;

  • Dry eye syndrome; or

  • A blood-clotting or bleeding disorder, for example, haemophilia.

Utilizing Ilevro during the last stages of pregnancy could cause health problems for the baby.

Avoid using this medication if you are expecting and are close to the due date. It might not be safe to breastfeed while taking this medication. Consult your physician regarding any risks. Ilevro is not a product that has been approved for use by anyone less than 10 years old.

How to take Ilevro?

Follow the instructions on the label of your prescription and read the medication guide or instructions sheets. Make sure you use the medicine exactly as prescribed. Ilevro is generally started a day prior to cataract surgery and continues for 2 weeks following the surgery. Avoid using it while wearing contact lenses that are soft. A preservative found in this medicine can permanently stain your lenses. Make sure to take the medicine for at least 15 minutes prior to placing your contact lenses.

Continue to use any other drops for the eyes your doctor prescribed, such as drops for treating the condition of glaucoma. Make sure you only use the eye drops the doctor prescribed. Cleanse your hands prior to applying eye medications. Make sure to shake the eye drops thoroughly prior to each use. For applying the eye drops To apply the eye drops, tilt your head slightly, then pull down the lower eyelid, creating an eyelid pocket. Keep the dropper over the eye, and squeeze one drop into the pocket. Keep your eyes closed for about one or two minutes.

Only use the number of drops prescribed by your doctor. At least 5 minutes prior to using any other eye drops that your medical professional has advised you to use. Don't touch the tip of your eyedropper or put it directly in your eyes. Drops that have been contaminated could cause an eye infection, which could cause severe vision problems. If you're using this medicine for both eyes, you might require different bottles for each in order to reduce the risk of infection.

Contact your doctor right away if you've got eye injuries or infections or if you are required to undergo any other kind of eye procedure. The medicine should be stored at room temperature. Do not take Ilevro for more than 14 days following your surgery, unless your doctor has instructed you to.

What Happens If I Miss a Dose?

Take the medication as quickly as you can; however, take a break from any missed doses if it's close to the time for the next dose. Do not take two doses at once.

What Happens If I Overdose?

A dose of Ilevro isn't expected to be a danger. You should seek medical attention in an emergency or contact the Poison Helpline at 1-800-222-1222 in the event that someone has accidentally swallowed the medicine.

What Should be Avoided?

Do not take other eye medications unless your doctor has told you to, particularly eye drops containing steroids.

Interaction with other drugs:

Inform your doctor about all other medicines you take, including:

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