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Ophthalmic anti-inflammatory agents ophthalmic solution (5%)

Lifitegrast ophthalmic

Generic name: lifitegrast ophthalmic

Brand names: Xiidra

Used for dry eye disease
Last updated November 2, 2026 0 views
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What is lifitegrast ophthalmic?

Lifitegrast ophthalmic (for the eyes) is used to treat symptoms of dry eye disease.

Lifitegrast ophthalmic may also be used for reasons not mentioned in this medication guide.

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How should I use lifitegrast ophthalmic?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Use your doses at regular intervals, about every 12 hours.

Do not use while wearing soft contact lenses. A preservative in lifitegrast ophthalmic could permanently stain the lenses. Use the medicine at least 15 minutes before inserting your contact lenses.

Wash your hands before using eye medication.

To apply the eye drops: Tilt your head back slightly and pull down your lower eyelid to create a small pocket. Hold the dropper above the eye and squeeze a drop into this pocket. Close your eyes for 1 or 2 minutes.

Use only the number of drops your doctor has prescribed.

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

Store 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.

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

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Warnings

Follow all instructions on your medicine label and package. Inform each of your healthcare providers about all your medical conditions, allergies, and all medicines you are taking.

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Before taking this medicine

You should not use lifitegrast if you are allergic to it.

Tell your doctor if you are pregnant or breastfeeding.

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

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Lifitegrast ophthalmic side effects

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

lifitegrast ophthalmic may cause serious side effects. Stop using lifitegrast ophthalmic and call your doctor right away if you have:

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

Common side effects of lifitegrast ophthalmic may include:

  • blurred vision;
  • eye irritation; or
  • 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.

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Lifitegrast ophthalmic dosing information

Usual Adult Dose for Eye Dryness/Redness:

5% ophthalmic solution: 1 drop instilled into each eye 2 times a dayComments:-Doses should be separated by approximately 12 hours.-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 (DED)

Usual Pediatric Dose for Eye Dryness/Redness:

17 years and older:5% ophthalmic solution: 1 drop instilled into each eye 2 times a dayComments:-Doses should be separated by approximately 12 hours.-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 DED

What happens if I miss a dose?

Use the medicine as soon as you can, but skip the missed dose if it is nearly time for your next dose. Do not use two doses at the same time.

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What happens if I overdose?

An overdose of lifitegrast ophthalmic is not expected to be harmful. Get emergency medical help or call the Poison Help line at 1-800-222-1222 if someone has accidentally swallowed the medication.

Do not use other eye medications unless your doctor instructs you to.

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What other drugs will affect lifitegrast ophthalmic?

Medicine used in the eyes is not likely to be affected by other drugs you use. 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.

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Common questions about lifitegrast

What are the best eye drops for dry eyes?
Dry eyes are a common condition that can cause symptoms like stinging, burning, itching, redness, and a gritty sensation. These symptoms occur when your eyes don’t produce enough tears or when the quality of your tears is poor. Choosing the right eye drops depends on how severe your symptoms are, the underlying cause of your dry eye, and your individual needs. Continue reading
How much is Xiidra without insurance?
As of early 2026, a typical 30-day supply of Xiidra (lifitegrast 5%) costs around $731 if you pay cash at a U.S. retail pharmacy without using insurance or coupons. Your actual price can be lower if you use a manufacturer savings program, discount card, or patient assistance program. Continue reading
Can I use other eye drops with Xiidra?
Yes, most people can use other eye drops with Xiidra (lifitegrast), as long as you space them out. Over-the-counter artificial tears are generally fine if you wait at least 10 to 15 minutes after your Xiidra dose. Xiidra's FDA label does not list any drug interactions. But you should only add a second prescription eye drop if your eye doctor tells you to. Continue reading
How long does it take for Xiidra to work?
Some people notice less dry eye discomfort within 2 weeks of starting Xiidra (lifitegrast). For most people, it takes 6 to 12 weeks of twice-daily use to feel the full benefit, since that's when Xiidra's clinical studies measured the biggest improvement. Xiidra doesn't work for everyone, so if you don't notice any change after 12 weeks of consistent use, talk to your eye doctor about next steps. Continue reading
How is Xiidra packaged at the pharmacy?
Xiidra is packaged in 60 single-use containers. It is supplied in a carton that contains 12 foil pouches containing 5 low-density polyethylene 0.2 mL single-use containers per pouch. One carton should last you one month. Continue reading
How does Xiidra differ from OTC dry eye treatments?
Xiidra (generic name: lifitegrast) eye drops contains lifitegrast, a prescription medication that is classified as a lymphocyte function-associated antigen-1 (LFA-1) antagonist. Over-the-counter dry (OTC) eye products are referred to as "artificial tears" which are usually made of a combination of glycerin and propylene glycol used for the temporary relief of irritation due to dryness of the eye. Continue reading

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Before you take this medicine: the information on this page is general and may not cover your personal circumstances. Read the label supplied with your medicine and ask a pharmacist or doctor if you are unsure, especially if you are pregnant, breastfeeding, taking other medicines or managing a long-term condition.
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Content is provided for education and is not medical advice. See our medical disclaimer.