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Xibrom

Last reviewed on RxList: 2/7/2014
Xibrom Patient Information Including Side Effects

Brand Names: Bromday, Xibrom

Generic Name: bromfenac (ophthalmic) (Pronunciation: BROM fen ak)

What is bromfenac ophthalmic (Xibrom)?

Bromfenac is a non-steroidal anti-inflammatory drug (NSAID).

Bromfenac ophthalmic (for the eyes) is used to treat swelling and pain caused by cataract surgery.

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

What are the possible side effects of bromfenac ophthalmic (Xibrom)?

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

Stop using bromfenac ophthalmic and call your doctor at once if you have a serious side effect such as:

  • any change in your vision;
  • slow healing after your eye surgery;
  • eye redness or bleeding;
  • eye pain or swelling, increased sensitivity to light;
  • feeling like something is in your eye; or
  • severe eye discomfort, increased tears, crusting or drainage.

Less serious side effects may include:

  • mild burning or stinging when you apply the eye drops;
  • eye itching;
  • headache; or
  • seeing flashes of light or "floaters" in your vision.

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.

Read the Xibrom (bromfenac ophthalmic solution) Side Effects Center for a complete guide to possible side effects

What is the most important information I should know about bromfenac ophthalmic

You should not use this medication if you are allergic to bromfenac.

Before using bromfenac ophthalmic, tell your doctor if you have asthma, diabetes, arthritis, dry eye syndrome, a bleeding disorder, if you have had more than one eye surgery recently, or if you have an allergy to sulfites, aspirin, or other non-steroidal anti-inflammatory drugs (NSAIDs).

The Bromday brand of bromfenac ophthalmic is usually given as 1 drop in each affected eye once daily for 14 days, starting 1 day before your surgery. The Xibrom brand of bromfenac ophthalmic is usually given as 1 drop in each affected eye twice daily for 14 days, starting 24 hours after your surgery.

Follow your doctor's dosing instructions very carefully. Do not use this medication for more than the number of days your doctor has recommended. Using a steroid eye drop too long can increase your risk of serious side effects that may damage your vision.

Stop using bromfenac ophthalmic and call your doctor at once if you have any change in your vision, eye redness or bleeding, eye pain or swelling, severe eye discomfort, increased tears, increased sensitivity to light, feeling like something is in your eye, or slow healing after your eye surgery.

Do not use this medication while wearing contact lenses.

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Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

Xibrom Patient Information including How Should I Take

What should I discuss with my healthcare provider before using bromfenac ophthalmic (Xibrom)?

You should not use this medication if you are allergic to bromfenac.

To make sure you can safely use bromfenac ophthalmic, tell your doctor if you have any of these other conditions:

  • asthma or sulfite allergy;
  • diabetes;
  • rheumatoid arthritis;
  • dry eye syndrome;
  • an allergy to aspirin or other NSAIDs;
  • a bleeding or blood-clotting disorder; or
  • more than one eye surgery in a short period of time.

FDA pregnancy category C. It is not known whether bromfenac ophthalmic will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

It is not known whether bromfenac ophthalmic passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I use bromfenac ophthalmic (Xibrom)?

Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Do not use this medication while wearing contact lenses.

The Bromday brand of bromfenac ophthalmic is usually given as 1 drop in each affected eye once daily for 14 days. You will use the first dose 1 day before your surgery.

The Xibrom brand of bromfenac ophthalmic is usually given as 1 drop in each affected eye twice daily for 14 days. You will use the first dose 24 hours after your surgery.

Follow your doctor's dosing instructions very carefully. Do not use this medication for more than the number of days your doctor has recommended. Using a steroid eye drop too long can increase your risk of serious side effects that may damage your vision.

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 with the tip down. Look up and away from the dropper as you squeeze out a drop, then close your eye.
  • Use only the number of drops your doctor has prescribed.
  • Gently press your finger to the inside corner of the eye (near your nose) for about 1 minute to keep the liquid from draining into your tear duct.
  • Wait at least 10 minutes before using any other eye drops that your doctor has prescribed.

Do not allow the tip of the dropper to touch any surface, including your eyes or hands. If the dropper becomes contaminated it could cause an infection in your eye, which can lead to vision loss or serious damage to the eye.

Do not use the eye drops if the liquid has changed colors or has particles in it. Call your doctor for a new prescription.

Store at room temperature away from moisture and heat. Do not freeze. Keep the bottle tightly closed when not in use.

Xibrom Patient Information including If I Miss a Dose

What happens if I miss a dose (Xibrom)?

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 (Xibrom)?

An overdose of bromfenac ophthalmic 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 bromfenac ophthalmic (Xibrom)?

This medication may cause blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

Do not use other eye medications during treatment with bromfenac ophthalmic unless your doctor tells you to.

What other drugs will affect bromfenac ophthalmic (Xibrom)?

Tell your doctor about all other medicines you use, especially:

  • a blood thinner such as warfarin (Coumadin, Jantoven); or
  • an oral, nasal, inhaled, or injectable steroid medication.

There may be other drugs that can interact with bromfenac ophthalmic. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about bromfenac ophthalmic.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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