Evidence map›Paper›PMID 40601423›Full record

ArticleClinical and translational science2025

Pharmacovigilance on Dexamethasone 1 mg/mL + Levofloxacin 5 mg/mL Eye Drops, Solution: A Five-Year Registry.

Giorgio Ciprandi, Alice Omini, Danila Lo Sicco, Lucia Cutuli, Alessandro Colombo, Gregorio Lo Giudice

Abstract read
In one paragraph

Article in Clinical and translational science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Giorgio CiprandiCasa di Cura Villa Montallegro, Genoa, Italy.ORCID 0000-0001-7016-8421
Alice OminiDrug Safety Unit, NTC, Milan, Italy.
Danila Lo SiccoDrug Safety Unit, NTC, Milan, Italy.
Lucia CutuliDrug Safety Unit, NTC, Milan, Italy.
Alessandro ColomboResearch and Development, NTC, Milan, Italy.
Gregorio Lo GiudiceDepartment of Ophthalmology, ARNAS Civico Hospital, Palermo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cataract surgery is a common procedure requiring post-surgical pharmacological treatment to dampen inflammation and prevent infections. In 2020, a fixed eye drops combination of dexamethasone 1 mg/mL + levofloxacin 5 mg/mL for prevention and treatment of inflammation, and prevention of infection associated with cataract surgery in adults was approved. This innovative combination ensures the control of inflammation and prevents infection in a one-week course, preventing antibiotic resistance and minimizing steroid adverse events. This study aimed to collect information on reported suspected Adverse Drug Reactions (ADRs) of this product and analyze their characteristics in various System Organ Classifications. Using the European database of suspect ADRs as an access tool, we extracted line listings of reported ADRs that occurred using levofloxacin/dexamethasone from 2020 to 2024. The product has been approved in almost sixty countries worldwide, and approximately 4 million patients have been treated. A total of 53 ADRs concerning 25 patients were retrieved: 39 ADRs were not serious, while 14 ADRs were serious; 27 ADRs (51%) were evaluated as unlikely related to the drug. Eye and skin were the most common systems involved. Moreover, 15 special situations have been registered, mostly off-label use (10; 67%). Interestingly, levofloxacin/dexamethasone was not associated with confirmed endophthalmitis occurrence, one of the most serious ophthalmic emergencies. Based on data collected, no relevant safety issues have been identified that would alter the product's safety and efficacy profile. A large proportion of these ADRs were non-serious and unlikely to be related to the product or special situations.

Indexed as

DexamethasoneLevofloxacinPharmacovigilanceAdultAgedAged, 80 and overAnti-Bacterial AgentsCataract ExtractionDrug CombinationsFemaleHumansMaleMiddle AgedOphthalmic SolutionsRegistriesAnti-Bacterial AgentsDexamethasoneDrug CombinationsLevofloxacinOphthalmic Solutionsadverse drug reactionadverse eventscataract surgerydexamethasone + levofloxacin eye dropsEudravigilance databasepharmacovigilance

Identifiers

PMID40601423
PMCPMC12219018

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.