Xiidra (Lifitegrast): A Patient’s Guide to Treating Dry Eye Disease

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What Is Xiidra?

Xiidra is prescribed for the treatment of dry eye disease in adults and adolescents 17 years and older. It helps relieve symptoms by addressing inflammation rather than just lubricating the eye.

Xiidra contains lifitegrast 5% and is prescribed for adults and adolescents 17 years and older for dry eye disease.

The active ingredient targets inflammation, helping to relieve burning, itching, redness, and irritation.

The drops are preservative-free, packaged in sterile, single-use vials.

How Does Xiidra Work?

Dry eye disease often involves inflammation from the body's immune T-cells. Xiidra works by blocking a protein on T-cells (LFA-1), preventing them from activating and releasing inflammatory substances, which helps reduce irritation and stabilize the tear film.

T-cells can create surface eye inflammation, leading to dry eye symptoms.

Xiidra blocks the LFA-1 protein, stopping T-cell activation and reducing inflammation.

By reducing inflammation, the tear film stabilizes, decreasing dryness and discomfort.

Who Is a Good Candidate for Xiidra?

Xiidra may be appropriate for patients with moderate to severe dry eye associated with inflammation who have not responded to basic treatments.

Adults with moderate to severe dry eye symptoms may benefit from Xiidra.

Patients who haven't found relief with artificial tears or basic treatments may be considered.

Xiidra is approved for individuals 17 years and older.

Xiidra is not approved for children under 17.

How to Use Xiidra

Proper use of Xiidra ensures maximum effectiveness and safety for dry eye management.

Instill one drop in each affected eye twice daily, about 12 hours apart.

  • Remove contacts before using Xiidra.
  • Wait at least 15 minutes before reinserting lenses after application.

  • Each vial is for single use.
  • Discard any remaining solution after use on both eyes.

Keep vials in their original foil pouch at room temperature, away from light and moisture.

What to Expect During Treatment

Patients may notice relief within a few weeks, but maximum benefits take up to 12 weeks of regular use. Consistency is key.

Some experience improvement in 2 weeks, while full effects can require 6-12 weeks.

Xiidra helps decrease the inflammation causing dry eye symptoms.

Dryness, burning, itching, and redness can improve with continued use.

Persistent use often leads to lasting symptom relief.

Potential Side Effects

Xiidra is generally well-tolerated, but temporary side effects may occur. Serious reactions are rare but should be treated urgently.

  • Temporary eye irritation after use
  • Brief blurred vision
  • Unusual or metallic taste sensation

  • Severe eye pain
  • Significant vision changes
  • Rash, swelling, or difficulty breathing (may indicate allergy)

When to See Our Doctor

Always consult Alden Leifer, MD and Associates if symptoms persist or new problems arise during treatment.

Contact us if symptoms don't improve after 12 weeks.

Seek help for severe pain, major vision changes, or worsening irritation.

Immediate medical attention is needed for suspected allergies.

Summary

Xiidra is a twice-daily prescription drop designed to treat dry eye disease by reducing surface inflammation. It brings relief from dryness, redness, and burning, especially for those not helped by artificial tears alone. Mild side effects like irritation or a strange taste are possible, but most tolerate it well. Consult our doctors at Alden Leifer, MD and Associates to determine if Xiidra is right for you.

Frequently Asked Questions

The following answers address common patient concerns about Xiidra treatment and use.

Xiidra reduces surface inflammation responsible for dry eye by targeting a specific immune process. Artificial tears only provide temporary lubrication and do not address inflammation.

Initial symptom improvement may be seen within 2 weeks, but it can take up to 12 weeks of regular use for maximum effectiveness.

Yes, it may be combined with other therapies, including artificial tears and prescription drops like Restasis. Maintain a 15-minute interval between different drops, and follow doctor’s recommendations.

Contacts do not need to be stopped entirely, but must be removed before Xiidra application and can be reinserted 15 minutes later.

Xiidra is not approved for children under 17. People with known allergies to lifitegrast or its ingredients, or certain eye conditions, should consult our doctor before using.

Common effects include mild, brief irritation, blurred vision, and an unusual taste. Serious allergic reactions are rare but need urgent attention if symptoms occur.

Frequently Asked Questions Continued

Use the next dose as scheduled. Do not use extra drops to make up for a missed dose.

While Xiidra is not a cure, it can offer ongoing symptom relief with continued use. Most patients require long-term therapy for sustained benefit.

Yes, you can travel with Xiidra. Store single-use vials in foil pouches at room temperature. Do not refrigerate, freeze, or reuse vials after opening.

Contact our doctor at Alden Leifer, MD and Associates if there is no improvement after 12 weeks. Other treatments may be recommended for your specific needs.

Why Choose Xiidra at Alden Leifer, MD and Associates?

At Alden Leifer, MD and Associates, our expert team in Paterson and surrounding Passaic, Bergen, and Essex counties offers personalized dry eye care, including Xiidra. We are dedicated to helping you “See great till 98,” and beyond!

"He helped me with my severe dry eyes problem. I want to start by saying thank you doctor Leifer. He is a great eye doctor, very attentive and hears your needs, overall want to thank him on my cataract surgery and laser surgery. I will say he is the far best doctor will definitely recommend"

★★★★★

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