A mild steroid eye drop. Useful in cases of ocular inflammation and irritation.  This drop has the same ingredient (loteprednol) as Lotemax but with a third of the steroid concentration.  By reducing the steroid concentration, this decreases the chance of untoward reactions such as premature cataract formation and glaucoma pressure spikes.

Dr. Timothy Root is a practicing ophthalmologist and cataract surgeon in Daytona Beach, Florida. His books, video lectures, and training resources can be found at:


  1. Alrex is a milder steroid that is great for low-grade inflammation. It is about a third as powerful as Lotemax and well tolerated by my patients.

    Steroid eye drops have a certain amount of risk associated with them … particularly the increased risk of infection and steroid-related increases in eye pressure.

    Alrex has a lower amount of steroid and the chance of these complications is greatly reduced … at least, that is what the drug reps keep telling me.

    If you have a question about this medication, please feel free to leave a comment below. Thanks!


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