She is on day eight and she's determined to stick with it for 90 days, but she's having lots of dry eye and lots of side effects from it. Xiidra is a great drop but there are side effects. I've had patients that do complain about more dryness, especially for the first couple of hours after use. If your eyes are inflamed really bad from dryness, you're going to be feeling worse whenever you start a drop like that before it gets better.
How have we had success or failure with Xiidra? We don't prescribe it that much and we don't prescribe Restasis that much. Mainly because we tend to heal things holistically first. Then, if that doesn't help, I usually put them on a steroid dose because it tends to be more effective. We have a lot of trouble with Xiidra and Restasis because it's very hard to convince somebody that you have to take this drop every single day, twice a day, and it’s not going to start working for two months in the case of Xiidra, and six months in the case of Restasis. It's just a hard sell when I know I have a steroid drop in my back pocket.
I can work with them on their diet and exercise program to get them results faster and more naturally. However, if you are determined to stick with it for 90 days then that's great. You should know that there are going to be side effects at first, especially if your eyes are really dry. Once your eyes kind of get used to the medication and it really starts to work, then you shouldn't have those side effects anymore. They shouldn't be as noticeable to you because hopefully your eyes will be healing by then. I would stick with it if you’re determined with it.
Dr. Jenna Zigler and Dr. Travis Zigler
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