{"id":3524,"date":"2018-12-11T15:19:15","date_gmt":"2018-12-11T20:19:15","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=3524"},"modified":"2025-10-17T18:32:07","modified_gmt":"2025-10-17T22:32:07","slug":"xiidra-vs-restasis","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/xiidra-vs-restasis\/","title":{"rendered":"Xiidra vs. Restasis: Differences, similarities, and which is better for you"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/xiidra\"><span style=\"font-weight: 400;\">Xiidra<\/span><\/a><span style=\"font-weight: 400;\"> (lifitegrast) and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/restasis\"><span style=\"font-weight: 400;\">Restasis<\/span><\/a><span style=\"font-weight: 400;\"> (cyclosporine) are brand-name medications for dry eye disease. People with dry eye disease often don\u2019t make enough tears to keep their eyes lubricated, which can cause eye discomfort, burning, and trouble focusing when reading or using a computer. Xiidra and Restasis are eye drop medications used in both eyes daily to help relieve dryness and reduce irritation.<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th colspan=\"3\">\n<h2 id=\"main-differences-between-xiidra-and-restasis\"><span style=\"font-weight: 400;\">Main differences between Xiidra and Restasis<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><\/td>\n<td><b>Xiidra<\/b><\/td>\n<td><b>Restasis<\/b><\/td>\n<\/tr>\n<tr>\n<td><b>Drug class<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Lymphocyte function-associated antigen 1 (LFA-1) antagonist<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Calcineurin inhibitor<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Brand\/generic status<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Brand name only<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Brand and generic versions available<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>What is the generic name?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Lifitegrast<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Cyclosporine<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>What form(s) does the drug come in?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Ophthalmic solution<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Ophthalmic emulsion<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>What is the standard dosage?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">One drop in each eye twice daily or every 12 hours<\/span><\/td>\n<td><span style=\"font-weight: 400;\">One drop in each eye twice daily or every 12 hours<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>How long is the typical treatment?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">This medication is used as a long-term treatment<\/span><\/td>\n<td><span style=\"font-weight: 400;\">This medication is used as a long-term treatment<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Who typically uses the medication?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Adults and adolescents aged 17 years and older<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Adults and adolescents aged 16 years and older<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"what-are-xiidra-and-restasis\"><span style=\"font-weight: 400;\">What are Xiidra and Restasis?<\/span><\/h2>\n<h3 id=\"xiidra\"><span style=\"font-weight: 400;\">Xiidra<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/xiidra\/what-is\"><span style=\"font-weight: 400;\">Xiidra<\/span><\/a><span style=\"font-weight: 400;\"> is a newer prescription eye drop approved by the FDA in 2016. It belongs to a class of drugs called LFA-1 antagonists, which reduce inflammation by blocking certain protein interactions in the eyes. This helps improve <\/span><a href=\"https:\/\/www.nei.nih.gov\/learn-about-eye-health\/healthy-vision\/how-eyes-work\/how-tears-work\"><span style=\"font-weight: 400;\">tear production<\/span><\/a><span style=\"font-weight: 400;\"> and relieve dryness. Xiidra is supplied as single-use, preservative-free vials.<\/span><\/p>\n<h3 id=\"restasis\"><span style=\"font-weight: 400;\">Restasis<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/restasis\/what-is\"><span style=\"font-weight: 400;\">Restasis<\/span><\/a><span style=\"font-weight: 400;\"> has been on the market since 1983 and remains a leading treatment for dry eye disease. It works as a calcineurin inhibitor, reducing inflammation on the eye\u2019s surface and allowing the tear\u2011producing glands to work better. Restasis is supplied as preservative-free, single-use vials or a multidose bottle. While single-use vials are available in a generic version, the <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/restasis-multidose\"><span style=\"font-weight: 400;\">multidose bottle<\/span><\/a><span style=\"font-weight: 400;\"> is brand-name only.<\/span><\/p>\n<h2 id=\"conditions-treated-by-xiidra-and-restasis\"><span style=\"font-weight: 400;\">Conditions treated by Xiidra and Restasis<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Xiidra and Restasis are approved to treat dry eye disease, otherwise known as <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK470411\/\"><span style=\"font-weight: 400;\">dry eye syndrome<\/span><\/a><span style=\"font-weight: 400;\">. Dry eye disease may be associated with other eye conditions, such as blepharitis, or inflammation of the eyelids, caused by allergies or other problems. These medications help increase tear production and reduce inflammation on the ocular surface.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition to dryness, Xiidra and Restasis can help treat other symptoms of dry eye disease, including eye redness, eye fatigue, blurry vision, and itchiness. Some doctors may recommend additional treatments while using Xiidra or Restasis, such as warm compresses to soothe the eye.\u00a0<\/span><\/p>\n<h2 id=\"is-xiidra-or-restasis-more-effective\"><span style=\"font-weight: 400;\">Is Xiidra or Restasis more effective?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are limited randomized controlled trials comparing Xiidra and Restasis. But individual clinical studies show both are effective:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Xiidra:<\/b><span style=\"font-weight: 400;\"> Across <\/span><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2020\/208073s005lbl.pdf\"><span style=\"font-weight: 400;\">four clinical trials<\/span><\/a><span style=\"font-weight: 400;\"> with 1,181 patients, Xiidra significantly improved dry eye symptoms by week 12, with some patients reporting relief in just 2 weeks.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Restasis:<\/b><span style=\"font-weight: 400;\"> In <\/span><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2025\/050790s031lbl.pdf\"><span style=\"font-weight: 400;\">trials with about 1,200 patients<\/span><\/a><span style=\"font-weight: 400;\">, 15% of those treated with Restasis experienced increased tear production at 6 months, compared to 5% with placebo.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Although Xiidra may work faster, that doesn\u2019t necessarily mean it\u2019s better. In a <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36853599\/\"><span style=\"font-weight: 400;\">retrospective review<\/span><\/a><span style=\"font-weight: 400;\"> of 64 people who had used both drops, about half (52%) preferred Restasis, around 22% favored Xiidra, and a few couldn\u2019t tolerate either.<\/span><\/p>\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11756945\/\"><span style=\"font-weight: 400;\">Other surveys<\/span><\/a><span style=\"font-weight: 400;\"> found that most patients were satisfied with both drugs, but many still experienced delayed or incomplete symptom relief. Around 14% of patients switched between Xiidra and Restasis within six months to get more relief or a faster response. Both treatments can significantly improve symptoms, but results may still vary.<\/span><\/p>\n<h2 id=\"coverage-and-cost-comparison-of-xiidra-vs-restasis\"><span style=\"font-weight: 400;\">Coverage and cost comparison of Xiidra vs. Restasis<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Xiidra doesn\u2019t have a generic version yet, which may make it more costly than other medications. Some insurance companies and Medicare plans now cover it, but coverage and copays can differ. The average retail price can be over $1,000. However, a <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/xiidra\"><span style=\"font-weight: 400;\">SingleCare Xiidra coupon card<\/span><\/a><span style=\"font-weight: 400;\"> may help lower the price of the medication to around $617.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Restasis is available as both a brand-name and a generic version, which helps make it more affordable. Most health insurance plans, including Medicare, cover at least one of these options, but what you pay can vary. Without insurance, brand Restasis can cost roughly $411, although a <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/restasis\"><span style=\"font-weight: 400;\">SingleCare Restasis coupon<\/span><\/a><span style=\"font-weight: 400;\"> may lower the cost of Restasis to less than $100.<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th colspan=\"3\">\n<h2 id=\"comparing-the-cost-of-xiidra-vs-restasis\"><span style=\"font-weight: 400;\">Comparing the cost of Xiidra vs. Restasis<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><\/td>\n<td><b>Xiidra<\/b><\/td>\n<td><b>Restasis<\/b><\/td>\n<\/tr>\n<tr>\n<td><b>Typically covered by insurance?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Typically covered by Medicare Part D?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Quantity<\/b><\/td>\n<td><span style=\"font-weight: 400;\">60 single-use containers<\/span><\/td>\n<td><span style=\"font-weight: 400;\">60 vials<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Typical Medicare copay<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Varies<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Varies<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>SingleCare cost<\/b><\/td>\n<td><span style=\"font-weight: 400;\">$617<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$91<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"common-side-effects-of-xiidra-vs-restasis\"><span style=\"font-weight: 400;\">Common side effects of Xiidra vs. Restasis<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Both medications may cause mild, temporary side effects.<\/span><\/p>\n<h3 id=\"common-side-effects-of-xiidra\"><b>Common side effects of <\/b><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=8589d376-ac10-4ddb-9c53-2e0c8d5675c4\"><b>Xiidra<\/b><\/a><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eye irritation, redness, or discharge<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blurred vision<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Unusual taste in the mouth (dysgeusia)<\/span><\/li>\n<\/ul>\n<h3 id=\"common-side-effects-of-restasis\"><b>Common side effects of <\/b><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=8e24af2b-bc1c-4849-94f2-6df950cdca89\"><b>Restasis<\/b><\/a><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Burning or stinging in the eyes after use<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Redness or irritation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blurred vision<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">These adverse effects usually go away as the eyes adjust to the medication. Still, it\u2019s a good idea to mention any potential side effects to an eye doctor if they worsen or persist.<\/span><\/p>\n<h3 id=\"serious-side-effects\"><b>Serious side effects<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Both may rarely cause <\/span><b>hypersensitivity reactions<\/b><span style=\"font-weight: 400;\">, with signs or symptoms such as rash, swelling, or shortness of breath. It\u2019s important to seek medical attention if serious allergic reactions occur.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There\u2019s also a risk of infection or eye injury if the tip of the dropper touches the eye during application. Make sure to keep the dropper clean by avoiding any contact and preventing contamination.<\/span><\/p>\n<h2 id=\"drug-interactions-and-warnings\"><span style=\"font-weight: 400;\">Drug interactions and warnings<\/span><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Xiidra and Restasis don\u2019t have any major drug interactions.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid using other eye drops at the same time unless directed by your healthcare provider.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Contact lenses should be removed before applying Xiidra or Restasis. Lenses may be reinserted 15 minutes after using these medications.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid touching the dropper tip directly to the surface of the eye to <\/span><a href=\"https:\/\/medlineplus.gov\/eyeinfections.html\"><span style=\"font-weight: 400;\">prevent contamination<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Xiidra and Restasis single-use containers need to be discarded after opening.<\/span><\/li>\n<\/ul>\n<h2 id=\"frequently-asked-questions-about-xiidra-vs-restasis\"><span style=\"font-weight: 400;\">Frequently asked questions about Xiidra vs. Restasis<\/span><\/h2>\n<h3 id=\"are-xiidra-and-restasis-the-same\"><span style=\"font-weight: 400;\">Are Xiidra and Restasis the same?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">No. Xiidra is an LFA-1 antagonist, while Restasis is a calcineurin inhibitor. They work differently, but both reduce inflammation and increase tear production.<\/span><\/p>\n<h3 id=\"which-is-faster-xiidra-or-restasis\"><span style=\"font-weight: 400;\">Which is faster &#8211; Xiidra or Restasis?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Xiidra may relieve symptoms in as little as 2 weeks, while Restasis usually takes 3 months or longer. Still, results can vary, with some people taking longer to feel relief.\u00a0<\/span><\/p>\n<h3 id=\"can-i-use-xiidra-or-restasis-while-pregnant\"><span style=\"font-weight: 400;\">Can I use Xiidra or Restasis while pregnant?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Both are considered low-risk since absorption into the bloodstream is minimal. Still, it\u2019s best to consult a healthcare provider before using these medications while pregnant or breastfeeding.<\/span><\/p>\n<h3 id=\"can-i-use-xiidra-or-restasis-with-alcohol\"><span style=\"font-weight: 400;\">Can I use Xiidra or Restasis with alcohol?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Yes. Xiidra and Restasis work locally in the eyes and are not known to interact with alcohol. Drinking in moderation should not affect how these eye drops work.<\/span><\/p>\n<h3 id=\"can-xiidra-cure-dry-eyes\"><span style=\"font-weight: 400;\">Can Xiidra cure dry eyes?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Xiidra is not a cure but a long-term treatment to relieve dry eyes and other symptoms of dry eye disease. If Xiidra is discontinued, dryness in the eyes may return.<\/span><\/p>\n<h3 id=\"is-xiidra-a-steroid\"><span style=\"font-weight: 400;\">Is Xiidra a steroid?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">No. Xiidra is not a steroid\u2014it\u2019s an LFA-1 antagonist.<\/span><\/p>\n<h3 id=\"does-xiidra-reduce-inflammation\"><span style=\"font-weight: 400;\">Does Xiidra reduce inflammation?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Xiidra is an effective medication that helps reduce eye inflammation and dryness. It can start relieving dry eyes within two weeks, although it can take up to 12 weeks to provide complete relief. Xiidra is administered twice daily as an ophthalmic solution.\u00a0<\/span><\/p>\n<h3 id=\"is-there-a-cheaper-alternative-to-restasis\"><span style=\"font-weight: 400;\">Is there a cheaper alternative to Restasis?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Yes, a generic version of Restasis has been approved since 2022 and is now available at pharmacies. It contains the same active ingredient as the brand-name version but may be more affordable.<\/span><\/p>\n<h2 id=\"which-is-better-for-you-xiidra-or-restasis\"><b>Which is better for you: Xiidra or Restasis?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Both Xiidra and Restasis are effective treatments for chronic dry eye disease.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Xiidra may be a better option if:<\/b><span style=\"font-weight: 400;\"> you want <\/span><b>faster relief<\/b><span style=\"font-weight: 400;\">, don\u2019t mind higher out-of-pocket costs, or haven\u2019t had success with Restasis.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Restasis may be a better option if:<\/b><span style=\"font-weight: 400;\"> you want a <\/span><b>more affordable option with insurance coverage<\/b><span style=\"font-weight: 400;\">, and you\u2019re comfortable waiting longer for results.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Always talk to your eye care provider about your symptoms and budget when deciding which medication is right for you. Remember, you can lower your prescription costs by using<\/span><a href=\"https:\/\/www.singlecare.com\/\"> <span style=\"font-weight: 400;\">SingleCare coupons<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Xiidra (lifitegrast) and Restasis (cyclosporine) are brand-name medications for dry eye disease. People with dry eye disease often don\u2019t make enough tears to keep their eyes lubricated, which can cause eye discomfort, burning, and trouble focusing when reading or using a computer. Xiidra and Restasis are eye drop medications used in both eyes daily to [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":12709,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8313],"tags":[4343,790],"coauthors":[8669],"class_list":["post-3524","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-vs-drug","tag-brand-name-drugs","tag-chronic-disease","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Xiidra vs. Restasis: Differences, similarities, and which is better for you<\/title>\n<meta name=\"description\" content=\"Compare Xiidra and Restasis for dry eye disease. 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