Xiidra vs Izervay

A side-by-side look at two eye health medications advertised on TV. Informational only — not medical advice.

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Information reviewed July 24, 2026

US XiidraUS Izervay
Generic namelifitegrastavacincaptad pegol
Drug classLFA-1 Antagonist (Eye Drop)Complement C5 Inhibitor
TreatsDry eye diseaseGeographic atrophy (advanced dry AMD)
CategoryEye HealthEye Health
ManufacturerBausch + LombAstellas Pharma
Year approved20162023
FDA warningNo boxed warningModerate warnings
Est. TV ad spend$150M
Common side effectsEye irritation, Unusual taste, Blurred vision, Eye discomfort on applicationBleeding in the eye, Increased eye pressure, Floaters, Risk of eye infection

Frequently asked questions

Is Xiidra or Izervay better?

Neither is universally "better." Xiidra (lifitegrast) and Izervay (avacincaptad pegol) are both used for eye health, but the right choice depends on your medical history, insurance and your doctor's guidance. This comparison is informational only.

What's the difference between Xiidra and Izervay?

Xiidra is a LFA-1 Antagonist (Eye Drop) made by Bausch + Lomb, while Izervay is a Complement C5 Inhibitor made by Astellas Pharma. See the table above for a side-by-side breakdown.

Which one spends more on TV ads?

Xiidra has the larger estimated TV advertising budget of the two.

TVPills

A reference tool to help identify prescription medications and supplements seen in television advertising. This is not medical advice. Always consult a healthcare professional.

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