Xiidra is a newer option for the treatment of the chronic symptoms of MGD. We find that Xiidra has a more rapid effect than Restasis (2-4 weeks rather than 6-8 weeks) Xiidra is provided in vials and the recommended dose is one drop in the morning or afternoon, and 1 drop in the evening. Some people have a stinging and burning feeling in their eyes after using Xiidra and this feeling can be quite severe. We find that that this discomfort with instillation resolves after a few weeks. Some people also have blurry vision for a few minutes after using Xiidra or can get a “funny” taste in the mouth, and these also resolve after a few weeks of use. (Dr. Levinson uses Xiidra and had all of these symptoms when he started, but they resolved and the Xiidra helped his symptoms.)