What Tobramycin/ Dexamethasone is used for:
This product is used for the treatment of inflammatory eye problems that are responsive to corticosteroids therapy and that coincide with superficial bacterial eye infections or where the risk of developing superficial bacterial eye infections is high.
Do not use Tobramycin/ Dexamethasone:
If you are allergic to Tobramycin, Dexamethasone or any of the ingredients in this medicine.
Tell your doctor about the allergy and what signs you had.
If you have or think that you have an eye infection that is not responsive to tobramycin (e.g. viral infections caused by varicella, vaccinia or herpes simplex viruses, fungal infections and mycobacterial infections).
Use of corticosteroids on infected eyes that do not respond to this type of antibiotic may worsen the infection.
Warnings and Precautions:
Stop using this medicine and talk to your doctor if you develop allergic reactions such as shortness of breath, skin rash, swelling of the face or neck, decreased blood pressure and dizziness.
Your doctor should start you on an appropriate therapy if this happens.
In acute purulent problems and parasitic eye infections, corticosteroids may hide the signs of infection or worsen the existing infection.
Talk to your doctor before starting Tobramycin/ Dexamethasone if you wear soft contact lenses.
This medicine is intended for topical eye use only. Do not use for eye injection.
You may experience sensitivity to this medicine. If this happens, stop using it.
Prolonged use of this medicine may cause an overgrowth of non-susceptible organisms, including fungi. In case of superinfection, your doctor should start you on an appropriate therapy. Prolonged use may also cause an increase in your intraocular (eye) pressure and/or cataract.
Cross-sensitivity to other aminoglycoside antibiotics may happen (experiencing hypersensitivity reactions to other aminoglycoside antibiotics if you already have previously experienced similar reactions to an aminoglycoside antibiotic).
Do not wear contact lenses if you have signs and symptoms of bacterial conjunctivitis (e.g. eyes discharge, red, swollen or itchy eyes).
Talk to your doctor if your eye condition is getting worse or if you experience new symptoms. You may become more prone to having infections when using this medicine.
Talk to your doctor before starting this medicine if you have a problem that may cause thinning of your eye tissues (e.g. rheumatoid arthritis, Fuch’s dystrophy or after a corneal transplant).
The use of corticosteroids may increase the risk of eye tissues thinning which may lead to perforation and may also delay the recovery of your eye wound.
Talk to your doctor before starting this medicine if you have diabetes (high blood glucose levels) as the risk of corticosteroid-induced increase in intraocular pressure may be higher if you have diabetes.
Talk to your doctor if you experience blurred vision or other visual problems.
Your doctor should be monitoring your intraocular pressure frequently.
The safety and efficacy of this medicine in children under 2 years of age has not been established and therefore is not recommended in this population.
Possible side effects:
Possible side effects include allergic reactions, hypersensitivity and localized eye toxicity (such as eye discomfort, lid itching and swelling, and eye redness).
Other side effects that may occur due to dexamethasone component of this product include increased eye pressure with possible development of glaucoma (abnormally high eye pressure that may cause eye nerve damage and vision problems), posterior subcapsular cataract formation (an eye problem that can cause poor reading vision, seeing halos around lights at night and decreased vision in bright light), delayed wound healing and secondary fungal infections.
Other medicines and Tobramycin/ Dexamethasone:
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medications including prescription medicines, over the counter medicines (non-prescription medicines), vitamins, supplements and eye drops.
If you are using more than one eye drop solution, make sure to administer each at least five minutes apart to avoid precipitation of the eye drop.
If you are using an eye ointment, make sure that you apply it last.
How to apply Tobramycin/ Dexamethasone:
Apply a small amount (1 – 1.5 cm) of the ointment in your conjunctival sac up to three to four times daily.
Not more than 8 g should be initially prescribed.
How To Use:
Use this medicine exactly as prescribed by your doctor. Ask your doctor if you are not sure.
Make sure that the cap and the tube is not broken before you use the ointment.
Wash your hands and open the tube by unscrewing the cap.
Hold the ointment tube between your index finger and thumb, as close as possible to your eyelid.
Tilt your head slightly forward and pull the lower eyelid away from your eye to form a pouch between the eyelid and the eye.
Squeeze carefully a strip of the ointment (length of about 1-1.5 cm), the eye ointment strip will fall just into place.
Afterwards, look slightly downwards and then make sure to close gently your eyelid for 1 to 2 minutes and then rotate your eyeball in all directions, to enhance the spread of the medicine on the entire eye surface.
Space your eye drops by at least 5 minutes.
Use at the same time every day.
Do not stop using your medication without consulting your doctor.
Avoid contact of the eye ointment tip with your eye or other surfaces to prevent bacterial contamination which may lead to eye infection and serious eye damage.
Contact your doctor if you suspect that your eye ointment is contaminated.
How to store Tobramycin/ Dexamethasone:
Keep out of the reach of children and pets.
Store the medicine at 2°C to 25°C.
Do not use beyond the expiry date mentioned on the tube.
After opening, the medicine may be used until the expiry date on the tube.
Keep away from light.
Do not share your medicine with others.
Do not dispose in the wastewater or household waste.
Ask your pharmacist how to properly dispose medicines that you no longer use