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Tobradex Opht Ointment

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Product Details

What Is Tobradex Opht Ointment?

What Is Tobradex Opht Ointment?

Tobradex Ophthalmic Ointment is a prescription eye medication that contains a combination of tobramycin (an aminoglycoside antibiotic) and dexamethasone (a corticosteroid). It is FDA-approved for the treatment of bacterial eye infections where inflammation is also present or expected.

Tobramycin works by stopping the growth of susceptible bacteria, while dexamethasone helps reduce eye inflammation, redness, swelling, and irritation. Tobradex 0.3%/0.1% eye ointment should be used under the supervision of an eye care specialist and is intended only for ophthalmic (eye) use.

What Is Tobradex Ointment Used For?

What Is Tobradex Ointment Used For?

Tobradex Ophthalmic Ointment is FDA-approved for:

  • Steroid-responsive inflammatory eye conditions
  • Bacterial infections of the eye (or risk of infection)
  • Post-surgical eye inflammation, where bacterial infection may occur
  • Blepharitis, conjunctivitis, and keratitis are caused by susceptible organisms

This medication should be used only as prescribed, as inappropriate or prolonged use may increase the risk of secondary infections, glaucoma, or delayed healing.

Quick Facts About Tobradex Opht Ointment

Quick Facts About Tobradex Opht Ointment

CategoryDetails
Brand NameTobradex
Generic NameTobramycin and Dexamethasone
Drug ClassOphthalmic antibiotic + corticosteroid combination
FDA‑Approved UsesTreatment of steroid‑responsive inflammatory ocular conditions (e.g., conjunctivitis, keratitis, uveitis, post‑surgical inflammation) where bacterial infection or risk of infection exists
Dosage FormOphthalmic ointment (sterile, topical use only)
StrengthEach gram contains:
• Tobramycin 0.3% (3 mg)
• Dexamethasone 0.1% (1 mg)
• Preservative: Chlorobutanol 0.5% (in some formulations)
How SuppliedSterile 3.5 g tube
Prescription RequiredYes Rx only
FDA StatusApproved; available in the U.S.
Contraindications- Mycobacterial infections of the eye
- Viral diseases of the cornea and conjunctiva (e.g., herpes simplex keratitis)
- Fungal diseases of ocular structures
- Hypersensitivity to any component
Warnings & Precautions- Prolonged use may cause glaucoma, cataracts, or secondary infections
- Corticosteroids may mask infection signs
- Use with caution in patients with thin corneal or scleral tissue
StorageStore at 20–25°C (68–77°F); protect from contamination; keep tightly closed

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How to Apply Tobradex Ointment to the Eyes?

How to Apply Tobradex Ointment to the Eyes?

Tobradex Opht Ointment should always be used exactly as prescribed by your doctor. Here are some general administration steps that may help increase the effectiveness of your medication:

  • Wash your hands thoroughly before use.
  • Tilt your head back and pull down the lower eyelid to create a small pocket.
  • Apply a small ribbon of ointment (about ½ inch) into the pocket of the affected eye(s), as directed.
  • Close your eyes for 1-2 minutes to allow the ointment to spread evenly.
  • Avoid touching the tube tip to your eye, fingers, or any surface to keep the ointment sterile.
  • Replace the cap tightly after each use.
  • Use at the prescribed frequency (often every 3–4 hours while awake, or as directed by your doctor).
  • If you miss a Tobradex dose, apply the ointment as soon as you remember. If it’s near your next scheduled dose, skip the missed one; do not double up.
What Are the Contraindications for Tobradex Ointment?

What Are the Contraindications for Tobradex Ointment?

TobraDex Opht Ointment is contraindicated in the following situations:

  • Viral infections of the cornea or conjunctiva (e.g., herpes simplex keratitis, vaccinia, varicella)
  • Fungal diseases of ocular structures
  • Mycobacterial eye infections (such as tuberculosis of the eye)
  • Known hypersensitivity to tobramycin, dexamethasone, other aminoglycosides, corticosteroids, or any component of the formulation

Use in these conditions may worsen infection or delay healing.

What Are the Precautions for Tobramycin Eye Ointment?

What Are the Precautions for Tobramycin Eye Ointment?

Precautions when using Tobradex 0.3%/0.1% eye ointment include:

  • Long-term corticosteroid use may suppress local immune response and allow secondary bacterial, viral, or fungal infections.
  • Prolonged use may increase intraocular pressure, increasing the risk of glaucoma, optic nerve damage, and vision loss.
  • Extended corticosteroid therapy may lead to posterior subcapsular cataract formation.
  • Corticosteroids may delay corneal or scleral healing after injury or surgery.
  • Steroids can mask signs of infection, delaying proper diagnosis and treatment.
  • Hypersensitivity reactions (redness, itching, swelling) may occur; discontinue use if symptoms develop.
  • Use with caution in patients with known aminoglycoside allergy due to possible cross-sensitivity.
  • Avoid wearing contact lenses during an active eye infection or while using the ointment unless directed by a doctor.
  • If no improvement is seen after a few days, ophthalmologic reassessment is required.

Tobramycin should be used only under medical supervision and for the prescribed duration.

Pregnancy and Breastfeeding Precautions for Tobradex Opht Ointment

  • Pregnancy: Tobradex should be used during pregnancy only if the benefit justifies the risk to the fetus, as adequate and well-controlled studies in pregnant women are lacking.
  • Breastfeeding: It is not known whether ophthalmic tobramycin or dexamethasone is excreted in human milk; caution is advised when administering to nursing mothers.
How Does Tobradex Ophthalmic Ointment Work in the Eye?

How Does Tobradex Ophthalmic Ointment Work in the Eye?

Tobradex combines tobramycin (an aminoglycoside antibiotic) and dexamethasone (a corticosteroid):

  • Tobramycin stops bacterial growth by inhibiting protein synthesis in susceptible bacteria.
  • Dexamethasone reduces inflammation by suppressing immune responses, decreasing swelling, redness, and irritation.

Together, they treat steroid‑responsive inflammatory eye conditions where bacterial infection or risk of infection exists.

Tobradex Opht Ointment Dosage Guide

Tobradex Opht Ointment Dosage Guide

Below is the usual dosing guidance for Tobradex eye ointment. Always follow your eye care provider’s instructions.

Recommended DoseApply a ½‑inch ribbon of Tobradex Ophthalmic Ointment into the affected eye(s).
FrequencyUp to 3–4 times daily, as directed by the prescribing physician; frequency varies.
Severe InfectionsIt may be applied more frequently at first, then tapered as symptoms improve.
Duration of UseShort‑term use only; duration determined by a healthcare provider.
Pediatric UseUse in children only under medical supervision.

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What Are the Side Effects of Tobradex 0.3%/0.1% Eye Ointment?

What Are the Side Effects of Tobradex 0.3%/0.1% Eye Ointment?

This is not a complete list of Tobrex Opht Ointment side effects. Contact your prescriber if you experience serious symptoms or unusual changes.

Common Local Side Effects

  • Eye irritation or discomfort (burning, stinging, itching)
  • Redness of the eye or eyelid
  • Eyelid swelling
  • Increased tearing

Less Common but Reported

  • Superinfection: Long-term use might lead to overgrowth of non‑susceptible organisms, including fungi.
  • Hypersensitivity reactions: Local allergic responses such as itching, rash, or swelling.

Rare but Serious (Seek Medical Help Immediately)

  • Severe allergic reaction: difficulty breathing, swelling of the face, lips, tongue, or throat.
  • Cross‑sensitivity: Patients allergic to other aminoglycosides (e.g., gentamicin) may react to tobramycin.
Tobradex Opht Ointment vs Tobradex Eye Drops: What’s the Difference?

Tobradex Opht Ointment vs Tobradex Eye Drops: What’s the Difference?

Both Tobradex Opht Ointment and Tobradex Eye Drops contain the same active ingredients (tobramycin + dexamethasone). They are FDA‑approved for treating steroid‑responsive inflammatory eye conditions with bacterial infection or risk of infection.

AspectTobradex Ophthalmic OintmentTobradex Eye Drops (Suspension)
FormulationSterile ointmentSterile suspension (liquid drops)
Active IngredientsTobramycin 0.3% + Dexamethasone 0.1%Tobramycin 0.3% + Dexamethasone 0.1%
ApplicationApplied as a ~½‑inch ribbon into the conjunctival sac1–2 drops instilled into the conjunctival sac
FrequencyEvery 3–4 hours while awake (may taper)Every 4–6 hours; may increase to every 2 hours for severe cases
Best UseProvides longer contact time, useful at bedtime or for sustained coverageConvenient daytime use spreads quickly across the ocular surface
FDA‑Approved IndicationsSteroid‑responsive inflammatory ocular conditions with bacterial infection or riskSame indications as the ointment
Patient PreferenceMay cause blurred vision temporarily after applicationLess blurring, more comfortable for daytime use
Packaging3.5 g sterile tube5 mL sterile dropper bottle

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  • Ointment is preferred for ocular contact, often used at night or for sustained coverage, but may cause temporary blurred vision.
  • Eye drops are better for daytime use, spread quickly, but require more frequent dosing.

Your doctor may prescribe one or both, depending on the patient's severity, timing, and comfort needs.

What Can I Use Instead of Tobradex?

What Can I Use Instead of Tobradex?

If Tobradex 0.3%/0.1% is not suitable for you, your doctor may prescribe another eye medication based on the type of infection, level of inflammation, and your response to steroids or antibiotics. Possible alternatives include:

  • Maxitrol (neomycin + polymyxin B + dexamethasone)
  • Zylet (loteprednol etabonate + tobramycin)
  • Tobradex ST (tobramycin + dexamethasone, lower steroid concentration)
  • Lotemax (loteprednol etabonate)
  • Tobrex (tobramycin)

Your doctor or eye specialist will recommend an alternative based on whether you need both an antibiotic and a steroid, or only one.

Tobradex Opht Ointment Interactions

Tobradex Opht Ointment Interactions

Tobradex Ophthalmic Ointment has minimal systemic absorption; clinically significant systemic interactions are unlikely. However, local interactions may occur if used with other ophthalmic medicines.

Medication Name / TypeInteraction Concern
Prednisolone acetate eye drops (other corticosteroids)May increase risk of glaucoma, cataracts, or delayed healing when combined with Tobradex.
Gentamicin eye drops/ointment (other aminoglycoside antibiotics)Possible allergic cross‑sensitivity in patients sensitive to aminoglycosides.
Artificial tears or lubricating eye dropsMust be spaced at least 5–10 minutes apart to avoid dilution or washout.
Other prescription eye medicines (e.g., cyclosporine drops)Should be separated in timing to prevent reduced effectiveness or contamination.

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Why Buy Tobradex Opht Ointment from Canada?

Why Buy Tobradex Opht Ointment from Canada?

Many patients may choose to order Tobradex Opht Ointment from Canada because it is often more affordable than U.S. retail prices. At Polar Bear Meds, we source our medications from a network of licensed Canadian and international pharmacies and follow regulated dispensing standards to ensure medication quality and safety. When you buy Tobradex Opht Ointment online from our pharmacy, you can save a significant amount, often at prices lower than typical U.S. retail rates.

Buying Tobradex Opht Ointment from Canada requires a valid prescription from a licensed medical provider. You can also enjoy several savings programs, including:

  • Tobradex Opht Ointment coupon to get 10% off your first order.
  • Competitive pricing
  • Referral programs
Important Disclaimer

Important Disclaimer

The information provided above is for educational purposes only. This should not be considered as medical advice or treatment. Tobradex Ophthalmic Ointment is a prescription medication and should be used only under the guidance of a qualified healthcare professional. Always consult your doctor or provider before stopping, starting, or changing any treatment.

Tobradex Opht Ointment FAQs

Tobradex Opht Ointment FAQs

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