Tobramycin And Dexamethasone

Tobradex Opht Ointment

Tobradex Ophthalmic Ointment is an FDA-approved antibiotic medication used to treat bacterial infections in the eyes and provide relief from swelling and redness. It contains a combination of tobramycin and dexamethasone. It is available in the strength of 0.3% tobramycin and 0.1% dexamethasone applied inside the lower eyelid, as directed by your doctor. For a safe and efficient use of the medication, you should consult a licensed healthcare professional and ask them if you have any queries or concerns regarding the medication usage. You can buy Tobradex Opht Ointment from Canada with a doctor’s prescription. 

Tobradex Opht Ointment Overview

Tobradex Ophthalmic Ointment contains a combination of tobramycin and dexamethasone. Tobramycin is an antibiotic that fights bacterial infections, while dexamethasone is a corticosteroid that decreases inflammation. Together, they treat bacterial infections in the eyes and alleviate associated symptoms such as swelling and redness.

The ointment is available in a strength of 0.3% tobramycin and 0.1% dexamethasone. It is typically applied as a small amount inside the lower eyelid, usually three to four times a day, as directed by a healthcare provider. Tobradex can be used by adults and children over the age of 2, but it is crucial to follow the prescribed dosage & duration to ensure effectiveness and prevent complications.

Common side effects of Tobradex may include temporary eye irritation, itching, or redness. If these symptoms persist or worsen, you should consult a healthcare professional. Avoid touching the tube tip to any surface, including the eye, to prevent adverse effects, and do not use the ointment while wearing contact lenses. If you miss a dose, use it as soon as you remember. However, if it is almost time to take the next dose of Tobradex, skip the missed dose & continue with your regular schedule. In case of topradex overdose, seek immediate medical attention. Store Tobradex at room temperature, away from light and moisture. Keep the tube tightly closed when not in use. Dispose of any unused ointment after the prescribed treatment period. Always follow your healthcare provider’s guidance for optimal results and safety.

What Are the Uses of Tobradex Opht Ointment?

It is used to:

• Treating bacterial eye infections 
• Reducing inflammation and redness
• Preventing infections post-surgery or an eye injury 

What Are the Forms & Strengths of Tobradex Opht Ointment?

It is available in the form of ointment and suspension that comes in the following strength:

•  0.3% tobramycin and 0.1% dexamethasone

What Are the Recommended Dosage of Tobradex Opht Ointment?

For Bacterial Infections 

• Put one or two drops into the conjunctival sac every four to six hours. 
• During the initial 24-hour to 48-hour period, your doctor may increase your dose to one or two drops every two hours. 
• The frequency of the medication will be gradually decreased as the patient’s body responds to the treatment. 

[Note: Remember, these recommendations may vary from person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]

How to Use Tobradex Opht Ointment? 

• You should carefully read and follow the instructions for use given in the patient information leaflet and medication guide provided by your healthcare provider or pharmacist. If you do not understand any part of the leaflet or if you have any queries or concerns, ask your doctor or pharmacist. 
• Use this ointment exactly as prescribed by your doctor, usually twice or thrice daily. You should not wear contact lenses while applying the ointment. Sterilize them according to the directions provided by the manufacturer & consult your doctor before starting to use them again. 
• The medication dosage is based on the condition being treated and your response to treatment. 
• Before using the medication, hold the tube between your hands for a couple of minutes to warm it up. This helps the ointment come out easily. 
• Properly wash your hands with soap and water before applying the ointment. To avoid contamination, you should not touch the tube tip or allow it to come into contact with the eyes, skin, or any other surface. If the tube becomes contaminated, it can cause an eye infection. 
• To apply the ointment, tilt back your head, look upward, and gently pull down on your lower eyelid. After doing so, a thin ointment film is applied to the conjunctival sac. 
• Close your eyes and roll your eyeballs in all directions for 60-120 seconds to spread the medication. Try your best not to blink or rub your eyes. Repeat the procedure if your doctor has also prescribed this medication for your other eye. 
• If your doctor has prescribed other medications for your eye, wait at least five to ten minutes before applying them. You should also use eye drops before the eye ointments to let the drops enter the eye. 
• Wipe the tip of the tube with a clean tissue and remove excess medication before replacing the cap. 
• Wait for some time before driving, operating heavy machinery, or doing things that require clear vision. 
• To get the most benefit from your medication, maintain consistency in dosage and try to take it around the same time every day to help you remember to take it. 
• You should continue using this medication even if you feel well. Discontinuing this medication too early may result in a return of the infection. 
• Do not share your medication with others, even if they have the same condition as you. 
• Store Tobradex away from light, heat, and moisture. 
• Tell your doctor if your condition does not get better or if it worsens. 

[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]

How Does Tobradex Opht Ointment Work?

Tobradex Ophthalmic Ointment works by combining the effects of two active ingredients: tobramycin and dexamethasone. Tobramycin is an aminoglycoside antibiotic that hinders bacterial growth by preventing the bacteria from producing essential proteins, effectively treating bacterial infections in the eye. On the other hand, Dexamethasone is a corticosteroid that reduces inflammation by suppressing the body’s immune response, thereby alleviating symptoms such as swelling, redness, and discomfort. Together, these components make Tobradex effective in treating bacterial eye infections and reducing associated inflammation and discomfort. 

Important Safety Information for Using Tobradex Opht Ointment

What Are the Side Effects of Tobradex Opht Ointment?

Common Side Effects of Tobradex Opht Ointment: Your doctor has prescribed this medication as they have determined its benefits outweigh the side effects. Most of these side effects are not serious and do not require any medical attention. These side effects disappear within a few days as your body adjusts to this medication. The list below does not cover all possible serious side effects of the medication. Some side effects caused by Tobradex Opht Ointment may include:

• Eye redness 
• Temporary blurred vision
• Mild eye irritation or discomfort
• Itching or stinging sensation in the eyes
• Increased sensitivity to light

Mild Side Effects of Tobradex Opht Ointment: Most mild side effects caused by this medication are temporary and usually do not require medical attention. However, if they become bothersome or persist, tell your doctor. 

• Redness of the eye or eyelid
• Watery eyes
• Eye discharge
• Swelling of the eyelids
• Dry eyes

Serious Side Effects of Tobradex Opht Ointment: In rare cases, some people using Tobradex Opht Ointment may experience serious side effects of Tobradex Opht Ointment. It is essential to mention that not everyone using this medication will experience these side effects. These symptoms require prompt medical attention and can be life-threatening if not treated promptly. Contact your doctor or call 911 or poison control helpline if you experience any of the following symptoms.

• Mild to severe allergic reactions, including anaphylaxis. Its symptoms may include rash, itching, swelling mainly of the face, tongue, lips, or throat, severe dizziness, and difficulty breathing. 
• Persistent or worsening eye pain
• Serious cardiovascular symptoms, such as irregular, rapid heartbeat, shortness of breath, sudden dizziness, lightheartedness, passing out, or fluttering in the heart. 
• Severe headache, slurred speech, confusion, trouble walking, leg weakness, loss of coordination, unsteadiness, very stuffed muscles, high fever, tremors, or profuse sweating.   
• Vision changes such as persistent blurred vision, loss of peripheral vision, or other significant changes. 
• Signs of new eye infection. Symptoms may include increased redness, swelling, or discharge, often accompanied by pain or fever.
• Increased intraocular pressure
• Slow healing after eye surgery
• Fungal infections
• Thinning of the cornea or sclera
• Systemic effects
• Masking signs of infection or other underlying conditions, potentially delaying proper diagnosis and treatment. 

[Note: This list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]

Are There Any Warnings for Tobradex Opht Ointment? 

While using this medication, there are certain warnings you should keep in consideration. 

• This medication is for ophthalmic use only. It is not meant to be used as an injection into the eye. 
• Do not use Tobradex Opht Ointment if you have a known hypersensitivity to it, tobramycin, dexamethasone, or other ingredients. The hypersensitivity reactions may vary from person to person. If you experience any symptoms of allergic reactions, you should discontinue using this medication and immediately call your doctor. 
• Do not use this medication if you have a viral or fungal eye infection, such as herpes, varicella, or vaccinia. 
• Do not use this medication to treat mycobacterial infections in the eye. It is indicated for use only on bacterial infections. 
• The safety & efficacy of this medication has not been established in children under two months of age. 
• Prolonged use of steroids, including Tobradex, may cause defects in clarity and fields of vision, damage to the optic nerve, glaucoma, and posterior subcapsular cataract formation. Prolonged use of Tobradex Ophthalmic Ointment can lead to an increased risk of secondary eye infections, masking or worsening of infections in cases of acute purulent or parasitic eye conditions, and potential perforations in the cornea or sclera in diseases causing the thinning of these issues. 

What Are the Tobradex Opht Ointment Precautions?

• Tell your doctor if you have ever had any allergic or unusual reaction to this medication, tobramycin, dexamethasone, or any other medications. This medication also contains certain inactive ingredients that can cause allergic reactions and other problems. 
• Before using this medication, tell your doctor about all the medications you are currently using or plan to use, including prescription, non-prescription, over-the-counter drugs, and herbal or vitamin supplements. This information will help them identify and prevent drug interactions. 
• There is not enough data to establish the safety & efficacy of this medication in pediatric patients, so you should consult a licensed healthcare professional before using Tobradex Opht Ointment in this age group. 
• Before using this medication, share your complete medical history with your doctor, especially if you have the following conditions:
  • Glaucoma: With prolonged use of the medication, dexamethasone may cause glaucoma or worsen it if you already have the condition
  • Herpes infection of the eye 
  • Any other eye infection, as dexamethasone, may make your infections worse or lead to new infections.
• After putting every drop, you should apply light pressure to the corner of your eyes to prevent the medication from draining down your tear duct. 
• It is unknown if Tobradex Opht Ointment passes into the breast milk. You should not use this medication without consulting your doctor if you are breastfeeding or plan to breastfeed. 
• It is not known if this medication causes harm to an unborn baby. Notify your doctor if you are pregnant, suspect a pregnancy, or plan to become pregnant while using this medication. 

What Are the Contraindications of Tobradex Opht Ointment? 

Tobradex Opth Ointment is contraindicated for patients who:

• Hypersensitivity to Tobradex Opht Ointment, tobramycin, dexamethasone, or any other ingredient present in the medication
• Mycobacterial infections of the eye
• Viral diseases of the cornea and conjunctiva
• Fungal diseases of ocular structures

What If You Missed a Dose of Tobradex Opht Ointment?

• If you have missed taking a dose of Tobradex Ophthalmic Ointment, you should take it as soon as you remember. 
• However, if it is almost time to take your next dose of the medication, you may omit the missed dose and continue taking it according to your regular dosing schedule. 
•  Do not simultaneously take double or extra doses of the same medication to compensate for the missed dose, as this may lead to unwanted side effects. 
• You can set a reminder on your phone to prevent missing doses further.  

[Note: If you have missed a medication dose and are still determining when to take the next one, immediately consult your doctor or pharmacist.]

What Happens If You Take Too Much of Tobradex Opht Ointment?

If someone has accidentally swallowed the medication, it may harm them. If someone has consumed Tobradex Opht Ointment more than recommended and is experiencing severe side effects such as difficulty breathing or passing out, seek immediate medical attention. You can call a medical professional, 911, or the poison control helpline. You can also head to the nearest emergency room. 

[Note: If you consumed more than the recommended dose, get medical help right away or call the Poison Help line at 1-800-222-1222.]

How to Store a Tobradex Opht Ointment?

• You should keep Tobradex Opht Ointment in its original container, tightly closed at a controlled room temperature, away from direct sunlight, moisture, and excess heat. 
• Keep all medications, including Tobradex Opht Ointment, in a safe place away from the sight and reach of children and pets. 
• You should not keep medications that are outdated or no longer needed. Discard them safely. 
• You should not flush them down the toilet, pour them into the drain, or throw them in the garbage bin. 
• You should dispose of unwanted medications in such a way that prevents children, animals, and other people from consuming them. 
• The best way to eliminate unwanted medications is to give them away in the medicine take-back program. 
• To learn how to dispose of unwanted medications, consult your pharmacist, healthcare provider, or local waste disposal company. 

[Note: Discuss with your healthcare professional about the proper disposal of any unused medicine and any questions you may have regarding its storage.]

What Medications Interact with Tobradex Opht Ointment?

Certain medications may interact with Tobradex Opht Ointment and affect how it may work. Before taking this medication, consult a medical professional and inform them about all the medications you are currently taking or plan to take, including all prescription, non-prescription, over-the-counter, and herbal or vitamin supplements. It is essential to mention that the list below is not exhaustive, and other drugs may interact with Tobradex Opht Ointment. Talk to your doctor to learn more about how you can prevent or manage drug interactions. 

• Abametapir
• Alcuronium
• Aldesleukin
• Alfentanil
• Amiodarone
• Apalutamide
• Artemether
• Aspirin
• Ataluren
• Atogepant
• Atracurium
• Balofloxacin
• Bemiparin
• Benzhydrocodone
• Besifloxacin
• Boceprevir
• Buprenorphine
• Bupropion
• Carbamazepine
• Ceritinib
• Cholera Vaccine, Live
• Cholestyramine
• Cidofovir
• Ciprofloxacin
• Cisatracurium
• Clarithromycin
• Cobicistat
• Codeine
• Colistimethate Sodium
• Conivaptan
• Cosyntropin
• Cyclosporine
• Dabrafenib
• Daclatasvir
• Darunavir
• Decamethonium
• Desmopressin
• Desogestrel
• Dienogest
• Dihydrocodeine
• Diltiazem
• Doxacurium
• Doxorubicin
• Doxorubicin Hydrochloride Liposome
• Dronedarone
• Drospirenone
• Efavirenz
• Elvitegravir
• Emtricitabine
• Enoxacin
• Enzalutamide
• Estetrol
• Estradiol
• Ethacrynic Acid
• Ethinyl Estradiol
• Ethynodiol
• Etonogestrel
• Etravirine
• Fazadinium
• Fedratinib
• Fentanyl
• Fexinidazole
• Fleroxacin
• Flumequine
• Fosamprenavir
• Foscarnet
• Fosphenytoin
• Furosemide
• Gallamine
• Gatifloxacin
• Gemifloxacin
• Gestodene
• Hemin
• Hexafluorenium
• Hydrocodone
• Idelalisib
• Indinavir
• Itraconazole
• Ketoconazole
• Lapatinib
• Lenacapavir
• LetibotulinumtoxinA-wlbg
• Levofloxacin
• Levonorgestrel
• Lomefloxacin
• Lopinavir
• Lumacaftor
• Lumateperone
• Lurasidone
• Lutetium Lu 177 Dotatate
• Lysine
• Macimorelin
• Mannitol
• Medroxyprogesterone
• Meperidine
• Mestranol
• Methadone
• Metocurine
• Mitotane
• Mivacurium
• Moxifloxacin
• Nadifloxacin
• Nadroparin
• Nefazodone
• Nelfinavir
• Nevirapine
• Nifedipine
• Nilotinib
• Nimodipine
• Nirmatrelvir
• Nomegestrol
• Norelgestromin
• Norethindrone
• Norfloxacin
• Norgestimate
• Norgestrel
• Ofloxacin
• Oliceridine
• Omaveloxolone
• Oxycodone
• Pancuronium
• Pazufloxacin
• Pefloxacin
• Pentazocine
• Phenobarbital
• Phenytoin
• Pipecuronium
• Piperaquine
• Posaconazole
• Primidone
• Prulifloxacin
• Rapacuronium
• Praziquantel
• Rilpivirine
• Ritonavir
• Rocuronium
• Rotavirus Vaccine, Live
• Rufloxacin
• Saquinavir
• Sargramostim
• Segesterone
• Somatrogon-ghla
• Sparfloxacin
• St John’s Wort
• Succinylcholine
• Sufentanil
• Sunitinib
• Tacrolimus
• Telaprevir
• Telithromycin
• Tenofovir Alafenamide
• Thalidomide
• Tosufloxacin
• Tramadol
• Tubocurarine
• Ubrogepant
• Ulipristal
• Upadacitinib
• Vancomycin
• Vecuronium
• Velpatasvir
• Vincristine Sulfate Liposome
• Voriconazole
• Voxilaprevir
• Zolpidem
• Zuranolone

What Are the Other Tobradex Opht Ointment Interactions?

Besides medications, Tobradex Opht Ointment may interact with certain herbs, supplements, food items, and beverages. Your doctor may advise you make dietary changes to prevent such interactions. Here is an overview of some potential interactions of Tobradex Opht Ointment:

• Alcohol 
• St. John’s Wort
• Echinacea
• Ginkgo biloba
• Grapefruit and grapefruit juice

[Note: This isn’t a complete list, and there could be other drugs that interact with Tobradex Opht Ointment. Make sure to tell your doctor about any prescription, over-the-counter medicines, and herbal products you’re taking.]

What Are the Tobradex Opht Ointment Alternatives?

People look for substitutes for Tobradex Opht Ointment when it does not suit them, or they do not get the desired results from it. There are many effective alternatives to Tobradex Opht Ointment available in the market. Still, you should consult your doctor before switching from your current medication or starting a new medicine, as it can cause undesirable side effects. Based on certain factors, such as the condition being treated, medical history, and your requirements, they will help you determine the medication that works best for you. Some of the most popular alternatives to Tobradex Opht Ointment are listed below:

• Azasite
• Ciprofloxacin ophthalmic
• Gentamicin ophthalmic
• Ofloxacin ophthalmic
• Vigamox

[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.]

Tobradex Opht Ointment Cost & Coupons

The cost of Tobradex Opht Ointment and suspension can be a significant concern for many, particularly if health insurance does not cover it. Without adequate coverage, patients may face high out-of-pocket expenses. To help alleviate this financial burden, some opt to buy Tobradex Opht Ointment online from Canadian pharmacies like Polar Bear Meds, which offer the medication at a lower cost. Additionally, patients can benefit from available coupons to reduce their expenses further. For instance, new customers may use the coupon code WELCOMEPB10 at Polar Bear Meds to receive a 10% discount on their first purchase. It’s important to explore such options to manage medication costs effectively while ensuring continuity of care.

Frequently Asked Questions

How fast does Tobradex ointment work?

Tobradex Ophthalmic Ointment typically begins to reduce symptoms like redness, swelling, and discomfort within a few days of use. The full therapeutic effect, especially for bacterial infections, may take up to one week or more, depending on the severity of the infection and adherence to the prescribed regimen. It’s crucial to follow your doctor’s instructions closely and continue using the ointment for the entire prescribed duration, even if symptoms improve.

How many times a day can I use Tobradex ointment?

The recommended usage of Tobradex Opht Ointment is generally three to four times a day, depending on the severity of the infection and your doctor’s instructions. In some cases, the frequency may be increased initially and then gradually decreased as symptoms improve. It’s important to follow the exact dosing schedule prescribed by your medical provider to ensure effective treatment and minimize the risk of complications.

What should I do if I experience blurred vision after using Tobradex?

If you experience blurred vision after applying Tobradex Opht Ointment, it is usually a temporary side effect that should resolve on its own within a few minutes. Avoid driving a vehicle, operating machinery, or performing tasks that require clear vision until your sight returns to normal. If the blurred vision persists or worsens, or if you experience other concerning symptoms, consult your healthcare provider immediately for further evaluation & guidance.

Can Tobradex Ophthalmic Ointment be used long-term?

Tobradex Ophthalmic Ointment is typically prescribed for short-term use, usually not exceeding one to two weeks, due to the potential risks linked with long-term corticosteroid use, such as increased intraocular pressure, glaucoma, or cataract formation. Long-term use should only be considered under the strict supervision of a healthcare provider who will monitor for potential side effects & adjust treatment as necessary. Always follow your doctor’s instructions and avoid using the ointment beyond the prescribed duration.

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