Betacin-N 0.1%+0.5% (Ophthalmic Solution)
5 ml drop: ৳ 35.00
Medicine Details
Category | Details |
---|---|
Generic | Betamethasone neomycin sulphate ee |
Company | Ibn sina pharmaceuticals ltd |
Indications
- Eye: Inflammatory conditions (eg. uveitis, marginal keratitis, allergic conjunctivitis, blepharitis and episcleritis) where development of bacterial infection is likely
- Ear: Otitis externa and other inflammatory conditions where bacterial infection is present or suspected
- Nose: Inflammatory conditions where infection is present or suspected
Pharmacology
- Betamethasone is a corticosteroid which is effective in inflammatory dermatoses. It is also effective in less responsive conditions such as psoriasis
- Neomycin sulfate is bactericidal against many bacteria which are commonly associated with skin infections
Dosage & Administration
- Drops: Eye: 1 drop instilled into the eye every one or two hours until control is achieved, when the frequency may be reduced
- Drops: Ear: 2 or 3 drops instilled into the ear, every two or three hours until control is achieved, when the frequency can be reduced
- Drops: Nose: 2 or 3 drops instilled into each nostril two or three times daily
- Eye Ointment: It should be applied thinly and evenly to the conjunctival sac at night (If eye drops used during day) or 3-4 times daily (if ointment used alone)
Contraindications
- Viral, fungal, tuberculous or purulent conditions
- Use in the eye is contra-indicated if glaucoma is present or where herpetic keratitis (e.g. dendritic ulcer) is considered a possibility
- Preparations containing neomycin should not be used for treating otitis externa when the ear drum is perforated, because of the risk of ototoxicity
Side Effects
- Acute sensitization to neomycin is a rare event but can occur after topical application to the eye
- Eye drops containing corticosteroids cause a serious rise in intra-ocular pressure in a small percentage of the population, including most of those with a family history of glaucoma
- Thinning of the cornea leading to perforation has occurred with use of topical corticosteroids
- Cataract is reported to have occurred after unduly prolonged treatment of eye conditions with topical corticosteroids
Pregnancy & Lactation
- Pregnancy Category-Not Classified. FDA has not yet classified the drug into a specified pregnancy category
- Topical administration of corticosteroid to pregnant animals can cause abnormalities of fetal development. The relevance of this finding to human beings has not been established; however, topical steroids should not be used extensively in pregnancy, i.e. in large amounts or for prolonged periods
Precautions & Warnings
- Steroids should not be administered to 'red eyes' until a definitive diagnosis has been made
- Ophthalmological treatment with steroid preparations should not be repeated or prolonged without regular review to exclude raised intra-ocular pressure or unsuspected infections
- The unnecessary topical use of neomycin containing products should be avoided in order to minimize the occurrence of neomycin-resistant organisms (and organism cross-resistant to other aminoglycosides)
Therapeutic Class
- Ophthalmic steroid - antibiotic combined preparations
Storage Conditions
- Store below 25° C