Betacin-N 0.1%+0.5% (Ophthalmic Solution)

5 ml drop: ৳ 35.00

Medicine Details

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

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