Tobracin D 0.1%+0.3% (Ophthalmic Solution)

5 ml drop: ৳ 150.45

Medicine Details

Indications

  • Steroid responsive inflammatory ocular conditions
  • Chronic anterior uveitis
  • Corneal injury from chemical, radiation, or thermal burns
  • Penetration of foreign bodies

Pharmacology

  • Bactericidal activity of Tobramycin
  • Inhibition of protein synthesis by Dexamethasone
  • Anti-inflammatory activity of Dexamethasone

Dosage & Administration

  • Eye Drops: 3-5 times per day initially, may increase to every 2 hours
  • Eye Ointment: 3-4 times per day
  • Pediatric use not established below 2 years

Interaction

  • No specific interaction studies with Tobracin D eye drops
  • Allow 10 minutes between successive applications with other topical ophthalmic medicines

Contraindications

  • Epithelial herpes simplex keratitis
  • Vaccinia
  • Varicella
  • Mycobacterial infection of the eye
  • Hypersensitivity to any component

Side Effects

  • Hypersensitivity
  • Localized ocular toxicity
  • Elevation of intraocular pressure
  • Optic nerve damage
  • Posterior subcapsular cataract formation
  • Delayed wound healing

Pregnancy & Lactation

  • Limited studies in pregnant women
  • Use during pregnancy justified if benefit outweighs risk
  • Caution during nursing due to potential systemic absorption

Precautions & Warnings

  • Consider fungal infections after long-term steroid dosing
  • Prolonged use may result in overgrowth of non-susceptible organisms
  • Cross-sensitivity to other aminoglycoside antibiotics
  • Appropriate therapy if superinfection occurs

Overdose Effects

  • No known overdose effects through local administration
  • In case of accidental oral intake, take measures to reduce resorption
  • No specific antidote

Therapeutic Class

  • Ophthalmic steroid - antibiotic combined preparations

Storage Conditions

  • Store at room temperature
  • Close bottle immediately after use
  • Do not use for longer than one month after opening

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