Tobram D Eye Ointment 
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USED FOR:
Allergic disorders
Bacterial infections
Severe allergic reaction
COMPOSITION:
Dexamethasone (0.1%)
Tobramycin (0.3%)
Therapeutic Uses:
hormones
ophthal otologicals
No interaction found
WEIGH RISKS VS BENEFITS
Tobram D Eye Ointment is unsafe to use during pregnancy.There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
Tobram D Eye Ointment is probably safe to use during lactation. Limited human data suggests that the drug does not represent a significant risk to the baby.
Do not drive unless you are feeling well.Tobram D Eye Ointment may cause dizziness (vertigo). Changes in your eyesight or muscle weakness may also happen. This may affect your driving ability.
Tobram D Eye Ointment is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Tobram D Eye Ointment may not be needed in these patients. Please consult your doctor.Regular monitoring of kidney function tests and other blood tests is advisable while you are taking Tobram D Eye Ointment.
CAUTION
Tobram D Eye Ointment should be used with caution in patients with liver disease. Dose adjustment of Tobram D Eye Ointment may be needed. Please consult your doctor.
Uses of Dexamethasone
Dexamethasone is used in the treatment of allergic disorders, severe allergic reaction, asthma, cancer, rheumatic disorder, skin disorders, eye disorders and nephrotic syndrome.
How to use Dexamethasone
This medicine is for external use only. Take it in the dose and duration as advised by your doctor. Check the label for directions before use. Hold the tube close to the eye/ear without touching it. Gently squeeze the tube and place the medicine inside the lower eyelid or ear. Wipe off extra liquid.
How Tobram D Eye Ointment works
Dexamethasone belongs to a group of medicines called corticosteroids. It prevents late phase allergic reactions by preventing release of chemicals responsible for allergy..
Common Electrolyte imbalance, Redistribution/accumulation of body fat, Bone degradation, Increased risk of infection, Muscle disorders, Increased blood pressure, Altered bone growth, Skin scar, Behavioural changes, Increased glucose level in blood, Cataract.
Expert advice for Dexamethasone
It is a steroid medicine which works well for many different conditions, including serious illnesses. Take regularly to gain maximum benefit. Do not discontinue unless advised by your doctor. You may need to decrease the dose gradually. You may get side effects such as mood changes or stomach problems. Notify your doctor if you get them. Some side effects may occur after weeks or months. These include weakness of arms and legs, or developing a rounder face. Your risk of getting an infection may become higher. Tell your doctor immediately if you have a fever, flu-like symptoms, cough, painful urination, or a wound that does not heal.
Uses of Tobramycin
Tobramycin is used in the treatment of bacterial infections.
How to use Tobramycin
This medicine is for external use only. Take it in the dose and duration as advised by your doctor. Check the label for directions before use. Hold the tube close to the eye/ear without touching it. Gently squeeze the tube and place the medicine inside the lower eyelid or ear. Wipe off extra liquid.
How Tobram D Eye Ointment works
Tobramycin is an antibiotic. It kills bacteria by inhibiting synthesis of essential proteins, required by bacteria to carry out vital functions.
Common Nausea, Vomiting, Diarrhoea, Skin rash, Hearing loss, Balance disorder (loss of balance).
Expert advice for Tobramycin
Do not use tobramycin if you are allergic to it or any other component in the formulation.
Driving and using machinery should be avoided in cases where tobramycin usage causes dizziness or eye drops cause blurring of vision.
Do not mix or dilute your tobramycin with any other medicine in your nebulizer.
If you are taking several different treatments for cystic fibrosis, you should take them in the following order: bronchodilator (e.g. salbutamol), then chest physiotherapy, followed by inhaled medicines, and then tobramycin.
Do not use contact lenses when on treatment with tobramycin eye drops.
If you are using more than one eye drop, keep a gap of at least 5-10 minutes between two different eye drops.
Doctor’s advice should be considered in case of patients with following history of disease conditions: neuromuscular disorders such as parkinsonism, myasthenia gravis (characterized by movement disorders and/or muscle weakness); coughing up blood in your sputum; kidney problem.
Inform your doctor if you have ever experienced in the past: ringing in ears, any other problems with hearing, dizziness while taking tobramycin.
Q. Is tobramycin a sulfa drug or penicillin antibiotic?
No. Tobramycin is an aminoglycoside antibiotic used to treat Pseudomonas infections and other serious infections in patients (6 years and older) with cystic fibrosis
Q. Does tobramycin treat styes, Pseudomonas, pink eye, staphylococcus and methicillin resistant staphylococcus aureus (MRSA)?
Tobramycin/dexamethasone combination can be used to cure pink eye and styes, which are superficial eye and eyelid infections. Tobramycin treats Pseudomonas infections however it is not drug of choice in the treatment of staphylococcus or MRSA
Q. Is tobramycin safe for infants?
No. Due to high propensity for kidney and internal ear damage, tobramycin shouldn't be given to infants
Q. Is tobramycin over the counter?
No. Tobramycin belongs to schedule H and can be obtained only on production of valid prescription
Q. Is tobramycin the same as ofloxacin?
No. Tobramycin and Ofloxacin belong to different class of antibiotics, and are used to treat different sets of infections.
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