Tobradex Eye Ointment Tb 3.5 g

What is TobraDex eye ointment and when is it used?

TobraDex eye ointment with the active ingredients tobramycin (antibiotic) and dexamethasone (glucocorticoid with anti-inflammatory effect) is intended for the treatment of certain eye infections with simultaneous bacterial eye infections.TobraDex eye ointment requires a more stringent prescription and may only be used on a doctor's prescription.

What precautions should be taken?

During the entire duration of treatment with TobraDex eye ointment, your doctor must regularly check your eyes.The antibiotic (tobramycin) contained in TobraDex eye ointment is not effective against all microorganisms that cause infections in the eye. The use of an incorrectly chosen or improperly dosed antibiotic can cause complications. Therefore, never use the medicine on your own for the treatment of other diseases or for other people. Even with later new infections you must not use TobraDex eye ointment without further medical consultation.

When should TobraDex eye ointment not be used?

TobraDex eye ointment must not be used in the following cases:

• in the case of a known or suspected hypersensitivity (allergy) to an ingredient of TobraDex eye ointmentin glaucoma (green star)with eye infections that cannot be treated with an antibiotic, e.g. with certain viral diseases of the cornea and conjunctivain ocular tuberculosisfor ulcers or injuries to the cornea (even after uncomplicated removal of foreign bodies)for fungal diseases (mycoses) or untreated parasitic infections of the eye

When should you be careful when using TobraDex eye ointment?

• Since blurred vision can occur immediately after applying eye ointments, you should not drive or use machines after application until the symptoms have subsided.If an allergic reaction develops, such as itching of the eyes, swelling of the eyelid, reddening of the eyes to generalized reactions such as reddening of the skin, itching, formation of wheals on the skin, anaphylaxis and blistering, discontinue therapy and seek advice Your doctor. These allergic reactions can also occur with other treatments (topical or systemic) with an antibiotic of the same type (aminoglycosides). If you use other antibiotics together with TobraDex eye ointment, ask your doctor.If you have or have ever had a condition such as myasthenia gravis or Parkinson's, ask your doctor for advice. These types of antibiotics can make muscle weakness worse.If TobraDex eye ointment is used for a long time, there is a risk of fungal infection.For purulent eye infections.Corticosteroids can mask, activate, or worsen an infection in the eye. If TobraDex eye ointment is used for a long time, this can lead to delayed wound healing. It can also lead to an increase in intraocular pressure and, as a result, to glaucoma. During the treatment with TobraDex eye ointment you should be under constant medical supervision, whereby the intraocular pressure has to be measured regularly by the doctor.If the eye complaints treated with TobraDex eye ointment worsen after 2-3 days of treatment or if new symptoms occur, you should consult your doctor immediately.If you suffer from diseases which result in thinning of the tissues around the eye (cornea or sclera): Topical use of corticosteroids can cause perforation of the eye.If you have diabetes (especially type I diabetes) there is a risk of cataracts. The use of corticosteroids in diabetics increases the risk of early and rapidly occurring cataracts.If swelling occurs on the trunk and face (Cushing's syndrome), you should tell your doctor. This risk is particularly important in children and patients treated with ritonavir or cobicistat.TobraDex eye ointment contains chlorobutanol, a preservative that can cause eye irritation and discolour soft contact lenses. Avoid contact with soft lenses. During treatment with TobraDex eye ointment, you must wait at least 15 minutes before the lenses can be reinserted.If TobraDex eye ointment and pupil-expanding drugs are used at the same time, caution is advised, as an increase in intraocular pressure cannot be ruled out under these circumstances.The use and safety of TobraDex eye ointment in children and adolescents has not yet been tested. Therefore, the use of TobraDex eye ointment in children and adolescents is not recommended.When treating with more than one eye preparation, wait at least 5 minutes between each application. Eye ointments are to be used at the end.Inform your doctor or pharmacist if you suffer from other illnesses, have allergies or take other medicines (including those you have bought yourself) or use on your eyes.

Can TobraDex eye ointment be used during pregnancy or breastfeeding?

TobraDex eye ointment is not recommended during pregnancy.TobraDex eye ointment is not recommended during breastfeeding, therefore you should either stop breastfeeding or discontinue the medicine.

How do you use TobraDex eye ointment?

Dosage / applicationAdult

The dosage is determined individually by the ophthalmologist for each patient. In any case, adhere to the dosage determined for you by your doctor. Neither the daily dose nor the duration of therapy may be changed without consulting your doctor. In addition, the treatment must not be interrupted without instructions from your doctor. If swelling of the face or trunk (Cushing's syndrome) and / or extreme weakness, nausea and persistent diarrhea (symptoms of adrenal suppression) occur, the treatment should not be reduced abruptly but gradually, in consultation with your doctor, until the drug is discontinued .As a rule, 3-4 times a day, an approx. 1 cm long strand of ointment is placed between the eye and the lower lid of the diseased eye.If too much TobraDex eye ointment has gotten into the eye, rinse the eye out with lukewarm water. Do not use the eye ointment until it is time for the next scheduled application.If you think that the medicine is too weak or too strong, talk to your doctor or pharmacist.Your doctor can prescribe TobraDex eye ointment as an additional treatment to TobraDex eye drops (TobraDex eye ointment is preferably used as a night treatment just before going to bed).

Children and adolescents

The use and safety of TobraDex eye ointment in children and adolescents has not yet been tested.

What side effects can TobraDex eye ointment have?

The following side effects can occur when using TobraDex eye ointment:

Uncommon (affects 1 to 10 users in 1,000)

Increase in intraocular pressure, eye pain, eye irritation, itching of the eye, discomfort of the eye

Rare (affects 1 to 10 in 10,000 users)

Inflammation of the cornea, allergic reactions (e.g. eyelid itching or swelling), blurred vision, dry eyes, red eyes, taste disturbances.If such symptoms occur, your ophthalmologist should be consulted immediately.

Post-marketing experience shows the following side effects

Eyelid swelling or redness, dilated pupils, increased tearing, hypersensitivity, dizziness, headache, nausea, abdominal discomfort and rash, swollen face, itching, skin reactions (erythema multiforme).

Further side effects of the individual active ingredients that can potentially occur with TobraDex eye ointmentTobramycin

Corneal abrasion, reduced visual acuity, conjunctival swelling, eye discharge, skin inflammation, loss of eyelashes, skin whitening, dry skin.

Dexamethasone

Conjunctivitis, visible defects due to the discoloration of the cornea, sensitivity to light, foreign body sensation, abnormal sensation in the eye, crusting of the eyelid margin, irritation, glaucoma, ulcer-causing corneal inflammation, reduced visual acuity, corneal erosion, drooping of the eyelid. Hormonal changes, e.g. increased body hair (especially in women), muscle weakness and atrophy, stretch marks on the skin, high blood pressure, irregular or absent menstruation, changes in protein and calcium concentration in the body, short stature in children and teenagers as well as swelling and increase in the torso and Face (Cushing syndrome).If any side effects occur which you suspect to be related to the use of TobraDex eye ointment, you should consult your doctor or pharmacist immediately.If you notice any side effects that are not described here, you should inform your doctor or pharmacist.

What should also be noted?

The drug may only be used up to the expiry date marked ?EXP? on the container.After the end of the treatment, please bring the remainder of the medicinal product to your dispensing point (doctor or pharmacist) for proper disposal.Your doctor or pharmacist can provide you with further information. These people have the detailed information for specialists.

Use-by period after opening

The contents must not be used for more than 30 days after opening the tube.

Storage advice

Store the tube at room temperature (15-25 ° C) out of the reach of children.

More information

To avoid possible microbial contamination (contamination) of the eye ointment, the tip of the tube must not come into contact with your hands, eyes or any other objects. Close the tube tightly immediately after use and always keep it tightly closed.

What does TobraDex eye ointment contain?

Active ingredients

1 g eye ointment contains: dexamethasone 1.0 mg, tobramycin 3.0 mg

Auxiliary materials

1 g eye ointment contains: chlorobutanol (preservative), liquid paraffin and white, soft paraffin.

Approval number

50767 (Swissmedic).

Where can you get TobraDex eye ointment? Which packs are available?

Available in pharmacies against a doctor's prescription, which only entitles the holder to purchase once.

• Tobradex eye ointment 3.5 g
  

Marketing authorization holder

Novartis Pharma Schweiz AG, Risch; Domicile: 6343 Rotkreuz.?