Indications/Uses
Ocular inflammation with suspected or confirmed bacterial infection.
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Dosage/Direction for Use
Adult: Ophth As susp containing tobramycin 0.3% and dexamethasone 0.1%: Instill 1-2 drops 4-6 hrly. May increase to 2 hrly during the initial 24-48 hr, reduce frequency gradually as improvement seen. As oint containing tobramycin 0.3% and dexamethasone 0.1%: Apply half an inch ≤3-4 times/day.
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Contraindications
Viral infections of corneal and conjunctiva (e.g. epithelial herpes simplex keratitis, vaccinia, varicella). Mycobacterial or fungal infection of the eye.
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Special Precautions
Pregnancy and lactation. Avoid prolonged use, monitor intraocular pressure routinely. Safety and effectiveness in children <2 yr not established.
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Adverse Reactions
Hypersensitivity reactions, lid itching and swelling, conjunctival erythema, increase in intraocular pressure, glaucoma, optic nerve damage, posterior subcapsular cataract formation and delayed wound healing. Secondary infections especially after prolonged use.
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CIMS Class
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ATC Classification
C05AA09 - dexamethasone ; Belongs to the class of products containing corticosteroids for topical use. Used in the treatment of hemorrhoids and anal fissures.
H02AB02 - dexamethasone ; Belongs to the class of glucocorticoids. Used in systemic corticosteroid preparations. D10AA03 - dexamethasone ; Belongs to the class of topical corticosteroids used in the treatment of acne. S01BA01 - dexamethasone ; Belongs to the class of corticosteroids. Used in the treatment of inflammation of the eye. S02BA06 - dexamethasone ; Belongs to the class of corticosteroids used in the treatment of inflammation of the ear. A01AC02 - dexamethasone ; Belongs to the class of local corticosteroid preparations. Used in the treatment of diseases of the mouth. D07XB05 - dexamethasone ; Belongs to the class of moderately potent (group II) corticosteroids in other combinations. Used in the treatment of dermatological diseases. S01AA12 - tobramycin ; Belongs to the class of antibiotics. Used in the treatment of eye infections. S03BA01 - dexamethasone ; Belongs to the class of corticosteroids used in ophthalmologic and otologic preparations. D07AB19 - dexamethasone ; Belongs to the class of moderately potent (group II) corticosteroids. Used in the treatment of dermatological diseases. S01CB01 - dexamethasone ; Belongs to the class of corticosteroids/antiinfectives/mydriatics combinations. Used in the treatment of eye diseases. J01GB01 - tobramycin ; Belongs to the class of other aminoglycosides. Used in the systemic treatment of infections. R01AD03 - dexamethasone ; Belongs to the class of topical corticosteroids used for prophylaxis and treatment of allergic rhinitis. |