Prescription Required 
Formulation : 
Description
Indications
This combination medication is prescribed for the treatment or prevention of eye infections. It combines two active ingredients. Tobramycin falls under the category of aminoglycoside antibiotics, functioning to halt the proliferation of bacteria. Dexamethasone, on the other hand, is classified as a corticosteroid and operates by diminishing inflammation.
Uses and Dosage
While using this medication, refrain from wearing contact lenses. Prior to resuming contact lens use, follow the manufacturer’s instructions for sterilization and seek approval from your doctor.
To apply the eye ointment, start by washing your hands. To prevent contamination, exercise caution to avoid contact between the tip of the tube and your eye. Tilt your head backward, gaze upward, and gently pull down your lower eyelid to create a small pocket. Squeeze the tube gently to release a 1/2 inch (1.3 centimeters) strip of ointment into the pocket. Close your eye and move it in all directions to evenly distribute the medication. Make an effort not to blink and avoid rubbing your eye. If instructed, repeat these steps for the other eye. Afterward, use a clean tissue to wipe any excess medication from the tip of the ointment tube before securely capping it. Administer the medication as frequently as directed by your doctor.
Your prescribed dosage is determined by your medical condition and your response to the treatment.
If you are using a different type of eye medication, such as eye drops or other ointments, wait for at least 5 to 10 minutes before applying additional medications. Prioritize the use of eye drops before eye ointments to facilitate the entry of the drops into your eye.
To derive the maximum benefit from this medication, maintain a regular usage schedule, taking it at the same times each day. Even if your symptoms disappear within a few days, continue using the medication for the entire duration prescribed. Prematurely discontinuing the medication could allow bacteria to persist and potentially lead to a recurrence of the infection.
Side Effects
Some side effects may occur that usually do not need medical attention:
- dry eye
- eye redness
- headache
- increased tearing
- itching and swelling of eyelid
- metallic taste
- nausea
- stomach upset
- temporarily blurred vision
Inform your healthcare provider immediately if you experience any serious side effects:
- dizziness
- drooping eyelid
- eye pain
- symptoms of a new eye infection (e.g., eye discharge, redness, itchiness, or pain)
- vision changes
- blurring or loss of vision
- itching, redness, swelling, or other sign of allergic reaction or eye irritation not present before use of this medication
Caution
Prior to using tobramycin with dexamethasone, please inform your healthcare provider or pharmacist if you have allergies to either of these medications, other aminoglycoside antibiotics like gentamicin, or any other known allergies. This product might contain inactive components that could trigger allergic reactions or other complications.
Before commencing this medication, share your medical history with your healthcare provider or pharmacist, particularly if you have any preexisting eye conditions, such as glaucoma.
Following the application of this medication, your vision may experience temporary blurriness or instability. Therefore, refrain from activities like driving, operating machinery, or any task that necessitates clear vision until you can safely do so.
During pregnancy, use this medication exclusively when it is absolutely necessary. Carefully discuss the potential risks and benefits with your doctor.
It remains uncertain whether this medication passes into breast milk. Seek guidance from your doctor before breastfeeding.
Form and Strength
Tobradex Eye Ointment is available in the following forms and strengths:
-
Tobradex Eye Ointment ointment:
- 0.3/0.1%
FAQ
How long can I use Tobradex for eyes?
Dosing should continue for 14 days not to exceed a maximum of 24 days.
What happens if you use too much Tobradex?
Overdose symptoms may include eye redness or itching, watery eyes, and increased sensitivity to light.
Resources
- https://www.medicines.org.uk/emc/product/1324/smpc#gref
- https://www.everydayhealth.com/drugs/dexamethasone-tobramycin-ophthalmic#:~:text=What%20happens%20if%20I%20overdose,and%20increased%20sensitivity%20to%20light
- https://www.medbroadcast.com/drug/getdrug/tobradex#adverseeffects
- https://www.webmd.com/drugs/2/drug-4180-534/tobradex-ophthalmic-eye/tobramycin-dexamethasone-ointment-ophthalmic/details
- https://www.mayoclinic.org/drugs-supplements/tobramycin-and-dexamethasone-ophthalmic-route/description/drg-20062827
- https://www.drugs.com/tobradex.html
