INTRODUCTION
NEBRACIN DM EYE DROPS is a combination of Dexamethasone and Tobramycin which belongs to the group of medicines called Corticosteroids and Antibiotics respectively. It is used to treat and prevent eye inflammation and infection.
It also helps in reducing eye pain, redness, itching and/or burning or stinging sensation following eye surgery (such as cataract or corneal refractive surgery). It is typically used in conditions which involves the risk of both eye inflammation and infection such as during injuries or post-surgery.
Use this medicine exactly as instructed by your physician. Misuse or overuse of this medicine may lead to unwanted side effects. If there is no improvement in your condition even after using this medicine for 7 days, consult your doctor for advice.
If you wear soft contact lenses, remove the lens before applying NEBRACIN DM EYE DROPS and wait for at least 15 minutes before reinsertion. NEBRACIN DM EYE DROPS is suitable for use both in adults and in children aged 2 years and above.
Before using NEBRACIN DM EYE DROPS inform your doctor if you have severe viral or fungal eye infections. You must also inform your doctor if you have glaucoma, diabetes, joint pain, muscle problems, parkinsonism or any disorders that may cause eye tissue layer thinning as a precaution.
Do not use NEBRACIN DM EYE DROPS without consulting your doctor if you are pregnant or breastfeeding. The most common side effects of using NEBRACIN DM EYE DROPS are mild eye irritation or burning sensation, watery eyes, increased eye pressure and taste changes. Consult your doctor if any of these side effect worsens.
USES OF NEBRACIN DM EYE DROPS
It is used in adults and in children (aged 2 years or above) to:
- Treat and prevent eye infection and inflammation
- Reduce eye pain, redness, itching or burning/stinging sensation following eye surgery
HOW NEBRACIN DM EYE DROPS WORKS
NEBRACIN DM EYE DROPS contains two medicines namely, Dexamethasone and Tobramycin. Dexamethasone is a steroid medication. It blocks the release of certain chemicals in the body (such as prostaglandins) that causes inflammation, redness and swelling. When applied topically on the eyes, it reduces eye redness, soreness, pain, itching and swelling.
Tobramycin is an antibiotic. When applied topically on the eyes, it kills the susceptible bacteria that causes eye infection. Collectively, this medicine reduces inflammation and infection of the eyes.
DIRECTIONS FOR USE
Use NEBRACIN DM EYE DROPS as advised by your physician. It is for ophthalmic use only. Tilt your head slightly backwards and gently pull your lower eyelid. Instil few drops of this medicine into the eyes and close your eyes for 2 minutes. Repeat the same for the other eye if required. If you wear soft contact lenses, remove the lens before applying NEBRACIN DM EYE DROPS and wait for at least 15 minutes before reinsertion.
Wash your hands before and after application. Do not touch the tip of the container with your eyes, eyelids, areas around your eyes, outer surface of the ears or fingers, to avoid contamination. Leave a time gap of at least 5 minutes between this medicine and other eye medicines.
Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and health condition. If there is no improvement in your condition even after using this medicine for 7 days, consult your doctor for advice.
SIDE EFFECTS OF NEBRACIN DM EYE DROPS
COMMON
- mild eye irritation or burning sensation
- eye itching or discomfort
- watery eyes
- increased pressure within the eyes
UNCOMMON
- headache
- runny nose
- throat tightness
RARE
- eye redness
- blurred vision
- dry eyes
- eye surface inflammation
- bad taste
Stop using NEBRACIN DM EYE DROPS and contact your doctor immediately if you experience any of the following side effects:
- severe allergic reactions (such as skin rash, itching, swelling of the face, lips, throat, tongue causing difficulty in breathing or swallowing)
- severe skin reactions with blistering and peeling of skin
- severe eye pain, redness, irritation and vision changes
- signs of problems in adrenal gland (such as slowing growth, round face, swelling or weight gain around the face and the trunk, weakness, dizziness while standing up, fever, weight loss, anxiety, nausea, vomiting, diarrhoea, headache, sweating, changes in mood or personality and joint and muscle pains)
HOW TO MANAGE SIDE EFFECTS
Eye irritation:
Wash your eyes with plain cold water. Place an ice pack on your eye to ease the irritation. Avoid straining your eyes by looking at mobile phones, laptops or television. Wear protective eyeglasses while going outdoors.
Blurred vision:
Close your eyes and relax. Do not strain your eyes by looking at mobile phones, laptops or television. Avoid driving or operating any heavy tools or machines while your vision is blur. Consult your doctor if you experience blurred vision for a prolonged period.
WARNING & PRECAUTIONS
PREGNANCY
NEBRACIN DM EYE DROPS is not recommended for use in pregnant women unless considered necessary by the physician. Therefore, consult your doctor before using it.
BREASTFEEDING
NEBRACIN DM EYE DROPS is not recommended for use in breastfeeding women unless considered necessary by the physician. Therefore, consult your doctor before using it.
DRIVING AND USING MACHINES
Do not drive or operate any heavy tools or machinery if you experience blurred vision or light-headedness after using NEBRACIN DM EYE DROPS.
ALLERGY
Do not use NEBRACIN DM EYE DROPS if you are allergic to Dexamethasone or Tobramycin.
OTHERS
NEBRACIN DM EYE DROPS is not recommended for use if you:
- have severe viral or eye fungal infections
- have an eye infection that produces sticky pus
- have severe eye redness for unknown reasons
Before using NEBRACIN DM EYE DROPS inform your doctor if you:
- wear soft contact lenses
- have rheumatoid arthritis (joint pain and inflammation)
- have fluid build-up in the front portion of the eyes (Fuch’s dystrophy)
- recently had an eye surgery or corneal transplant
- have ulceration or wounds in the eye
- have diabetes
- have myasthenia gravis (severe muscle weakness)
- have parkinsonism (a brain disorder causing shakiness, involuntary movements)
Use in Pediatrics:
NEBRACIN DM EYE DROPS can be used in children and adolescents (aged 2 years or above). It is not recommended for use in children (aged below 2 years) due to lack of safety data. Therefore, consult your doctor before administration.
Use in Geriatrics:
NEBRACIN DM EYE DROPS should be used with caution in elderly patients. Therefore, consult your doctor before taking it.
INTERACTIONS
A. Drug - Drug interactions:
Before using NEBRACIN DM EYE DROPS, inform your doctor if you are taking any of the following medicines such as:
- medicines used to treat HIV infections such as ritonavir, cobicistat
- medicines used to treat glaucoma (such as timolol, pindolol, acetazolamide, brinzolamide)
- other eye medicines used to reduce inflammation
Overdosage:
If you or anyone else accidentally used excessive amount of this medicine, rinse your eyes or ears with warm water. If still irritation persists, consult your doctor for advice. If you or anyone else accidentally swallowed this medicine, consult your doctor immediately.
SYNOPSIS
| Drug | : | Dexamethasone, Tobramycin |
| Pharmacological Category | : | Topical Corticosteroids, Aminoglycoside Antibiotics |
| Therapeutic Indication | : | Eye inflammation and infection |
| Dosage Forms | : | Eye drops, Eye Ointment, Ear Ointment |
MORE INFORMATION
- Keep NEBRACIN DM EYE DROPS out of reach of children
- Store NEBRACIN DM EYE DROPS at room temperature
- Do not use this medicine after 4 weeks of its opening, even if it contains some left-over medicine
FAQs ABOUT NEBRACIN DM EYE DROPS
Q: Can the use of NEBRACIN DM EYE DROPS cause blurred vision?
A: Yes. NEBRACIN DM EYE DROPS may cause blurred vision after application in some individuals, although not everybody gets them. If your vision becomes blur, close your eyes for some time and rest. Do not strain your eyes by looking at mobile phones, laptops or television. Avoid driving or operating any heavy tools or machines while your vision is blur. Consult your doctor if you experience blurred vision for a prolonged period.
Q: Can I use other eye medicines while using NEBRACIN DM EYE DROPS?
A: Avoid concomittant use of any eye medicines while using NEBRACIN DM EYE DROPS without consulting your doctor.
Q: How to use NEBRACIN DM EYE DROPS?
A: Use NEBRACIN DM EYE DROPS as advised by your physician. It is for ophthalmic use only. Instil few drops of this medicine into the affected eyes. Wash your hands before and after application.
Q: What is the use of NEBRACIN DM EYE DROPS?
A: NEBRACIN DM EYE DROPS is a prescription medicine used to treat and prevent inflammation and/or infection in the eyes.
Q: How long does it take for NEBRACIN DM EYE DROPS to work?
A: It may take around 10-15 minutes for NEBRACIN DM EYE DROPS to start showing its effects. However, this period may vary from person-to-person depending upon the dose that is administered.
Q: What are the side effects of NEBRACIN DM EYE DROPS?
A: The most common side effects of using NEBRACIN DM EYE DROPS are mild eye irritation or burning sensation, watery eyes, increased eye pressure and taste changes. Consult your doctor if any of these side effect worsens.
Q: Can I use NEBRACIN DM EYE DROPS while wearing contact lenses?
A: If you wear soft contact lenses, remove the lens before applying NEBRACIN DM EYE DROPS and wait for at least 15 minutes before reinsertion.
Q: Can I use NEBRACIN DM EYE DROPS without consulting my doctor?
A: No. NEBRACIN DM EYE DROPS is a prescription medicine which should be used only if prescribed by the physician. It is because, NEBRACIN DM EYE DROPS contains a steroid medicine, which may cause harmful side effects when used without proper medical supervision. Therefore, consult your doctor for advice.
Q: Can I drive or ride a bike after using NEBRACIN DM EYE DROPS?
A: Do not drive if you experience blurred vision after using NEBRACIN DM EYE DROPS.
Q: What if I miss a dose of NEBRACIN DM EYE DROPS?
A: If you missed a dose of NEBRACIN DM EYE DROPS, apply it as soon as you remember. However, if it is time for next dose, skip the missed dose and use the regular dose. Do not use a double dose of NEBRACIN DM EYE DROPS to compensate the missed dose.
Q: How NEBRACIN DM EYE DROPS works?
A: NEBRACIN DM EYE DROPS blocks the release of certain chemicals in the body (such as prostaglandins) that causes eye pain, inflammation and swelling. It also kills the susceptible bacteria that causes eye infection. Collectively, this medicine reduces inflammation and infection of the eyes.
Q: Can I stop using NEBRACIN DM EYE DROPS once my symptoms subside?
A: No. Do not stop using this medicine without consulting your doctor as it may make your symptoms to re-appear. Therefore, use this medicine consistently for the duration instructed by your doctor to achieve better results.
REFERENCES
1. KD. Tripathi. Sulfonamides, Cotrimoxazole and Quinolones. Aminoglycoside Antibiotics. Essentials of Medical Pharmacology. 7th Edition. 2013. Page – 289 & 749.
2. Ricardo Notivol, Donata Bertin, Dina Amin, Anna Whitling, Margaret Kennedy, Paul C. Cockrum. Comparison of topical tobramycin—dexamethasone with dexamethasone—neomycin—polymyxin and neomycin—polymyxin—gramicidin for control of inflammation after cataract surgery: Results of a multicenter, prospective, three-arm, randomized, double-masked, controlled, parallel-group study. Clinical Therapeutics. August 2004. [Accessed on 19th January 2023]. https://www.sciencedirect.com/science/article/abs/pii/S0149291804801139
3. Rayner Pharmaceuticals Limited. Dropodex 0.1% w/v Eye Drops, solution dexamethasone phosphate (as dexamethasone sodium phosphate). Electronics Medicines Compendium. [Revised in July 2022]. [Accessed on 19th January 2023]. https://www.medicines.org.uk/emc/files/pil.5132.pdf
4. Novartis Ireland Limited. Tobrasone/Tobradex 3 mg/ml/1 mg/ml eye drops, suspension tobramycin and dexamethasone. Electronics Medicines Compendium. [Revised in June 2022]. [Accessed on 19th January 2023]. https://www.medicines.org.uk/emc/files/pil.1324.pdf
5. Alcon Laboratories, Inc. TOBRADEX- tobramycin and dexamethasone suspension/ drops. Dailymed.com. [Revised in November 2022]. [Accessed on 19th January 2023]. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=22b59456-d26a-4f23-b052-3d73e00181eb
6. Rayner Pharmaceuticals Limited. Dropodex 0.1% w/v Eye Drops, solution dexamethasone phosphate (as dexamethasone sodium phosphate). Electronics Medicines Compendium. [Revised in July 2022]. [Accessed on 18th January 2023]. https://www.medicines.org.uk/emc/files/pil.5132.pdf
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