|
| U.S. Brand
Names |
|
| TobraDex®
Ophthalmic |

|
|
| Generic
Available |
|
|
No |

|
|
| Synonyms |
|
|
Dexamethasone and Tobramycin |

|
|
| Pharmacological Index |
|
|
Antibiotic/Corticosteroid, Ophthalmic |

|
|
| Use |
|
|
Treatment of external ocular infection caused by susceptible gram-negative
bacteria and steroid responsive inflammatory conditions of the palpebral and
bulbar conjunctiva, lid, cornea, and anterior segment of the
globe |

|
|
| Pregnancy Risk
Factor |
|
|
B |

|
|
| Adverse
Reactions |
|
|
1% to 10%:
Ocular: Lacrimation, itching, edema of eyelid, keratitis, increased
intraocular pressure, glaucoma, cataract formation |

|
|
| Drug
Interactions |
|
|
Refer to individual monographs for Tobramycin and
Dexamethasone |

|
|
| Mechanism of
Action |
|
|
Refer to individual monographs for Dexamethasone and
Tobramycin |

|
|
| Pharmacodynamics/Kinetics |
|
|
Absorption: Absorbed into the aqueous humor
Time to peak serum concentration: 1-2 hours after instillation in the cornea
and aqueous humor |

|
|
| Usual Dosage |
|
|
Children and Adults: Ophthalmic: Instill 1-2 drops of solution every 4 hours;
apply ointment 2-3 times/day; for severe infections apply ointment every 3-4
hours, or solution 2 drops every 30-60 minutes initially, then reduce to less
frequent intervals |

|
|
| Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
|
|
No information available to require special precautions |

|
|
| Dental Health:
Effects on Dental Treatment |
|
|
No effects or complications reported |

|
|
| Patient
Information |
|
|
Shake well before using, do not touch dropper to eye, apply light finger
pressure on lacrimal sac for 1 minute following instillation; notify physician
if condition fails to improve or worsens |

|
|
| Nursing
Implications |
|
|
Shake well before using, do not touch dropper to eye, apply light finger
pressure on lacrimal sac for 1 minute following instillation; notify physician
if condition fails to improve or worsens |

|
|
| Dosage Forms |
|
|
Ointment, ophthalmic: Tobramycin 0.3% and dexamethasone 0.1% (3.5 g)
Suspension, ophthalmic: Tobramycin 0.3% and dexamethasone 0.1% (2.5 mL, 5 mL)
|

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