Nebra Eye Ointment 5g

Product Description

Product Name: Nebra Eye Ointment 5g

Product Form: Drops

Pack Size: 5ml

Manufactured By: Remington Pharmaceuticals

Used For:

1. Bacterial Infections: Tobramycin is used to treat a wide range of bacterial infections caused by susceptible bacteria. It is often used for:
   • Severe systemic infections: Such as those involving the lungs, skin, urinary tract, and bloodstream.
   • Eye infections: Tobramycin eye drops and ointments are used for bacterial eye infections like conjunctivitis and keratitis.
   • Respiratory infections: Inhalation forms of tobramycin are used to treat lung infections in patients with cystic fibrosis, especially those caused by Pseudomonas aeruginosa.

Side Effects:

While effective, tobramycin can cause side effects, which may vary depending on the form of administration (oral/inhaled/ocular/intravenous).

• Common Side Effects:

  • For systemic use (injections):

    • Nausea
    • Vomiting
    • Skin rash
    • Diarrhea

  • For inhalation use:

    • Hoarseness or voice changes
    • Sore throat
    • Cough
    • Bronchospasm (tightening of the airways)

  • For eye use (drops/ointments):

    • Temporary eye irritation
    • Redness
    • Itching or stinging in the eyes

• Serious Side Effects:

  • Ototoxicity (Hearing Damage): Tobramycin can cause hearing loss, ringing in the ears (tinnitus), or balance issues, especially with long-term use or high doses.
  • Nephrotoxicity (Kidney Damage): Tobramycin can damage the kidneys, particularly in patients with pre-existing kidney conditions or those taking other nephrotoxic drugs.
  • Neuromuscular Issues: Rarely, tobramycin can cause neuromuscular blockade, leading to muscle weakness or paralysis.
  • Severe Allergic Reactions: Symptoms like rash, itching, swelling, or difficulty breathing may indicate an allergic reaction.

Precautions:

1. Hearing and Kidney Function: Tobramycin can be toxic to the ears (ototoxicity) and kidneys (nephrotoxicity). Patients receiving long-term or high-dose therapy should have their hearing and kidney function regularly monitored.

2. Medical History: Inform your doctor if you have a history of hearing problems, kidney disease, or muscular disorders (like myasthenia gravis) before starting treatment with tobramycin.

3. Use in Pregnancy: Tobramycin is generally not recommended during pregnancy unless absolutely necessary, as it may harm the fetus. Discuss the risks with your doctor.

4. Drug Interactions: Tobramycin can interact with other nephrotoxic or ototoxic drugs (e.g., certain diuretics, other antibiotics, and nonsteroidal anti-inflammatory drugs), increasing the risk of side effects. Always inform your healthcare provider about any other medications or supplements you are taking.

5. Hydration: Maintaining adequate hydration is important to minimize the risk of kidney damage while using systemic forms of tobramycin.

6. Eye and Inhalation Forms: Patients using tobramycin for eye infections should avoid wearing contact lenses during treatment. Inhaled tobramycin may irritate the lungs, so patients with respiratory conditions should use it with caution.