TOBAREN D DROPS 5ML
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About TOBAREN D DROPS 5ML
TOBAREN D DROPS 5ML is a combination of one antibiotic and one corticosteroid used to treat bacterial eye and ear infections. It is used to treat eye infections such as conjunctivitis (infection of the outer white membrane of the eyeball), corneal ulcers (ulcer that occurs in the transplant membrane of the eye called the cornea), acute bacterial otitis media (an infection of the middle ear), and otitis externa (an infection in the ear canal). Eye infections are contagious and can pass from one to another. Signs and symptoms include pink or red-toned eyes, itching in areas of eyes, teary eyes, thick discharge around eyes/ears, ear discomfort, etc.
TOBAREN D DROPS 5ML is a combination medicine that contains Tobramycin and Dexamethasone. Tobramycin is an aminoglycoside antibiotic which inhibits the growth of bacteria by interfering with protein synthesis and leads to cell death. Dexamethasone is a corticosteroid medicine that reduces swelling and redness by preventing infection-fighting white blood cells (WBCs).
TOBAREN D DROPS 5ML is an external preparation and should be administered as advised by your doctor. TOBAREN D DROPS 5ML may cause certain common side effects, including (when used as eye drops) redness, itching, swelling, burning sensation, tearing, and temporary blurred vision (when used as ear drops), including ear pain and discomfort, discharge from ears, etc. Most of these side effects do not require medical attention and gradually subside over a time span. However, if the side effects persist for an extended period of time, consult your doctor.
TOBAREN D DROPS 5ML should be avoided if you are allergic to it, other aminoglycoside antibiotics or any other ingredients present in it. Inform your doctor if you are on any topical nonsteroidal anti-inflammatory drugs (NSAIDs), as TOBAREN D DROPS 5ML combined with topical NSAIDs may cause your eye wound to heal more slowly. Avoid wearing contact lenses during the treatment of ocular infection or inflammation, as it can worsen the condition. Tell your doctor about all your current medications and medical history before using TOBAREN D DROPS 5ML. Inform your doctor if you have any vision or hearing problems after using this medication. Tell your doctor if you are pregnant or breastfeeding. TOBAREN D DROPS 5ML is not recommended for use in children below 2 years of age.
Uses of TOBAREN D DROPS 5ML
TOBAREN D DROPS 5ML is used in the treatment of bacterial eye and ear infections. The detailed uses of TOBAREN D DROPS 5ML are as follows:
- Eye Infections: TOBAREN D DROPS 5ML effectively treats bacterial eye infections with its antibacterial and anti-inflammatory properties, rapidly relieving symptoms like redness and itching.
- Ear Infections: TOBAREN D DROPS 5ML treats bacterial infections of the ear, such as otitis externa, by eliminating bacteria and reducing inflammation, offering quick relief from pain and discharge.
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Directions for Use
- Follow your doctor’s instructions regarding the dosage and duration.
- For eye use: Wash your hands, tilt your head back, pull down your lower eyelid, and instil the prescribed number of drops into the eye.
- For ear use: Lie on your side or tilt your head so the ear faces up and instill the prescribed number of drops into the ear.
- Do not touch the tip of the dropper to avoid contamination.
Key Benefits
TOBAREN D DROPS 5ML is a combination medicine that contains Tobramycin (antibiotics) and Dexamethasone (corticosteroids). Tobramycin works by inhibiting the growth of bacteria. Dexamethasone blocks the chemical messenger in the brain responsible for causing inflammation (redness, itching, and swelling). As a result, it lowers inflammation, which could worsen the condition. TOBAREN D DROPS 5ML is used to prevent and treat inflammation and prevent possible bacterial infection of the eye after cataract surgery in adults and children above two years of age.
How TOBAREN D DROPS 5ML Works
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- Take healthy and balanced diet.
- Exercise regularly and maintain the healthy lifestyle.
- Reduce the intake of caffeine.
- Use a pillow and elevate your head while sleeping.
- If you have discomfort, illness, or unease after taking medication, seek medical attention.
- Your treatment plan may be modified, including adjusting the dosage, substituting with an alternative medication, or discontinuing the medication. Additionally, certain lifestyle changes may be recommended to help manage symptoms.
- To manage discomfort, follow your doctor's advice, like getting plenty of rest, or staying hydrated, and practising stress-reducing techniques.
- Track your symptoms regularly and report any changes or concerns to your healthcare provider to manage the discomfort effectively.
- Consult your doctor if you experience skin redness, itching, or irritation after taking medication.
- Apply cool compresses or calamine lotion to the affected skin area to reduce irritation.
- Stay hydrated by drinking plenty of water to help alleviate symptoms and keep your skin soothing.
- Monitor your skin condition closely and promptly report any changes, worsening symptoms, or concerns to your healthcare provider.
- Burning sensation is an abnormal side effect that needs medical attention. To relieve the burning feeling, your doctor may prescribe painkillers or antidepressants.
- Focused exercises can improve strength and reduce burning by soothing muscles.
- Change in lifestyle and improving nutrition can reduce the causes of burning sensation and provide relief.
- Your doctor may suggest nerve block injections as it is related to sensation in the skin.
- Burning feeling in a specific area would need mild electrical currents to reduce pain that targets the nerve affected. This practice must be done only if your doctor mentions it.
- Change positions or take a break from activity to relieve symptoms, as stinging can disturb your regular patterns.
- Avoid postures that put much pressure on the body area where stinging is felt.
- If you have a vitamin deficiency, take supplements or change your diet.
- Exercise regularly to improve inner strength.
- Follow your doctor's instructions to prevent stinging.
- Massage the affected area gently to get temporary relief.
- Report the itching to your doctor immediately; they may need to change your medication or dosage.
- Use a cool, damp cloth on the itchy area to help soothe and calm the skin, reducing itching and inflammation.
- Keep your skin hydrated and healthy with gentle, fragrance-free moisturizers.
- Try not to scratch, as this can worsen the itching and irritate your skin.
- If your doctor prescribes, you can take oral medications or apply topical creams or ointments to help relieve itching.
- Track your itching symptoms and follow your doctor's guidance to adjust your treatment plan if needed. If the itching persists, consult your doctor for further advice.
What if I have taken an overdose of TOBAREN D DROPS 5ML
Drug Warnings
- It is for external use only. If you are allergic to TOBAREN D DROPS 5ML or any other medicines, please tell your doctor. Consult your doctor before using TOBAREN D DROPS 5ML if you are pregnant or breastfeeding.
- TOBAREN D DROPS 5ML is not recommended for children below 2 years of age.
- You are advised to remove soft contact lenses before using TOBAREN D DROPS 5ML as it contains a preservative that may cause eye irritation and discolouration of soft contact lenses. You can reinsert contact lenses after 15 minutes of using TOBAREN D DROPS 5ML.
- Do not use the topical non-steroidal inflammatory drug while using TOBAREN D DROPS 5ML. TOBAREN D DROPS 5ML contains dexamethasone; if you use a topical non-steroidal inflammatory drug and dexamethasone together, it may delay the healing of your eye wound.
- If you have diabetes, please consult your doctor before using TOBAREN D DROPS 5ML. The risk of intraocular pressure (glaucoma) and cataract formation is increased in diabetic patients.
- TOBAREN D DROPS 5ML may cause temporary vision problems (blurred vision), so be cautious while driving and operating machinery.
Drug-Drug Interactions
Drug-Drug Interactions
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Coadministration of cidofovir with Tobaren D Drops 5ml can cause kidney problems.
How to manage the interaction:
Taking Tobaren D Drops 5ml with Cidofovir is not recommended, but can be taken if prescribed by a doctor. However, if you experience nausea, vomiting, loss of appetite, increased or decreased urination, sudden weight gain or weight loss, swelling, shortness of breath, bone pain, muscle cramps, tiredness, weakness, dizziness, confusion, and irregular heart rhythm contact your doctor immediately. Do not stop using any medications without consulting a doctor.
When Regorafenib is taken with Tobaren D Drops 5ml, may significantly reduce the blood levels of Regorafenib.
How to manage the interaction:
Co-administration of Regorafenib and Tobaren D Drops 5ml can lead to an interaction, it can be taken if advised by a doctor. Do not stop using any medications without a doctor's advice.
Co-administration of Desmopressin with Tobaren D Drops 5ml may increase the risk of hyponatremia (low levels of salt in the blood).
How to manage the interaction:
Co-administration of Tobaren D Drops 5ml and Desmopressin can lead to an interaction, it can be taken if advised by a doctor. However, if you experience any symptoms like confusion, hallucination, seizure, changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle stiffness, tremors, stomach cramps, nausea, vomiting, and diarrhea, consult a doctor immediately. Do not stop using any medications without a doctor's advice.
When Rilpivirine is taken with Tobaren D Drops 5ml, may significantly reduce the blood levels of Rilpivirine.
How to manage the interaction:
Co-administration of Rilpivirine and Tobaren D Drops 5ml can lead to an interaction, it can be taken if advised by a doctor. Do not stop using any medications without a doctor's advice.
When Tobaren D Drops 5ml is taken with Ranolazine, may significantly reduce the blood levels of Ranolazine.
How to manage the interaction:
Co-administration of Ranolazine and Tobaren D Drops 5ml can lead to an interaction, it can be taken if advised by a doctor. Do not stop using any medications without a doctor's advice.
Taking Tobaren D Drops 5ml with doxacurium chloride can increase the risk of respiratory depression(hypoventilation).
How to manage the interaction:
Although there is a possible interaction between Tobaren D Drops 5ml and Doxacurium chloride, you can take these medicines together if prescribed by your doctor. Do not stop using any medications without a doctor's advice.
Taking Tobaren D Drops 5ml with Polymyxin B can increase the risk of side effects.
How to manage the interaction:
Although there is an interaction between Tobaren D Drops 5ml and Polymyxin b, you can take these medicines together if prescribed by a doctor. However, if you experience hearing loss, ringing in the ears, difficulty breathing, nausea, vomiting, loss of appetite, increased or decreased urination, sudden weight gain or weight loss, swelling, muscle cramps, tiredness, weakness, dizziness, confusion, and irregular heart rhythm contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
Taking tenofovir alafenamide with Tobaren D Drops 5ml can increase the risk of kidney problems.
How to manage the interaction:
Although taking Tenofovir alafenamide and Tobaren D Drops 5ml together can evidently cause an interaction, it can be taken if your doctor has suggested it. However, if you experience nausea, vomiting, loss of appetite, increased or decreased urination, sudden weight gain or weight loss, fluid retention, swelling, shortness of breath, bone pain, muscle cramps, tiredness, weakness, dizziness, confusion, and irregular heart rhythm contact your doctor immediately. Do not stop using any medications without a doctor's advice.
Using Atracurium with Tobaren D Drops 5ml can increase the risk of respiratory depression (breathing disorder).
How to manage the interaction:
Although there is a interaction between Tobaren D Drops 5ml and Atracurium, but it can be taken if prescribed by a doctor. Do not stop using any medications without talking to your doctor.
When Tobaren D Drops 5ml is taken with Bumetanide, the amount of Tobaren D Drops 5ml in the blood can go up.
How to manage the interaction:
Although there is a possible interaction between Tobaren D Drops 5ml and Bumetanide, you can take these medicines together if prescribed by your doctor. Do not stop using any medications without a doctor's advice.
Drug-Food Interactions
Drug-Food Interactions
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Diet & Lifestyle Advise
- Sleep for at least 6-8 hours to rejuvenate your eyes naturally.
- Wash your eyes with clean water at least 2-3 times a day
- Manage stress, eat healthily, drink plenty of water, exercise regularly, and get plenty of sleep.
- Placing cooled tea bags on your eyes while they are closed can be a way to relax and unwind.
- Avoid pricking your ears with cotton buds or fingers as it can scratch the skin and allows germs which result in infection.
- The ear infection can also occur due to improper cleaning of ears after bathing or swimming. Hence, cleaning your ears thoroughly with a clean and dry cloth is advised.
Habit Forming
Therapeutic Class
Alcohol
Safe if prescribed
The interaction of TOBAREN D DROPS 5ML with alcohol is unknown. Consult your doctor before consuming alcohol during the treatment with TOBAREN D DROPS 5ML.
Pregnancy
Consult your doctor
If you are pregnant, consult your doctor before using TOBAREN D DROPS 5ML. It is given to pregnant women only if the doctor thinks the benefits outweigh the risks.
Breast Feeding
Consult your doctor
Consult Your doctor before using TOBAREN D DROPS 5ML if you are breastfeeding. Your doctor will prescribe TOBAREN D DROPS 5ML only if the benefits outweigh the risks.
Driving
Safe if prescribed
TOBAREN D DROPS 5ML usually causes temporarily blurred vision and affects your driving ability when used in the eyes. Hence, avoid driving or operating machines until your vision is clear after using this medicine.
Liver
Consult your doctor
TOBAREN D DROPS 5ML can be used in patients with liver disease if prescribed by a doctor.
Kidney
Consult your doctor
TOBAREN D DROPS 5ML can be used in patients with kidney disease if prescribed by a doctor.
Children
Safe if prescribed
TOBAREN D DROPS 5ML should be used in children when prescribed by a child specialist. This medicine is not advised for use in children below two years of age.
Heart
TOBAREN D DROPS 5ML is generally safe for people with heart problems because it work locally and have minimal systemic absorption. However, it's best to consult your doctor to rule out any rare interactions or sensitivities, especially if you're on other medications.
Geriatrics
Consult your doctor
Geriatric patients can generally use TOBAREN D DROPS 5ML safely. However, older adults may be more prone to side effects like increased eye pressure, irritation, or ear discomfort, so regular monitoring and medical guidance are recommended.
FAQs
TOBAREN D DROPS 5ML is used to treat Bacterial eye infections and Bacterial ear infections.
TOBAREN D DROPS 5ML contains tobramycin and dexamethasone. Tobramycin is an aminoglycoside antibiotic. It acts by inhibiting bacteria's growth. It binds to the proteins in the bacteria, disrupting the cell functions and eventually leading to bacterial death. Dexamethasone is a corticosteroid that blocks the production of certain chemical messengers (prostaglandins) that make the eye red, swollen, and itchy.
Do not take TOBAREN D DROPS 5ML on your own, as self-medication may lead to antibiotic resistance in which antibiotics fail to act against specific bacterial infections.
If you have diabetes, TOBAREN D DROPS 5ML can increase the risk of intraocular pressure (glaucoma) and cataract formation in diabetic patients. However, please consult your doctor before using TOBAREN D DROPS 5ML.
If you miss a dose of TOBAREN D DROPS 5ML, take the missed dose as soon as you remember it. However, if it's almost time for the next dose, do not take a double dose to make up for a missed one.
It is advised to use TOBAREN D DROPS 5ML only for the prescribed period as long-term usage of TOBAREN D DROPS 5ML may cause a new fungal eye infection (secondary infection). Prolonged use of corticosteroids may result in glaucoma, damage to the optic nerve, and defects in visual acuity and fields of vision. Intraocular pressure should be monitored if this product is used for ten days or longer.
TOBAREN D DROPS 5ML may cause common side effects, such as eye redness, itching, swelling, burning sensation, tearing, and dry eyes. Most of these side effects of TOBAREN D DROPS 5ML do not require medical attention and gradually resolve over time. However, if the side effects persist, please consult your doctor.
TOBAREN D DROPS 5ML does not cause blindness. However, it contains dexamethasone (a corticosteroid), when used for a long time may lead to vision loss or blindness in rare cases. If you notice any changes in your vision while using TOBAREN D DROPS 5ML, contact your doctor immediately for advice.
You are advised to remove contact lenses before using TOBAREN D DROPS 5ML, as it contains a preservative that may increase the risk of eye irritation and cause discolouration of the lenses. It is best to remove your lenses before applying TOBAREN D DROPS 5ML and wait at least 15 minutes before reinserting them. Always consult your doctor for personalized advice.
You can use TOBAREN D DROPS 5ML for a bacterial ear infection, but only if advised by your doctor. Always consult your doctor first to ensure it is the right treatment for your condition.
You can use multiple eye drops prescribed by your doctor, but it is important to space them out to prevent any interaction. It is recommended to wait at least 5 minutes between each drop to ensure the first one is absorbed properly. If you are unsure, please consult your doctor for specific guidance.
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Reference
- https://www.drugs.com/mtm/dexamethasone-and-tobramycin-ophthalmic.html
- https://www.medicines.org.uk/emc/files/pil.1324.pdf
- https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/050818lbl.pdf
- https://integratedlaboratories.in/tobramycin-dexamethasone-retob-d/
- https://www.indiamart.com/proddetail/tobramycin-dexamethasone-sodium-phosphate-eye-ear-drops-26237182730.html
