Neosporin H eye ointment is a combination of antibiotics (neomycin, polymyxin B) and a steroid (hydrocortisone). Close alternatives include Maxitrol (neomycin, polymyxin B, dexamethasone) or Tobradex (tobramycin, dexamethasone). However, because Neosporin H and its alternatives contain steroids, you should never substitute or start these medications without a prescription and direct supervision from an ophthalmologist. Improper use of steroid eye ointments can cause severe complications, including glaucoma, cataracts, or worsening of undetected viral or fungal eye infections. Please consult your doctor to get the safest and most appropriate alternative for your specific condition.