Dexamethasone + Tobramycin: Brands, Price & Uses in Bangladesh

Dexamethasone + Tobramycin is a combination ophthalmic corticosteroid-antibiotic product indicated for:

• Established/FDA-approved use: Steroid-responsive inflammatory conditions of the eye (e.g. allergic conjunctivitis, acne rosacea, superficial punctate keratitis, herpes zoster keratitis, iritis, cyclitis, and selected inflammatory conditions of the anterior segment of the globe) for which a corticosteroid is indicated and where superficial bacterial ocular infection or a risk of bacterial ocular infection exists.
• Guideline/clinical-practice supported use: Chronic anterior uveitis, and inflammation following ocular surgery, chemical or thermal burns, or removal of a corneal foreign body, when a bacterial infection risk is also present.

Dexamethasone + Tobramycin is intended for short-term, physician-supervised topical ophthalmic use only. It is not indicated for infections without an inflammatory component, and it is not a substitute for an antibiotic alone when no steroid-responsive inflammation is present.

Eye Drops (Suspension)

Shake well before use. Instill 1-2 drops into the conjunctival sac of the affected eye(s) every 4-6 hours. During the initial 24-48 hours of an acute condition, the dosing frequency may be increased to every 2 hours as directed by a physician, then tapered gradually as clinical improvement occurs.

Eye Ointment

Apply a small (approximately 1-1.5 cm) ribbon into the conjunctival sac of the affected eye(s) 3-4 times daily. The ointment may also be used at night as an adjunct to daytime drop therapy. Keep the eyes closed for 1-2 minutes after application.

General Administration Notes

• Dexamethasone + Tobramycin is for topical ophthalmic use only - not for injection, oral use, or use in the ear.
• Wash hands before use; avoid touching the applicator tip to the eye or any surface.
• If using another topical ophthalmic medicine, allow an interval of at least 5-10 minutes between applications.
• Do not wear contact lenses during treatment of an active ocular infection.
• Take/use exactly as prescribed by your physician; do not stop, extend, skip doses, or share this medicine with others without medical advice.
• Duration of use should not exceed what the prescribing physician recommends (see Duration of Treatment).

Adverse effects reported with Dexamethasone + Tobramycin include:

• Common (local): Transient stinging or burning on instillation, eyelid itching, eyelid swelling, conjunctival hyperemia (redness), and blurred vision immediately after application.
• Steroid-related (with prolonged use): Elevated intraocular pressure/glaucoma, posterior subcapsular cataract formation, delayed wound/epithelial healing, and secondary ocular infection (bacterial, viral, or fungal) due to masking or potentiation of infection.
• Hypersensitivity reactions: Localized allergic reactions including lid itching, swelling, and conjunctival erythema (reported in a small proportion of patients).
• Uncommon: Mydriasis, ptosis, and optic nerve damage with long-term steroid exposure.

Report any unusual or persistent eye symptoms to a physician promptly.