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Tobra D Eye Drops
Manufactured byLABORATE PHARMACEUTICAL LTD
ContainsTobramycin (0.3 %w/v) + Dexamethasone (0.1 %w/v)
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Description
Tobra D Eye Drops is a combination medicine which may be used to treat eye swelling, pain, and redness which may be caused by surgery, infection, allergies, injuries, or other conditions.
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Substitutes
List of substitutes for Tobra D Eye Drops
Side effects
Major & minor side effects for Tobra D Eye Drops
Blurred vision
Burning or itching of eyes
Redness of the eye
Dry eyes
Discharge from eyes
Eye discomfort
Headache and dizziness
Uses of Tobra D Eye Drops
What is it prescribed for?
Steroid-responsive inflammatory conditions
This medicine may be used to treat steroid-responsive inflammation of the palpebral and bulbar conjunctiva (conjunctivitis), cornea and anterior segment of the globe (eye redness, swelling, pain, etc.) in patients who are suffering from bacterial eye infections or in patients who are at an increased risk of bacterial eye infections.
Concerns
Commonly asked questions
How long does it take for this medicine to take effect?
The amount of time required for this medicine to show its therapeutic effect is not clinically established.How long do the effects of this medicine last?
The amount of time for which this medicine remains active in the body is not clinically established.Is it safe to consume alcohol while taking this medicine?
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.Is this a habit forming medicine?
No habit-forming tendencies were reported.Can this medicine be taken during pregnancy?
This medicine is not recommended for use in pregnant women unless necessary. All the risks and benefits should be discussed with the doctor before using this medicine.Can this medicine be taken while breast-feeding?
This medicine is not recommended for use in breastfeeding women unless necessary. All the risks and benefits should be discussed with the doctor before using this medicine. If the medicine is used, the infant should be monitored closely for any undesired side effects.
Allergy
This medicine is not recommended for use in patients with a known allergy to tobramycin, any other aminoglycosides, dexamethasone, or any other inactive ingredients present along with the formulation.
Active viral diseases
This medicine is not recommended for use in patients suffering from active viral diseases of the eyes including epithelial herpes simplex keratitis (dendritic keratitis), vaccinia, and varicella due to the increased risk of worsening of the patient's condition.
Mycobacterial or fungal infection
This medicine is not recommended for use in patients suffering from a mycobacterial or fungal infection of the eyes and surrounding structures due to the increased risk of worsening of the patient's condition.
Warnings for special population
Pregnancy
This medicine is not recommended for use in pregnant women unless necessary. All the risks and benefits should be discussed with the doctor before using this medicine.
Breast-feeding
This medicine is not recommended for use in breastfeeding women unless necessary. All the risks and benefits should be discussed with the doctor before using this medicine. If the medicine is used, the infant should be monitored closely for any undesired side effects.
General warnings
Use in children
The medicine should be used in children only under the supervision of a qualified healthcare professional.
Increased intraocular pressure (IOP)
This medicine should be used with extreme caution in patients with a history of cataracts, glaucoma, or increased intraocular pressure due to the increased risk of worsening of the patient's condition. The risk is especially higher if the medicine is used for more than 10 days. Close monitoring of intraocular pressure may be necessary in some cases. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition of the patient.
Slow or delayed healing
This medicine may slow or delay healing and increase the risk of a bleb formation. The risk is especially higher if the medicine is used for a prolonged period of time. Appropriate examination through slit-lamp biomicroscopy and fluorescein staining may be necessary in some cases to ensure appropriate healing post surgery. Replacement with a suitable alternative may be required based on the clinical condition.
Contact lens
Patients are advised to remove contact lenses prior to the administration of this medicine. The lenses may be reinserted 10 to 15 minutes post administration.
Driving or operating machines
This medicine may cause blurred vision or other vision changes in some patients. It is advised that you do not perform any activities such as driving a vehicle or operating machinery if you experience any of these symptoms during treatment with this medicine.
Drug resistance
Use of this medication without sufficient proof or suspicion of a bacterial infection should be avoided. Irrational dosing might fail in providing the benefits and even cause toxicity. It may also increase the risk of development of bacteria that are drug resistant.
Missed Dose
Administer the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.
Overdose
Seek emergency medical treatment or contact the doctor in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol
Description
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Instructions
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Interaction with Medicine
Live cholera vaccine
Smallpox vaccine
Disease interactions
Ocular Toxicities
This medicine should be used with extreme caution in patients with a history of cataracts, glaucoma, or increased intraocular pressure due to the increased risk of worsening of the patient's condition. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition of the patient.
Viral ocular infections
This medicine is not recommended for use in patients suffering from eye infections caused by a virus due to the increased risk of worsening of the patient's condition. Replacement with a suitable alternative should be considered under your doctor's supervision.
Food interactions
Information not available.
Lab interactions
Information not available.
Use this medicine exactly as prescribed. Do not administer in larger or smaller amounts than advised/prescribed. Consult the doctor if you experience any undesirable side effects. Ensure that the treatment course is completed. Do not stop the use of this medicine without consulting your doctor.
Miscelleneous
How it works
Tobramycin is a broad-spectrum antibiotic which kills the bacteria by blocking the production of certain proteins that are required for their growth. Dexamethasone works by decreasing the release of certain substances that cause swelling. It also works by suppressing or partially preventing the effect of the immune system.
Legal Status
Classification
Category
Aminoglycosides, Opthalmic steroids
Schedule
Schedule H
Nebracin DM Ophthalmic Solution | Leading Eyecare Specialists in India | Sunways India Pvt Ltd. [Internet]. Sunways.com. 2019 [cited 10 January 2019]. Available from:
Dexamethasone - DrugBank [Internet]. Drugbank.ca. 2017 [cited 24 April 2017]. Available from:
Dexamethasone Ophthalmic: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2017 [cited 24 April 2017]. Available from:
Tobramycin - DrugBank [Internet]. Drugbank.ca. 2017 [cited 21 July 2017]. Available from:
Related Questions
Question:
3 month baby's eye is secreting sticky liquid since 2-3 days. put tobra eye drops but not much impro...more
Answer from Dr. D V Ramabhadra Raju
Hello.
It is eye infection.
Nothing to worry, but it won't cure by itself.
Pleas...more
Question:
I had conjunctivitis from last 3-4 days and I was using to tobra eye drops. Last night I had little ...more
Answer from Dr. A K Goel
you must have not rubbed the eyes. now you will have to take oral medication ...more
Question:
I have so much pain in my ear. I have a pimple(phunsee) in it and ear is watering. So brought a drop...more
Answer from Dr. Vinay S Bhat
You might be suffering from acute otitis externa which is a common type of ear i...more
Question:
Im 31,M,xontrolled diabetic.from 3-4 days i hae thakawat(fatigue) n kharish,khujli(urge to rub eyes)...more
Answer from Dr. Utkarsha Deshmukh
No . You can use tobra F . F is a low potency steroid and anyways Eye drops can...more
Question:
My baby is 13 days old and he has watery and sticky eyes since birth but now stickyness has increase...more
Answer from Dr. Gopal K
Consult opthalmologist who will advise you regarding eye care and massage if nee...more
Information on this page was last updated on 11 Jun 2019
Disclaimer
We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.