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Neomycin, Polymyxin B, Dexamethasone Ophthalmic Ointment

Neomycin, Polymyxin B, Dexamethasone Ophthalmic Ointment by Bausch&Lomb

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Neomycin + Polymyxin + Dexamethasone Ophthalmic

General Description:

This drug is an eye medication that is a combination of more than one antibiotic and a steroid anti-inflammatory. This medication is available in the form of drops/suspension as well as an ointment.

What is Neomycin, Polymyxin B, Dexamethasone Ophthalmic Ointment?

  • Two broad spectrum antibiotics and a steroid.

Reasons for prescribing eye medications:

  • To treat or prevent bacterial infections and inflammatory conditions involving the eye, conjunctiva, and eyelids

What dogs/cats should not take Neomycin, Polymyxin B, Dexamethasone Ophthalmic Ointment?

  • Cats can have a severe allergic reaction to the neomycin or polymyxin component in this eye medication
  • Animals with corneal ulcers as the steroid can delay healing
  • Animals with viral or fungal infections as the steroid can worsen or prolong the infection
  • Animals with a known hypersensitivity or allergy to this drug should not take this medication


Directions:

  • Read and follow the prescription label carefully.
  • Give the exact amount prescribed and only as often as directed.
  • Give this medication for as long as your veterinarian directs.
  • Do not skip doses or stop giving the medication without consulting your veterinarian.
  • Dose adjustments may be made based upon an assessment of how your dog or cats is responding clinically.
  • If your pet requires more than one medication in the same eye, administer the medications 5 minutes apart.
  • If your pet requires more than one medication, discuss with your veterinarian if it is preferable to administer drops before ointments.
  • If you are having difficulty applying the medication, contact your veterinarian
  • Call ahead for refills.
  • Ideally, give this medication at the same time(s) daily.

Administration of eye drops

  • Wash your hands before applying any eye medication
  • Check label directions and shake bottle if necessary
  • Remove excess discharge from around the eye with a moistened cloth
  • Remove the cap and avoid contaminating the tip of the medication bottle with the environment or your fingers
  • Tilt your pet's head back so that they are looking up towards the ceiling
  • Gently hold the eyelids open and with the other hand holding the medication bottle, rest your hand above the eye
  • Be sure that the tip of the medication bottle is not pointed towards the eye in case of any sudden movements
  • Ensure that the tip of the medication bottle does not touch your pet's eye, eyelids, or lashes
  • Apply the correct amount of drops into the eye
  • Continue to hold your pet's head up and allow them to blink to distribute the drops over the entire eye
  • Place the cap back on the medication bottle and avoid contaminating the inside of the cap with your fingers
  • Wash your hands after applying any eye medication
  • Always praise and reward your pet to encourage cooperation

Administration of eye ointments

  • Wash hands prior before applying any eye medication
  • Check label directions
  • Remove excess discharge from around the eye with a moistened cloth
  • Remove the cap and avoid contaminating the tip of the medication tube with the environment or your fingers
  • Tilt your pet's head back so that they are looking up towards the ceiling
  • Gently roll down the lower eyelid of the affected eye and while holding the medication tube, rest your hand above the eye
  • Be sure that the tip of the medication tube is not pointed towards the eye in case of any sudden movements
  • Ensure that the tip of the medication tube does not touch your pet's eye, eyelids, or lashes
  • Holding the tube parallel to the eyelid, apply the correct amount of ointment along the inner edge of the lower lid
  • Gently hold the eyelids shut and massage to disperse the medication
  • Place the cap back on the medication tube and avoid contaminating the inside of the cap with your fingers
  • Wash your hands after applying any eye medication
  • Always praise and reward your pet to encourage cooperation

What if a dose is missed?

If a dose is missed, give it as soon as you can. If it is time already for the next dose, skip the missed dose and go back to the normal schedule. Do not give two doses at the same time.

What to tell/ask a veterinarian before giving Neomycin, Polymyxin B, Dexamethasone Ophthalmic Ointment?

Talk to your veterinarian about:

  • When your pet will need to be rechecked
  • What tests may need to be performed prior to and during treatment with this drug
  • What are the risks and benefits of using this drug

Tell your veterinarian about:

  • If your pet has experienced previous eye problems
  • If your pet has experienced side-effects on other drugs/products
  • If your pet has experienced digestive upset now or ever
  • If your pet has experienced liver or kidney disease now or ever
  • If your pet has experienced any other medical problems or allergies now or ever
  • All medicines and supplements that you are giving your pet or plan to give your pet, including those you can get without a prescription. Your veterinarian may want to check that all of your pet’s medications can be given together.
  • If your pet is pregnant, nursing or if you plan to breed your pet

Storage and Warnings:

Neomycin + Polymyxin + Dexamethasone Ophthalmic should be stored in a childproof container in a cool, dry place at room temperature away from heat and direct sunlight.
Keep this and all medication out of reach of children and pets.
Call your physician immediately if you accidentally take this product.

Potential side effects of Neomycin, Polymyxin B, Dexamethasone Ophthalmic Ointment:

  • This medication may cause the eye to sting for a short period after application.
  • This medication can cause hypersensitivity reactions resulting in marked redness and swelling of the tissues surrounding the eye.
  • This medication can affect and delay wound healing.
  • This medication can affect the regulation of animals with Cushing's disease or diabetes mellitus.
  • Prolonged use of any antibiotic may lead to the development of bacterial resistance and overgrowth of other organisms.
  • If these symptoms persist or you notice anything else unusual, contact your veterinarian.

Can this drug be given with other drugs?

  • Do not give new food or medications without first talking to your veterinarian.
  • If your pet experiences any unusual reactions when taking multiple medications, contact your veterinarian.

Overdosing?

Contact your veterinarian immediately if you pet has accidentally ingested this medication or has received more than the prescribed amount

What else should I know about Neomycin, Polymyxin B, Dexamethasone Ophthalmic Ointment?

Notify your veterinarian if your animal’s condition does not improve or worsens despite this treatment.

As with all prescribed medicines, Neomycin + Polymyxin + Dexamethasone Ophthalmic should only be given to the pet for which it was prescribed.

It should be given only for the condition for which it was prescribed. Never use skin or ear medications in the eye.

This is just a summary of information about Neomycin + Polymyxin + Dexamethasone Ophthalmic. If you have any questions or concerns about Neomycin + Polymyxin + Dexamethasone Ophthalmic or the condition it was prescribed for, please contact your veterinarian.
 

Antibiotic with Corticosteroid Ophthalmic Preparations
(Neobacimyx-H, Gentocin Durafilm)

Common Drug Names
Multiple generic antibiotics and cortico­steroids are used in a variety of eye ointments and suspensions 

Common Brand Names
Neobacimyx-H and Gentocin Durafilm
Generic products are available.

Storage
Store at room temperature in a tight, light resistant container.

Uses
Neomycin, polymyxin B, and bacitracin, and gentamicin are antibiotics used singly and in various combinations to treat bacterial infections of the eyes and eyelids. The combination of the first three of these antibiotics is often termed ?triple antibiotic.? Corticosteroids, such as hydrocortisone or dexamethasone, are added to treat the inflammation (conjunctivitis).

Dose and Administration
Always follow the dosage instructions provided by your veterinarian. If you have difficulty applying the medication, contact your veterinarian.
If discharge is present, the area should be cleansed with a sterile eyewash solution prior to applying the medication. Always wash your hands before and after applying this medication.
When applying ointments, place one hand under and around your pet?s chin and lift upward, so the pet?s eyes are looking towards the ceiling. Pull down gently on the lower lid with a finger or thumb, depending upon which eye you are treating. Rest your other hand on top of the pet?s head. Be sure the tip of the tube is pointed away from your pet?s eye so if your pet jerks, the tube tip will not injure the eye.
Hold the tube of ointment about one inch from the eye and apply a short ribbon of ointment along the inner edge of the lower lid, starting at the inside corner of the eye. Rotate the tube when you reach the outer portion of the eye to help detach the ointment from the tube. Have your pet blink, and gently hold the eyelid shut. Gently massage the closed eyelid to disperse the ointment. Ointments will blur your animal?s vision for a few minutes after administration. Prevent your pet from bumping into things and becoming injured.
If using eye drops, shake the suspension well before using. Follow the directions above, but squeeze the drops into the corner of the eye, taking care not to touch the dropper to the eye surface. Continue to hold the head back for a moment while the drops disperse over the whole eye surface.
Never touch the tip of the tube or dropper to the pet?s eye, lids, or eyelashes. Do not touch the inside of the cap or the dropper or tube tip with your fingers, as this will also contaminate the medication.
If you are applying more than one medication to the eye, allow 5 minutes between applications so one medication is not washed out by the next. Be sure not to interchange the caps of the medications.
If you miss a dose, apply it as soon as you remember. If it is almost time for the next dose, skip the application you missed and go back to the regular schedule.  Do not give two doses at once.
This medication should only be given to the pet for whom it was prescribed.

Possible Side Effects
Side effects are unusual.
The medication may cause the eye to sting for a short time when first applied.
If ingested, the corticosteroids may cause an increase in the amount of drinking and urinating. Less commonly may see an increased appetite, weight gain, panting, diarrhea, vomiting, or behavior changes. 
Some cats may have a fatal allergic (anaphylactic) reaction to the antibiotic combination of these drugs. It is not known which of the components is the cause of this fatal reaction. If your cat has swelling of the face, itching, or appears to have difficulty breathing, you should contact your veterinarian immediately.

Precautions
Do not use in animals hypersensitive (allergic) to any of the ingredients.
Your pet?s eye should start to improve in 48 hours; if not, contact your veterinarian.
Do not use in fungal or viral infections of the eye before healing has started. Also do not use if an ulcer on the eye could be present, since corticosteroids could cause the ulcer to worsen or rupture. Therefore, an ophthalmic exam by a veterinarian is necessary before using this medication. Prolonged use could result in a serious bacterial or fungal infection. 
Prevent ingestion. If ingested at high doses or for extended periods, corticosteroids can cause premature birth or birth defects.
Consult with your veterinarian regarding the eye examinations and laboratory testing necessary prior to and during treatment with antibiotic with corticosteroid ophthalmic preparations.

Drug, Food, and Test Interactions
Consult your veterinarian before using corticosteroid ophthalmic preparations with any other medications, including vitamins and supplements, since interactions may occur.

Signs of Toxicity/Overdose
Adverse reactions and toxicities are unlikely if used according to directions. If you know or suspect your pet has had an overdose contact your veterinarian immediately.
Keep this and all other medications out of the reach of children and pets.

This information may not cover all possible uses, directions, side effects, precautions, allergic reactions, drug interactions, or withdrawal times.  Always consult your own veterinarian for specific advice concerning the treatment of your pet.

 


Customer Reviews

Average Customer Rating: (Excellent) based on 1 review
Write an online review and share your thoughts with other customers.

92 of 178 found the following review helpful:
5 Stars neomycin
by Rasiel Guelmes from miami , fl , usa on Oct 10, 2016
  good for eyes for my dog
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