NEOMYCIN SULFATE, POLYMYXIN B SULFATE AND DEXAMETHASONE

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Overview

What is NEOMYCIN SULFATE, POLYMYXIN B SULFATE AND DEXAMETHASONE?

Neomycin and polymyxin B sulfates and dexamethasone ophthalmic suspension is a multiple dose anti-infective steroid combination in sterile suspension form for topical application. The chemical structure for the active ingredient, dexamethasone, is:

Established Name:

dexamethasone

Chemical Name:

pregna-1, 4-diene-3, 20-dione, 9-fluoro-11,17, 21-trihydroxy-16-methyl-, (11β, 16α)-.

The other active ingredients are neomycin sulfate and polymyxin B sulfate.

Each mL contains: Actives:

Preservative:

Vehicle:

Inactives:

What does NEOMYCIN SULFATE, POLYMYXIN B SULFATE AND DEXAMETHASONE look like?

What are the available doses of NEOMYCIN SULFATE, POLYMYXIN B SULFATE AND DEXAMETHASONE?

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What should I talk to my health care provider before I take NEOMYCIN SULFATE, POLYMYXIN B SULFATE AND DEXAMETHASONE?

Sorry No records found

How should I use NEOMYCIN SULFATE, POLYMYXIN B SULFATE AND DEXAMETHASONE?

For steroid-responsive inflammatory ocular conditions for which a corticosteroid is indicated and where bacterial infection or a risk of bacterial ocular infection exists.

Ocular corticosteroids are indicated in inflammatory conditions of the palpebral and bulbar conjunctiva, cornea, and anterior segment of the globe where the inherent risk of corticosteroids use in certain infective conjunctivitides is accepted to obtain a diminution in edema and inflammation. They are also indicated in chronic anterior uveitis and corneal injury from chemical, radiation or thermal burns; or penetration of foreign bodies.

The use of a combination drug with an anti-infective component is indicated where the risk of infection is high or where there is an expectation that potentially dangerous numbers of bacteria will be present in the eye.

The particular anti-infective drug in this product is active against the following common bacterial eye pathogens: species, species, and

This product does not provide adequate coverage against: and streptococci, including

One to two drops topically in the conjunctival sac(s). In severe disease, drops may be used hourly, being tapered to discontinuation as the inflammation subsides. In mild disease, drops may be used up to four to six times daily.

Not more than 20 mL should be prescribed initially and the prescription should not be refilled without further evaluation as outlined in PRECAUTIONS above.

FOR TOPICAL OPHTHALMIC USE ONLY.

What interacts with NEOMYCIN SULFATE, POLYMYXIN B SULFATE AND DEXAMETHASONE?

CONTRAINDICATIONS

Epithelial herpes simplex keratitis (dendritic keratitis), vaccinia, varicella, and many other viral diseases of the cornea and conjunctiva. Mycobacterial infection of the eye. Fungal diseases of ocular structures. Hypersensitivity to a component of the medication. (Hypersensitivity to the antibiotic component occurs at a higher rate than for other components.)

What are the warnings of NEOMYCIN SULFATE, POLYMYXIN B SULFATE AND DEXAMETHASONE?

Urography should be performed with caution in patients with severely impaired renal function and patients with combined renal and hepatic disease.

WARNINGS

NOT FOR INJECTION. Do not touch dropper tip to any surface, as this may contaminate the contents. Prolonged use may result in glaucoma, with damage to the optic nerve, defects in visual acuity and fields of vision, and posterior subcapsular cataract formation. Prolonged use may suppress the host response and thus increase the hazard of secondary ocular infections. In those diseases causing thinning of the cornea or sclera, perforations have been known to occur with the use of topical corticosteroids. In acute purulent conditions of the eye, corticosteroids may mask infection or enhance existing infection. If this product is used for 10 days or longer, intraocular pressure should be routinely monitored even though it may be difficult in children and uncooperative patients.

Products containing neomycin sulfate may cause cutaneous sensitization.

Employment of corticosteroid medication in the treatment of herpes simplex requires great caution.

What are the precautions of NEOMYCIN SULFATE, POLYMYXIN B SULFATE AND DEXAMETHASONE?

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What are the side effects of NEOMYCIN SULFATE, POLYMYXIN B SULFATE AND DEXAMETHASONE?

Sorry No records found

What should I look out for while using NEOMYCIN SULFATE, POLYMYXIN B SULFATE AND DEXAMETHASONE?

CONTRAINDICATIONS

Epithelial herpes simplex keratitis (dendritic keratitis), vaccinia, varicella, and many other viral diseases of the cornea and conjunctiva. Mycobacterial infection of the eye. Fungal diseases of ocular structures. Hypersensitivity to a component of the medication. (Hypersensitivity to the antibiotic component occurs at a higher rate than for other components.)

WARNINGS

NOT FOR INJECTION. Do not touch dropper tip to any surface, as this may contaminate the contents. Prolonged use may result in glaucoma, with damage to the optic nerve, defects in visual acuity and fields of vision, and posterior subcapsular cataract formation. Prolonged use may suppress the host response and thus increase the hazard of secondary ocular infections. In those diseases causing thinning of the cornea or sclera, perforations have been known to occur with the use of topical corticosteroids. In acute purulent conditions of the eye, corticosteroids may mask infection or enhance existing infection. If this product is used for 10 days or longer, intraocular pressure should be routinely monitored even though it may be difficult in children and uncooperative patients.

Products containing neomycin sulfate may cause cutaneous sensitization.

Employment of corticosteroid medication in the treatment of herpes simplex requires great caution.

What might happen if I take too much NEOMYCIN SULFATE, POLYMYXIN B SULFATE AND DEXAMETHASONE?

Sorry No Records found

How should I store and handle NEOMYCIN SULFATE, POLYMYXIN B SULFATE AND DEXAMETHASONE?

Store at 20° to 25°C (68° to 77°F). [See USP Controlled Room Temperature.]Protect from light.Dispense in a tight, light-resistant container as defined in the USP using a child-resistant closure.PHARMACIST:Store at 20° to 25°C (68° to 77°F). [See USP Controlled Room Temperature.]Protect from light.Dispense in a tight, light-resistant container as defined in the USP using a child-resistant closure.PHARMACIST:Store at 20° to 25°C (68° to 77°F). [See USP Controlled Room Temperature.]Protect from light.Dispense in a tight, light-resistant container as defined in the USP using a child-resistant closure.PHARMACIST:Store at 20° to 25°C (68° to 77°F). [See USP Controlled Room Temperature.]Protect from light.Dispense in a tight, light-resistant container as defined in the USP using a child-resistant closure.PHARMACIST:Sterile ophthalmic suspension in 5 mL plastic DROP-TAINER* dispenser (61314-630-06).STORAGE: Rx Only*DROP-TAINER is a registered trademark of Alcon Manufacturing, Ltd.FALCON LOGO IMAGEFALCON Pharmaceuticals, Ltd.Mfd by: Fort Worth, Texas 76134 USAPrinted in USA340905-0803 Sterile ophthalmic suspension in 5 mL plastic DROP-TAINER* dispenser (61314-630-06).STORAGE: Rx Only*DROP-TAINER is a registered trademark of Alcon Manufacturing, Ltd.FALCON LOGO IMAGEFALCON Pharmaceuticals, Ltd.Mfd by: Fort Worth, Texas 76134 USAPrinted in USA340905-0803 Sterile ophthalmic suspension in 5 mL plastic DROP-TAINER* dispenser (61314-630-06).STORAGE: Rx Only*DROP-TAINER is a registered trademark of Alcon Manufacturing, Ltd.FALCON LOGO IMAGEFALCON Pharmaceuticals, Ltd.Mfd by: Fort Worth, Texas 76134 USAPrinted in USA340905-0803 Sterile ophthalmic suspension in 5 mL plastic DROP-TAINER* dispenser (61314-630-06).STORAGE: Rx Only*DROP-TAINER is a registered trademark of Alcon Manufacturing, Ltd.FALCON LOGO IMAGEFALCON Pharmaceuticals, Ltd.Mfd by: Fort Worth, Texas 76134 USAPrinted in USA340905-0803 Sterile ophthalmic suspension in 5 mL plastic DROP-TAINER* dispenser (61314-630-06).STORAGE: Rx Only*DROP-TAINER is a registered trademark of Alcon Manufacturing, Ltd.FALCON LOGO IMAGEFALCON Pharmaceuticals, Ltd.Mfd by: Fort Worth, Texas 76134 USAPrinted in USA340905-0803 Sterile ophthalmic suspension in 5 mL plastic DROP-TAINER* dispenser (61314-630-06).STORAGE: Rx Only*DROP-TAINER is a registered trademark of Alcon Manufacturing, Ltd.FALCON LOGO IMAGEFALCON Pharmaceuticals, Ltd.Mfd by: Fort Worth, Texas 76134 USAPrinted in USA340905-0803 Sterile ophthalmic suspension in 5 mL plastic DROP-TAINER* dispenser (61314-630-06).STORAGE: Rx Only*DROP-TAINER is a registered trademark of Alcon Manufacturing, Ltd.FALCON LOGO IMAGEFALCON Pharmaceuticals, Ltd.Mfd by: Fort Worth, Texas 76134 USAPrinted in USA340905-0803 Sterile ophthalmic suspension in 5 mL plastic DROP-TAINER* dispenser (61314-630-06).STORAGE: Rx Only*DROP-TAINER is a registered trademark of Alcon Manufacturing, Ltd.FALCON LOGO IMAGEFALCON Pharmaceuticals, Ltd.Mfd by: Fort Worth, Texas 76134 USAPrinted in USA340905-0803 Sterile ophthalmic suspension in 5 mL plastic DROP-TAINER* dispenser (61314-630-06).STORAGE: Rx Only*DROP-TAINER is a registered trademark of Alcon Manufacturing, Ltd.FALCON LOGO IMAGEFALCON Pharmaceuticals, Ltd.Mfd by: Fort Worth, Texas 76134 USAPrinted in USA340905-0803

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Clinical Information

Chemical Structure

No Image found

Clinical Pharmacology

Corticosteroids suppress the inflammatory response to a variety of agents and they probably delay or slow healing. Since corticosteroids may inhibit the body’s defense mechanism against infection, a concomitant antimicrobial drug may be used when this inhibition is considered to be clinically significant in a particular case.

When a decision to administer both a corticosteroid and an antimicrobial is made, the administration of such drugs in combination has the advantage of greater patient compliance and convenience, with the added assurance that the appropriate dosage of both drugs is administered, plus assured compatibility of ingredients when both types of drugs are in the same formulation and, particularly, that the correct volume of drug is delivered and retained.

The relative potency of corticosteroids depends on the molecular structure, concentration and release from the vehicle.

Non-Clinical Toxicology

CONTRAINDICATIONS

Epithelial herpes simplex keratitis (dendritic keratitis), vaccinia, varicella, and many other viral diseases of the cornea and conjunctiva. Mycobacterial infection of the eye. Fungal diseases of ocular structures. Hypersensitivity to a component of the medication. (Hypersensitivity to the antibiotic component occurs at a higher rate than for other components.)

WARNINGS

NOT FOR INJECTION. Do not touch dropper tip to any surface, as this may contaminate the contents. Prolonged use may result in glaucoma, with damage to the optic nerve, defects in visual acuity and fields of vision, and posterior subcapsular cataract formation. Prolonged use may suppress the host response and thus increase the hazard of secondary ocular infections. In those diseases causing thinning of the cornea or sclera, perforations have been known to occur with the use of topical corticosteroids. In acute purulent conditions of the eye, corticosteroids may mask infection or enhance existing infection. If this product is used for 10 days or longer, intraocular pressure should be routinely monitored even though it may be difficult in children and uncooperative patients.

Products containing neomycin sulfate may cause cutaneous sensitization.

Employment of corticosteroid medication in the treatment of herpes simplex requires great caution.

The effect of the concurrent application of Mupirocin Ointment USP, 2% and other drug products has not been studied.

The initial prescription and renewal of the medication order beyond 20 mL should be made by a physician only after examination of the patient with the aid of magnification, such as a slit lamp biomicroscopy and, where appropriate, fluorescein staining.

The possibility of persistent fungal infections of the cornea should be considered after prolonged corticosteroid dosing.

Pregnancy Category C. Dexamethasone has been shown to be teratogenic in mice and rabbits following topical ophthalmic application in multiples of the therapeutic dose.

In the mouse, corticosteroids produce fetal resorptions and a specific abnormality, cleft palate. In the rabbit, corticosteroids have produced fetal resorptions and multiple abnormalities involving the head, ears, limbs, palate, etc.

There are no adequate or well-controlled studies in pregnant women. Neomycin and polymyxin B sulfates and dexamethasone ophthalmic suspension should be used during pregnancy only if the potential benefit to the mother justifies the potential risk to the embryo or fetus. Infants born of mothers who have received substantial doses of corticosteroids during pregnancy should be observed carefully for signs of hypoadrenalism.

Systemically administered corticosteroids appear in human milk and could suppress growth, interfere with endogenous corticosteroid production, or cause other untoward effects. It is not known whether topical administration of corticosteroids could result in sufficient systemic absorption to produce detectable quantities in human milk. Because many drugs are excreted in human milk, caution should be exercised when neomycin and polymyxin B sulfates and dexamethasone ophthalmic suspension is administered to a nursing woman.

Safety and effectiveness in pediatric patients have not been established.

Adverse reactions have occurred with corticosteroid/anti-infective combination drugs which can be attributed to the corticosteroid component, the anti-infective component, or the combination.Exact incidence figures are not available since no denominator of treated patients is available.Reactions occurring most often from the presence of the anti-infective ingredient are allergic sensitizations.The reactions due to the corticosteroid component are: elevation of intraocular pressure (IOP) with possible development of glaucoma, and infrequent optic nerve damage; posterior subcapsular cataract formation; and delayed wound healing.

Secondary Infection:

Secondary bacterial ocular infection following suppression of host responses also occurs.

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Reference

This information is obtained from the National Institute of Health's Standard Packaging Label drug database.
"https://dailymed.nlm.nih.gov/dailymed/"

While we update our database periodically, we cannot guarantee it is always updated to the latest version.

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Professional

Clonazepam Description Each single-scored tablet, for oral administration, contains 0.5 mg, 1 mg, or 2 mg Clonazepam, USP, a benzodiazepine. Each tablet also contains corn starch, lactose monohydrate, magnesium stearate, microcrystalline cellulose, and povidone. Clonazepam tablets USP 0.5 mg contain Yellow D&C No. 10 Aluminum Lake. Clonazepam tablets USP 1 mg contain Yellow D&C No. 10 Aluminum Lake, as well as FD&C Blue No. 1 Aluminum Lake. Chemically, Clonazepam, USP is 5-(o-chlorophenyl)-1,3-dihydro-7-nitro-2H-1,4-benzodiazepin-2-one. It is a light yellow crystalline powder. It has the following structural formula: C15H10ClN3O3 M.W. 315.72

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Interactions

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