Instructions for use of Torbex eye drops for newborns

Instructions for use

A single dose of Tobrex is 1-2 drops, and the frequency of use depends on the diagnosis and course of the disease.
For example, if the inflammation of the conjunctiva is mild, then the medicine should be dripped into the eyes every four hours. If conjunctivitis, keratitis or another eye disease begins acutely and is severe, Tobrex is used every hour, and as the inflammation activity subsides, the frequency decreases. The duration of use of the medication is also determined individually, but most often children are prescribed this medicine for a course of up to 7 days.

For an antibiotic to be effective, it must be dropped into the eyes correctly:

• Before the procedure, be sure to wash your hands;
• the child should tilt his head back, and the adult should pull the eyelid of one eye down, while asking the child to look up;
• Tobrex should be dripped into the space between the eyeball and the eyelid;
• the bottle should be held vertically above the eye;
• the tip of the bottle should not touch the eyelashes and eyelids (you shouldn’t touch it with your fingers either);
• Having asked the child to close his eye, you need to blot the remaining solution with a cotton pad;
• for the drops to be more effective, it is recommended to keep the eye closed for 2 minutes after instillation of the medicine, pressing it in the area of ​​the inner corner;
• then the procedure is repeated for the second eye, if necessary;
• After each instillation, the bottle should be tightly closed.

The solution is injected into the affected eye, one drop four times on the first day, and then the product is used twice until the end of the course prescribed by the doctor.

Rules of application

The duration of treatment is determined by the doctor and is no more than 7 days; if improvement does not occur during this time, it is necessary to select another drug. You should not stop using the drops before the appointed time after the first improvements in the baby’s condition. This will lead to bacteria developing resistance to the drug, its ineffectiveness in further treatment and exacerbation of the disease. Basic rules of application:

• Mandatory hand hygiene before and after the procedure;
• Before use, you need to warm the bottle to room temperature;
• Preliminary cleansing of the eyes from accumulated pus. It is carried out from the outer corner of the eye to the inner one using a flagellum soaked in chamomile decoction or furatsilin solution. For each eye socket you need to use new cotton wool or a bandage;
• The bottle is equipped with a dropper; if desired, you can use a clean pipette;
• You need to drip into the conjunctival sac: on the inside of the lower eyelid, for convenience it can be slightly pulled down;
• During the procedure, do not touch the eyes, mucous membranes, or cilia with the dropper;
• Both eyes need to be treated, even if there are no signs of inflammation in one of them.

The number of instillations and dosage are prescribed by the doctor depending on the stage of the disease. The instructions indicate 4 times daily use for complications; to treat the disease in the initial stage, the product can be used 2 times a day, a drop in each eye.

When treating dacryocystitis, it is necessary to additionally massage the lacrimal canals to speed up their cleansing. The doctor should familiarize you with the method of correct implementation.

An opened tube can be used for 28 days at a temperature not exceeding 25°, after which it becomes unsuitable.

Contraindications and side effects

The result of an overdose can be the manifestation of punctate keratitis of the cornea, or more precisely, its upper layer. Erythema of the skin may also form, discomfort in the eyes and excessive tearing may occur.

Punctate keratitis most often occurs as a result of an overdose of antibiotic. Pinpoint defects on the cornea may also become noticeable. The eyes will turn red; swelling may occur. Vision will probably decrease.

Erythema is manifested by redness of the skin around the eyes and the eyelid itself. It is not dangerous and goes away on its own in a couple of hours. It may additionally be accompanied by swelling of both eyelids and pain around the eyes.

Most often, due to an overdose, lacrimation occurs. It also does not pose a health hazard and goes away when the medication wears off.

Important! Any of the above unpleasant complications will most often be accompanied by itchy skin. Therefore, you need to monitor your child so that he does not scratch his eyes and thus introduce some other infection into them. Adverse reactions of the body, unfortunately, can also manifest themselves in cases where the dosage was observed with 100% accuracy

Usually they can be caused by the individual immunity of the patient’s body to one or another component included in Tobrex. These are most often local reactions. For example, slight swelling of the eyelids, redness or itching, mild burning and tingling

Adverse reactions of the body, unfortunately, can also manifest themselves in cases where the dosage was observed with 100% accuracy. Usually they can be caused by the individual immunity of the patient’s body to one or another component included in Tobrex. These are most often local reactions. For example, slight swelling of the eyelids, redness or itching, mild burning and tingling.

If there is complete intolerance to the constituent components of Tobrex, there is a risk of severe reactions of allergic origin, which can manifest themselves in the form of nausea, rashes and impaired renal function. Such reactions are observed extremely rarely, so there is no need to be afraid of them. But it is imperative to discuss this issue with your doctor, as well as carefully re-read the ingredients of the medicine.

Possible adverse reactions

In general, Tobrex eye drops are well tolerated by the patient’s body, causing virtually no negative reactions. Local allergic reactions occur extremely rarely in the form of:

• burning,
• redness of the conjunctiva;
• itching;
• lacrimation;
• mild swelling of the eyelids;
• painful syndrome.

More serious complications are possible due to overdose or long-term treatment with the drug. They are expressed by conjunctival edema, erythema, formation of ulcers on the cornea or punctate keratitis.

If any undesirable symptoms are detected, you should temporarily interrupt the instillations and consult a doctor. Perhaps the symptoms indicate individual intolerance to the components.

A medicine that includes the synthesis of two active ingredients - tafluprost and timolol - instructions for Taptic eye drops.

Severe itching may occur after instillation

A proven remedy for the treatment of glaucoma! – Instructions for Taflotan eye drops are provided at the link.

Analogs of Tobrex eye drops

The main analogues of Tobrex drops are divided into two categories:

• so-called structural analogues - they contain the same active substance;
• drugs that have a different composition of components, but their effects are similar to Tobrex.

But the use of this medicine is possible only from 18 years of age. Expectant mothers should not use the drug during breastfeeding, since the medicine is contraindicated for children. Some patients experience individual intolerance to the drug.

If the disease is in its early stages, doctors recommend using Tobrosopt, which has a milder effect. Drops are prescribed from the age of one year. The medication is taken according to the same scheme as Tobrex.

One of the popular analogues is Albucid.

Another name is sodium sulfacyl. The drug is inexpensive and widely used in medical practice.

Many patients are interested in which drug is better to use - Albucid or Tobrex? Sodium sulfacyl has long been a well-known and popular drug; it has been used in medical practice for decades and many bacteria have adapted to it.

It happens that the treatment does not achieve any result. Then the medicine is replaced with an analogue to which there is no resistance yet.

Tobrex may be such a remedy. It is relatively new on the market, so infectious bacteria have not developed immunity to it.

Another analogue is Dilaterol drops. They are prescribed for the same infections as Tobrex, as well as for preventive purposes.

There is no need to replace analogues with Tobrex yourself - this should be done by a doctor.

Doubles or brothers

What can replace Tobrex (eye drops)? It’s quite possible to find analogues in a pharmacy. Many of them are made from quality components made in Europe, but in third world countries to reduce production costs.

This analogue of “Tobrex” is “Tobrimed”.

It is manufactured by , based in Egypt but custom made from the UK. The composition and effect of these drops correspond to the original.

"Tobrin" - drops containing tobramycin. Available in small bottles of 5 ml. Firm.

“Tobrosopt” is an analogue of “Tobrex” drops, produced in Poland by Warsaw.

By the way, , which produces various ophthalmic drugs, has released a line of antibacterial eye drops, which, in addition to tobramycin, also contain other anti-inflammatory components. Accordingly, the name of these drugs is different:

• "Tobradex" - tobramycin and dexamethasone.
• "Tobrex 2X" - tobramycin and xanthine gum.

Instructions for use

The instructions for the drug indicate that Tobrex should not be used for more than 7 days. Otherwise, there is a risk of superinfection, which is much more difficult to cure. Superinfection occurs quite often during antibiotic treatment. In different cases, the doctor prescribes a different treatment regimen. How many drops can a baby give?

To treat conjunctivitis, the drug should be instilled 1-2 drops into each eye, slightly moving the lower eyelid (we recommend reading:). If the inflammatory process is uncomplicated, you need to instill 2 drops into each eye, once every four hours. In the acute phase of the disease, it is recommended to instill eye drops more often - once an hour.

During the treatment of barley, usually the treatment regimen is designed so that the intensity of the effect of the antibiotic gradually decreases. For example, the first two days the eye should be instilled 5 times a day, then 4 times, 3 – and so on until the barley is ripe. However, in each specific case, the doctor may suggest a different treatment plan, depending on the age of the child and the intensity of the inflammatory process.

For dacryocystitis, instillation should be combined with massage. To do this, massage the area from the inner corner of the eye to the wing of the nose with your finger. Make 10 movements up and down, pressing lightly. Massage can be done conveniently during feeding. In some cases, with dacryocystitis, probing of the lacrimal canal is performed (we recommend reading:).

Features of using drops in adults

In mild or moderate forms of bacterial conjunctivitis, adults are advised to instill 1-2 drops of Tobrex into the conjunctival sac of the affected eye, gently pulling back the lower eyelid with the fingers of the left or right hand. It is recommended to use the antibiotic every 4 hours .

In the acute form of the disease, it is recommended to instill 2 drops of Tobrex into the affected eye every 1-2 hours. As symptoms decrease, the frequency of use is gradually reduced (but do not stop using the drug). The duration of treatment depends on the severity of the disease and the causative agent of the infection.

Expert opinion

Ermolaeva Tatyana Borisovna

Ophthalmologist of the highest category, Candidate of Medical Sciences

Once opened, the drops must be used within a month.

Instructions for use

Please note that the dispenser bottle with drops is sterile, which means we should under no circumstances allow foreign bacteria to enter the bottle. Therefore, wash your hands thoroughly not only before instillation, but also after. How to properly put drops into a child’s eyes:

How to properly put drops into a child’s eyes:

1. After washing your hands, shake the bottle and warm it a little in your hands, this will reduce the discomfort from administering the medicine;
2. Tilt the child's head back and pull down the eyelid from below;
3. When instilling, be careful not to touch the tip of the pipette to the mucous membrane of the eye or lower eyelid;
4. Apply Tobrex, being careful not to squeeze out an extra drop;
5. Release the eyelid and tell your child to close the eye;
6. Lightly press on the inner corner of the eye and hold it so that the medicine has time to be absorbed.

Another very important point in the treatment of conjunctivitis with Tobrex. Treatment should not be interrupted on the second or third day, when the baby’s condition has improved externally. Without completely destroying all the bacteria, you risk getting the same infection again and then you will have to increase the dose, which is bad in any case, or prescribe another drug, which is also bad. You don’t know how the child will tolerate another medicine, and the treatment period will be delayed.

Use in children under one year of age

The instructions included with the drug indicate that the drug has not been sufficiently studied for its use in newborns. Disputes regarding the use of antibiotics in babies under one year of age are still ongoing, but doctors still allow their local use. With this use, the medicine manifests its activity directly at the site of application, almost does not penetrate into the blood of a child up to one year old, and is well excreted in the urine in its original, unchanged form.

Practicing pediatricians agree that eye drops are very effective. In general, the medicine is well tolerated and gives excellent results, visible on the first or second day. The big advantage is that the treatment is very fast. The droplets are gentle and do not irritate the delicate eyes of newborns.

Dosage

The recommended dosage is indicated in the instructions. In most cases, doctors prescribe this dosage: 5 times a day, 1 drop in one or both eyes. Depending on the situation. The course should not exceed 7 days. Infants, as well as older children, take 1 drop 5 times a day. If the dosage is followed and all advice is followed, there will be no complications.

Tobrex for children

Tobrex drops for children can be used after one year. Instill a drop into each eye 5 times a day. The duration of instillation of drops is determined by the ophthalmologist, but it should not exceed seven days.

Although the instructions do not indicate the use of drops for infants and newborns, practical experience in pediatrics indicates the effectiveness and safety of this therapy. Dosage of use is the same as for children after one year. Breasts recover quickly after Tobrex drops.

It is very important not to exceed the recommended dosage of drops so that the baby does not develop complications. This may include decreased hearing, kidney problems, and even difficulty breathing, including paralysis. If the described symptoms appear, stop using the medicine immediately. Take your baby to the pediatrician immediately.

When children are prescribed Tobrex:

• when the lacrimal duct is blocked;
• when the eye is injured;
• with keratoconjunctivitis or keratitis;
• with inflammation of the edge of the eyelid;
• with barley;
• with conjunctivitis.

Before treatment, the pediatrician prescribes an examination of the baby, and only after that the drug is prescribed. Parents cannot independently determine the nature of the infection, so treatment on the advice of friends is excluded. Particularly dangerous is the independent use of antibiotics and exceeding the terms of use: bacteria have time to adapt to the effects of the medicine and change shape.

Instillation of Tobrex drops into the eyes for more than seven days causes a superinfection that is difficult to treat.

Treatment of barley in children follows a scheme that gradually reduces the dosage. In case of acute inflammation, in the first days the eye drops are instilled up to five times a day, subsequently the number of instillations is reduced. The pediatrician should control the dosage of use.

Treatment of blockage of the lacrimal duct is combined with a light massage. It is necessary to carefully massage the inner corner of the eye towards the nose, moving upward. There should be ten alternations up and down. Do not put too much pressure on the skin; movements should be light. This massage is best done while feeding the baby, when he is distracted by sucking.

Burial rules

The procedure must be carried out only with clean hands. The baby is placed on his back and the lower eyelid is carefully pulled back. Shake the bottle well and turn it upside down. When instilling, do not touch the mucous membrane of the eye, so as not to injure the baby’s skin or stain the tip of the dispenser.

After instillation, close your baby's eye and massage it lightly. Remove excess medicine with a soft napkin or cotton pad - blot the eye without pressing.

Before instillation, warm the bottle in your hand so that the liquid is warm.

Write down the date you opened the vial because the shelf life of the opened product does not exceed 30 days. Afterwards it becomes ineffective, so even storing it in the refrigerator will not give any result.

Drops can be used to treat green and thick snot in a child after consultation with a pediatrician. The nose is first cleaned with a weak saline solution or saline solution, and then the medicine is instilled.

Washing

Before instilling drops, you should rinse the eye and remove purulent crusts. To do this, use tea (black, green), chamomile or pharmaceutical furacilin. To prepare a furatsilin solution, you should stir one tablet in half a cup of boiled warm water.

Each eye is washed with a separate cotton swab so as not to spread the infection. Movement of the fingers when washing - to the inner corner of the eye. Tea with additives and flavorings is not suitable for rinsing.

Analogues for children

1. A good substitute for Tobrex is Albucid. These droplets are active against gram-negative/gram-positive bacteria. This drug is cheaper than Tobrex, but it is inconvenient to use - the eye burns for some time. There is another important point: microorganisms have adapted to the formula of the drug, so it does not always help.
2. The drug Floxal shows good effectiveness. This medicine can be used from the very first days of the baby's life. The drops will also help with a runny nose. Quix drops will also help solve the problem of nasal congestion.
3. The drug Vitabact is used against fungal and coccal infections. It also fights E. coli well. Vitabact is also prescribed for blockage of the lacrimal duct.
4. The drug Tobradex effectively eliminates inflammatory processes on the eyelid and relieves pain. The drug contains dexamethasone, which eliminates the source of inflammation.
5. Levomycetin is a proven effective remedy against bacterial infections. The drug is inexpensive, but it is not prescribed to infants up to four months.
6. You can also find almost exact analogues of Tobrex in pharmacy stores. These are the drugs Tobi, Brulamycin, Dilaterol and Nebcin.

pharmachologic effect

The basis of the drug Tobrex is made up of substances that disrupt the membrane cells of pathogenic microorganisms and suppress protein synthesis in them. This effect extends to the pathogens of diphtheria, staphylococci, streptococci and E. coli. The main active component of the drops is the antibiotic tobramycin.

The disadvantage of this antibacterial component is that it only works with systematic instillation. If the instillation is stopped, the surviving pathogenic microorganisms will begin to multiply again. This can be avoided by increasing the number and dosage of instillations, but in this case there is a risk of side effects.

The advantages of the medicine include its speed: the first symptoms of the disease are eliminated within the first hours after instillation, but if the disease has become severe, positive results should be expected at least three days after the start of treatment.

Which ones can be used?

Drops "Tsipromed"

Tsipromed has antibacterial properties with the active substance of the fluoroquinolone group.
This is a medication that has antibacterial properties. The composition of "Tsipromed" includes the following components:

• active substance of the fluoroquinolone group;
• lactic acid;
• distilled water;
• sodium chloride and hydroxide;
• benzalkonium chloride.

The mechanism of operation of the drops is based on the bactericidal effect. Once in the area of ​​localization of inflammation, it blocks the proliferation of the enzyme hydrase, which is responsible for the formation of white

ka in a bacterial cell. As a result, the pathogenic microorganism dies from the destruction of the cellular structure.

The active component of Tsipromed, unlike other drugs in this group, is less toxic. Therefore, an otolaryngologist may prescribe instillation of these drops into the ears during the development of external otitis, inflammation of the middle ear, postoperative period, and ear injuries. The course of such treatment is 10-14 days. For mild stages of the disease, “Tsipromed” is dripped 2 drops into the ear 5 times a day; for acute cases of the disease, it is recommended to use it every hour.

"Levomycetin": application features

Despite the fact that these are eye drops, doctors use them to treat ear ailments. Due to the antibiotic chloramphenicol group present in the drug, the drug destroys pathogenic bacteria and blocks the activity of viruses such as staphylococci, pneumococci and enterococci. Levomycetin drops are used to eliminate otitis externa, inflammation of the middle ear and purulent discharge from the ear cavity.

Levomycetin has an analgesic, anti-inflammatory and antibacterial effect.

Treatment with these drops will be effective only in combination with other medications. The auxiliary properties of such a medicine are a strong analgesic effect, antibacterial effect and relief of inflammation. To avoid complications, you must strictly follow the recommended dosage. The course of treatment for a disease without acute pathological signs is 7 days. Application - drip 3 drops 3 times a day.

Medication "Floxal"

A broad-spectrum antibacterial drug containing a fluoroquinolone antibiotic. It stops the bacterial enzyme, due to which the DNA of the viral bacterium is destroyed and further spread of the virus throughout the body becomes impossible. Otolaryngologists prescribe the drug for bacterial otitis external and internal, perforation of the eardrum, to prevent infection after surgical procedures. The therapeutic course for ear pathologies is 5-7 days. It is necessary to instill 10 drops into the ear canal 3 times a day.

Drops "Garazon"

Gazaron is perfectly used in the field of ophthalmology and otolaryngology.
A drug for the treatment of inflammatory diseases in the field of ophthalmology and otolaryngology. The medicine contains the antibiotic gentamicin and the glucocorticoid betamethasone. "Garazon" is characterized by a wide range of effects and has a strong antibacterial and anti-inflammatory effect. Taking the medicine helps to actively relieve local symptoms of otitis without causing allergic reactions. Prohibited for children under 8 years of age.

Medication "Tobrex"

Eye drops, the main component of which is an aminoglycoside antibiotic. The drug has an antibactericidal, anti-inflammatory effect and is characterized by rapid absorption into the skin tissue. The course of treatment for ear inflammation is prescribed by the doctor, usually 7-10 days, for complications - 30. Use 4-5 times a day.

Eye drops, their composition and pharmacological action

The drug Tobrex includes an antibiotic from the aminoglycoside group, which is called tobramycin.

This antibiotic suppresses Staphylococcus bacteria of almost all types and their strains. In terms of the spectrum of action and effectiveness, the drug is similar to gentamicin.

But it has greater activity against gentamicin-resistant strains. Therefore, if the effects of gentamicin are ineffective, the drug should be replaced with Tobrex.

Infectious diseases caused by Pseudomonas aeruginosa respond well to treatment with Tobrex. It should be noted that the effect occurs within a few days after the start of use.

But it is unlikely that it will be possible to cure strains of streptococci from group D with the help of our antibiotic. The effectiveness of action on these strains is very low.

The pharmacology of this antibiotic is such that when applied topically, there is practically no absorption into the hematopoietic system. This is an undoubted advantage of the drug.

Like any antibiotic, Tobrex is incompatible with many dosage forms.

These include:

• ethacrynic acid (or another name is furosemide); incompatibility is observed due to the occurrence of an ototoxic effect;
• capreomycin, carboplatin, teicoplanin, cefepime, cefotaxime; when interacting with the above drugs, a nephrotoxic effect may occur;
• vancomycin, oto-, nephro- and neurotoxic effects may occur;
• cifamandol, cefaperazone, cefuroxime, amphotericin; nephrotoxic effects appear.

It is important to know that it is strictly forbidden to take or use drugs of the tetracycline group externally at the same time as Tobrex. They contain tyloxapol, which under the influence of our antibiotic can cause a variety of allergic reactions

"Tobrex": the capabilities of the drug

Tobrex eye drops are very popular among ophthalmologists. Their effectiveness has been proven, and side effects are minimal and can occur in one patient in a thousand, or even less often.

The active ingredient of Tobrex, tobramycin sulfate, belongs to the aminoglycoside group of antibiotics. The specificity of the action is such that when interacting with bacteria, it not only neutralizes them, but suppresses their ability to reproduce at the cellular level.

Thanks to this, Tobrex drops can be used as a universal remedy for almost all types of bacterial and viral infections. In addition, the rapidity of action and minimal side effects allow this drug to be used in infants from the moment of birth.

Tobrex for conjunctivitis

Tobrex is used to treat bacterial conjunctivitis, i.e. caused by bacterial flora and not viruses, because Antibiotics have no effect on viruses, and other medications are prescribed to treat viral conjunctivitis.

Against the background of viral conjunctivitis, a bacterial infection can also occur - such conjunctivitis can be treated with Tobrex in combination with other drugs.

Other medications are also used to treat allergic conjunctivitis; Tobrex is ineffective in these cases.

Therefore, it is not recommended to self-medicate for conjunctivitis, because Only a doctor can determine the cause.

The doctor determines both the dose (frequency of instillation) and the duration of the course of treatment.

More about conjunctivitis

Domestic and foreign analogues

1.

Levomycetin ophthalmic

This is one of the good and effective analogues that can easily replace Tobrex. This is a local broad-spectrum antibiotic that has long been used in practice by ophthalmologists. The drug has pronounced bacteriostatic activity against gram-positive and gram-negative bacteria. This analogue is taken for infectious and inflammatory processes of the eyes, caused by microorganisms sensitive to the antibiotic.

2.

Tsipromed

This is another analogue of Tobrex, which will be an ideal replacement. This is an antimicrobial drug that is used in the treatment of eye diseases and has a bactericidal effect. The active substance in the analogue ciprofloxacin has a wide spectrum of action, and all due to the fact that it inhibits bacterial DNA gyrase, an enzyme that takes part in their reproduction, even if the bacteria are at rest.

3.

Normax

The medicine is perfect for treating diseases not only of the eyes, but also of the ears. They were caused by microorganisms sensitive to this drug. This analogue has a wide bactericidal spectrum of action. This drug penetrates well into the tissues of the eye, due to this it is often used in the treatment of infections of the anterior segment of the eye.

>Tobrex - instructions for use, analogues, reviews, price

Instructions for use

Eye drops are intended for the treatment and prevention of eye diseases in patients of any age.
However, the dosage for adults and children will be different. Adult patients use 1-2 drops every four hours. The course of treatment should not exceed 10 days.

For children, one drop is prescribed five times a day for a week.

If the drug is used to treat an acute form of the disease, then it can be used every hour.

For proper eye treatment, the following recommendations should be followed:

• Before performing the procedure, you should wash your hands thoroughly;
• tilt your head back and pull down your lower eyelid;
• turn the bottle over and, without touching the eyelid and mucous surface of the eyes, press on the bottle;
• drip 1-2 drops of the medicine;
• lower the eyelid and lightly massage the outer corner of the eye;
• blot off excess liquid with a sterile cotton swab;
• Repeat the procedure for the other eye.

If during installation the dose of the medicine was exceeded, the remaining product should be removed with warm water and instilled again.

Use of the drug during pregnancy

There is no consensus among experts about the advisability of using antibacterial drugs during pregnancy and breastfeeding.
Many experts recommend using the medicine only if the benefits of the drug outweigh the possible risks to the fetus and the woman’s health.

Since Torbex eye drops contain a small amount of active substance, the risk of harm and side effects is negligible.

Use in childhood

Due to its neutral composition, the drug can be used to treat patients of any age

Its use is approved for the treatment of pathologies in infants, subject to precautions. The medicine, like most antibiotics, can cause side effects in young patients

For the treatment of eye diseases in children, the drug should be used once every 4 hours, if the disease does not have complications or a severe form.

For newborn children, one drop of Tobrex is used; for children after six years, it is allowed to use two drops with an interval of four hours.

For mild to moderate diseases, symptoms disappear after 7-10 days of regular use of the drug. In more severe cases, the course of treatment can be extended by the attending physician.

Cost, analogues

If necessary, Tobrex ophthalmic solution can be replaced with another agent with an antibacterial effect.

Albucid with sodium sulfacyl as an active component. The product is a popular one, has a wide spectrum of action, and is effective against gram-positive and gram-negative strains. Its price is lower, but recently resistance to the drug has often been observed; among the disadvantages is tingling of the mucous membrane when instilled.

Floxal is used in children from birth, the active ingredient is ofloxacin. It is effective in combating a large number of types of eye pathogens.

Vitabact - eye drops for the treatment of bacterial infections, most often used in the treatment of dacryocystitis in newborns.

Drugs containing ciprofloxacin are not intended for children under one year of age; in rare cases, they are used to treat newborns. The active substance causes bacteria to become more addictive than other agents and is highly effective.

The price of Tobrex varies between 180-230 rubles, the drug is available with a prescription.

If you have eye inflammation, you cannot choose your own medicine or replace the prescribed drug with analogues. The pediatrician takes into account the effectiveness of the drug against a number of pathogenic bacteria, the degree of development of the disease and its origin. If he prescribes Tobrex eye drops for the treatment of newborns, it is necessary to comply with the dosage, regimen and duration. During use, you need to monitor the baby’s reaction; if side effects occur, consult your doctor.

special instructions

For long-term treatment (several weeks)

a complication is the development of a fungus on the tissues of the eye. If a fungus appears, the doctor cancels treatment with Tobrex and prescribes other drugs.

If your child uses contact lenses

, you need to remember that the drug cannot be dripped directly onto them. Contact lenses must be removed and then the drops must be used.

You can put them on again only after 15-20 minutes. Contact lenses can be worn if wearing does not cause discomfort during illness.

Children whose vision becomes blurred after using drops

, you cannot perform any actions that require good reactions and increased concentration. In this case, you need to wait until vision clarity is restored.

The bottle must not be stored open

, it must be capped after each use.

Interaction with other drugs

No special studies have been conducted on the possible interaction of drops and Tobrex ointment. Concomitant use with tobramycin was observed only due to systemic use. But it is worth noting that systemic absorption after topical application is not very large and the risk of various types of effects is reduced to zero. When taking Tobrex and topical corticosteroids, the latter are able to mask the clinical signs of a bacterial, fungal or viral infection or may suppress hypersensitivity reactions.

Comparison of Tobrex and Albucid

For a long time, many people who have encountered infections and inflammatory processes in the eyes have known about the drug Albucid. It is very often used to wash the eyes of small children, as it kills germs very quickly and, most importantly, effectively. But Albucid often causes irritation of the mucous membranes in children. Therefore, it has recently begun to be replaced with Tobrex, because both drops and ointment are excellent for treating even newborn children.

The price of the drug is much higher, but due to the minimal number of side effects, Tobrex is still preferred. And it doesn’t sting the eyes at all, which cannot be said about Albucid. The course of treatment is very short, only 5-7 days; during therapy, children are additionally given live bacteria and probiotics, but for infants, mother's milk will be quite sufficient. But even despite all the positive aspects, Tobrex drops cannot be taken for too long, as in this case there is a risk of developing a secondary inflammatory process of the eyes.

Active ingredient and principle of operation

Tobrex drops are an antibiotic, that is, they inhibit the vital activity of certain types of bacteria. The active ingredient of the drug, Tobramycin, belongs to the group of aminoglycosides. Despite the fact that this antibiotic has a broad spectrum of action, it works most effectively against the following types of bacteria that cause ophthalmic diseases:

• staphylococcus;
• coli;
• streptococcus;
• enterobacter;
• Pseudomonas aeruginosa;
• Klebsiella

Tobramycin may not cope with other types of microorganisms. The instructions indicate that treatment with the drug will not bring results if the disease is caused by anaerobic bacteria or chlamydia. Enterococcus responds to treatment with Tobrex very mediocre.

This local antibiotic is well and completely excreted in the urine without changes. The manufacturer notes that the effect of Tobramycin on the body is negligible. In addition, the dosage of the active substance in the drug is gentle - only 3%. Thanks to the listed properties, Tobrex is indicated for use in children from birth. The doctor must only determine the required duration of treatment.

Description and composition of the drug

Tobrex is a broad-spectrum antibiotic from the group of aminoglycosides , which in low concentrations acts bacteriostatically (i.e., inhibits the growth and reproduction of bacteria), and in higher concentrations it is bactericidal (causes the death of pathogenic microorganisms). The drug is active against staphylococci, streptococci and other pathogens of bacterial conjunctivitis. But before using the product, you must study the instructions.

The drug contains the following components:

• Tobramycin (3 mg).
• Benzalkonium chloride.
• Sodium sulfate.
• Boric acid.
• Purified water and a number of other excipients.

The drug is available in the form of eye drops, which are colorless and odorless. The drops are packaged in a plastic dropper bottle with a dispenser (volume 5 ml).

Terms and conditions of storage, procedure for dispensing Tobrex drops from pharmacies

Tobrex eye drops are stored at 25⁰C in places that are not accessible to children. After use, the bottle must be tightly closed.

Best before date:

For bottles that have not been opened - three years; for opened bottles - no more than four weeks. Dispensed from a pharmacy on doctor's prescription. Visit an ophthalmologist before using Tobrex eye drops in children.

Price about 200 rubles.

Manufacturer: Alkon-Cuvrior, Belgium.

Tobrex eye drops for children have numerous positive reviews.

Irina K.: after a long unsuccessful treatment of conjunctivitis in my 3-year-old child, the ophthalmologist prescribed Tobrex drops. To my great joy, I noticed a significant improvement already on the second day of use. There were no side effects. The drops are really effective.

Olga V.: A 5-year-old child was diagnosed with bacterial keratoconjunctivitis. Taking into account the results of tests on the sensitivity of the pathogen to antibiotics, the ophthalmologist prescribed Tobrex eye drops for children. After 1.5 days of using the drug once every four hours, the child’s eye condition began to improve. On the fourth day there were practically no signs of the disease. One of the side effects at the initial stage of treatment was itching of the eyelids, which disappeared on the second day without stopping the drug.

The instructions for Torbex drops are intended for the patient to familiarize himself with information about the drug before using it for his treatment.

Form, composition, packaging

Tobrex drug is eye drops, the solution of which is colorless or slightly yellowish.

The active component of the drug is tobramycin in the concentration required for the solution. It is supplemented in the composition of the medication with the necessary proportions of purified water, benzalkonium chloride, sulfuric acid or sodium hydroxide, which ensures the pH level, boric acid, tyloxapol and sodium sulfate.

A dropper bottle with a volume of five milliliters made of plastic has a dispenser and is placed in a cardboard package.

Storage period and conditions

The acceptable temperature for keeping drops in storage is from 8 to 30 degrees. Unopened packaging can be stored for up to three years, and after opening for no more than one month. Children should not be allowed near the storage area of ​​the drug.

Pharmacology

Tobrex is a broad-spectrum antibiotic. It is related to drugs of the aminoglycoside group. In small concentrations the drug has a bacteriostatic effect on the body, and in higher concentrations it has a bactericidal effect.

Release form

Tobrex is available in the form of drops, as well as an ointment - it should be white or cream in color. The ointment is applied to the inner surface of the eyelid in the form of a strip. Due to its thick texture, the drug retains its bactericidal effect longer, however, this form is used mainly for adults. A combination of ointment and drops is possible.

Tobrex drops are produced in plastic dropper bottles with a volume of 5 ml. This amount of solution is quite enough for a course of treatment. The solution is transparent and may have a slightly yellowish tint. In addition to tobramycin, the solution contains excipients: boric acid, sodium sulfate, sodium hydroxide, etc.

Tobrex 2X drops are also on sale. This drug is almost the same in composition as its analogue, but has a thicker consistency. This is due to the presence of xanth gum among the ingredients of the drug. Thanks to this component, the medication stays in the conjunctival sac longer and has time to work more effectively. In this case, the dose of Tobrex 2X drops should be reduced by 2 times compared to regular Tobrex.

Side effects

The manifestation of the side effect of Tobrex can be expressed by an allergic reaction, in the form of swelling of the eyelids accompanied by itching or hyperemia of the conjunctiva.

Overdose

Treatment of drug overdose is reduced to symptomatic therapy. Signs of this condition may include the development of erythema, punctate keratitis, and possibly lacrimation and swelling of the eyelids accompanied by itching.

Drug interactions

When the recommended combination of Tobrex drops with drugs of the aminoglycoside group is carried out, one should take into account the possibility of a systemic side effect, as well as its intensification, which can be expressed as ototoxicity, nephrotoxicity or disturbance of mineral metabolism.

Additional instructions

It must be taken into account that with prolonged treatment with an antibiotic, the growth of fungi and pathogenic microorganisms that are resistant to the drug may increase.

Contact lenses should not be worn during treatment.

Due to temporary impairment of visual clarity during treatment, it is not recommended to drive or operate machinery.

Tobrex for newborns: description of the drug and rules of administration

Pregnancy, children > Caring for a newborn > Tobrex for newborns: description of the drug and rules of administration

There are quite a large number of different ophthalmological diseases. Many of them can develop from the very first days of life.

The reason for their appearance is harmful microorganisms that enter the eyes of a newborn, causing various ailments.

The best solution to this problem is treatment with Tobrex eye drops.

Description of the drug

Tobrex is an antibacterial drug that has a wide spectrum of action and is actively used in ophthalmology.

The main area of ​​application of the drug is infectious and inflammatory diseases of the visual organs of adults and newborns.

The main active ingredient of this drug is Tobramycin, which is an antibiotic. This substance is part of many medicines that have antifungal and antibacterial effects, including against staphylococcus, streptococcus, and E. coli bacteria.

Tobrex can be used not only in the ophthalmological field.

The active components of the drops are often used to treat a runny nose.

The drug is very effective if the cause of rhinitis is bacterial irritation of the mucous membrane. As a rule, this form of rhinitis manifests itself with inflammation of the maxillary sinuses, as well as with frontal sinusitis.

Indications for use of Tobrex:

• Blepharitis
• Conjunctivitis
• Keratitis
• Dacryodistitis
• Endophthalmitis
• Meibomite

In addition to the diseases presented, Tobrex for newborns can be used to improve the functioning of the tear ducts, as well as cleanse the eyes of impurities that can trigger the development of inflammation.

If Tobrex is used for a child under 1 year of age, treatment should be carried out under the supervision of a pediatrician.

The drug can cause various side effects that negatively affect the child's condition.

The likelihood of an overdose of eye drops is minimized, however, it must be remembered that the child’s body is very sensitive to any chemical effects, and therefore taking Tobrex can provoke a number of negative phenomena.

Read: Children's Primadophilus

Side effects when taken:

Tobrex drops are used to treat eye diseases in children

• Allergic reaction (itching, redness, tearing)
• Nausea
• Feeling of pain in the eyes
• Deterioration of vision for a short period of time
• Hearing impairment
• Convulsions
• Inflammation of the conjunctiva

It should be remembered that Tobrex is contraindicated if the child has hypersensitivity to the components that make up the drug.

In general, Tobrex eye drops can be used to treat ophthalmic diseases from a very early age, but should be taken with extreme caution.

How to use drops for newborns?

Tobrex eye drops have only a local effect. The drug enters the blood in a minimal amount, but is very quickly excreted from the body along with urine. That is why the drug is approved for use by newborn children.

It should be remembered that in order for the procedure to be effective, it is necessary to adhere to basic rules of hygiene. Instillation can only be done with clean hands. In addition, the procedure should be carried out in such a way as not to touch the child’s eyes with a pipette or the tip of a bottle with drops. Also important is compliance with the rules for storing the drug.

The dosage of the drug is prescribed depending on the degree of complexity of the disease, as well as the age of the child. For example, Tobrex should be instilled into newborn children 5 times a day, one drop in each eye. Before applying eye drops, it is recommended to hold the bottle with the contents in your hand so that it warms up to body temperature.

If inflammation of the optic organ is accompanied by complications, it is recommended to instill drops every hour.

If the child behaves restlessly and does not allow eye drops to be put in, the procedure can be performed in another way. You need to apply a few drops of Tobrex to a piece of cotton wool or a cotton pad and gently wipe your eyes.

Read: Newborn at one month. Baby care

It should be remembered that Tobrex is a potent drug. The positive effect of taking it can be noticed after just a few procedures, however, if signs of improvement appear, treatment should not be stopped immediately. If you stop the treatment, the infection that causes the inflammation will return very quickly, resulting in the treatment having to be repeated.

The duration of treatment using Tobrex is 7 days

Prolonged use of drops can lead to pathogenic microorganisms adapting to the drug, which can result in serious complications in the child.

In addition, it should be remembered that, despite its safe composition, Tobrex is not recommended for women to take during breastfeeding.

The active ingredients can negatively affect the functioning of the gastrointestinal tract in a child and provoke various disorders.

If the drug was prescribed for the treatment of the mother, breastfeeding should be temporarily stopped.

In general, Tobrex eye drops have a wide spectrum of action, and therefore are used to treat many diseases, both in adults and children.

The drug must be taken in accordance with the prescribed dosage, especially when it comes to treating newborns, since increased doses of Tobrex can cause side effects.

From the video you will learn about methods of treating eye diseases in newborns:

Noticed a mistake? Select it and press Ctrl+Enter to let us know.

07 Apr 2019 Yuki 347

mamyideti.com

Side effects

Any child can experience side effects from Tobrex eye drops, even if they are taken in accordance with the optimal dosage selected by a pediatrician or ophthalmologist.
Statistics show that in most patients, such undesirable manifestations arise due to individual intolerance to one of the components of the drug. Visually, this is expressed in the form of local reactions, the most common of which are enlarged blood vessels in the eye, lacrimation, itching and redness, swelling of the eyelids and skin near the eyes, the sensation of a foreign object in the eye, as well as a burning sensation.

In young patients who are completely intolerant to the components of the drug, severe allergic reactions are often observed. Usually they are expressed in the form of disruption of the proper functioning of the kidneys, the appearance of convulsions and attacks of nausea, as well as swelling and skin rashes.

Allergic reactions to eye drops occur in isolated cases.

Purpose of the drug

The medication is prescribed to newborn patients with the following ophthalmological pathologies:

• Dacryocystitis, which occurs with blockage of the lacrimal duct.
• Conjunctivitis, which causes inflammation of the conjunctiva and the appearance of purulent exudate.
• Blepharitis, which affects the areas where eyelashes grow.
• Meibomite, or stye, caused by blockage of the sebaceous glands, leading to the formation of a round purulent compaction.
• Endophthalmitis, which provokes inflammatory processes in the inner membranes of the eye.
• Blepharoconjunctivitis, combining inflammation of the eyelids with damage to the conjunctiva.

The drug is indicated for patients preparing for eye surgery or who have already undergone a surgical procedure. After the intervention, the medicine provides effective prevention of infections and inflammations.

In addition to ophthalmology, Tobrex is also used in ENT practice. The medication improves the condition of bacterial sinusitis, sinusitis, frontal sinusitis, and prolonged rhinitis that does not go away within 1–2 weeks. The drug is prescribed for instillation into the nasal passages, fights pathogenic microflora and dries out the nasal mucosa.

In most patients, the use of an antibiotic ensures rapid onset of positive changes and complete recovery. Cases of ineffective therapy are extremely rare.

Analogs

If for any reason it is impossible to use Tobrex in a child, the doctor can replace such children's drops with another local antimicrobial medicine, the list of which is quite wide.

• "". Such drops based on ofloxacin belong to the group of fluoroquinolones and can be used in children with conjunctivitis and other eye infections from birth. The drug is also available in the form of an ointment. Instead of "Floxal" in drops, you can use "Dancil" and "Uniflox" - analogues that also contain ofloxacin.
• "". The effect of these eye drops on pathogenic bacteria is due to ciprofloxacin, which is also a fluoroquinolone. It can be used in children older than one year. "Tsipromed" is also produced in the form of ear drops, which are dripped into the ears of patients over 15 years of age. Analogues of this medicine are drops "" and "".
• "Torbradex." Unlike Tobrex, such drops contain not only tobramycin, but also. They are prescribed for keratitis, inflammation of the conjunctiva and blepharitis for children over 12 years of age. The drug can be replaced by other combination drugs that act by combining an antibiotic and a glucocorticoid, for example, "" or "Maxitrol".

• "Sulfacyl sodium." This medicine from the group of sulfonamides is also called "". It is used for purulent inflammation of the eyes or for its prevention at any age, including newborns.
• "". These eye drops contain picloxidine and can be used for dacryocystitis, keratitis, blepharitis and other eye diseases from birth. Since the active component of Vitabact affects some viruses and fungi, this medicine can also be prescribed for viral conjunctivitis.
• "". This drug contains chloramphenicol and can be used in the form of eye drops at any age. It is prescribed as a drop for blepharitis, barley and other infectious eye diseases.
• "". This antiseptic agent acts not only on bacteria, but also on other infectious agents. It contains miramistin and can be used from the age of three. These drops can also be given into the nose or ears.

An ophthalmologist's advice on instilling eye drops in children is presented in the video below.

Expiration date and treatment time

After packaging at a pharmaceutical factory, each batch of any of the drugs containing tobramycin has a shelf life of two to three years. But if the bottle is opened, this time is reduced to a short 28 days or three to four weeks.

It is best to store a tube of drops in a cool, dark place or in the refrigerator if it is a hot summer outside. Before use, they will need to be warmed and then dripped.

If the doctor has not prescribed a treatment period, then you need to know that the maximum period for using antibiotic drops is no more than 10-15 days. After all, an antibiotic not only kills pathogenic bacteria, but also dries out the mucous membrane, which does not always have good consequences.

If you decide to buy a cheaper drug, do not forget to check the composition: Tobrex eye drops contain 3 mg of tobramycin.

Indications for use

Treatment of ophthalmological diseases in children under one year of age should be supervised by a doctor. Tobrex for children is prescribed if the child is diagnosed with:

• dacryocystitis is a common disorder in newborns caused by blockage of the lacrimal canal;
• endophthalmitis – when the membranes inside the eyeball become inflamed;
• inflammation of the cornea of ​​the eye, called keratitis, as well as keratoconjunctivitis;
• disease of the area of ​​the eyelid where eyelashes grow - blepharitis;
• barley is a well-known disease of the follicle or sebaceous gland, which manifests itself in the form of a purulent, inflamed “grain”;
• conjunctivitis is an inflammation of the upper layer of the eye - the conjunctiva, which is manifested by redness of the white, as well as purulent discharge.

These drops are also indicated for use after ophthalmological operations. In this case, their task is to prevent inflammation from occurring in the operated area.

Tobrex is not prescribed for viral ophthalmic infections. However, bacterial, viral or allergic conjunctivitis, in the eyes of the average person, differs little. In this regard, a doctor must make a diagnosis and prescribe treatment as well. Moreover, many pediatricians insist on conducting laboratory tests that show how sensitive the pathogen is to a certain group of antibiotics. This procedure is relevant for newborns, since such babies are treated with a very limited range of drugs. Similar analysis:

• will allow the doctor to prescribe effective therapy;
• will make it possible to avoid taking medications that will not bring benefit;
• will eliminate the possibility of microorganisms becoming resistant to antibiotics.

Purpose

The use of Tobrex eye drops is carried out under the supervision of the attending physician (pediatrician, pediatric ophthalmologist). The drug is prescribed for prophylaxis after surgery, injury and to combat bacterial infections in eye diseases:

• Keratitis – inflamed cornea;
• Barley is an acute inflammatory process in the eyelash follicle or sebaceous gland;
• Conjunctivitis is an inflammatory lesion of the mucous membrane;
• Keratoconjunctivitis - the mucous membrane and cornea are simultaneously inflamed;
• Endophthalmitis – the inner lining of the eyeball becomes inflamed;
• Dacryocystitis – characterized by obstruction of the lacrimal canal, often complicated by an inflammatory process;
• Blepharitis is an inflammatory disease of the eyelid from the ciliary region.

It is quite difficult to make a correct diagnosis on your own; you cannot rely on the advice of friends, risking the baby’s health. At the first signs of inflammation - watery eyes, formation of pus, redness, swelling of the eyes - you need to consult a specialist to avoid complications of the disease.

A doctor may prescribe Tobrex eye drops for instillation into the nose for a bacterial runny nose, which is characterized by a yellow-green color of mucus secreted and an elevated temperature. The effectiveness is explained by the antibacterial effect in the mucous membranes (including the nose) and low concentration, safe for the baby.

Precautionary measures

Since Tobrex drops are pharmacological agents, when using them it is necessary to follow safety rules and some precautions . It must be remembered that due to exceeding the permissible period of therapy, the medicine can cause the development of superinfection.

It is highly undesirable to allow the eye drops in question and contact lenses to come into direct contact. Before instilling the medicine, you need to remove the lenses; They are allowed to be worn only 30 minutes after the procedure.

Important! Only a doctor can provide exact information about how many days Tobrex can be given to a child. You cannot make such decisions on your own, so as not to harm the baby’s health.

Reviews about the drug for the eyes

• Tamara, 45 years old: “The doctor prescribed Tobradex drops for me to treat inflammation of the eyelids. My illness was extremely difficult. Unpleasant symptoms in the form of itching, burning, and pain bothered me greatly. At first I couldn’t even think that this drug was so effective. The doctor prescribed me to take drops 4 times a day for 7 days. I would like to note that there were no side effects, but positive dynamics were visible already on the second day. The symptoms became less severe, so I could go about my business.”
• Andrey, 36 years old: “I used Tobradex to treat conjunctivitis. The fact is that I have this pathology in a chronic form. I can’t get rid of it completely, but it is possible to muffle the symptoms in remission. And this drug helps me with this. It costs 2 drops in each eye every 4 hours. On the 2nd day, the intervals between instillations should be 5-6 hours. The duration of therapy for me was 10 days. I would like to note that you need to apply the drops to 2 eyes, regardless of whether it is affected or not. Another advantage of the drug is the preservation of visual acuity after instillation. This happened to me before when I used antibacterial ointments.”

Tobradex is an effective antibacterial drug presented in the form of eye drops. It is effective against many bacteria. The therapeutic effect is observed already on the 2nd day after use. If after 5 days there is no positive dynamics, then stop treatment with this drug. Find out also about Dexatobropt drops.

Tobrex eye drops for children: instructions

Unfortunately, children often get sick. And in some cases it is impossible to do without antibacterial agents. Today, after reading the instructions and reviews, we want to talk in detail about the local antibiotic Tobrex, which has a wide spectrum of action and is used in ophthalmology to treat inflammatory processes of the eyes.

Release form

This drug is available in the form of eye drops, with a concentration of the main substance of 0.3%, in a sterile dropper bottle made of low-density polyethylene, in a volume of 5 ml. The bottle is packaged in a paper box, and the kit includes instructions for use.

Compound

The main component of Tobrex drops is tobramycin (3 mg). The following are used as excipients:

• benzalkonium chloride solution (0.1 mg);
• boric acid (12.4 mg);
• anhydrous sodium sulfate (1.52 mg);
• sodium chloride (2.78 mg);
• tyloxapol (1 mg);
• sodium hydroxide and/or sulfuric acid to adjust the pH to the required value;
• prepared water (1 ml).

Operating principle

Tobrex is a 3rd generation aminoglycoside antibiotic. Its antibacterial effect is due to the fact that this aminoglycoside not only disrupts bacterial protein synthesis, but irreversibly inhibits this process. In addition, it is also additionally integrated into the protein chain, forms an abnormal structure, and in the future these proteins cannot support the life of the bacterium.

Indications

According to the instructions for use, Tobrex is used to treat the following diseases in children:

• Blepharitis (a group of diseases that are caused by staphylococci, characterized by chronic inflammation of the eyelids, and is quite difficult to treat).

• Inflammation of the mucous membrane of the eye of various natures or conjunctivitis.
• Blepharoconjunctivitis (inflammation of the edges of the eyelids combined with inflammation of the conjunctiva).
• Keratoconjunctivitis (inflammation of the conjunctiva and cornea of ​​the eye).
• Inflammation of the cornea of ​​the eye, accompanied by clouding, ulceration and pain (keratitis).

• Inflammatory process of the ciliary body of the eyeball and iris, or iridocyclitis.
• If surgical interventions have taken place, eye drops are prescribed as a preventive measure for postoperative complications.

At what age is it allowed to take

The instructions indicate that Tobrex eye drops are used for children aged 1 year and older, however, the experience of pediatricians indicates that their use is also possible in children under one year old, and in most cases no complications or allergic reactions were observed.

Contraindications and side effects

The main contraindication to the use of eye drops indicated in the instructions is individual intolerance to the substances that make up the medicine. Therefore, parents should be aware of what their child is allergic to in order to prevent negative consequences.

As for side effects, local allergic reactions may occur:

• itching and burning;
• redness of the eyes;
• swelling of the eyelids;
• the occurrence of chemosis or edema of the conjunctiva;
• keratitis.

If such symptoms occur, you should stop using it and consult a doctor.

If you use Tobrex for a long time, a fungal infection may occur, so it is important that a knowledgeable and knowledgeable doctor prescribe the necessary therapy, and not you do it yourself.

Instructions for use and dosage

Before use, you must follow several rules:

• Do not touch the tip of the dropper bottle with your fingers.
• Avoid allowing the tip of the dropper to come into contact with the mucous membrane of the eye or eyelashes during instillation.

Tobrex is instilled into the conjunctival cavity. According to the instructions, for mild cases of the disease, it is recommended to instill 1-2 drops into the eyes every 4 hours.

If the disease is acute, it is recommended to use 2 drops every hour. The dose should be reduced depending on the improvement of the condition. The duration of treatment with Tobrex can be several days or several weeks, depending on the situation and condition of the patient. Therefore, it is very important not to prescribe such substances on your own, but be sure to consult a specialist.

Overdose

The instructions indicate that in case of overdose the following conditions may occur:

• punctate keratitis;
• increased lacrimation;
• erythema;
• swelling of the eyelid;
• itching

Treatment in this case is symptomatic.

Interaction with other drugs

If Tobrex and systemic aminoglycoside antibiotics are used simultaneously, this may lead to increased side effects of the drug.
There are analogue drugs on the market, the main component of which is tobramycin. These include: Brulamycin, Tobrimed, Tobrin, Dilaterol, Bramitob, Tobrosopt, Nebtsin, etc.

Reviews

Reviews from others sometimes help determine the choice of certain medications, especially if the attending doctor does not give specific recommendations, but suggests trying this or that medicine. Therefore, we have read the reviews about Tobrex eye drops for children and are sharing them with you.

• The child of a palmero user began to develop conjunctivitis due to a viral infection and high fever, with the left eye especially affected. She was recommended Tobrex eye drops, and already on the 3rd day the result was noticeable: redness, tearing and discomfort decreased. After the course of treatment, all symptoms disappeared and no side effects were observed.
• User Innno4ka shares his story. Her son, at the age of 2.5 years, began to swell in the upper eyelid of his right eye, they turned to an ophthalmologist, and the doctor prescribed this remedy. After each instillation, the child cried and complained that it hurt, but she did not pay any attention to this, because a slight burning sensation is possible, because this is even indicated in the instructions for use. After 4 days, the baby’s eye became inflamed and swollen to such an extent that he could not open it. They immediately stopped the drug, and after a few days the swelling subsided, but a lump appeared on the eye, which they treated for quite a long time with other medications. In general, the child experienced an allergic reaction and further consequences associated with this. So don’t forget: no matter how good the drug is, remember that, unfortunately, there are side effects, and you shouldn’t forget about them.

• User WalkingEmotion also shares his review of Tobrex nasal eye drops for children. Her son was diagnosed with the following: acute nasopharyngitis and grade 2 adenoids, in addition, the baby had severe snoring against this background. A comprehensive treatment was prescribed, and one of the medications was this antibiotic. The doctor immediately warned her not to be embarrassed by the fact that the instructions for use indicated that these were eye drops. They can also be used for nasal instillation, since the main component that is included in this medicine actively fights staphylococcus. After complex treatment, the baby’s condition improved significantly, and no adverse reactions occurred.
• When Inanna’s daughters were born, already in the maternity hospital one of them began to have problems with her eye. The maternity hospital specialists advised washing it with boiled water, and successfully sent her and the children home. However, the situation only worsened, and when the baby was 3 weeks old, her mother went with her to a pediatric ophthalmologist. As a result, it turned out that the newborn had dacryocystitis, and a sufficient amount of pus had already formed in the eye canal. The doctor prescribed Tobrex eye drops, but they turned out to be ineffective, and the baby had to undergo surgical irrigation of the canal.
• Mommy with the nickname Free-Style writes her review. While still in the maternity hospital, her child developed swelling in her eyes, and the pediatrician recommended Tobrex eye drops. The completed course of treatment gave positive results, the condition of the eyes returned to normal. Six months later, the baby began to develop conjunctivitis. The leading pediatrician advised me to drip my eyes with the same drug, and the result was again positive, everything went away, and my son’s condition returned to normal. There were no allergic or adverse reactions.

Video about conjunctivitis in children

This disease occurs quite often in children, so we recommend that you also watch this video to learn in detail about conjunctivitis and what treatment should be.

Helpful information

Antibiotics are serious and quite dangerous drugs, but in some cases you cannot do without them. There are broad-spectrum antibiotics for children that are used in a variety of situations, but some questions arise regarding their use. For example, is it advisable to take antibiotics for the flu, or in what situations can they be used for a cough?

Quite often they can also be prescribed for otitis media and other similar diseases. In order to understand these issues, we recommend that you also read these articles. This information will be especially useful for those who have children.

Have you ever used Tobrex drops for conjunctivitis for children? Why was it necessary to use an antibacterial agent, and what was the result? Share your stories and leave your feedback about this drug in the comments. Tobrex eye drops: reviews and instructions for children Link to main publication

okrohe.com

conclusions

Tobrex are excellent eye drops that are classified as antibiotics. Most diseases cause serious inconvenience and affect the quality of life. At such moments, it is important to consult a doctor to confirm the diagnosis as soon as possible and begin a course of treatment. Due to its characteristics, the drug in question can overcome most diseases within a week. In this case, you must follow all instructions and carefully read the instructions for use. The use of these eye drops is possible for pregnant women and very young children, due to the fact that the active substance does not penetrate into the blood. However, it is not recommended to self-medicate and self-diagnose, because you can only harm yourself even more and worsen your vision.

Reviews

The vast majority of reviews on the Internet about the use of Tobrex drops are positive:

Anna: “My child developed severe conjunctivitis at the age of 2. After using Tobrex drops, on the second day the symptoms of the disease became less pronounced. The duration of treatment was about 2 weeks.”

Victor: “After severe redness in my eyes, I went to the pharmacy. The specialist recommended Tobrex to me. After the first instillation, severe lacrimation and tingling occurred. These side symptoms went away in just a minute. A similar reaction occurred throughout the entire period of therapy.”

Medicine "Tsipromed"

This medication from the group of fluoroquinolones is used in ophthalmology to treat complex infectious diseases caused by microorganisms sensitive to ciprofloxacin. It is prescribed for subacute and acute conjunctivitis, anterior uveitis, dacryocystitis, as well as for the prevention and treatment of complications during surgery and eye injuries.

It is prohibited to use the medicine in children under 12 months, pregnant women and nursing mothers. Since the risk of side effects in these groups of patients is very high.

Efficiency for children and adults

Tobrex eye drops are an antibiotic, so they are active against certain types of pathogenic microorganisms. The drug inhibits the vital activity of bacteria, preventing their reproduction. The drug is prescribed to adults and children for ophthalmological diseases caused by the following pathogens:

• staphylococci;
• streptococci;
• Pseudomonas aeruginosa;
• coli;
• protea;
• Klebsiella;
• enterobacter;
• Shigella

The antibiotic tobramycin is not active against strains of group D streptococci and some other microorganisms, for example, if the disease is caused by chlamydia and anaerobic bacteria. In this case, select another medicine in the form of drops.

The manufacturer notes the extremely low toxicity of ophthalmic drops. The probability of a drug solution entering the systemic circulation is negligible. Due to this ability of the drug, it is recommended for use in very young children, including newborns. For infants, a doctor should select the dosage and determine the duration of use.

Average prices in Russia

Prices for Tobrex children's drops do not vary much. The cost of the medicine in pharmacy chains is determined by the supplier. Average prices in Russian cities :

• Moscow – 171-195 rubles;
• St. Petersburg - 191-199 rubles;
• Krasnodar – from 166 to 198 rubles;
• Krasnoyarsk, Abakan, Novosibirsk - from 175.6 to 197.5 rubles;
• Khabarovsk - from 185 to 201 rubles.

The average price in Russia is 190 rubles . Wholesale prices of pharmaceutical companies (American, Spanish, Belgian manufacturers) are almost the same.

If you order a medicine from a pharmacy via the Internet, its cost may be 10-12 rubles lower than the retail price.

Note to parents: Find out how whooping cough manifests itself in children. Information about the 100-day cough may be useful to you!

Read about how to identify strabismus in children in this publication.

How and with what is viral mononucleosis treated in children? The answer to the question will help you notice and treat the disease in a timely manner.

Eye drops "Dexa-Gentamicin"

This medication is widely used in ophthalmic practice to treat bacterial infections in children and adults. By instilling the medicine 2-3 drops into the conjunctival sac three times a day, you can cope with keratitis, conjunctivitis, dacryocystitis and other diseases. The main active component of the product is gentamicin sulfate. It disrupts the process of bacterial protein synthesis as a result of which they are formed with an inappropriate sequence.

Like Tobrex (eye drops), the instructions recommend using analogues only as prescribed by your doctor. And the drug "Dexa - Gentamicin" is no exception, as it can have a number of negative side effects.

List of approved ophthalmic medications for pregnant women

All eye drops allowed during pregnancy differ in composition, mechanism of action, indications and contraindications. Therefore, it is not recommended to start a course of treatment on your own.

Levomycetin

Levomycetin eye drops are a classic antibacterial drug widely used in ophthalmology. It is effective against most strains of bacteria and even some of the most common viruses. Levomycytin can be used during pregnancy, but only as prescribed by a doctor and strictly in accordance with the instructions.

This drug is one of the most popular and proven antibacterial agents on the list approved during pregnancy

Since the active components of the drops enter the bloodstream and can penetrate the placental barrier and into breast milk, they should not be used for a long period by pregnant or lactating women. For acute inflammation caused by bacteria or viruses, the drug is administered 1-2 drops only into the affected eye up to 5 times a day. As soon as improvements occur, the frequency of administration of drops is reduced to 2-3 times a day. It is advisable that the total duration of treatment does not exceed 7 days.

Tobrex

Tobrex eye drops are also classified as ophthalmic drugs with antibacterial action. Tobramycin, the active component of this drug, is effective against staphylococci, Pseudomonas aeruginosa and Escherichia coli, but most streptococci are resistant to it, so it is important to accurately identify the causative agent of the inflammatory process.

For acute conjunctivitis, Tobrex can be administered 1 drop every 30 minutes. On the second day, the frequency of instillation is reduced to 5–6 times a day, then to 2 times a day, 1–2 drops into the affected eye. The drug does not penetrate into the general bloodstream, so it can be safely used to treat pregnant, lactating and infants.

Albucid

Albucid is an ophthalmic anti-inflammatory drug with a very rapid action. These eye drops are relatively inexpensive and are widely used to treat both adults and children. Pregnant women should take into account the concentration of the active component in the drops. A 20% solution is recommended, since a high concentration of a drug in the treatment of acute inflammation can partially penetrate into the blood.

The main advantage of this drug is its almost instantaneous action and long-lasting effect.

Use this remedy 1 drop up to 6 times a day. Immediately after administering the drops, a burning sensation and discomfort may occur. In this case, even a 20% solution should be further diluted with saline solution. To avoid side effects and complications, Albucid should not be used for more than 5 days.

Oftalmoferon

Ophthalmoferon has established itself as the best ophthalmic agent for combating viral infections. Also, these eye drops suppress the growth of bacteria, strengthen local immunity, thanks to the interferon substance in the composition, and have a moderate analgesic effect. For acute inflammation, 2 drops of the drug are administered into each eye with an interval of 2 hours. Then the frequency of instillations is reduced to 2-3 times a day. Use eye drops until the symptoms of the disease completely disappear.

Tobropt product

Like Tobrex, analogue eye drops are used for bacterial eye infections. Quite often, for conjunctivitis, blepharitis, keratitis and other ailments, the medicine Tobropt, which is based on the substance tobramycin, is prescribed.

This drug can be used by patients over 18 years of age, but during pregnancy and lactation treatment with this drug should be avoided. It is not recommended to use drops for people with individual hypersensitivity to one or more components of the drug.

The product is available only in the form of 3% eye drops. As a rule, it is a clear, colorless or yellowish solution. Tobramycin is used as the main component of the drug. As for the excipients, to create the drug, pharmacists used sodium chloride, boric acid, anhydrous sodium sulfate, tyloxapol, benzalkonium chloride, as well as purified water, and solutions of sulfuric acid and sodium hydroxide.

Rules for instillation of newborns

How to properly use Tobrex eye drops for children is indicated in the instructions. When instilling the product into the eyes, the following sequence of actions should be followed:

• the affected eye is cleaned of mucus or pus using a cotton swab dipped in boiled water;
• before instillation, the bottle with the solution is warmed in the palms of the hands for several minutes and shaken;
• the baby is placed on his back;
• gently pull back the lower eyelid;
• instill into each eye without touching the mucous membrane with the tip bottle;
• cover the child’s eyelids, massage them lightly;
• the remaining solution is removed using a cotton pad.

Read more Isofra nasal drops - instructions, reviews

Then the bottle is closed and stored in a dark place at a temperature of 17-28 degrees. The shelf life of Tobrex is 3 years. The shelf life of the opened drug is no more than 30 days.

Popular analogues

For the treatment of diseases of the organ of vision in children and newborns, the ophthalmologist may prescribe other drops that are similar in pharmacological action, but have some differences. As a rule, their help is resorted to if the patient has a high sensitivity to Tobrex drops.

Popular analogues of Tobrex eye drops:

1. Tobradex. The combination drug contains 2 active components – tobramycin (inhibits bacterial activity) and dexamethasone (relieves inflammation). The drops are highly effective.
2. Levomycetin. Chloramphenicol is an active substance that has antibacterial properties against gram-positive and gram-negative strains of bacteria. Not prescribed to children under 6 months.
3. Vitabact. Broad-spectrum eye drops against various bacteria. The antimicrobial drug is approved for use in newborns from the first day of life. They are also used in the postoperative period to prevent complications.
4. Nettacin. The composition contains netilmicin, an active substance that has a powerful antibacterial effect. Children under 3 years of age and pregnant women should use it with caution.
5. Albucid. An inexpensive and effective drug that is often prescribed for conjunctivitis. It is an alternative option for local antibiotics. It does not belong to the group of antibacterial agents, but at the same time exhibits an antimicrobial effect.
6. Tsipromed. Antibacterial drug from the group of fluoroquinolones. The medicine actively fights eye pathogens. Used in complex therapy of ophthalmological diseases, as well as for the prevention of complications after surgery.
7. Phloxal. The antibacterial agent belongs to the group of fluoroquinolones. Ofloxacin (active ingredient) has a powerful antimicrobial effect against most types of bacteria.

Nebcin, Dilaterol, Tobropt, Brulamycin are almost complete analogues of Tobrex, which contain an identical active ingredient.

Numerous reviews of Tobrex eye drops confirm their effectiveness and safety. A huge advantage of the medicine is the possibility of its use in children of the first year of life.

Read more Instructions for using Picolax drops

Dosage and order of use

The dosage is prescribed only by a specialist, an ophthalmologist. The instructions for use indicate that the single dosage is 1–2 drops, the frequency of use is 3–4 times a day. The recommended dosage must be observed, since this is the only way to achieve the required concentration of the solution in the organ of vision, and therefore to influence the source of inflammation.

How exactly is the eye drop procedure performed? To do this, you need to wash your hands thoroughly. With one hand, you need to carefully pull the inner edge of the lower eyelid so that you get a pocket. Using the tip of a pipette, drop 1-2 drops of solution into the formed conjunctival sac. Do not touch the edge of the eyelid or cornea with the pipette; this may lead to infection on the surface of the bottle. After instillation, you must blink your eyes intensely for 10 seconds. This contributes to the rapid spread of the medicinal composition over the entire surface of the eyeball.

The medicine must be instilled into both eyes! This is necessary to exclude the possible spread of infection, since this probability is very high.

The average duration of treatment is 5–7 days. You should not stop taking the drug ahead of time, even if all the symptoms of inflammation have passed. This will lead to a decrease in the pathogen's resistance to this antibacterial component, and subsequent treatment with Tobramycin will be useless. If the patient does not feel any improvement even after a week of using Tobramycin, then you should talk to your doctor about further therapy. Perhaps the problem needs to be solved comprehensively, and the source of infection should be affected through the bloodstream (including orally or by injection).

Overdose

Excessive consumption of this antibiotic can cause a number of adverse effects that will adversely affect the patient.

Punctate keratitis

Small defects in the cornea form, looking like redness and swelling of the eyelids, and the eyes become irritable. This often leads to decreased vision if this condition is pathological.

Erythema

More rare. It manifests itself as an inflammatory process located in the eyelid area and the area near the eyes, which provokes redness.

Erythema does not pose a particular danger to the patient’s life and goes away on its own approximately 2-3 hours after taking Torbex.

Painful sensations occur if it is progressive. In addition, the upper and lower eyelids also swell.

Tearing

This is also one of the options, which means excessive levels of the drug in the organs of vision. You can get rid of it if you re-instill the drug after a longer period of time.

All these manifestations are accompanied by itching. In this case, you should not scratch your eyes, otherwise you can cause an infection and only worsen the situation.

You should never exceed the dose prescribed by your doctor; this will help avoid the consequences of an overdose and protect yourself from chronic diseases.

Eye drops "Dilaterol"

Like the drug "Tobrex", analogues for children based on tobramycin should be prescribed exclusively by a specialist. After all, all these medications are broad-spectrum antibiotics and belong to the group of aminoglycosides, and, therefore, can be dangerous for the child’s body. That is why these drugs are dispensed from pharmacies only with a doctor’s prescription. And Dilaterol eye drops are no exception.

This remedy is prescribed to patients suffering from eye infections such as dacryocystitis, blepharoconjunctivitis, keratitis, conjunctivitis and others. Quite often, the drug can be prescribed to a patient in order to prevent infectious complications after surgery.

The dosing system for each specific case is calculated exclusively by an ophthalmologist. In case of severe inflammatory process, a specialist may prescribe the patient to use the medicine every 2 hours. After the acute stage of the disease passes, the interval is increased. And for mild to moderate illnesses, the doctor will recommend using the drug every 4 hours. It is also worth noting that Dilaterol eye drops are prescribed not only to adult patients, but also to babies from the age of two months.

Rules for using eye drops during pregnancy

To use eye drops during pregnancy and get the desired results from them, you need to follow several recommendations.

1. Only a doctor should prescribe medicine after examination. An important point is the correct selection of eye drops that are allowed at the time of pregnancy.
2. In the first twelve weeks, you should not use drops that contain carbonic anhydrase and blockers, since if they penetrate into the blood, they can have an adverse effect on the development of the baby.
3. In the second trimester, blockers and other types of eye drops can be used, but under the strict supervision of a doctor.
4. In the last ten weeks, it is better not to use any eye products at all, as there is a possibility of suppression of the nervous system of the unborn baby.
5. The drug must be instilled correctly. Doctors advise closing your eyes for a few minutes after use. If the inflammatory process is observed in both eyes, then the product should be instilled alternately after ten minutes so as not to exceed the concentration of substances entering the blood.
6. All eye drops have an expiration date. Once opened, they should be stored in the refrigerator for no more than thirty days. After this, throw away the bottle, even if there are remains of the medicine.
7. All pregnant women should visit an ophthalmologist more often and have their intraocular pressure measured.
8. If dry eye syndrome occurs during pregnancy, it is allowed to use moisturizing drops in the form of Visine, Oksial, Oftolic and Vidisica.

Any drug has a number of contraindications and side effects when used. Therefore, if an inflammatory process in the eyes occurs during pregnancy, then you should urgently consult a doctor. After all, eye drops during pregnancy can be replaced with traditional methods of treatment. This includes lotions with herbal infusion, brewing black or green tea, or simply using saline solution.

Which analogue of Tobrex is more effective?

It is the prerogative of only the attending physician to talk about which medication will most quickly cope with a bacterial eye infection. After all, only a specialist, after examining the patient, will establish a diagnosis and be able to select the correct set of medications. If it is not possible to see a doctor, before purchasing antibacterial eye drops, you should study the instructions for use in detail. Only after making sure that the medication is not contraindicated for the patient can it be used, adhering to the recommended dosing system.