Composition and release form
1 milliliter of solution contains 3 milligrams of active substance. This is an antibiotic tobramycin, belonging to the group of aminoglycosides. The substance is a broad-spectrum antibacterial agent.
Among the auxiliary components in eye drops there is:
- benzalkonium chloride solution as a preservative;
- boric acid as an antiseptic;
- sodium sulfate and chloride with an antimicrobial effect and to create the necessary osmotic pressure in the eyes;
- sulfuric acid or sodium hydroxide to regulate the acidic environment of the drug;
- purified water, which is needed to achieve the required volume of the product.
In addition to eye drops, Tobrex ointment is produced for the treatment of ophthalmological diseases.
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:
- Tobradex. The combination drug contains 2 active components – tobramycin (inhibits bacterial activity) and dexamethasone (relieves inflammation). The drops are highly effective.
- 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.
- 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.
- 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.
- 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.
- 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.
- Phloxal. The antibacterial agent belongs to the group of fluoroquinolones. Ofloxacin (active ingredient) has a powerful antimicrobial effect against most types of bacteria.
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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.
Indications for use
Tobrex is prescribed by the attending physician. Only he can determine the dose of the drug and the duration of treatment. And this depends on the characteristics of the infection against which the drug is effective. Viral or fungal diseases cannot be treated with drops.
Dacryocystitis
A peculiarity of the lacrimal canal in newborns is that it opens 2-3 weeks after the birth of the child. When the patency of the canal is impaired, dacryocystitis is detected. The bag around the baby's eye swells from accumulated exudate. The cause of inflammation lies in bacteria that have entered the tear fluid from the amniotic fluid.
Obstruction of the canal is associated with improper development of the nasal septum, the formation of a tumor and cyst in this area in infants.
Endophthalmitis
If you fail to notice eye inflammation in your baby in time, you will have to deal with endophthalmitis, a disease that affects the inner membranes of the eyeball. In this case, the child develops swelling of the eyelids and corneas. Pus accumulates inside the retina, which is dangerous for children's vision. It is necessary to urgently treat with drops containing an antibiotic.
Inflammation of the cornea of the eye
Keratitis is associated with inflammatory processes on the cornea of the organ of vision. In this case, swelling and purulent infiltration develop. If the keratitis is bacterial, then you need to use Tobrex drops.
Blepharitis
The baby's eyelids turn red and become hard to the touch if they are affected by pathogenic bacteria. The disease occurs against the background of allergies, barley, dermatitis.
Barley
When staphylococcus gets into the sebaceous glands of the eyelid, barley develops. An abscess forms over several days, manifesting itself as redness, swelling, and pain in the affected area of the eyelid. The danger is posed by complications that arise in infants suffering from styes in the eyes.
Conjunctivitis
Severe swelling of the newborn's conjunctiva characterizes this disease. There is a copious discharge of serous fluid mixed with blood from the eye. One or both eyes may be affected by inflammation.
Possible consequences of overdose
Tobrex is prescribed by the attending physician. Only he can determine the dose of the drug and the duration of treatment. And this depends on the characteristics of the infection against which the drug is effective. Viral or fungal diseases cannot be treated with drops.
Dacryocystitis
A peculiarity of the lacrimal canal in newborns is that it opens 2-3 weeks after the birth of the child. When the patency of the canal is impaired, dacryocystitis is detected. The bag around the baby's eye swells from accumulated exudate. The cause of inflammation lies in bacteria that have entered the tear fluid from the amniotic fluid.
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Endophthalmitis
If you fail to notice eye inflammation in your baby in time, you will have to deal with endophthalmitis, a disease that affects the inner membranes of the eyeball. In this case, the child develops swelling of the eyelids and corneas. Pus accumulates inside the retina, which is dangerous for children's vision. It is necessary to urgently treat with drops containing an antibiotic.
Keratitis is associated with inflammatory processes on the cornea of the organ of vision. In this case, swelling and purulent infiltration develop. If the keratitis is bacterial, then you need to use Tobrex drops.
Blepharitis
The baby's eyelids turn red and become hard to the touch if they are affected by pathogenic bacteria. The disease occurs against the background of allergies, barley, dermatitis.
Barley
When staphylococcus gets into the sebaceous glands of the eyelid, barley develops. An abscess forms over several days, manifesting itself as redness, swelling, and pain in the affected area of the eyelid. The danger is posed by complications that arise in infants suffering from styes in the eyes.
Conjunctivitis
Severe swelling of the newborn's conjunctiva characterizes this disease. There is a copious discharge of serous fluid mixed with blood from the eye. One or both eyes may be affected by inflammation.
Newborns should not use eye drops on their own without a doctor’s prescription. After all, a child may have an individual intolerance to an antibiotic in the medicine or components of the drug.
Before using Tobrex eye drops, it is necessary to rinse the child’s mucous membranes from purulent infiltrate. To do this, dissolve a Furacilin tablet in warm water. You can use solutions of chamomile. Rinse with green or black tea, after straining. All procedures are performed with clean hands.
The baby is placed on his back. The lower eyelid of the eye affected by inflammation is pulled back and, without touching the mucous membrane with the dropper, the solution is instilled. For children under one year old, 1 drop 5 times a day is enough. The dosage increases to 2 drops when the baby reaches one year of age. If drops with different active substances are simultaneously installed in the eye, then the break between instillations should be 5 minutes. They may also prescribe Tobrex ointment along with drops, which is given to the child at night.
At the end of the procedure, a small massage of the eyelid is performed so that the medicine permeates the entire mucous membrane. It is especially necessary to massage the eyelids when diagnosed with dacryocystitis. Excess solution is removed with a sterile cotton pad. Eye drops are used for children suffering from a runny nose with purulent discharge. After clearing the nasal cavities of exudate, Tobrex is instilled.
Symptoms of exceeding the dosage of the drug include manifestations in the form of:
- point inflammation on the cornea of the eye;
- increased tear flow;
- itching and swelling of the eyelids.
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In this case, the symptoms are relieved by other means under the supervision of a specialist.
Side effects
When using drops in the eyes of a newborn, you need to carefully monitor the body's reaction to the medicine. If during treatment the baby:
- eyelids swell;
- the mucous membrane of the eyes turns red;
- eyes itch;
- ulcerations appear on the cornea;
- If the baby is capricious due to pain, then the procedure must be suspended.
Instructions for use and dosage
Before using Tobrex eye drops, it is necessary to rinse the child’s mucous membranes from purulent infiltrate. To do this, dissolve a Furacilin tablet in warm water. You can use solutions of chamomile. Rinse with green or black tea, after straining. All procedures are performed with clean hands.
The baby is placed on his back. The lower eyelid of the eye affected by inflammation is pulled back and, without touching the mucous membrane with the dropper, the solution is instilled. For children under one year old, 1 drop 5 times a day is enough. The dosage increases to 2 drops when the baby reaches one year of age. If drops with different active substances are simultaneously installed in the eye, then the break between instillations should be 5 minutes. They may also prescribe Tobrex ointment along with drops, which is given to the child at night.
At the end of the procedure, a small massage of the eyelid is performed so that the medicine permeates the entire mucous membrane. It is especially necessary to massage the eyelids when diagnosed with dacryocystitis. Excess solution is removed with a sterile cotton pad. Eye drops are used for children suffering from a runny nose with purulent discharge. After clearing the nasal cavities of exudate, Tobrex is instilled.
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.
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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.
Analogs
In the treatment of inflammation of the ocular mucosa, Tobrex can be replaced:
- "Albucid" for children;
- "Floxalom";
- "Vitabactom", which is actively used for blockage of the lacrimal canal, dacryocystitis;
- "Tobradex", an anti-inflammatory substance called dexamethasone;
- “Levomycetin”, which is instilled into the eyes of children over 4 months old.
All drugs are available by prescription, so they cannot be used to treat a newborn on your own, without a doctor’s prescription.
Analogues of Tobrex are used when eye inflammation in a baby does not go away after a week. You should definitely know which microorganisms a particular medicine is effective against.
Description and features of the drug
An antibiotic solution for dripping into the eyes has the following properties:
- transparency;
- lack of color or slight yellowishness;
- antiviral and antibacterial orientation.
Eye drops contain substances that act locally. They are safe for children, so they are prescribed for use by newborns.
Side effects occur more often when Tobrex drops are used with other aminoglycoside antibiotics. It is necessary to exclude one of the drugs and start using it after a break of a week.
