Tobramycin eye drops. Price, instructions for use, analogs for children, where to buy

Means Tobramycin - well-known and quite effective eye drops, which are actively used to treat patients with inflammatory and bacterial pathologies of the visual apparatus. The price of the medication is affordable, and the result from the use is noticeable almost immediately. The medication is often prescribed, but only if there are strict indications and no contraindications.

Composition, release form

The medication is available to patients in the form of a topical solution by instillation into the conjunctival sac. The solution is transparent, packaged in 5 ml polyethylene bottles.

Each bottle is in an individual cardboard box, where you can also find detailed instructions describing the rules for using the medication. The solution has no specific odor or sediment.

Tobramycin sulfate is present as the main active component in the composition. Due to it, the main therapeutic effect is carried out.

Contained in the solution and auxiliary ingredients:

• Edetate disodium.
• Sodium chloride.
• Benzalkonium chloride.
• Hypromellose.
• Purified water.

Additional ingredients do not have a therapeutic effect, they act as preservatives.

Terms of dispensing from pharmacies, drug price

Tobramycin - eye drops (affordable price), which can be purchased at the pharmacy, presenting a prescription from an ophthalmologist.

This significantly reduces the number of cases in which complications develop as a result of uncontrolled independent use without preliminary examination.

The cost of the funds is approximately 160-180 rubles. Depending on the region of distribution, the price may differ.

Principle of operation and efficiency

The medication has a pronounced anti-inflammatory and antibacterial effect due to the content of an active component belonging to the group of antibiotics. The drug is highly effective. The principle of its action is based on the ability of the active ingredient to suppress the activity of pathogenic microorganisms that provoke the inflammatory process.

The active substance of the drug, when it gets on the cornea, provokes a violation of metabolic processes in pathogenic bacteria, which leads to the gradual death of all pathogens of inflammation and arrest of development diseases. The remedy quickly eliminates the cause of the disease, which is also considered its advantage over other medicines.

The main ingredient of the composition also helps to eliminate edema and redness of the mucous membrane of the visual apparatus. As a result, the patient's condition is significantly facilitated, the development of complications is prevented.

When using the drug in low concentrations, a bactericidal effect is observed, that is, the solution does not lead to the rapid death of bacteria. However, when using the drug in large quantities, a rather rapid destruction of microorganisms occurs.

The drug additionally prevents the spread of germs to healthy tissues. As a result, patients notice an improvement in their condition within a few hours after the initial application.

The activity of the drug is noted in relation to many gram-positive and gram-negative bacteria, therefore, most of the microorganisms that provoke eye inflammation die when using eye drops.

With the initial introduction of drops, the death of streptococci, staphylococci, Klebsiels and many other microorganisms occurs. The patient's condition improves, the risk of developing negative reactions from closely located tissues decreases. The activity of the agent against Pseudomonas aeruginosa is noted. However, it should be noted that the drug does not help fight group D streptococcus.

When the solution enters the patient's cornea, there is a slight absorption of the active ingredient into the blood. However, the substance does not bind to blood plasma proteins, which reduces the risk of overdose as a result of the lack of a cumulative effect. The drug does not accumulate not only in the blood, but also in the tissues of the eye.

For several days after the end of use, the concentration of the ingredient in the blood is approximately 7%. Within 3 hours after the initial application, about half of the entire dose of the active ingredient is excreted.

The rest circulates in the systemic circulation. The processing of the ingredients takes place in the liver, after which they are evacuated by the kidneys. In patients with disorders of the digestive tract and urinary system, there is a slowdown in the absorption and processing of ingredients.

Despite this, the therapeutic effect is not weakened, which is associated with the local effect of the drug on the cornea and mucous membranes of the eyelids. Minimal systemic absorption has no clinical significance, which is considered an advantage, since the drug rarely provokes the development of complications.

Indications for use

Tobramycin is used for various pathological conditions. Eye drops are considered effective, the price allows them to be used in courses.

The main indications for prescribing a medication are as follows:

• Blfarin in acute and chronic form with pronounced manifestations from the mucous membranes. In this case, the origin of the inflammatory process does not matter. In most cases, the medication brings good results.
• Keratitis of various forms and severity.
• Keratoconjunctivitis, in which there is extensive damage to one or two eyes.
• Conjunctivitis of bacterial origin with severe disorders, as well as symptoms that worsen the patient's condition. The tool can be used when the inflammation is provoked by microorganisms that are sensitive to the drug.
• Iridocyclitis of a complicated form, in which the development and reproduction of microbes on the surface of the eye is observed.
• Blepharoconjunctivitis in acute and advanced stages.

It can also be used in case of eye infection following injury, damage from contact lenses or other objects. Often, drops are prescribed in case of unintentional introduction of bacteria into the eyes.

Contraindications and side effects

The drug is not used in case of intolerance to its components or a tendency to allergic manifestations.

There are other contraindications:

• Pregnancy and lactation period. Despite the minimal systemic absorption of the active ingredient, the agent is not recommended for use during these periods, which is associated with increased sensitivity to antibacterial medications.
• Renal and hepatic failure, in which there is a significant deterioration in the functioning of the organ.
• Identification of the viral origin of the inflammatory process of the eye. With such violations, the remedy does not help to eliminate the symptoms, which is due to the inability of the active component to fight viruses.
• Diagnosis of dehydration, in which the drug can provoke complications.
• Botulism in the acute stage. After elimination of severe symptoms, the remedy can be used, but after consulting a doctor.
• Nervous system pathologies developing against the background of brain injuries.
• Neuritis of the auditory nerve in the acute stage.

The drug is also not used in the treatment of children under 6 years old, which is associated with an increased risk of developing negative reactions. For elderly patients, the medication is prescribed with caution and only after examination. It is especially important to follow this rule if an elderly patient suffers from heart failure, coronary artery disease or angina pectoris.

Tobramycin - eye drops (the price may depend on the volume of the medication), which can often provoke complications if the instructions are violated. Slight systemic absorption avoids pronounced general manifestations from the internal organs and systems. Despite this, negative reactions can significantly worsen the general condition.

Organs and systems	Most common reactions
Nervous system	When using the product, irritability, weakness, and sleep disturbances may appear. Symptoms in most cases develop against the background of damage to the visual apparatus, disappear after the elimination of the main symptoms from the eyes. Only in some cases, patients require medical assistance, as well as the appointment of special medications.
Sense organs	The most pronounced reactions are observed from the side of the eyes. The condition may be accompanied by pain, discomfort when blinking, and tearing. In addition, patients' vision may deteriorate, a veil appears in front of the eyes, flies and other disorders. Symptoms disappear after refusal to use the medication, but special treatment is often required.
Skin	As a rule, when using eye drops, disorders appear on the part of the skin of the face, accompanied by a rash, irritation and peeling of the skin. The condition is aggravated by severe itching and burning, which forces patients to scratch the affected area, increasing the risk of developing severe complications as a result of infection.
Mucous membranes	The mucous membranes of the eyes when using the medication suffer in the case when the patient has a tendency to allergic manifestations. The condition is accompanied by tissue edema, increased sensitivity, and lacrimation. Many patients talk about sourness of the eyes, as well as pain, the addition of allergic rhinitis, accompanied by the discharge of a large amount of mucus from the nose, and congestion. The mucous membranes of the oral cavity suffer quite rarely, in the case when the patient uses drops for a long period, ignoring the negative reactions from the eyes.

The severity of negative reactions depends on the patient's body, as well as the duration of the use of drops, the daily dosage of the medication. There have been no cases of overdose with the drug, which is associated with minimal systemic absorption. Despite this, adverse reactions can be aggravated with prolonged use of the drug.

The condition worsens, general symptoms join in the form of weakness, fatigue, irritability and other disorders. Usually, the manifestations disappear after refusal to use the medication. In some cases, special treatment is required in a hospital setting.

If negative reactions or symptoms of an overdose appear, it is worth stopping the use of the medication and visiting a doctor.

Instructions for use

Tobramycin - eye drops (the price is affordable for most patients), which are used only topically for the purpose of injecting into the eye when indicated. Children from 6 years old are prescribed short courses of 3-5 days with daily manipulation 4 times with a frequency of 4 hours.

The agent is injected only into the affected eye, 1 drop at a time. Longer courses for children are not recommended, usually this time is sufficient to obtain a therapeutic result. For adults, the remedy is prescribed in courses of 7 days. If the condition is mild, 5 days are enough. Drops are injected into the affected eye 3-4 times a day, a single dose is 1-2 drops.

In case of damage to 2 eyes, the procedure is carried out according to the same scheme. If the patient suffers from a severe form of any inflammatory disease, instillation of the drug is allowed every 30 minutes for 1-2 days. This is usually sufficient to relieve acute symptoms. The next few days, the medication is used according to the standard scheme.

After the introduction of drops, it is recommended to massage the closed eye, gently pressing on the upper eyelid. This will improve the distribution of the active ingredient and stimulate blood circulation. It is categorically contraindicated to prolong the course or increase the daily dosage in the absence of the effect of therapy, even in the case when the treatment does not bring a pronounced therapeutic result.

It is especially important to follow the instructions exactly when treating children. If there is no effect from the application within 3 days, the patient is advised to visit a doctor. Perhaps the appointment of another medication is required.

special instructions

Tobramycin - eye drops (the price is considered one of the advantages of the medication), used strictly according to the instructions. When applying, it is important to avoid contact of the tip of the bottle with the cornea of ​​the eye. This will prevent the spread of germs, as well as their transfer to the other eye in case of bilateral inflammation.

When instilling the eyes, it is worth taking a comfortable position. Some people prefer to sit with their heads thrown back, but children are advised to take a horizontal position to eliminate the risk of corneal damage due to an unstable position. It is also worth fixing the child's head when the tip of the bottle approaches the eye, which will also eliminate the risk of corneal injury.

It is important to remember that with independent, uncontrolled use of drops for a long period, the risk of developing a fungal eye disease increases significantly. This is due to the ability of the active ingredient of the composition to influence not only pathogenic microbes, but also microorganisms that perform a protective function.

With the development of such a disorder, the patient needs correct and timely treatment to avoid serious consequences.

If the patient wears contact lenses, during application and drops, they should be removed from the eyes, which will ensure the maximum therapeutic effect. After the procedure, it is allowed to reapply the lenses no earlier than 15 minutes later.

Interaction with other drugs

The medication is used topically, is almost not absorbed into the systemic circulation, therefore it does not affect the action of systemic medications. Experts allow the simultaneous use with systemic medicines from different groups.

Doctors just do not recommend combining drops with other topical solutions that have similar properties and contain similar active ingredients. If you need to use several drops with different effects, you should take a break between procedures for at least 15 minutes.

In each case, the decision on drug interactions is made by the doctor. It is not recommended to combine medications on your own.

Storage conditions and periods

It is allowed to store the medicine for 3 years. The production date is indicated on the packaging. Application after the expiration date is categorically contraindicated.

During storage, it is important to limit access to children and direct sunlight. After opening the bottle with drops, it is allowed to use them within 1 month.

Analogs

If necessary, it is allowed to use analogues of the agent with similar therapeutic properties.

The most effective and popular substitutes:

• Tobrex - eye drops, which contain tobramycin as the main active ingredient. They have pronounced therapeutic properties, help to cope with eye pathologies of inflammatory origin, caused by microorganisms that are sensitive to the main substance. The tool is used in short courses of 5-7 days, helps to quickly stop the progression of the disease, prevents the development of complications.
• Tobrom - another medication in the form of a solution for use for instillation into the eyes, containing tobramycin as the main active ingredient. The tool is considered more effective, since the concentration of the antibacterial substance is higher than in similar medicines. The drug is prescribed for acute and chronic bacterial pathologies of the visual apparatus, helps to quickly eliminate acute symptoms and prevent the development of severe complications.
• Tobrimed - eye drops based on tobramycin, used in the treatment of children and adults. The tool is highly effective, helps to cope with severe disorders of the mucous membranes and the conjunctival sac. The medication is prescribed in the acute and advanced form of the disease, but only after examination.

Analogs of the medication are not used on their own, since they can provoke severe complications.

The popular and effective Tobramycin eye drops are used for patients of different ages in order to prevent the progression of pathologies of inflammatory origin. The medication is considered effective, has an affordable price, therefore it is prescribed for various diseases provoked by microorganisms sensitive to it.

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