Cipromed eye drops. Price, instructions for use, analogs, is it possible to drip into the ears, reviews

Tsipromed - it is a medicine in the form of dropsintended for the treatment of bacterial eye damage. The prices for the tool are affordable and refer to the budget segment.

Forms of release and composition of the drug

This pharmacological formulation is produced in the form of eye drops. The main active element of the solution is ciprofloxacin.

The composition of the excipients:

• benzalkonium chloride;
• disodium salt of ethylenediaminetetraacetic acid;
• lactic acid;
• sodium chloride;
• sodium hydroxide;
• injection water.

The drug is poured into plastic or glass vials and packed in cardboard containers.

Pharmacological properties

The drug belongs to the category of bactericidal drugs that exhibit bacteriostatic action.

Pharmacodynamics and pharmacokinetics

Cypromed - eye drops (the price of the drug does not affect its pharmacological properties), which belong to the general pharmacological group of fluoroquinolones. Its active components inhibit the action of DNA gyrase produced by pathogens.

As a result, there is a violation and suppression of the production of protein materials in the cells of microorganisms. At the same time, the drug exhibits a similar effect in relation to active and passive cells of microorganisms.

The solution has a broad spectrum of action against most gram-positive and gram-negative pathogens.

This agent is low-toxic, therefore it does not have a negative effect and does not cause symptoms of intoxication.

The active ingredient (ciprofloxacin), when used topically, has a high absorption capacity in relation to the ocular membrane. With a single application, the level of active ingredient is 0.1 mg / ml. Its maximum concentration in the anterior chamber of the eye occurs after 60 minutes. and is 0.19 mg / ml.

This level gradually decreases after 2 hours. At the same time, the antibacterial properties of the drug persist for the next 6 hours. A similar effect in the fluid located in the anterior chamber of the eye lasts for 4 hours. The time required for the half-life of the main ingredient from the body is 4 to 5 hours.

Drug substances (about 50%) are excreted mainly through the kidneys in unchanged form. The rest of the components (no more than 10%) are excreted in the form of inactive metabolites.

In a small amount (about 15%), the active substances are excreted through the intestines. In women who are breastfed, a small amount of the drug is excreted in breast milk.

The drug has a high systemic absorption. When the agent is used within a week in an amount of 4 times a day, the concentration level of the main ingredient, on average, is 2 mg / ml.

Indications for use

This solution is used for eye diseases of a bacterial or inflammatory origin.

Main indications:

• acute and subacute form of conjunctival lesions;
• development of keratitis;
• the presence of anterior uveitis;
• inflammatory lesions of the eyelids, including blepharitis;
• dacryocystitis;
• preventive treatment after performing surgical actions or in case of injury.

The drug is used only with a confirmed diagnosis as a primary or auxiliary agent. In this case, the treatment regimen is developed by the treating specialist.

Contraindications

Tsipromed - eye drops (the price of the solution is not a determining factor in the presence of contraindications), which have some restrictions on their use.

Thus, the main contraindications are the following signs and conditions:

• a high degree of intolerance to the components that make up the solution;
• the period of bearing or feeding the child;
• newborns up to 1 year.

If there are restrictions, it is recommended to consult with a specialist about the possible prescription of another pharmaceutical agent.

At what age can the drug be used?

This drug is indicated for use from 1 year. In this case, constant observation by the attending physician is required when using drops in childhood, since there is a high likelihood of developing negative local reactions immediately after instillation solution.

Instructions for use, dosage

The drug is used topically. In this case, the solution must be instilled into the conjunctival sac. The dosage depends on the severity and is selected individually.

With the bacterial form of conjunctivitis, as well as with the development of blepharitis, accompanied by the formation of ulcers or scales, 1-2 drops of the drug are prescribed in each eye. The procedure is carried out 4 to 8 times a day. The course varies from 5 days to 2 weeks.

In case of keratitis, instillation is carried out up to 6 times a day. In this case, the solution is applied in the amount of 1 drop. With good tolerance of the drug and the presence of high therapeutic efficacy, therapy is carried out for 2-4 weeks.

With the development of Pseudomonas aeruginosa, the recommended dosage is 8 to 12 times a day. The duration of therapy depends on the severity of the pathology and varies within 2-3 weeks.

In the presence of anterior type of uveitis, the agent must be used 8 to 12 times a day. The solution is instilled in 1 drop into each eye. The duration of treatment in this case must be agreed with the treating ophthalmologist or infectious disease specialist.

With the development of acute forms of dacryocystitis and canaliculitis, 1 drop of the drug is prescribed from 6 to 12 times a day. In the chronic type of these diseases, the agent is used 4-8 times a day. The dosage in both cases is 1 drop.

In case of injuries, in order to avoid the development of secondary infection, the recommended dosage is 1 drop in each eye. The procedure is carried out 4 to 8 times a day. The duration of the course varies between 7-14 days.

As a prophylaxis, as well as after surgery, 1 drop is prescribed in each eye from 4 to 6 times a day. The duration of treatment is from 1 week to 1 month.

Side effects

In some cases, Tsipromed is capable of causing various negative reactions associated with the action of the active substances that make up the drops. At the same time, the relationship between the price of a medicine and the risks of developing undesirable manifestations has not been established.

Side effects:

• slight burning sensation immediately after applying the solution;
• itching;
• short painful sensations;
• redness in the area of ​​the eye;
• the formation of puffiness in the eyelid area;
• high light sensitivity;
• allergic manifestations;
• a feeling of the presence of a foreign object in the eye;
• lacrimation;
• an unpleasant taste in the mouth after using the product;
• in patients with ulcerative lesions of the cornea of ​​the eye, the formation of white blotches is noted;
• deterioration of visual functions;
• the formation of spots and signs of infiltration;
• development of keratitis;
• in rare cases - the development of keratopathy;
• in some cases, the development of signs of superinfection may be observed.

If side effects occur, including symptoms not noted in the annotation, it is recommended to stop taking the drug and consult an ophthalmologist or infectious disease specialist for advice.

Overdose

In case of accidental ingestion of the drug, negative symptoms may develop. With local use of the drug, the degree of development of symptoms of an overdose is extremely small.

Overdose signs:

• nausea and vomiting;
• the development of diarrhea;
• fainting;
• headaches;
• anxiety syndrome.

With the development of signs of an overdose, it is necessary to contact the attending specialist for the appointment of symptomatic therapy. It is possible to carry out gastric lavage. It is also recommended to drink plenty of fluids and maintain an acidic environment in the urine to avoid the development of crystalluria symptoms.

If necessary, additional methods of symptomatic treatment may be prescribed.

special instructions

Do not use the medication for patients wearing contact lenses, as the components of the product can cause their destruction. It is recommended for this group of patients to remove ophthalmic products before using the solution. The lenses should be put back on not earlier than after 20 minutes. after using the product.

When prescribing several ophthalmic drugs at once, it is recommended to maintain an interval of at least 5 minutes before using them. The negative signs when using drops can be aggravated when they are combined with alcoholic beverages.

The use of the medicine while carrying a child or during breastfeeding is prohibited, since the active ingredients can penetrate into breast milk. In the absence of therapeutic efficacy or deterioration of health, it is recommended to cancel the use of the solution and consult with the attending specialist.

This medication may have a depressing effect on visual function. Therefore, it is recommended to refrain from driving a car or carrying out work that requires increased psychomotor reactions.

Drug interactions

It is forbidden to use the pharmaceutical solution in conjunction with drugs that have an acidity of at least 3-4, as well as exhibiting chemical and physical instability.

When using other drugs during the period of prescribing the drug, it is recommended to notify the treating ophthalmologist or infectious disease specialist about this.

Analogs

Cypromed - eye drops (the price of the solution does not affect its ability to produce various negative reactions), which in some cases can cause intolerance reactions. If such reactions occur, it is necessary to replace the agent with other drugs that are similar in action.

Analogs:

• Tsiprolet. This medicine is manufactured by an Indian pharmaceutical company. An agent is prepared in the form of a solution intended for instillation of the eyes. Its main active ingredient is ciprofloxacin, an active ingredient that exhibits antimicrobial and bacteriostatic action. This medication is a combined agent prescribed in the following cases: bacterial eye damage - blepharitis, conjunctival lesions, keratitis, dacryocystitis. It can also be used as a preventative treatment for trauma and surgery. The dosage and other methods of using the solution are developed by the attending ophthalmologist or infectious disease doctor. The main restrictions on the use of drops are: viral keratitis, breastfeeding and period carrying a child, children under 1 year of age, as well as allergic reactions provoked by the action of an active substances. The medication is dispensed strictly according to the prescription of the attending specialist. The cost of a bottle in pharmacies starts from 62 rubles.
• Ciprofloxacin. This medication is manufactured by a Romanian pharmaceutical manufacturer in the form of an eye instillation solution. It is a combined broad-spectrum antibiotic developed on the basis of the substance of the same name - ciprofloxacin. The drug has high activity against various gram-positive and gram-negative pathogenic microflora. Indications for its use: acute and chronic forms of conjunctivitis, bacterial lesions of the conjunctiva, the presence of keratitis, ulcerative lesions of the cornea of ​​the eye, chronic type of dacryocystitis. The remedy is also effective in the postoperative or post-traumatic period. It is forbidden to use the medication in the presence of a viral form of keratitis, in children under 1 year of age, as well as in case of allergic reactions caused by the activity of the main ingredient. The dosage method and features of use are developed by the attending ophthalmologist or infectious disease specialist. Dispensing from pharmacies is by prescription. The cost of the solution is from 21 rubles. per bottle.
• Tobrex. This pharmacological agent is being developed by a Swiss and Belgian pharmaceutical company. The main ingredient of the product is tobramycin. It is produced in the form of eye drops. The solution has high antibacterial properties and is used against most gram-positive and gram-negative microflora. It has a depressing effect on bacteria, preventing their further development. A medication is prescribed in the treatment of eye infections - blepharitis, conjunctivitis, keratitis, iridocyclitis. The main and only limitation to taking drops is hypersensitivity to its composition. The methods of using the solution are developed by the attending ophthalmologist or infectious disease specialist, taking into account the form of the disease identified during the examination. The duration of therapy may vary. Drops are dispensed with a doctor's prescription. Prices for medicines in Moscow pharmacies range from 130 to 187 rubles.

Tsipromed - eye drops (the price of the drug is not the main criterion for the selection of a similar drug), which should be replaced with other drugs only with the permission of the attending specialist. Self-administration of analogs is prohibited, as such actions can lead to a deterioration in the patient's condition.

Terms, conditions of sale and storage

The ophthalmic solution should be stored in a clean, dry room at a temperature not exceeding 25 ⁰C.

The shelf life of drops is 2 years from the date of production. After opening the bubble, the product is allowed to be used for the next month. It is forbidden to use the drug after the expiry date, displaced on the package. The remedy is dispensed according to the doctor's prescription.

Price

Prices for this medication may vary depending on the region of sale. The ophthalmic solution can be purchased at any private or public pharmacy with the permission of the treating specialist.

Medicine dispensing area	Nominal volume / dosage	Price
Moscow, Moscow region	Drops, 0.3%, 5 ml	RUB 52-168
St. Petersburg	Drops, 0.3%, 5 ml	RUB 73-137
Saint Petersburg (suburbs)	Drops, 0.3%, 5 ml	RUB 106-148
Leningrad region	Drops, 0.3%, 5 ml	RUB 106-137
Novgorod region	Drops, 0.3%, 5 ml	RUB 119-120

Before using the drops, you should first consult with a specialist or pharmacist, and also carefully study the annotation for the use of Tsipromed. You can find out the exact cost of the medicine at any pharmacy located in the patient's place of residence.

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