Tobradex eye drops for children. Reviews, price

Tobradex is an effective remedy for therapy pathologies of the visual apparatus, which contains effective components and is often used for children when certain symptoms appear. Eye drops not only eliminate pronounced manifestations of diseases, but also prevent their reappearance within a short period of time.

Composition and form of release

The medicine can be found on the shelves of various pharmacies in the form of drops for topical use. They represent a solution that resembles a white suspension. The liquid is not transparent, it is placed in small 5 ml vials made of white plastic.

The vials are equipped with a convenient dropper and are placed in small cardboard boxes of 1 piece. In the box you can find not only a bottle, but also a description, which indicates the features of therapy, possible complications, contraindications. The composition of the medicinal liquid includes 2 active components - tobramycin and dexamethasone. They provide a therapeutic effect.

The composition of the drug also includes additional components:

• Tyloxapol.
• Disodium edetat.
• Sodium chloride.
• Sulphuric acid.
• Purified water.

These substances do not have medicinal properties, but are necessary to preserve the chemical formula. It is also available as an ophthalmic ointment, but due to its difficulty in children, it is used primarily in adult therapy.

Terms of sale, prices

Tobradex - eye drops for children, dispensed in pharmacies after presenting a prescription form from a doctor. This makes it possible to somewhat reduce the likelihood of developing complications when used alone without a doctor's prescription.

The cost of a bottle with drops ranges from 420-490 rubles. But it may differ in different regions and pharmacies.

Pharmacological properties

The drug has pronounced anti-inflammatory properties, but additionally has an antibacterial effect. The tool eliminates puffiness and redness, improves the general condition of the tissues of the visual apparatus.

The tool helps not only to eliminate the symptoms of inflammation, but also destroys the bacteria that provoke such manifestations, which is positive affects the general condition, reduces the likelihood of complications against the background of the rapid progression of pathological states.

Pharmacodynamics and pharmacokinetics

The drug acts quite quickly after its initial use, which is considered the main advantage over other dosage forms.

The medication contains an antibacterial and hormonal component, due to which high efficiency is ensured:

• The tool has antibacterial properties due to the presence of tobramycin in the composition. Upon contact with the tissues of the eye, bacteria are rapidly destroyed and the likelihood of developing complications against the background of their rapid multiplication and tissue damage is reduced.
• The hormonal component dexamethasone has pronounced anti-inflammatory properties, as it has a strong effect. Additionally, the ingredient relieves puffiness, redness, has pronounced antiallergic properties, that is, it helps to eliminate not only inflammatory, but also allergic manifestations.
• The medication has a positive effect on the condition of the tissues, reduces the likelihood of complications due to the addition of an infection.
• The drug is active against many gram-positive, gram-negative microorganisms, which makes it universal for various diseases of inflammatory origin.
• The medicine is considered effective in the acute and chronic course of certain pathologies.

When the drug is applied topically, systemic absorption is insignificant, that is, a small amount of the main ingredients is found in the blood. In case of violation of the integrity of tissues, a more intensive absorption of ingredients into the body is observed.

The medicine does not accumulate in the patient's tissues and blood. If a certain amount of components enters the bloodstream, they are processed in the liver, after which the decay products are evacuated with the help of the kidneys for 10-14 hours. The drug usually does not affect the systemic processes in the body, but only if it is used correctly and the recommendations of an ophthalmologist are followed.

Indications for use

Tobradex is used for children and adults with certain indications.

Usually, eye drops are used in the presence of the following disorders:

• Bacterial eye infections with atypical discharge, swelling and redness. The drug can be prescribed as the only treatment or in combination with other medicines.
• The period of rehabilitation after undergoing surgery on the visual apparatus. The medicine can significantly reduce the risk of complications during tissue repair.
• Acute and chronic blepharitis. With inflammation of the tissues of the eyelids, the remedy can eliminate the symptoms and reduce the likelihood of complications.
• Conjunctivitis of bacterial origin, accompanied by lacrimation, sour eyes, and other symptoms.
• Bacterial infection against the background of viral pathologies.
• Viral eye lesions. The drug can be effective against pathologies provoked by the herpes zoster virus. Other types of the virus are not sensitive to the drug.
• Keratitis of viral and bacterial origin.
• Injuries to the eyeball and mucous membranes of the eyelids, which can be aggravated with the addition of an infection.

The drug can be used not only in the acute period, but also to prevent the progression of certain diseases, to prevent their development.

Contraindications

The drug contains potent components in the composition, therefore it has contraindications for use. The main obstacle to therapy is considered intolerance to the components of the composition.

Other barriers to treatment include:

• Pregnancy and lactation period. The remedy can negatively affect the condition of the patients during this period.
• Severe trauma to the visual apparatus, accompanied by complications from closely spaced tissues. In some cases, treatment with drops can aggravate the condition, so the doctor decides on the appointment on an individual basis.
• Purulent eye pathologies in severe form.
• Diagnosis of a fungal disease in any form. The presence of a hormonal substance in the composition of the drug leads to the progression of diseases of fungal origin. Doctors also pay attention to the fact that tobramycin does not affect fungi and does not help destroy them.
• The presence of a foreign body in the eyeball. If this became the reason for the surgical intervention, you should not use the medicine during the rehabilitation period.
• Mycobacterial pathologies provoked by atypical pathogens, for example, Koch's bacillus
• Thinning of the cornea against the background of any other diseases or as a result of a hereditary predisposition.
• Glaucoma in the acute stage.

The drug is used with caution to treat children with any acute systemic diseases, despite its minimal penetration into the bloodstream when used topically. For children under 1 year old, drops are not prescribed, even if there are indications.

Methods of administration and dosage

Tobradex - eye drops for children, intended only for topical use after the appearance of certain indications. Usually, the treatment regimen is standard for adults, but for children, the features of therapy for different diseases can change not only depending on the disease, but also taking into account age.

With blepharitis

The tool for diagnosing blepharitis is used in courses of 5 days. This is usually sufficient to obtain a therapeutic effect. Depending on the age of the child, the dosage per day may differ.

Patient age	Dose and frequency of use of drops
Children from 1 to 7 years old	For such patients, drops are administered 2 times a day, which allows for a pronounced therapeutic effect. 1 drop is injected into each eye, performing manipulations in a standard way, following the doctor's recommendations.
Patients from 7 to 14 years old	For children over 7 years old, the drug is administered in 2 drops in each eye, repeating the manipulation 3 times a day. A prerequisite for treatment is the observance of approximately equal time intervals, which reduces the likelihood of complications and ensures a constant concentration of ingredients in the tissues.
Teenagers over 14 years old	For such patients, the agent can be used according to the scheme used for adults, that is, the solution is injected in 2 drops into each eye, repeating the procedure every 6 hours. Sometimes the interval between injections is reduced to 4 hours if the course of the pathological condition is severe.

It is important during application that the patient is in a comfortable position. This will prevent tissue damage from the dropper tip. After the introduction of the solution, you must close your eyes so that it is evenly distributed over the tissues.

With conjunctivitis

When diagnosing various forms of conjunctivitis, the drug is used within 5-7 days. Longer courses are not given, as this time is usually sufficient. If symptoms persist, other remedies are selected.

Dosages of drops, depending on age, do not differ from those used in the treatment of blepharitis. But the drug is usually used no more than 3 times a day for any form of the disease. Often, in combination with drops, additional medications are prescribed to increase the effectiveness of treatment.

During the period of therapy, the standard rules are observed regarding the peculiarities of the introduction of drops and the posture of the child during manipulation.

With keratitis

The tool can be used to diagnose keratitis in courses of 5 days. Throughout the entire period of treatment, the patient is injected with drops at least 3 times a day. The dosage for each patient depends on age, but does not differ from that used in the treatment of blepharitis.

After 3 days of treatment, the patient usually feels relief. The absence of positive changes is considered a reason for a repeated visit to the ophthalmologist and determining the cause of this effect.

Adverse Reactions

Tobradex - eye drops for children, which often provoke negative reactions, despite local exposure. Complications in most cases affect the area of ​​action of the solution, but can negatively affect the general condition as a result of penetration into the systemic circulation.

Common negative symptoms:

• Redness of the eyes. Such a complication can develop in patients in the first hours after using the drug. In some cases, the symptom disappears on its own, the patient does not need to see a doctor and prescribe special medications. If the condition worsens, other complications join, it is necessary to discontinue use, visit an ophthalmologist.
• Swelling of the tissues of the eyelids and the area around the eyes is a common complication. It is especially pronounced in preschool children. An additional symptom is itching, which damages the outer layer of the skin as a result of scratching.
• A rash around the eyes, face, limbs and even the trunk. The progression of an allergic reaction leads to an increase in the area of ​​the lesion. In the initial stages, the rash is small and covers small areas, but gradually the condition worsens.
• Against the background of allergic manifestations, lacrimation, rhinitis and even stomatitis develop. The patient cannot eat, it is difficult to take fluids, the symptoms gradually worsen.
• Systemic reactions in the form of headache, weakness, decreased performance usually bother school-age children, occur against the background of local reactions and a severe course of allergies.
• Some patients report upset stools, nausea and bouts of vomiting, pain in the abdomen. Symptoms disappear after a few days, usually do not worsen and do not require complex treatment with medications from different groups.

The appearance of complications in most cases is considered a signal for stopping therapy. It is not recommended for the patient to use any medication to improve the condition on his own, since additional negative reactions may develop.

Overdose

The drug does not provoke an overdose when used according to the instructions, since a small amount of it enters the systemic circulation. But accidental ingestion of the solution inside certainly leads to such complications and significantly worsens the patient's condition.

Overdose is accompanied by acute abdominal pain, nausea and bouts of vomiting, acute diarrhea. The condition worsens with the appearance of severe headaches, impaired coordination of movements.

Allergic symptoms with such a violation are manifested in an acute form, which can provoke hives or Quincke's edema. Such complications threaten the life of the child, so it is important to see a doctor in a timely manner. After washing the stomach, the child is prescribed medications from different groups, which remove the remnants of the drug from the blood and improve the general condition.

special instructions

Tobradex - eye drops for children, which should be used only when indicated. The solution does not have prophylactic properties, unless it is used after surgery on the visual apparatus.

One of the features of the treatment is considered to be the careful use of the bottle. It is important to prevent contact of the vial tip with the cornea. This can lead to the ingress of bacteria on the dropper, which, when reused, get on the tissues and lead to infection.

The drug is not used for long courses, even in the absence of positive changes during the treatment period.

Drug interactions

The drug has no effect on the action of systemic medicines, which is associated with minimal absorption into the blood and the absence of a cumulative effect.

Despite this, you should not use the medicine in combination with other medicines that have the same properties and are injected into the eyes. The use of systemic drugs is possible after a preliminary visit to the doctor, who will determine the appropriateness of a combination of several drugs.

Analogs

The remedy has analogues, which are prescribed when it is impossible to use the original remedy for various reasons.

The main substitutes for the drug:

• Maxitrol is the most popular drug that also contains dexamethasone as its main ingredient, as well as neomycin and polymyxin B. The ingredients provide a pronounced effect on the tissues of the eye during the development of inflammatory, microbial diseases. Like the original, the drug can be used to treat adults and children over 1 year old. The drug is considered more effective, as it contains other ingredients with pronounced properties.

  

• Garazon contains betamethasone, which is also a hormonal component and provides a pronounced therapeutic effect. The drug also contains the component gentamicin, which has antibacterial properties. Unlike the original, the analog can be used by adults and children over 8 years old, which does not make it less effective or more dangerous.

The choice of an analogue is made only by a doctor after a preliminary examination. The ophthalmologist will precisely determine which medication is needed for a particular child.

Storage conditions and periods

The drug can be stored for 2 years. After the expiration of this period, the application is prohibited.

After opening the bottle, the drug is used for 4 weeks, after which the solution cannot be used.

Tobradex - effective eye drops with anti-inflammatory and antibacterial properties, which are actively used for children and adults with pathologies of the visual apparatus. The medication is considered effective, but only an ophthalmologist prescribes it.

Video about the drug Tobradex

Tobrex drops description and instructions: