Tobagram D Eyeointment

Composition of Tobagram D Eyeointment

Tobagram D Eyeointment contains Tobramycin (0.3%w/w) + Dexamethasone (0.1%w/w). It belongs to the Antibacterial agent and Systemic corticosteroid class of medicines.

Uses of Tobagram D Eyeointment

• This medicine is used in the treatment of bacterial infection
• gut infection
• skin infection
• dental infection
• inflammation
• allergic reactions
• autoimmune conditions and asthma flare.

Key benefits

• Targets infections that other antibiotic groups do not reach
• Fast and powerful control of inflammation
• Life-saving in severe allergic and autoimmune disease

How Tobagram D Eyeointment works

This medicine combines 2 active ingredients: Tobramycin and Dexamethasone. Tobramycin kills or stops the growth of the bacteria causing your infection. Dexamethasone suppresses inflammation and calms an over-active immune response throughout the body.

How to take Tobagram D Eyeointment

Use this medicine as your doctor has directed. Follow the dose and the duration written on your prescription.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.

If you take too much

An overdose of this medicine can cause vomiting, severe loose motions and nerve symptoms. It can cause weight gain, high blood sugar, bone thinning and suppression of the body's own steroid production when it is taken over a prolonged period. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Tobagram D Eyeointment

Most side effects of Tobagram D Eyeointment are mild and settle as the body adjusts. Reported side effects include:

• Nausea
• Metallic taste
• Loose motions
• Stomach pain
• Headache
• Increased appetite and weight gain
• Raised blood sugar
• Difficulty sleeping
• Mood change
• Indigestion
• Fluid retention

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Tobagram D Eyeointment

Warnings and precautions

Finish the whole course even after you feel better. Do not drink any alcohol while taking metronidazole, ornidazole or tinidazole, or for the period after the course that your doctor states — the combination causes severe flushing, vomiting and a racing heart. Report severe or watery loose motions during or after the course rather than treating them yourself. Tetracyclines stain developing teeth and are avoided in young children and in pregnancy. Antibiotics do not work against colds, flu or most sore throats, which are caused by viruses. Never stop a course of more than a few days suddenly. Your body stops making its own steroid while you take these, and abrupt withdrawal can cause a dangerous collapse. Your doctor will taper the dose. Tell any doctor treating you that you take steroids, and say so urgently if you develop a serious infection, injury or need surgery — you may need a higher dose to cope. Steroids raise blood sugar. If you have diabetes, monitor it more closely during a course. Long-term use thins bones, raises the risk of infection, cataract and glaucoma. Your doctor will monitor and may add bone protection. Chickenpox and measles can be severe in people on steroids — seek advice promptly after any contact.

Do not take Tobagram D Eyeointment if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with an untreated systemic infection, except where the steroid is part of the treatment.

Interactions with other medicines

Antacids, iron, zinc and calcium reduce the absorption of tetracyclines — separate them by a couple of hours. Tell your doctor if you take a blood thinner. Anti-inflammatory painkillers together with steroids markedly raise the risk of stomach bleeding. Live vaccines are generally avoided during significant steroid treatment.

How to store Tobagram D Eyeointment

Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.

Expert advice for Tobagram D Eyeointment

Space the doses evenly and complete the course. Take tetracyclines with a full glass of water and stay upright for half an hour afterwards. Never use a leftover antibiotic, or someone else's, for a new illness. Take the whole daily dose in the morning with food, unless your doctor directs otherwise — this suits the body's own rhythm and helps you sleep. Carry a steroid card or note if you are on a long course. Watch your salt, sugar and weight during the course.

Manufacturer and class

Manufacturer:

ENTOD PHARMACEUTICALS

Therapeutic class:

Antibiotic and Corticosteroid

Drug class:

Antibacterial agent and Systemic corticosteroid