Tobaren-D Drops

Composition of Tobaren-D Drops

Tobaren-D Drops contains Tobramycin 0.3% w/v + Dexamethasone 0.1% w/v (ophthalmic drops). It belongs to the Aminoglycoside antibiotic + corticosteroid (ophthalmic) class of medicines.

Uses of Tobaren-D Drops

• Bacterial eye infections with inflammation (e.g.
• bacterial conjunctivitis
• blepharitis
• keratitis) where a steroid-antibiotic combination is indicated; post-operative ocular inflammation with risk of infection.

Key benefits

• Treats susceptible bacterial eye infections
• Reduces eye redness and swelling
• Relieves irritation and discomfort
• Helps prevent/treat post-operative inflammation with infection risk

How Tobaren-D Drops works

Tobramycin is an aminoglycoside antibiotic that stops bacterial protein synthesis, killing susceptible bacteria. Dexamethasone is a corticosteroid that reduces redness, swelling, itching and inflammation in the eye.

How to take Tobaren-D Drops

For ophthalmic use only. Instill the prescribed number of drops into the affected eye(s) as advised by the doctor; typically used 3–4 times daily depending on severity. Wash hands, avoid touching the dropper tip, and keep the eye closed for 1–2 minutes after instillation; remove contact lenses before use and reinsert only if advised.

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 Tobaren-D Drops

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

• Burning/stinging
• eye irritation
• blurred vision
• watery eyes
• redness
• itching
• foreign body sensation

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 Tobaren-D Drops

Warnings and precautions

Use only under medical supervision. Prolonged steroid use may increase intraocular pressure, cause glaucoma, cataract, delayed wound healing, and raise risk of secondary infections (including fungal/viral); avoid use in viral infections of the eye (e.g., herpes simplex), fungal eye disease, or untreated purulent infections unless prescribed. Seek care if pain, worsening redness, vision changes, or no improvement occurs. Use caution in children and in patients with glaucoma; do not use longer than advised.

Do not take Tobaren-D 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

Other ophthalmic medicines (space by 5–10 minutes), other topical/systemic corticosteroids, medicines that may raise intraocular pressure when used with steroids; additive nephro/ototoxicity is unlikely with eye drops but caution if significant systemic aminoglycoside exposure.

How to store Tobaren-D Drops

Store at or below 25°C in a cool, dry place; protect from light. Do not freeze. Keep the bottle tightly closed. Discard 4 weeks after opening or as per label.

Expert advice for Tobaren-D Drops

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:

INDOCO REMIDIES LIMITED`

Therapeutic class:

Ophthalmic antibiotic with corticosteroid

Drug class:

Aminoglycoside antibiotic + corticosteroid (ophthalmic)