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Benzalkonium Chloride + Dexamethasone + Tobramycin

Uses of Benzalkonium Chloride + Dexamethasone + Tobramycin

  • The primary use of Benzalkonium Chloride + Dexamethasone + Tobramycin is to manage inflammatory eye conditions that are responsive to steroids and where there is a superficial bacterial ocular infection or a risk of one. This combination belongs to the class of medications known as corticosteroids and antibiotics.

  • This medication is also used to manage conditions such as conjunctivitis, keratitis, blepharitis, corneal injury and post-operative inflammation.

Side effects of Benzalkonium Chloride + Dexamethasone + Tobramycin

  • Ocular burning

  • Stinging sensation in the eye

  • Temporary blurred vision

  • Itching or swelling of eyelids

  • Headache

How Benzalkonium Chloride + Dexamethasone + Tobramycin works

  • Benzalkonium Chloride + Dexamethasone + Tobramycin is a combination medicine used in ophthalmology.

  • Benzalkonium Chloride is a compound that acts as a preservative and enhances the penetration of other ingredients. It disrupts bacterial cell membranes, providing antimicrobial properties.

  • Dexamethasone is a potent corticosteroid. It reduces inflammation by blocking the release of substances that trigger inflammation and reducing the permeability of blood vessels. This alleviates symptoms such as redness, swelling, and itching in the eye.

  • Tobramycin is an antibiotic. It stops bacterial protein synthesis by attaching to specific parts of the bacteria, providing coverage against a broad range of harmful bacteria.

Certified content

Written By

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Dr Nikita LoboMedical Editor & Reviewer| 7 years

BDS, MDS

Reviewed By

Dr. Chhavi Rosha
Dr. Chhavi Rosha Health & Medical Content Writer| 8 years

BMS, FMC, MD Resident

Expert Advice

Dosage Forms Available

  • Benzalkonium Chloride + Dexamethasone + Tobramycin is available for use via the topical route in the form of eye drops.

  • The medicine is administered by instilling drops directly into the eye.

Age and Dose Restrictions

  • This medicine is meant for adults and children above 6 years of age

Contraindications

  • Benzalkonium Chloride + Dexamethasone + Tobramycin is contraindicated in patients with known hypersensitivity to any of its components.

  • This medicine is also contraindicated for individuals with viral, fungal, or mycobacterial infections of the eye.

Other Medications to Avoid

  • This combination may interact with other topically applied ophthalmic medicines (such as other eye drops containing different active ingredients), oral anticoagulants (such as warfarin), oral hypoglycemic agents and insulin (used in managing diabetes), ototoxic or nephrotoxic medicines (including loop diuretics like furosemide, antibiotics like vancomycin, and chemotherapy agents like cisplatin).

Overdose and Missed Dose

  • Overdose with this eye drop can lead to increased adverse effects particularly related to nephrotoxicity and ototoxicity. In such cases, symptomatic and supportive treatments are recommended.

  • If you miss a dose, instill it as soon as you remember unless it's almost time for the next scheduled dose; in that case, skip the missed dose and continue with your regular schedule.

  • In case you happen to put a few extra drops of this medicine in your eye, do not panic. Rinse your eyes with clean water at room temperature. If any symptoms persist or worsen, inform your doctor.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

  • Adjusting the timing of medication administration may help manage minor irritation or discomfort.

  • Staying hydrated by drinking plenty of water can help ease any mild dehydration related to temporary fluid retention.

Use in Driving and Operating Machinery

  • This medication may affect your ability to drive or operate machinery due to temporary blurred vision after application. Avoid these activities until your vision is clear.

Use in Pregnancy and Lactation

  • The use of this medicine during pregnancy or breastfeeding is not recommended without a doctor's advice. It is best to consult your doctor before taking this medication if you are pregnant or nursing.

Caution in Other Conditions

  • Patients with pre-existing renal conditions or those susceptible to glaucoma should use Benzalkonium Chloride + Dexamethasone + Tobramycin with caution due to potential nephrotoxicity and increased intraocular pressure.

  • Individuals receiving treatment for high blood pressure or diabetes should also exercise caution as dexamethasone can alter blood sugar levels and blood pressure.

Special Dietary and Lifestyle Recommendations

  • It is beneficial to maintain optimal hydration to support overall eye health when using ophthalmic medications.

  • Include foods rich in Vitamin A (like carrots, sweet potatoes, and spinach) which support vision health.

  • Regular eye examinations are recommended to monitor the condition being treated with Benzalkonium Chloride + Dexamethasone + Tobramycin.

  • Smoking cessation is advised as smoking can exacerbate eye inflammation and interfere with the effectiveness of ophthalmic treatments.

Frequently asked questions

Yes, one component of Benzalkonium Chloride + Dexamethasone + Tobramycin, which is dexamethasone, is a potent corticosteroid. However, the other two components, benzalkonium chloride and tobramycin, are not steroids.

If the medication accidentally comes into contact with areas other than your eye, rinse the area thoroughly with water and consult your doctor if you experience any discomfort or unusual symptoms.

While there may be natural remedies that can provide some relief from eye inflammation and infections, it is crucial to understand that they might not be as effective as this pharmacological combination. Always consult your doctor before attempting to replace or supplement your medicine with natural alternatives.

Typically, this combination of medicines is not available over the counter and requires a prescription from a doctor. Always consult your doctor before starting any new medicine.

This medication does not interact with any specific food item. However, if you have any concerns about diet and medication interactions, it is always best to discuss them with your doctor.

You should avoid using cosmetics or wearing contact lenses while applying this medicine unless your doctor tells you otherwise, as they may interact with the medication and worsen your condition.

Some people might experience side effects like temporary blurred vision after using this medication. If you experience drowsiness, blurred vision or any other discomfort, it is advisable not to drive or operate heavy machinery until you feel better.

Terms & Conditions


Available medicines for BENZALKONIUM CHLORIDE + DEXAMETHASONE + TOBRAMYCIN
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Nebracin Dm Eye Drops 10ml
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Tobraject D Eye Drops 10ml
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Tobram Dx Eye Drops 10ml
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