Instructions for use of Tobrex for infants

Indications for use

Tobrex is prescribed by the attending physician. Only he can determine the dose of the drug and the duration of treatment. And this depends on the characteristics of the infection against which the drug is effective. Viral or fungal diseases cannot be treated with drops.

Dacryocystitis

A peculiarity of the lacrimal canal in newborns is that it opens 2-3 weeks after the birth of the child. When the patency of the canal is impaired, dacryocystitis is detected. The bag around the baby's eye swells from accumulated exudate. The cause of inflammation lies in bacteria that have entered the tear fluid from the amniotic fluid.

Endophthalmitis

If you fail to notice eye inflammation in your baby in time, you will have to deal with endophthalmitis, a disease that affects the inner membranes of the eyeball. In this case, the child develops swelling of the eyelids and corneas. Pus accumulates inside the retina, which is dangerous for children's vision. It is necessary to urgently treat with drops containing an antibiotic.

Inflammation of the cornea of ​​the eye

Keratitis is associated with inflammatory processes on the cornea of ​​the organ of vision. In this case, swelling and purulent infiltration develop. If the keratitis is bacterial, then you need to use Tobrex drops.

Blepharitis

The baby's eyelids turn red and become hard to the touch if they are affected by pathogenic bacteria. The disease occurs against the background of allergies, barley, dermatitis.

Barley

When staphylococcus gets into the sebaceous glands of the eyelid, barley develops. An abscess forms over several days, manifesting itself as redness, swelling, and pain in the affected area of ​​the eyelid. The danger is posed by complications that arise in infants suffering from styes in the eyes.

Conjunctivitis

Severe swelling of the newborn's conjunctiva characterizes this disease. There is a copious discharge of serous fluid mixed with blood from the eye. One or both eyes may be affected by inflammation.

Instructions for use of Torbex eye drops for newborns

Newly born babies are attacked by harmful bacteria and viruses. It is difficult for the body to cope with the infection, as it is in adaptation mode to new conditions. The most vulnerable parts of the body of infants, such as the eyes, are affected by pathogenic organisms. And here modern means come to the rescue, including Tobrex, eye drops for newborns.

Description and features of the drug

An antibiotic solution for dripping into the eyes has the following properties:

• transparency;
• lack of color or slight yellowishness;
• antiviral and antibacterial orientation.

Eye drops contain substances that act locally. They are safe for children, so they are prescribed for use by newborns.

Composition and release form

1 milliliter of solution contains 3 milligrams of active substance. This is an antibiotic tobramycin, belonging to the group of aminoglycosides. The substance is a broad-spectrum antibacterial agent.

Among the auxiliary components in eye drops there is:

• benzalkonium chloride solution as a preservative;
• boric acid as an antiseptic;
• sodium sulfate and chloride with an antimicrobial effect and to create the necessary osmotic pressure in the eyes;
• sulfuric acid or sodium hydroxide to regulate the acidic environment of the drug;
• purified water, which is needed to achieve the required volume of the product.

In addition to eye drops, Tobrex ointment is produced for the treatment of ophthalmological diseases.

Pharmacodynamics

The action of the drops is directed against:

• staphylococci;
• streptococci;
• Pseudomonas aeruginosa;
• coli.

Causing certain diseases, bacteria die under the action of the antibiotic tobramycin. There is a decrease in inflammation, the causes of suppuration of the mucous membranes and tissues of the eye are eliminated.

Pharmacokinetics

Since Tobrex eye drops are used topically, the absorption of the active substance is low. The medicine is excreted through the urinary organs.

Systemically, the antibiotic does not affect the newborn’s body.

Indications for use

Tobrex is prescribed by the attending physician. Only he can determine the dose of the drug and the duration of treatment. And this depends on the characteristics of the infection against which the drug is effective. Viral or fungal diseases cannot be treated with drops.

Dacryocystitis

A peculiarity of the lacrimal canal in newborns is that it opens 2-3 weeks after the birth of the child. When the patency of the canal is impaired, dacryocystitis is detected. The bag around the baby's eye swells from accumulated exudate. The cause of inflammation lies in bacteria that have entered the tear fluid from the amniotic fluid.

Obstruction of the canal is associated with improper development of the nasal septum, the formation of a tumor and cyst in this area in infants.

Endophthalmitis

If you fail to notice eye inflammation in your baby in time, you will have to deal with endophthalmitis, a disease that affects the inner membranes of the eyeball. In this case, the child develops swelling of the eyelids and corneas. Pus accumulates inside the retina, which is dangerous for children's vision. It is necessary to urgently treat with drops containing an antibiotic.

Inflammation of the cornea of ​​the eye

Keratitis is associated with inflammatory processes on the cornea of ​​the organ of vision. In this case, swelling and purulent infiltration develop. If the keratitis is bacterial, then you need to use Tobrex drops.

Blepharitis

The baby's eyelids turn red and become hard to the touch if they are affected by pathogenic bacteria. The disease occurs against the background of allergies, barley, dermatitis.

Barley

When staphylococcus gets into the sebaceous glands of the eyelid, barley develops. An abscess forms over several days, manifesting itself as redness, swelling, and pain in the affected area of ​​the eyelid. The danger is posed by complications that arise in infants suffering from styes in the eyes.

Conjunctivitis

Severe swelling of the newborn's conjunctiva characterizes this disease. There is a copious discharge of serous fluid mixed with blood from the eye. One or both eyes may be affected by inflammation.

Contraindications

Newborns should not use eye drops on their own without a doctor’s prescription. After all, a child may have an individual intolerance to an antibiotic in the medicine or components of the drug.

Tobrex will not help cope with inflammation if eye inflammation is associated with the action of viruses and fungi. Drops cannot be used with other aminoglycoside antibiotics.

Side effects

When using drops in the eyes of a newborn, you need to carefully monitor the body's reaction to the medicine. If during treatment the baby:

• eyelids swell;
• the mucous membrane of the eyes turns red;
• eyes itch;
• ulcerations appear on the cornea;
• If the baby is capricious due to pain, then the procedure must be suspended.

Instructions for use and dosage

Before using Tobrex eye drops, it is necessary to rinse the child’s mucous membranes from purulent infiltrate. To do this, dissolve a Furacilin tablet in warm water. You can use solutions of chamomile. Rinse with green or black tea, after straining. All procedures are performed with clean hands.

The baby is placed on his back. The lower eyelid of the eye affected by inflammation is pulled back and, without touching the mucous membrane with the dropper, the solution is instilled. For children under one year old, 1 drop 5 times a day is enough.

The dosage increases to 2 drops when the baby reaches one year of age. If drops with different active substances are simultaneously installed in the eye, then the break between instillations should be 5 minutes.

They may also prescribe Tobrex ointment along with drops, which is given to the child at night.

In what cases can a pediatrician prescribe drops?

The use of Tobrex in children under 1 year of age is strictly under the supervision of a pediatrician, because at this age there is a high probability of side effects. The drug is prescribed to newborn children for the treatment of most inflammatory and infectious diseases of the eyes and their appendages:

• Dacryocystitis is an inflammatory ophthalmological disease, often found in newborns, as it is caused by obstruction of the lacrimal ducts.
• Conjunctivitis is a bacterial inflammatory disease of the conjunctiva.

• Keratitis is inflammation of the cornea of ​​the eye.
• Keratoconjunctivitis is an inflammation of the conjunctiva and cornea of ​​the eye.
• Blepharitis is inflammation of the ciliary edge of the eyelid.
• Endophthalmitis is inflammation of the inner membranes of the eyeball.
• Barley is an acute infectious inflammation of the hair follicle or sebaceous gland.

For preventive purposes, Tobrex drops can be prescribed after surgery.

Description of the drug

Tobrex is an antibacterial drug that has a wide spectrum of action and is actively used in ophthalmology.

The main area of ​​application of the drug is infectious and inflammatory diseases of the visual organs of adults and newborns.

The main active ingredient of this drug is Tobramycin, which is an antibiotic. This substance is part of many medicines that have antifungal and antibacterial effects, including against staphylococcus, streptococcus, and E. coli bacteria.

Tobrex can be used not only in the ophthalmological field.

The active components of the drops are often used to treat a runny nose.

The drug is very effective if the cause of rhinitis is bacterial irritation of the mucous membrane. As a rule, this form of rhinitis manifests itself with inflammation of the maxillary sinuses, as well as with frontal sinusitis.

Indications for use of Tobrex:

• Blepharitis
• Conjunctivitis
• Keratitis
• Dacryodistitis
• Endophthalmitis
• Meibomite

In addition to the diseases presented, Tobrex for newborns can be used to improve the functioning of the tear ducts, as well as cleanse the eyes of impurities that can trigger the development of inflammation.

If Tobrex is used for a child under 1 year of age, treatment should be carried out under the supervision of a pediatrician.

The drug can cause various side effects that negatively affect the child's condition.

The likelihood of an overdose of eye drops is minimized, however, it must be remembered that the child’s body is very sensitive to any chemical effects, and therefore taking Tobrex can provoke a number of negative phenomena.

Read: Policy for a newborn

Side effects when taken:

Tobrex drops are used to treat eye diseases in children

• Allergic reaction (itching, redness, tearing)
• Nausea
• Feeling of pain in the eyes
• Deterioration of vision for a short period of time
• Hearing impairment
• Convulsions
• Inflammation of the conjunctiva

It should be remembered that Tobrex is contraindicated if the child has hypersensitivity to the components that make up the drug.

In general, Tobrex eye drops can be used to treat ophthalmic diseases from a very early age, but should be taken with extreme caution.

Instructions for use

Please note that the dispenser bottle with drops is sterile, which means we should under no circumstances allow foreign bacteria to enter the bottle. Therefore, wash your hands thoroughly not only before instillation, but also after. How to properly put drops into a child’s eyes:

How to properly put drops into a child’s eyes:

1. After washing your hands, shake the bottle and warm it a little in your hands, this will reduce the discomfort from administering the medicine;
2. Tilt the child's head back and pull down the eyelid from below;
3. When instilling, be careful not to touch the tip of the pipette to the mucous membrane of the eye or lower eyelid;
4. Apply Tobrex, being careful not to squeeze out an extra drop;
5. Release the eyelid and tell your child to close the eye;
6. Lightly press on the inner corner of the eye and hold it so that the medicine has time to be absorbed.

Another very important point in the treatment of conjunctivitis with Tobrex. Treatment should not be interrupted on the second or third day, when the baby’s condition has improved externally. Without completely destroying all the bacteria, you risk getting the same infection again and then you will have to increase the dose, which is bad in any case, or prescribe another drug, which is also bad. You don’t know how the child will tolerate another medicine, and the treatment period will be delayed.

Use in children under one year of age

The instructions included with the drug indicate that the drug has not been sufficiently studied for its use in newborns. Disputes regarding the use of antibiotics in babies under one year of age are still ongoing, but doctors still allow their local use. With this use, the medicine manifests its activity directly at the site of application, almost does not penetrate into the blood of a child up to one year old, and is well excreted in the urine in its original, unchanged form.

Practicing pediatricians agree that eye drops are very effective. In general, the medicine is well tolerated and gives excellent results, visible on the first or second day. The big advantage is that the treatment is very fast. The droplets are gentle and do not irritate the delicate eyes of newborns.

Dosage

The recommended dosage is indicated in the instructions. In most cases, doctors prescribe this dosage: 5 times a day, 1 drop in one or both eyes. Depending on the situation. The course should not exceed 7 days. Infants, as well as older children, take 1 drop 5 times a day. If the dosage is followed and all advice is followed, there will be no complications.

How to use drops for newborns?

Tobrex eye drops have only a local effect. The drug enters the blood in a minimal amount, but is very quickly excreted from the body along with urine. That is why the drug is approved for use by newborn children.

It should be remembered that in order for the procedure to be effective, it is necessary to adhere to basic rules of hygiene. Instillation can only be done with clean hands. In addition, the procedure should be carried out in such a way as not to touch the child’s eyes with a pipette or the tip of a bottle with drops. Also important is compliance with the rules for storing the drug.

The dosage of the drug is prescribed depending on the degree of complexity of the disease, as well as the age of the child. For example, Tobrex should be instilled into newborn children 5 times a day, one drop in each eye. Before applying eye drops, it is recommended to hold the bottle with the contents in your hand so that it warms up to body temperature.

If inflammation of the optic organ is accompanied by complications, it is recommended to instill drops every hour.

If the child behaves restlessly and does not allow eye drops to be put in, the procedure can be performed in another way. You need to apply a few drops of Tobrex to a piece of cotton wool or a cotton pad and gently wipe your eyes.

Read: Baby care: how to treat a newborn’s navel

It should be remembered that Tobrex is a potent drug. The positive effect of taking it can be noticed after just a few procedures, however, if signs of improvement appear, treatment should not be stopped immediately. If you stop the treatment, the infection that causes the inflammation will return very quickly, resulting in the treatment having to be repeated.

The duration of treatment using Tobrex is 7 days

Prolonged use of drops can lead to pathogenic microorganisms adapting to the drug, which can result in serious complications in the child.

In addition, it should be remembered that, despite its safe composition, Tobrex is not recommended for women to take during breastfeeding.

The active ingredients can negatively affect the functioning of the gastrointestinal tract in a child and provoke various disorders.

If the drug was prescribed for the treatment of the mother, breastfeeding should be temporarily stopped.

In general, Tobrex eye drops have a wide spectrum of action, and therefore are used to treat many diseases, both in adults and children.

The drug must be taken in accordance with the prescribed dosage, especially when it comes to treating newborns, since increased doses of Tobrex can cause side effects.

From the video you will learn about methods of treating eye diseases in newborns:

07 Apr 2021 Yuki 485

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Instructions for use for children

The use of Tobrex drops in the youngest patients requires strict adherence to the instructions in the instructions for children or the instructions of the attending physician. Before instilling the medicine into the eyes, you must perform the following steps:

1. Wash your hands thoroughly with soap and wipe them dry.
2. Warm the bottle of medication to room temperature (holding it in your clenched palm for several minutes).
3. Shake the container with the medicinal solution.
4. Place the small patient on his back.
5. Pulling back the lower eyelid, drop the required amount of the drug into the eye.

If there is purulent discharge in the organs of vision, the eyes must be rinsed using boiled water or an alcohol-free solution of Furacilin, and then proceed directly to the procedure.

During instillation, the bottle should be held upside down, without touching the mucous membrane of the eyeball. After the procedure, you need to close your eyes and perform a light eyelid massage. Excess solution should be removed by blotting the eye and the area around it with a napkin.

Tobrex for newborns

For infants and children under 2 years of age, the medicine is instilled no more than 5 times within 24 hours, 1 drop in each eye. The duration of the therapeutic course is determined by a specialist. Most often, the drug is used for 7-10 days.

If a newborn baby is diagnosed with dacryocystitis, instillations should be combined with massage. It is necessary to treat the part of the face starting at the inner corner of the eye and ending with the wing of the nose. It will be enough to perform 10 movements in the up and down direction.

Children over 2 years old

Patients over 2 years of age are prescribed 1-2 drops of Tobrex intraconjunctivally, five times a day. Therapy is continued for up to 10 days.

If the disease is acute, instillations can be carried out more often, at hourly intervals. When barley develops, the medication is instilled as follows:

1. The first 2 days – 5 times.
2. On days 3-4 - four times within 24 hours.
3. Then - twice a day.

As a result of this application, the intensity of the antibiotic gradually decreases, and the barley ripens.

The decision about the possibility of using such treatment regimens should be made by a specialist.

The use of Tobrex drops for various eye diseases in newborns

Infants under one year old often experience inflammatory processes in the mucous membranes of the eyes, caused by bacteria, viral strains, and allergies.

The peak incidence occurs in the summer, when the likelihood of dust and pollen coming into contact with a child’s skin increases. Depending on the cause of inflammation, drug therapy is prescribed.

If eye diseases are of bacterial origin, it is possible to use Tobrex drops for newborns.

Compound

The product is an antibiotic with a wide spectrum of action, effective in the fight against Pseudomonas aeruginosa and Escherichia coli, enterococci, Klebsiella, streptococci, enterobacteria and staphylococci. Chlamydia and anaerobic bacteria are resistant to Tobrex drops.

The active component of the drug, tobramycin, has an inhibitory effect on protein synthesis in the cells of pathogenic microbes, leading to their death. Excipients:

• sodium sulfate;
• sodium hydroxide;
• boric acid;
• tilaxopol.

The drug is available in two forms: Tobrex and Tobrex 2x. The second differs in consistency: it is more viscous and allows the medicine to remain in the conjunctival sac longer.

The effect of the drug increases, and the frequency of use is reduced to 2 times a day, maintaining the effectiveness of the treatment.

It is not used in children under one year of age due to the excipients in the composition that are poorly tolerated by the body of newborns.

The concentration of the active substance is low: 3 mg per 1 ml of the drug.

The drops have a local effect, the active substance is excreted through the kidneys unchanged, having minimal effect on the body systems.

This allows the product to be used to treat infants from birth. The advantages of Tobrex include high efficiency and absence of mucosal discomfort during instillation.

Purpose

The use of Tobrex eye drops is carried out under the supervision of the attending physician (pediatrician, pediatric ophthalmologist). The drug is prescribed for prophylaxis after surgery, injury and to combat bacterial infections in eye diseases:

• Keratitis – inflamed cornea;
• Barley is an acute inflammatory process in the eyelash follicle or sebaceous gland;
• Conjunctivitis is an inflammatory lesion of the mucous membrane;
• Keratoconjunctivitis - the mucous membrane and cornea are simultaneously inflamed;
• Endophthalmitis – the inner lining of the eyeball becomes inflamed;
• Dacryocystitis – characterized by obstruction of the lacrimal canal, often complicated by an inflammatory process;
• Blepharitis is an inflammatory disease of the eyelid from the ciliary region.

It is quite difficult to make a correct diagnosis on your own; you cannot rely on the advice of friends, risking the baby’s health. At the first signs of inflammation - watery eyes, formation of pus, redness, swelling of the eyes - you need to consult a specialist to avoid complications of the disease.

A doctor may prescribe Tobrex eye drops for instillation into the nose for a bacterial runny nose, which is characterized by a yellow-green color of mucus secreted and an elevated temperature. The effectiveness is explained by the antibacterial effect in the mucous membranes (including the nose) and low concentration, safe for the baby.

Rules of application

The duration of treatment is determined by the doctor and is no more than 7 days; if improvement does not occur during this time, it is necessary to select another drug. You should not stop using the drops before the appointed time after the first improvements in the baby’s condition. This will lead to bacteria developing resistance to the drug, its ineffectiveness in further treatment and exacerbation of the disease. Basic rules of application:

• Mandatory hand hygiene before and after the procedure;
• Before use, you need to warm the bottle to room temperature;
• Preliminary cleansing of the eyes from accumulated pus. It is carried out from the outer corner of the eye to the inner one using a flagellum soaked in chamomile decoction or furatsilin solution. For each eye socket you need to use new cotton wool or a bandage;
• The bottle is equipped with a dropper; if desired, you can use a clean pipette;
• You need to drip into the conjunctival sac: on the inside of the lower eyelid, for convenience it can be slightly pulled down;
• During the procedure, do not touch the eyes, mucous membranes, or cilia with the dropper;
• Both eyes need to be treated, even if there are no signs of inflammation in one of them.

The number of instillations and dosage are prescribed by the doctor depending on the stage of the disease. The instructions indicate 4 times daily use for complications; to treat the disease in the initial stage, the product can be used 2 times a day, a drop in each eye.

When treating dacryocystitis, it is necessary to additionally massage the lacrimal canals to speed up their cleansing. The doctor should familiarize you with the method of correct implementation.

An opened tube can be used for 28 days at a temperature not exceeding 25°, after which it becomes unsuitable.

Side effects, contraindications

The use of the drug is contraindicated in case of individual intolerance to the components, expressed in the appearance of swelling, increased lacrimation, and redness. Itching and burning may occur, during which the child pulls his hands towards his eyes and rubs them. Possible side effects:

• Allergic reaction;
• Decreased vision (temporarily);
• Inflammation of the mucous membrane;
• Convulsive states;
• Impaired functions of the urinary system;
• Nausea;
• Hearing impairment.

If such signs appear, you must stop using the drug and consult your pediatrician to prescribe another drug and treatment regimen.

Cases of overdose are rare and may cause the occurrence or manifestation of side effects. The drug cannot be prescribed simultaneously with tetracycline antibiotics due to incompatibility of the drugs.

If the duration of treatment is exceeded, an exacerbation of the infection may occur, caused by pathogenic microbes developing resistance to the drug, reduced immunity of the baby, or the occurrence of fungal inflammation that requires treatment with other drugs.

Instructions for use (Method and dosage)

The instructions for Tobrex eye drops and the instructions for Tobrex 2x eye drops differ in the frequency of administration of the drug: the first recommends instilling 1 drop 4-5 times a day, the second advises using 1 drop 2-3 times a day; Tobrex ointment is applied in a 1 cm column 2 times a day.

The difference between Tobrex and Tobrex 2x in the frequency of use is due to the thicker consistency of the latter drug. This feature allows the active substance to remain in the conjunctival sac longer and, therefore, reduce the frequency of drug administration without compromising the therapeutic effect. The course of treatment is 7-10 days.

In special cases, it is possible to practice instillation every hour, however, after the severity of symptoms has subsided, it is necessary to return to the above-mentioned regimen. At night, it is recommended to supplement treatment with Tobrex ointment to prolong contact with the drug.

Features of treatment

Depending on the form and severity of the disease, the specialist will prescribe treatment for you.

For bacterial conjunctivitis, treatment with local broad-spectrum antibiotics will be prescribed. Tobrex eye drops are precisely these antibiotics.

Important! The results of laboratory tests to determine the sensitivity of the infectious agent to a specific drug must be taken into account.

The use of this drug is possible only after consultation with your doctor.

Self-prescription and use of medications can hide the symptoms of the present disease, lead to false diagnostic results, and the infection becoming chronic.

In adults

The drug Tobrex is used in the treatment of not only bacterial forms of conjunctivitis, but also for other infections of the eye and its appendages .

According to the annotation, Tobrex can be used to treat conjunctivitis , keratoconjunctivitis, blepharoconjunctivitis , keratitis, iridocyclitis, blepharitis, as well as for the prevention of postoperative infections.

In case of mild and moderate forms of the infectious process, it is recommended to instill 1-2 drops into the conjunctival sac every 4 hours .

In case of development of an acute severe course , 2 drops are instilled into the conjunctival sac every hour , with a decrease in the frequency of use of the drug as the inflammation decreases.

Need to know! The duration of treatment depends on the cause of the disease and the causative agent of the infection. In this case, the course of treatment can last from several days to several weeks.

These eye drops combine well with antibacterial ointments .

However, the ointment should be used last after the drops.

To prevent bacterial contamination of the tip of the dropper bottle and solution, it is necessary to avoid its contact with the eyelids and the periorbital area.

After use, close the bottle tightly.

Once opened, the drops should be used within a month.

In children

The use of Tobrex in pediatrics is possible for patients aged 1 year and older .

Stay up to date! In this case, the drug is prescribed in the same dosages as in adults.

Therefore, depending on the severity of the disease, treatment will be as follows: 1-2 drops into the affected eye or both eyes every 4 hours for mild to moderate infections, 1-2 drops every 60 minutes for severe infections.

To prevent the disease, the medicine can be dropped into the healthy eye, but this must be done with a different pipette so as not to cause an infection.

You should not put blindfolds on your eyes.

This can lead to worsening of the disease, since bacteria multiply more actively in a closed space.

In newborns

The safety and effectiveness of Tobrex eye drops in patients under 1 year of age have not been established.

Therefore, this drug can only be used strictly as prescribed by a doctor and under his supervision .

It should be noted! Tobrex ophthalmic solution is widely used to treat children, including newborns.

Newborns should instill eye drops into the conjunctival sac using a pipette, one drop no more than 4-5 times a day .

The duration of use is, of course, determined by the doctor, but, as a rule, the course of treatment will last no more than seven days .

When treating the eyes of newborns, it is necessary to follow the rules of hygiene - be sure to wash your hands before and after the procedure.

Also, do not touch the tip of the dropper bottle to your eyelashes and the inflamed mucous membrane of your eye.

If you have conjunctivitis, be sure to follow the rules for preventing the spread of this disease:

• use only a personal towel;
• Wash your hands promptly, especially if you touch your eyes;
• whenever possible, do not visit public places, school, work;
• Do not wash your face with chlorinated tap water, as bleach can worsen your condition.

Antiseptics for children

To avoid the use of antibacterial drugs, antiseptic agents are often prescribed, which are safer than antibiotics, especially in children under 3 years of age. Bacterial flora does not develop resistance to antiseptics, so they are allowed to be used for more than 1 week. Very often, this group of drugs is prescribed for dacryocystitis, since treatment can take a month or more.

The most popular antiseptic drugs:

1. Vitabact. One of the most popular antiseptic solutions prescribed to children from birth. The product is produced in France. The active ingredient is picloxidine, effective against a large list of various pathogenic flora.
2. Baktavit. An analogue of Vitabakt, which is produced in Romania.
3. Okomistin. Inexpensive antiseptic product of domestic production. Effective against a number of bacteria, fungi, viruses. The drug is very well tolerated by the children's body and is safe, which is why it is widely used in pediatric ophthalmology.

These drugs are prescribed for acute conjunctivitis and dacryocystitis. As a preventative measure, the solution is instilled after eye surgery.

Features of using the drug Tobrex:

Eye drops are used only externally and are injected into the area of ​​the conjunctival sac. The basic principles of using the drug tobrex in the form of eye drops are as follows: during the first opening of the bottle, the protective ring should be removed, which serves as a control for the first opening if side effects occur; the use of the drug in children should be stopped; if the child has an allergic reaction to tobramycin, it is not recommended to replace it with drugs based on other aminoglycosides. Most often, children develop a phenomenon such as cross-allergy to all active substances of this group of antibiotics; with prolonged use of Tobrex eye drops, active growth of bacteria that are not sensitive to tobramycin, mainly fungi, is possible. In such cases, the doctor should prescribe appropriate treatment for the child during treatment with Tobrex; the child should stop using contact lenses.

If there is an urgent need to use contact lenses during treatment, then before instilling the drug, the child should remove them and not put them on for 15-20 minutes; in the case of using several eye drops, an interval between administrations of at least 15-20 minutes should be observed after administration of the drug; adult should lightly press down on the child in the area of ​​the lacrimal opening to minimize the penetration of eye drops into the body; it is important to ensure that after administration of the drug the child closes his eyelids slowly

How to put eye drops correctly

The use of Tobrex implies strict adherence to the rules for its use.

Before opening a bottle of drops, you must wash your hands thoroughly with soap. The next steps are:

1. Take the bottle and shake vigorously. Only after that it is opened.
2. The head should be tilted back and the lower eyelid should be pulled back.
3. The bottle should be placed in a vertical position. The medication is instilled into the eye without touching the bottle to the surrounding tissues.
4. Drops are introduced into the lower conjunctival sac by pressing the bottom of the bottle with your fingers.
5. The lower eyelid is released, and the upper eye is tightly covered. Then lightly press on its inner corner. Remain in this position for a couple of minutes.
6. Then the procedure is repeated for the second visual organ.
7. Close the Tobrex bottle tightly and place it in the refrigerator.

If more substance accidentally enters the eye than was prescribed by the ophthalmologist, it must be carefully rinsed with boiled water at room temperature.

It is not recommended to wear lenses during the course of using Tobrex. If it is impossible to refuse them, then they are removed before using the drops. You can use them again no earlier than in a quarter of an hour.

Within thirty minutes after using the drug, you should not perform work that requires increased attention or drive.

Analogues of the drug

The following drugs can act as analogues of Tobrex:

1. Tobropt.
2. Dilaterol.
3. Brulamycin.
4. Nebtsin.
5. Toby.
6. Tobryn.

Of particular note is the antimicrobial drug Albucid, which has the same effect on the child’s eyes as Tobrex. But Albucid is considered an old generation drug, despite the fact that the drug is proven and reliable, but in recent years many pathogenic microorganisms have already managed to develop immunity to this drug.

Tobrex is a medicine that appeared on the pharmaceutical market relatively recently. Therefore, it copes more reliably with many bacteria. However, you should not rely only on these data, since only a doctor can decide which remedy is best to use for a baby.

Sometimes it is not necessary to use medications to treat mild conjunctivitis. It is enough to use folk therapy in the form of washing the eyes with various solutions in the form of black or green tea, chamomile infusion or simple boiled water with furatsilin. To do this, just moisten a cotton pad in the product and wipe the baby’s eyes.

If you come to the pharmacy to buy medicine, the pharmacist must ask you for a doctor's prescription. But many pharmacies sell Tobrex without a prescription. However, this does not relieve parents of responsibility for their child; you should definitely consult a doctor before using drops to treat your newborn baby. It is also worth remembering that this product has an antibacterial effect, so its prolonged and uncontrolled use is unacceptable.

Analogs

Complete analogues of Tobrex drops are available for sale:

1. Tobrex 2x. The medicine is available in the form of eye drops, which differ from Tobrex in the composition of the auxiliary components, which allows them to be used in case of mild infection, 1 drop twice a day, and in severe cases, 1 drop four times a day. As additional ingredients, the drug contains: mannitol, tween, boric and sulfuric acid, xanthan, caustic soda, water, trometamol, benzododecinium bromide. In addition, the shelf life of the medication is 24 months, and after opening the bottle, the drug can only be used for 4 weeks. And the medicine should be stored at temperatures up to +5 to +25 degrees.
2. Tobrosopt. This is a Polish medicine that is available in the form of eye drops. They also contain tobramycin as the main component. But the drug differs from Tobrex in the composition of auxiliary ingredients. Tobrosopt is recommended for bacterial eye infections in children over 2 months of age. In case of individual intolerance, they can cause allergies, which are manifested by swelling, tingling, redness of the conjunctiva. In case of an overdose of the drug, it can provoke punctate keratitis, itching of the eyelids, lacrimation, redness of the conjunctiva. If these signs appear, it is recommended to immediately rinse the eyes with saline solution. Eye drops should be stored at temperatures up to 25 degrees for 24 months. Once the bottle is opened, they must be used within 4 weeks.
3. Tobriss. This is an Indian remedy that comes in eye drops. They differ from Tobrex in the composition of inactive components. Tobriss can be used in children older than 2 months for bacterial eye infections. The Indian drug must be stored at a temperature not exceeding 30 degrees for 24 months, but after opening the bottle, the drops are good for 30 days.

In addition, partial analogues of the drug Tobrex, such as Tobradex, are commercially available. The medication is available in eye drops that, in addition to tobramycin, contain the glucocorticosteroid dexamethasone.

HSC relieves inflammation and signs of allergy and has a desensitizing effect. Due to dexamethasone, Tobradex, unlike Tobrex, has more contraindications and adverse reactions.

It should not be used in children under 12 years of age or in women who are breastfeeding.

They are contraindicated in the following pathologies:

• allergy to the composition of the medicine;
• viral, mycobacterial, fungal eye infections;
• condition after removal of a foreign object from the cornea.

During pregnancy they can be used with caution. They can provoke the following undesirable reactions:

They can provoke the following undesirable reactions:

• pain, irritation, dryness and discomfort in the eyes;
• allergy;
• glaucoma;
• keratitis;
• redness and swelling of the conjunctiva;
• sensation of a foreign object in the eyes;
• blurred vision;
• swelling of the eyelids;
• itching and erythema of the eyelids;
• cataract;
• pupil dilation;
• photophobia;
• headache;
• runny nose;
• laryngospasm;
• dysgeusia;
• slower wound healing;
• fungal diseases of the cornea.

If the therapeutic dosage of the medication is exceeded, it can cause swelling of the eyelids and their redness, precise keratitis, redness of the conjunctiva, and lacrimation. In case of overdose, you need to rinse your eyes and, if necessary, use symptomatic therapy.

Tobradex should be stored at a temperature of +8-+27 degrees for 24 months from the date of release. After opening the bottle, the medicine can also only be used for 4 weeks, like Tobrex drops.

Tobrex - drops for newborns, what is important to know

Eye inflammation in childhood is not uncommon. However, treatment of infants in this case will be difficult, since the list of drugs for this age is limited. Tobrex is one of the few medications in the form of eye drops that can be used by newborns.

Composition of the drug

The drug contains an antibacterial agent that has a depressing effect on a certain group of bacteria. The main active ingredient of Tobrex is tobramacin, which belongs to the group of aminoglycosides.

This antibiotic is considered a broad-spectrum substance, however, there are a number of microorganisms on which it acts best, among them:

1. Staphylococci.
2. Escherichia coli.
3. Streptococci.
4. Enterobacteriaceae.
5. Pseudomonas aeruginosa.
6. Klebsiella.

But Tobrex does not have the desired effect on aerobic bacteria and chlamydia. And the medicine has little effect on enterococci.

In addition to tobramycin, the drug also contains other excipients:

1. Sodium sulfate.
2. Sodium hydroxide.
3. Boric acid and others.

The product is available in the form of eye drops and ointment. But the ointment is not suitable for newborns, so the doctor usually prescribes eye drops.

Indications for use

Tobrex is used to treat a number of eye diseases in children and adults. If there is a need to use medication for a child under 1 year of age, it is administered under the supervision of the attending physician, as adverse reactions may develop. Drops are most often used to help treat the following pathologies:

1. Conjunctivitis of viral, microbial or allergic origin.
2. Blepharitis.
3. Keratitis.
4. Iridocyclitis.
5. Dacryocystitis.
6. If you have had eye surgery.

In addition, Tobrex is prescribed to newborns for inflammation of the conjunctiva, for disturbances in the functioning of the lacrimal glands and ducts, for the presence of purulent foci of an infectious disease, and for the penetration of bacteria or viruses into the mucous membrane of the eye.

"Tobrex" for newborns

Only a pediatrician or ophthalmologist can prescribe Tobrex to newborns. Therapy lasts no longer than a week; usually, if all recommendations are followed, recovery occurs during this period. If you apply eye drops topically, the risk of the medication entering the bloodstream is minimal. The drug is excreted unchanged by the kidneys.

Tobrex drops are used for infants up to 4-5 times a day, 1 drop in each eye. The product can be used by a child from the first days of his life.

It is worth noting that after starting a course of Tobrex, it is not advisable to change it to another drug with a similar effect. It is also unacceptable to use drops for longer than 7 days. It is also undesirable to use concomitant medications.

Once the bottle is opened, it can be stored for 30 days, after which the medicine is thrown away, even if there is still liquid left in the container.

Up to one year of age, the dosage of the drug is calculated exclusively by the attending physician.

How to store the drug?

To prevent the drug from deteriorating ahead of schedule, you need to know how to store it. It is forbidden to freeze eye drops; the optimal temperature for keeping the product should be between +8 and +30 degrees. The illumination of the storage location does not matter.

The shelf life of Tobrex drops is three years from the date of production. After opening the bottle, the shelf life is 4 weeks, after which the drug is disposed of.

Contraindications and side effects of the drug

The drug is contraindicated in children who have been diagnosed with hypersensitivity or individual intolerance to one or more components of Tobrex.

Tobrex for newborns

Tobrex eye drops are an antibacterial drug for topical use. The drug is prescribed for the treatment of eye diseases of an infectious or simply inflammatory nature.

Tobrex eye drops for newborns belong to the group of medications with a wide spectrum of action. The advantages of the drug include the rapid elimination of acute symptoms of the disease, and therefore a long course of use is not required.

Composition of the drug

The active component of Tobrex eye drops is tombramycin, an antibiotic belonging to the group of aminoglycosides. Its content in the total volume of the drug is quite small - only 3 mg per 1 ml of medicine.

The additional components are:

• boric acid;
• sodium sulfate;
• tilaxopl;
• sodium hydroxide.

Indications for use

Tobrex can be used by both children of all ages and adults. The drug is intended for the treatment of the following diseases:

• barley (internal/external);
• blepharitis;
• inflammation of the conjunctiva (purulent and catarrhal);
• iridocyclitis;
• meibomite;
• dacryocystitis (inflammation of the tear duct);
• endophthalmitis.

Tobramycin, which is the active ingredient, is active against gram-positive and gram-negative microbes. It also destroys staphylococci, streptococci, E. coli and others.

"Tobrex" for newborns

Only a pediatrician can prescribe drops for newborn babies. It is not recommended to use the drug without a prescription.

The maximum period of use of the product is a week. But at the same time, it is necessary to strictly follow all the recommendations of the doctor observing the child.

When used topically, the drug practically does not enter the baby’s blood. The drug is excreted unchanged in the urine.

Application

The dosage is prescribed individually depending on the complexity of the inflammation. Typically, this is one drop up to five times during the day in each eye. Before instillation, it is recommended to warm the product in your hands to room temperature.

For uncomplicated eye infections, children are prescribed one drop twice a day.

To relieve acute symptoms, the drug is prescribed for use according to the following scheme: every hour, one drop in each eye. After that, the disease subsides, Tobrex is dripped four times a day. After the acute period has passed, a standard dosage is recommended.

The drug is approved for use from the first days of a child’s life.

Side effects and overdose

In some cases, the use of drops causes side effects. The child may experience:

• Manifestations of an allergic reaction: swelling of the eyelids, redness of the sclera, increased lacrimation, redness of the skin around the eyes.
• The development of chemosis is one of the types of inflammation of the conjunctiva.
• It hurts in the eyes.
• Decreased quality of vision for a short period.
• Attacks of nausea.
• The appearance of ulcers on the surface of the cornea.
• Formation of superinfection.
• Development of seizures.
• Impaired kidney function.
• Decreased hearing quality.
• Redness of the eyelids.

An overdose of Tobrex drops is observed in very rare cases. Any dose of antibiotics for a small child is excessive, but it does not have any serious consequences for the child’s body.

An overdose may be accompanied by symptoms such as:

• nausea;
• redness of the eyelids and eyes;
• swelling of the eyelids;
• increased lacrimation;
• itching

If such symptoms are observed, then the drug should be discontinued and the child’s eyes should be rinsed with clean water.

According to doctors, the drug copes with its duties perfectly, but exceeding the dosage and duration of use is unacceptable. Otherwise, microorganisms become immune, and the medicine simply becomes ineffective.

According to mothers' reviews, Tobrex is well tolerated by babies. Side effects develop infrequently. Swelling of the eyelid and conjunctiva may appear, and irritation of the mucous membrane may occur. It is extremely rare for ulcers to form on the cornea.

Analogues of the drug

Drugs with similar effects are:

• "Tobropt";
• "Bramitob";
• "Brulamycin";
• "Nebtsin";
• "Toby";
• "Tobrin."

One of the analogues of Tobrex drops is the well-known Albucid. This drug has been used for a long time and successfully, but now the remedy has somewhat lost its effectiveness. Many microorganisms have become resistant to this drug.

“Tobrex” is one of the most modern drugs that appeared on the pharmaceutical market relatively recently, but has already significantly displaced “Albucid”.

Eye drops for newborns

To treat eyes in newborns, it is recommended to use:

1. Albucid drops. These drops begin to be used for prevention already in the maternity hospital. Albucid is instilled into newborns to avoid the development of conjunctivitis and infections. Used only for the treatment of eyes.
2. Tobrex eye drops. The doctor prescribes Tobrex for newborns when other drops cannot cope with an eye infection. The drug Torbex comes in 2 types - ointment and drops.

Tobrex drops are a powerful antibacterial drug that destroys a wide range of gram-positive microbes, which include streptococci, Escherichia coli, Pseudomonas aeruginosa, staphylococci, but has no effect on enterococci and chlamydia.

It contains the antibiotic tobramycin, which provides effective treatment. Tobramycin kills the process of protein synthesis by microorganisms and destroys pathogenic bacteria. The use of Tobrex for newborns is recommended for eye diseases, since the drops have minimal impact, leaving the body unchanged with urine.

Along with the main infectious and inflammatory processes, Tobrex has an effect on concomitant diseases - conjunctivitis, barley, blepharitis.

Side effects and contraindications

Most often, newborn babies tolerate Tobrex therapy without any complications. In rare situations, side effects of this drug may occur:

• allergic reactions that take the form of lacrimation, itching, redness of the conjunctiva (the incidence of such phenomena is 1.5%);
• discomfort, sensation of the presence of a foreign object in the eye, swelling of the eyelids, conjunctival membrane (in 1% of patients);
• swelling of the conjunctiva, keratitis, blepharitis, pain in the eyeballs, ulceration of the organs of vision (less than 1%).

If the drug is used correctly, there is no possibility of overdose. If the drug is used in increased quantities, the patient may develop redness and itching of the eyelids, punctate keratitis, and abnormal lacrimation. In such cases, it is recommended to show the child to a doctor. If there has been a single administration of a large dose of medication, it is recommended to rinse the organs of vision with warm boiled water.

The main contraindication to carrying out a therapeutic course with Tobrex is individual hypersensitivity to the constituent components of the antibacterial agent. The antibiotic is also not prescribed to patients who have demonstrated intolerance to tobramycin in the past.

Doctors' opinion on the use of Torbex in the nose of children

Very often, pediatricians themselves prescribe Tobrex as a treatment for nasopharyngeal diseases. Despite the fact that the drug is classified as an ophthalmic drug, its composition is quite effective in combating various types of infections of the nasal mucosa.

Doctors have a negative attitude towards the fact that many parents begin to drip Tobrex into their children’s noses (reviews on the Internet prompt them to take this step) on their own initiative or on the advice of a pharmacist from a pharmacy. First, you need to accurately establish the diagnosis, and only then prescribe effective pharmacological drugs.

Diakarb analogues

This page provides a list of all Diacarb analogues by composition and indication for use. A list of cheap analogues, and you can also compare prices in pharmacies.

• The cheapest analogue of Diacarb:Acetazolamide
• The most popular analogue of Diacarb: Brinzopt
• ATC classification: Acetazolamide
• Active ingredients/composition: acetazolamide

When calculating the cost of cheap Diakarb analogues, the minimum price was taken into account, which was found in price lists provided by pharmacies

This list of drug analogues is based on statistics of the most requested drugs