TOBREX

This medicine contains the active ingredient tobramycin which belongs to a group of medicines called aminoglycoside antibiotics. These antibiotics are used to stop several bacterial infections by destroying bacteria and preventing their growth. This medicine is prescribed for the treatment of the conjunctivitis (inflammation of the layer which covers white part of the eye and lines the inside of the eyelid) and blepharitis (inflammation of the eyelid).

Is Tobramycin suitable for me?

Tobramycin is not suitable for everyone. Do not use it

• if you are allergic to tobramycin, other antibiotics or to other ingredients of this medicine
• if it is meant for children under the age of 1

In particular, you must tell the doctor if you:

• are pregnant, or breastfeeding
• have kidney or liver disease

Tobramycin interacts with other medicines. It is most important that you tell the doctor all the medications and herbal supplements that you are currently taking.

See the package leaflet for a complete list of possible contraindications and warnings.

How should I take Tobramycin?

This medicine is available in form of eye drops and eye ointment.

You should take tobramycin exactly as instructed by your doctor or pharmacist. The usual dose will depend on the infection you have.

• Eye drops: for most of the infections it is 1 drop 2 times a day, and for more serious infections the dose is 1 drop 4 times a day. The drop is put between the lower eyelid and the eye.
• Ointment: apply half-inch ribbon into the affected eye(s) two or three times per day. In severe infections, apply a half-inch ribbon into the affected eye(s) every three to four hours until improvement.

Do not use more of it, do not use it more often, or do not use it for a longer time than your doctor instructed. Do not miss any doses and take the medicine at the same time each day. Do not take two doses together if you miss a dose.

Read the information leaflet provided with your medication for additional information. Talk to your doctor if you have any additional questions.

What are Tobramycin side effects?

Like all medicines tobramycin can cause side effects, including:

Common:

• eye redness
• eye discomfort
• eye allergy
• itchy eyelids

Uncommon:

• headache
• hypersensitivity reactions
• inflammation
• swelling
• impaired or blurred vision
• redness or swelling of the eyelid
• eye discharge, eye pain
• dry eyes, itchy eyes, watery eye(s)
• inflammation of the skin, itchy or dry skin
• patches on the skin
• loss of eye brows or eye lashes

Consult a doctor if the side effects are severe. See the package leaflet for a complete list of side effects.