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Chloramphenicol+dexamethasone+polymyxin B

About

Chloramphenicol+dexamethasone+polymyxin B belongs to the class of combination medications called ‘antibiotics' and 'steroids' used for the treatment of bacterial eye infections and ear infections. A bacterial infection is a condition in which harmful bacteria grow in the body and cause infection. It can infect any part of the body and multiply very quickly. Chloramphenicol+dexamethasone+polymyxin B does not work against infections caused by viruses and fungi.

Chloramphenicol+dexamethasone+polymyxin B is a combination of Chloramphenicol, Dexamethasone, and Polymyxin B. Chloramphenicol is an antibiotic that acts by interfering with the formation of essential proteins required for bacterial growth. Dexamethasone is a steroid that reduces inflammation and symptoms associated with infection, such as redness and irritation. Polymyxin B is bactericidal that works by killing the bacterial cell by preventing bacterial cell walls' formation essential for survival. Together Chloramphenicol+dexamethasone+polymyxin B prevent the spread of eye and ear infections caused by a wide range of gram-negative bacteria causing eye/ear infections. 

You should use this medicine as prescribed by your doctor. When used in the eyes, the common side effects are eye discomfort, eye irritation, and a burning sensation in the eye. When used as ear drops, the side effects include mild irritation and temporary ear discomfort. Most of these side effects of Chloramphenicol+dexamethasone+polymyxin B do not require medical attention and gradually resolve over time. However, if the side effects worsen or persist, please consult your doctor.

If you are allergic to Chloramphenicol+dexamethasone+polymyxin B or any other medicines, please tell your doctor. Chloramphenicol+dexamethasone+polymyxin B should be used with caution in children. You are advised to consult a doctor if you are pregnant or breastfeeding. You are recommended not to use contact lenses during the course of Chloramphenicol+dexamethasone+polymyxin B as it may worsen the infection. You are advised to maintain a 10 minutes time gap between using Chloramphenicol+dexamethasone+polymyxin B and other eye drops. Please do not touch the container tip to the eye, eyelids, or surrounding areas as it may contaminate Chloramphenicol+dexamethasone+polymyxin B and cause eye infections. Before using Chloramphenicol+dexamethasone+polymyxin B, inform your doctor if you have fungal infections, viral infections such as herpes simplex or varicella, or parasitic infections such as amoebiasis. Do not use Chloramphenicol+dexamethasone+polymyxin B if you have tuberculosis, damaged cornea, ulceration, lesions with missing skin that cover the eye or ear, and increased pressure inside the eye. 

Uses of Chloramphenicol+dexamethasone+polymyxin B

Bacterial eye and ear infections.

Medicinal Benefits

Chloramphenicol+dexamethasone+polymyxin B is a combination of Chloramphenicol, Dexamethasone, and Polymyxin B belongs to the class of combination medications called ‘antibiotics' and 'steroids' used for the treatment of bacterial eye infections and ear infections. Chloramphenicol is an antibiotic that acts by interfering with the formation of essential proteins required for bacterial growth. Dexamethasone is a steroid that reduces inflammation and symptoms associated with infection, such as redness and irritation. Polymyxin B is bactericidal, killing the bacterial cell by preventing bacterial cell walls' formation essential for survival. Together Chloramphenicol+dexamethasone+polymyxin B prevent the spread of eye and ear infections caused by a wide range of gram-negative bacteria causing eye/ear infections. 

Directions for Use

Eye drops: Tilt your head back and pull your lower eyelid downwards and outwards. Gently squeeze the dropper and put the eye drops inside the eye/eyes. Blink a few times to spread the medication inside your eye. Ear drops: Do not touch the dropper; hold it close to the ear by tilting your head to the side. Gently squeeze the dropper and put the ear drops inside the ear. Keep your head tilted for a minute to let the drops soak in.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Chloramphenicol+dexamethasone+polymyxin B

Eye drops:

  • Eye discomfort
  • Eye irritation
  • Burning sensation in the eye

Ear drops:

  • Mild irritation
  • Temporary ear discomfort

In-Depth Precautions and Warning

Drug Warnings

Please tell your doctor if you are allergic to Chloramphenicol+dexamethasone+polymyxin B or any other medicines. Chloramphenicol+dexamethasone+polymyxin B should be used with caution in children. You are advised to consult a doctor if you are pregnant or breastfeeding. You are recommended not to use contact lenses during the course of Chloramphenicol+dexamethasone+polymyxin B as it may worsen the infection. You are advised to maintain a 10 minutes time gap between using Chloramphenicol+dexamethasone+polymyxin B and other eye drops. Please do not touch the container tip to the eye, eyelids or surrounding areas as it may contaminate Chloramphenicol+dexamethasone+polymyxin B and cause eye infections. Before using Chloramphenicol+dexamethasone+polymyxin B, inform your doctor if you have fungal infections, viral infections such as herpes simplex or varicella, or parasitic infections such as amoebiasis. Do not use Chloramphenicol+dexamethasone+polymyxin B if you have tuberculosis, damaged cornea, ulceration, lesions with missing skin that cover the eye or ear and increased pressure inside the eye. 

Drug Interactions

Drug-Drug Interactions: Chloramphenicol+dexamethasone+polymyxin B may interact with an anti-cancer agent (methotrexate), immune suppressant (azathioprine), antiviral drug (ritonavir), and a medication used to treat HIV (cobicistat). 

Drug-Food Interactions: No interactions found. 

Drug-Disease Interactions: Chloramphenicol+dexamethasone+polymyxin B should not be used in patients with fungal infections, viral infections such as herpes simplex or varicella, or parasitic infections such as amoebiasis, tuberculosis, damaged cornea, ulceration, and glaucoma (increased pressure inside the eye). 

Drug-Drug Interactions Checker List:

  • METHOTREXATE
  • AZATHIOPRINE
  • RITONAVIR
  • COBICISTAT
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      Alcohol may affect your ability to fight infections. So, it is recommended to avoid alcohol consumption until your condition improves.

    • Safety Warning

      Pregnancy

      unsafe

      The consequences of Chloramphenicol+dexamethasone+polymyxin B during pregnancy are unknown; therefore, do not use it unless your doctor deems it necessary. Ask your doctor for advice before using this medication if you are pregnant, suspect you may be pregnant or are planning a pregnancy.

    • Safety Warning

      Breast Feeding

      caution

      The consequences of Chloramphenicol+dexamethasone+polymyxin B during breastfeeding are unknown; therefore, do not use it unless your doctor deems it necessary. Ask your doctor for advice before using this medication if you are breastfeeding.

    • Safety Warning

      Driving

      caution

      Chloramphenicol+dexamethasone+polymyxin B may affect your vision. So, do not drive or operate heavy machinery until your vision clears after using Chloramphenicol+dexamethasone+polymyxin B.

    • Safety Warning

      Liver

      safe if prescribed

      Chloramphenicol+dexamethasone+polymyxin B can be used for treating eye/ear infections in patients with liver diseases.

    • Safety Warning

      Kidney

      safe if prescribed

      Chloramphenicol+dexamethasone+polymyxin B can be used for treating eye/ear infections in patients with kidney problems.

    • Safety Warning

      Children

      safe if prescribed

      Chloramphenicol+dexamethasone+polymyxin B can be used with caution in children to treat middle and outer ear infections. Use it only if prescribed by a doctor.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Sleep for at least six to eight hours to rejuvenate your eyes naturally.
    • Wash your eyes with clean water at least two to three times a day
    • Manage stress, eat healthily, drink plenty of water, exercise regularly and get plenty of sleep.
    • Keep your ear clean and dry.
    • Avoid alcoholic beverages as they can make you dehydrated and affect your sleep. This effect can also affect your body’s ability to fight off infections.

    Special Advise

    • Do not wear contact lenses while using Chloramphenicol+dexamethasone+polymyxin B eye drops.
    • Avoid getting water in your ears while bathing, showering, or swimming while treating an ear infection.
    • Avoid prolonged exposure to sunlight while using Chloramphenicol+dexamethasone+polymyxin B as it may cause increased photosensitivity (sensitivity to light).

    Patients Concern

    Disease/Condition Glossary

    Conjunctivitis: The inflammation or infection of the conjunctiva (white part of the eye) and the inner eyelid. It is a highly contagious infection that is spread by secretions of the eye. Symptoms include redness, itch, and discharge or crusting around the eye.

    Bacterial ear infection: The outer, middle, and inner regions of the ear are all affected when a bacterium invades the ear, which causes bacterial ear infection. Due to inflammation and fluid buildup in the middle ear, ear infections can be uncomfortable. Short-term to long-term ear infections can be acute or chronic in nature. The term 'middle ear infection' also applies to otitis media.

    FAQs

    Chloramphenicol+dexamethasone+polymyxin B is a combination of three medicines: Chloramphenicol, Dexamethasone and Polymyxin B. Chloramphenicol is an antibiotic that acts by interfering with the formation of essential proteins required for bacterial growth. Dexamethasone is a steroid that reduces inflammation and symptoms associated with infection, such as redness and irritation. Polymyxin B is bactericidal that works by killing the bacterial cell by preventing bacterial cell walls' formation essential for survival. Together Chloramphenicol+dexamethasone+polymyxin B prevent the spread of eye and ear infections caused by a wide range of gram-negative bacteria causing eye/ear infections. 

    You are not recommended to wear contact lenses during the entire course of Chloramphenicol+dexamethasone+polymyxin B as it may worsen the infection. Therefore, you are advised to remove contact lenses before using Chloramphenicol+dexamethasone+polymyxin B and reinsert them after 24 hours of finishing the course of Chloramphenicol+dexamethasone+polymyxin B.

    You are recommended to maintain a minimum of 10 minutes time gap between using Chloramphenicol+dexamethasone+polymyxin B and other eye drops and administering eye ointments in the last.

    Available Medicines for

    Chloramphenicol+dexamethasone+polymyxin B

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