Dexa-gentamicin

Overdose

With topical application of the drug Dexa-Gentamicin eye ointment, an overdose is unlikely.

Contraindications

hypersensitivity to any of the components of the drug,

keratitis caused by Herpes zoster (tree keratitis), chickenpox and other viral diseases of the cornea and conjunctiva,

mycobacterial infections of the eye,

fungal diseases of the eye,

acute purulent diseases of eyes with lesions of the corneal epithelium,

corneal epitheliopathy,

trauma and ulcerative lesions of the cornea,

wearing contact lenses,

increased IOP,

I trimester of pregnancy,

children under 18 years of age (due to the lack of data on efficacy and safety).

Incompatibilities

When combined with atropine, other cholinolytic or mydriatic drugs, an increase in the level of IOP is possible.

When applied topically, gentamicin is incompatible with amphotericin B, heparin, sulfadiazine, cephalotin, and cloxacillin. Topical application of these drugs together with gentamicin can lead to the deposition of precipitates in the conjunctival cavity.

Pharmaceutical form

White with a yellowish tint translucent ointment.

Undesirable effects

In rare cases, after laying the ointment, an allergic reaction and a burning sensation are possible.

Long-term use of the drug can cause secondary glaucoma and steroid cataracts, so when using the drug for more than 2 weeks, as well as in patients with a history of glaucoma, it is recommended to regularly monitor IOP.

Possible occurrence of contact dermatitis, herpetic keratitis, corneal perforation in the presence of keratitis, fungal infection, increased severity of bacterial infection of the cornea, ptosis, mydriasis. When used after corneal injuries, it can lead to a slowdown in its healing.

In case of side effects, you should stop using the drug and contact an ophthalmologist as soon as possible.

Pharmacy sales terms

According to the recipe.

Special instructions

Influence on the ability to drive vehicles and work with mechanisms. Immediately after laying the eye ointment Dexa-Gentamicin, a short-term visual acuity disorder may occur, leading to a slowdown in mental and physical reactions. Therefore, it is not recommended to use the drug immediately before working with mechanisms and driving vehicles. Within 30 minutes after application, it is necessary to refrain from activities that require increased attention.

Therapeutic indications

infections of the anterior segment of the eye caused by gentamicin-sensitive microflora (conjunctivitis, keratitis, blepharitis, barley),

allergic processes in the anterior segment of the eye, accompanied by bacterial infection,

prevention and treatment of inflammatory phenomena in the postoperative period (cataract removal, anti-glaucomatous operations).

Pharmacotherapeutic group

  • Glucocorticosteroid for topical use antibiotic-aminoglycoside [Glucocorticosteroids in combinations]
  • Glucocorticosteroid for topical use antibiotic-aminoglycoside [Ophthalmic agents in combinations]

Pharmacodynamic properties

A combined remedy, the effect of which is due to the components included in its composition. It has anti-allergic, anti-inflammatory and antibacterial effects.

Dexamethasone-GCS-has a pronounced anti-inflammatory effect, the index of its relative anti-inflammatory activity is 30.

Gentamicin sulfate-an antibiotic of the aminoglycoside group-is characterized by a wide spectrum of action, active against most gram-negative and gram-positive microorganisms (Pseudomonas aeruginosa, Escherichia coli, Proteus spp., Klebsiella spp., Serratia spp., Salmonella spp.). Moderately active against strains Staphylococcus spp.

Pharmacokinetic properties

When applied topically, dexamethasone penetrates well into the corneal epithelium and conjunctiva, while therapeutic concentrations are achieved in the watery moisture of the eye, with inflammation or damage to the mucous membrane, the rate of penetration increases.

Gentamicin sulfate, when applied topically, is found in therapeutic concentrations in the corneal stroma, in the moisture of the anterior chamber, and in the vitreous body for 6 hours. Gentamicin sulfate does not enter the systemic bloodstream through the intact corneal epithelium.

Special precautions for storage

At a temperature not exceeding 25 °C.

Keep out of reach of children.

Shelf life of the drug Dexa-Gentamicin3 года. После вскрытия — 4 нед.

Do not use after the expiration date indicated on the package.

Nature and contents of container

Eye ointment 1 g
active ingredients:  
dexamethasone 0.3 mg
gentamicin sulfate 5 mg
(in terms of gentamicin — 3 mg)  
excipients: white vaseline-775.98 mg, liquid paraffin-149.13 mg, lanolin-69.9 mg  
Release form

The eye ointment. 2.5 g each in an aluminum tube with a PE tip and a screw-on lid. 1 tube in a cardboard pack.

Fertility, pregnancy and lactation

Currently, there are no clinical trial data on the use of Dexa-Gentamicin during pregnancy, lactation, and in children. However, the drug can be used in the second-third trimester of pregnancy if the intended benefit to the mother exceeds the possible risk to the fetus.

Nosological classification (ICD-10)

  • H00 of Hordeolum and chalazion
  • H01. 0 Blepharitis
  • H10 Conjunctivitis
  • H10. 1 Acute atopic conjunctivitis
  • H10. 8 Other conjunctivitis
  • H10. 9 Conjunctivitis, unspecified
  • H16 Keratitis
  • T88 Other complications of surgical and therapeutic interventions, not classified elsewhere
  • Z100* CLASS XXII Surgical Practice
  • Z98 Other postoperative conditions

Dosage (Posology) and method of administration

Conjunctivally. A strip of ointment 1 cm long is laid 2-3 times a day.

During the application of the eye ointment Dexa-Gentamicin, avoid contact of the tube with the surface of the skin or conjunctiva.

With the simultaneous use of several eye drugs, it is recommended to lay the eye ointment Dexa-Gentamicin no earlier than 15 minutes after the use of eye drops.

The duration of treatment with Dexa-Gentamicin usually does not exceed 2-3 weeks.

ATC - Anatomical and therapeutic chemical classification

D07CB04 Dexamethasone in combination with antibiotics