Bacitracin, Neomycin, Polymyxin B, and Hydrocortisone (Ophthalmic)

Name: Bacitracin, Neomycin, Polymyxin B, and Hydrocortisone (Ophthalmic)

Uses of Bacitracin, Neomycin, Polymyxin B, and Hydrocortisone

  • It is used to treat or prevent eye infections.

What are some things I need to know or do while I take Bacitracin, Neomycin, Polymyxin B, and Hydrocortisone?

  • Tell all of your health care providers that you take this medicine. This includes your doctors, nurses, pharmacists, and dentists.
  • Avoid driving and doing other tasks or actions that call for you to be alert or have clear eyesight until you see how bacitracin, neomycin, polymyxin B, and hydrocortisone affects you.
  • Avoid wearing contacts unless told to wear them by your doctor.
  • Do not use longer than you have been told. A second infection may happen.
  • Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this medicine while you are pregnant.
  • Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.

How is this medicine (Bacitracin, Neomycin, Polymyxin B, and Hydrocortisone) best taken?

Use bacitracin, neomycin, polymyxin B, and hydrocortisone as ordered by your doctor. Read all information given to you. Follow all instructions closely.

  • To gain the most benefit, do not miss doses.
  • Use as you have been told, even if your signs get better.
  • Follow how to take this medicine as you have been told by your doctor. Do not use more than you were told to use.
  • For the eye only.
  • Wash your hands before and after use.
  • Do not touch the container tip to the eye, lid, or other skin.
  • Place drug inside the lower lid. Close the eye for 1 to 2 minutes. Roll eyeball around.

What do I do if I miss a dose?

  • Use a missed dose as soon as you think about it.
  • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
  • Do not use 2 doses or extra doses.

Dosage Forms

Excipient information presented when available (limited, particularly for generics); consult specific product labeling.

Ointment, Ophthalmic:

Neo-Polycin HC: Bacitracin 400 units, neomycin 3.5 mg, polymyxin B 10,000 units, and hydrocortisone 10 mg per g (3.5 g)

Generic: Bacitracin 400 units, neomycin 3.5 mg, polymyxin B 10,000 units, and hydrocortisone 10 mg per g (3.5 g)

Storage

Store at 15°C to 30°C (59°F to 86°F).

Patient Education

• Discuss specific use of drug and side effects with patient as it relates to treatment. (HCAHPS: During this hospital stay, were you given any medicine that you had not taken before? Before giving you any new medicine, how often did hospital staff tell you what the medicine was for? How often did hospital staff describe possible side effects in a way you could understand?)

• Have patient report immediately to prescriber vision changes, eye pain, or severe eye irritation (HCAHPS).

• Educate patient about signs of a significant reaction (eg, wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; or swelling of face, lips, tongue, or throat). Note: This is not a comprehensive list of all side effects. Patient should consult prescriber for additional questions.

Intended Use and Disclaimer: Should not be printed and given to patients. This information is intended to serve as a concise initial reference for health care professionals to use when discussing medications with a patient. You must ultimately rely on your own discretion, experience, and judgment in diagnosing, treating, and advising patients.

Bacitracin, neomycin, polymyxin B, and hydrocortisone ophthalmic dosing information

Usual Adult Dose for Uveitis:

Steroid responsive inflammatory ocular conditions with superficial bacterial infection or risk of infection:
Apply small amount (1/2 inch ribbon) to conjunctival sac of affected eye(s) every 3 to 4 hours, depending on severity.

Usual Adult Dose for Bacterial Conjunctivitis:

Steroid responsive inflammatory ocular conditions with superficial bacterial infection or risk of infection:
Apply small amount (1/2 inch ribbon) to conjunctival sac of affected eye(s) every 3 to 4 hours, depending on severity.

Usual Adult Dose for Bacterial Conjunctivitis

Steroid responsive inflammatory ocular conditions with superficial bacterial infection or risk of infection:
Apply small amount (1/2 inch ribbon) to conjunctival sac of affected eye(s) every 3 to 4 hours, depending on severity.

Liver Dose Adjustments

Data not available

Dialysis

Data not available

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