Maxitrol (ophthalmic)

Maxitrol (ophthalmic)

Possible uses for Maxitrol

Neomycin and polymyxin B belong to the class of medicines called antibiotics. They work by killing the bacteria or preventing their growth. Dexamethasone is a steroid medicine used to relieve redness, itching, and swelling caused by eye infections.

This medicine is only available with a doctor's prescription.

Before using Maxitrol

When deciding whether to use a medicine, the risks of taking the medicine must be weighed against the benefits it produces. This is a decision that you and your doctor will make. The following should be noted with this medicine:

Allergies

Tell your doctor if you have ever had an unusual or allergic reaction to this medicine or any other medicines. Also tell your doctor if you have other allergies, such as to foods, dyes, preservatives or animals. For over-the-counter products, read the label or package ingredients carefully.

Pediatrics

Studies conducted to date have not shown any pediatric-specific problems that would limit the benefit of neomycin, polymyxin B, and dexamethasone eye drops in children 2 years of age and older. Safety and effectiveness have not been established in children younger than 2 years.

No appropriate studies have been conducted on the association of age with the effects of neomycin, polymyxin B and dexamethasone ophthalmic ointment in children and adolescents. Safety and effectiveness have not been established.

geriatrics

Related studies conducted to date have not shown any geriatric-specific problems that would limit the usefulness of neomycin, polymyxin B, and dexamethasone eye drops and eye ointments in the elderly.

Breastfeeding

There are insufficient studies in women to determine the risk to infants when using this drug while breast-feeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Drug interactions

Although certain medicines should not be used together at all, in other cases two different medicines can be used together, although interactions may occur. In these cases, your doctor may want to change the dose or other precautions may be necessary. If you are taking this medicine, it is particularly important that your doctor knows whether you are taking any of the medicines listed below. The following interactions were selected for their potential significance and are not necessarily exhaustive.

The use of this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or to change some of the other medications you are taking.

• Artemether
• Desmopressin
• Praziquantel
• Rilpivirin
• Rotavirus-Impfstoff, lebend

Using this medicine with any of the following medicines is not usually recommended but may be necessary in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both medicines.

• Abametapir
• Aceclofenac
• Acemetacin
• Alcuronium
• Aldesleukin
• Alfentanil
• Amiodaron
• Amtolmetin Guacil
• Apalutamid
• Aspirin
• Atogepant
• Atracurium
• Balofloxacin
• Bemiparin
• Benzhydrocodon
• Besifloxacin
• Boceprevir
• Bromfenac
• Bufexamac
• Buprenorphin
• Bupropion
• Carbamazepin
• Celecoxib
• Ceritinib
• Cholestyramin
• Cholinsalicylat
• Cidofovir
• Ciprofloxacin
• Cisatracurium
• Clarithromycin
• Clonixin
• Cobicistat
• Kodein
• Colistimethat-Natrium
• Conivaptan
• Dabrafenib
• Daclatasvir
• Darunavir
• Dekamethonium
• Desogestrel
• Dexibuprofen
• Dexketoprofen
• Diclofenac
• Dienogest
• Diflunisal
• Dihydrocodein
• Dipyron
• Doxacurium
• Doxorubicin
• Doxorubicin-Hydrochlorid-Liposom
• Dronedaron
• Drospirenon
• Droxicam
• Efavirenz
• Elvitegravir
• Emtricitabin
• Enoxacin
• Enzalutamid
• Estetrol
• Östradiol
• Ethacrynsäure
• Ethinylestradiol
• Ethynodiol
• Etodolac
• Etofenamat
• Etonogestrel
• Etoricoxib
• Etravirin
• Fazadinium
• Fedratinib
• Felbinac
• Fenoprofen
• Fentanyl
• Fepradinol
• Feprazon
• Fexinidazol
• Fleroxacin
• Floctafenin
• Flufenaminsäure
• Flumequin
• Flurbiprofen
• Fosamprenavir
• Foscarnet
• Fosphenytoin
• Furosemid
• Gallamin
• Gatifloxacin
• Gemifloxacin
• Gestoden
• Hemin
• Hexafluorenium
• Hydrocodon
• Ibuprofen
• Idelalisib
• Indinavir
• Indomethacin
• Itraconazol
• Ketoconazol
• Ketoprofen
• Ketorolac
• Lapatinib
• Lenacapavir
• Levofloxacin
• Levonorgestrel
• Lomefloxacin
• Lopinavir
• Lornoxicam
• Loxoprofen
• Lumacaftor
• Lumateperon
• Lumiracoxib
• Lurasidon
• Lutetium Lu 177 Dotatate
• Macimorelin
• Meclofenamat
• Medroxyprogesteron
• Mefenaminsäure
• Meloxicam
• Meperidin
• Mestranol
• Methadon
• Metocurin
• Mitotan
• Mivacurium
• Morniflumate
• Moxifloxacin
• Nabumeton
• Nadifloxacin
• Nadroparin
• Naproxen
• Nefazodon
• Nelfinavir
• Nepafenac
• Nevirapin
• Nifedipin
• Nifluminsäure
• Nilotinib
• Nimesulid
• Nimesulid Beta Cyclodextrin
• Nimodipin
• Nirmatrelvir
• Nomegestrol
• Norelgestromin
• Norethindron
• Norfloxacin
• Norgestimate
• Norgestrel
• Ofloxacin
• Omaveloxolon
• Oxaprozin
• Oxycodon
• Oxyphenbutazon
• Pancuronium
• Parecoxib
• Pazufloxacin
• Pefloxacin
• Pentazocin
• Phenobarbital
• Phenylbutazon
• Phenytoin
• Piketoprofen
• Pipecuronium
• Piperaquin
• Piroxicam
• Posaconazol
• Pranoprofen
• Primidon
• Proglumetacin
• Propyphenazon
• Proquazone
• Prulifloxacin
• Rapacuronium
• Rifampin
• Ritonavir
• Rocuronium
• Rofecoxib
• Rufloxacin
• Salicylsäure
• Salsalat
• Saquinavir
• Sargramostim
• Segesteron
• Natriumsalicylat
• Somatrogon-ghla
• Sorafenib
• Sparfloxacin
• Johanniskraut
• Sufentanil
• Sulindac
• Sunitinib
• Tacrolimus
• Telaprevir
• Telithromycin
• Tenofoviralafenamid
• Tenoxicam
• Thalidomid
• Tiaprofensäure
• Tolfenaminsäure
• Tolmetin
• Tosufloxacin
• Tramadol
• Tubocurarin
• Ubrogepant
• Ulipristal
• Valdecoxib
• Vecuronium
• Velpatasvir
• Vincristinsulfat-Liposom
• Voriconazol
• Voxilaprevir
• Zolpidem
• Zuranolon

Using this medicine with any of the following medicines may result in an increased risk of certain side effects, but using both medicines may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both medicines.

• Alcuronium
• Aminoglutethimid
• Aprepitant
• Atracurium
• Auranofin
• Bumetanid
• Caspofungin
• Fluindion
• Fosaprepitant
• Fosnetupitant
• Gallamin
• Hexafluorenium
• Lakritze
• Metocurin
• Netupitant
• Ospemifen
• Pancuronium
• Rifapentin
• Saiboku-To
• Vecuronium
• Warfarin

Interactions with food/tobacco/alcohol

Certain medicines should not be taken during or near food or consumption of certain foods because interactions may occur. Consuming alcohol or tobacco with certain medications can also lead to interactions. Discuss using your medicine with food, alcohol or tobacco with your doctor.

Other medical problems

The presence of other medical problems may affect the use of this medicine. Be sure to tell your doctor if you have any other medical problems, especially:

• Katarakt bzw
• Hornhautprobleme (Teil des Auges), Vorgeschichte von oder
• Glaukom oder
• Probleme mit der Sklera (Teil des Auges), Vorgeschichte: Mit Vorsicht anwenden. Kann diese Bedingungen verschlimmern.

• Aktuelle Kataraktoperation – Kann dazu führen, dass sich die Nebenwirkungen verschlimmern.

• Augeninfektion mit Eiter – mit Vorsicht anwenden. Dexamethason kann die Infektion maskieren oder verstärken.

• Pilzinfektion des Auges oder
• Herpes-simplex-Augeninfektion oder
• Pocken-Augeninfektion oder
• Tuberkulose-Augeninfektion oder
• Varizellen-(Windpocken-)Augeninfektion – sollte bei Patienten mit diesen Erkrankungen nicht angewendet werden.

Proper use of Maxitrol

Use this medicine only as directed by your doctor. Do not use more of it, do not use it more often or for longer than prescribed by your doctor. This may increase the chance of too much medicine being absorbed into the body and may cause side effects.

How to use the eye drops:

• Waschen Sie zunächst Ihre Hände mit Wasser und Seife.
• Schütteln Sie die Flasche vor jedem Gebrauch gut.
• Neigen Sie Ihren Kopf nach hinten und drücken Sie mit dem Finger sanft auf die Haut direkt unter dem unteren Augenlid. Ziehen Sie das untere Augenlid vom Auge weg, um einen Spalt zu schaffen. Lassen Sie das Arzneimittel in diesen Raum fallen.
• Lassen Sie das Augenlid los und schließen Sie sanft Ihr Auge. Nicht blinken. Halten Sie das Auge geschlossen und üben Sie 1 bis 2 Minuten lang mit dem Finger Druck auf den inneren Augenwinkel aus, damit das Arzneimittel vom Auge aufgenommen werden kann.
• Wenn Sie glauben, dass der Tropfen des Arzneimittels nicht richtig in Ihr Auge gelangt ist, verwenden Sie einen anderen Tropfen.
• Um das Arzneimittel möglichst keimfrei zu halten, berühren Sie mit der Applikatorspitze keine Oberfläche (einschließlich des Auges). Halten Sie die Flasche fest verschlossen.

How to use the eye ointment:

• Waschen Sie zunächst Ihre Hände mit Wasser und Seife.
• Neigen Sie Ihren Kopf nach hinten und drücken Sie mit dem Finger sanft auf die Haut direkt unter dem unteren Augenlid. Ziehen Sie das untere Augenlid vom Auge weg, um einen Spalt zu schaffen. Geben Sie eine kleine Menge (etwa einen halben Zoll) der Salbe in diesen Raum.
• Schauen Sie nach unten, bevor Sie Ihr Auge schließen. Üben Sie mit dem Finger ein bis zwei Minuten lang Druck auf den inneren Augenwinkel aus, damit das Arzneimittel vom Auge aufgenommen werden kann.
• Um das Arzneimittel möglichst keimfrei zu halten, berühren Sie mit der Tubenspitze keine Oberfläche (auch nicht das Auge). Halten Sie das Röhrchen fest verschlossen.

To help your infection heal completely, you should continue to use this medicine throughout your treatment, even if you feel better after the first few doses. The infection may not clear if you stop using the medicine too soon. Don't miss a dose.

dosage

The dose of this medicine is different for different patients. Follow your doctor's instructions or the label directions. The following information includes average doses of this medicine only. If your dose is different, do not change it unless your doctor tells you to.

The amount of medicine you take depends on the strength of the medicine. In addition, the number of doses you take each day, the time between doses, and how long you take the medicine depend on the medical problem for which you are using the medicine.

• Bei Augeninfektionen:
  • Für ophthalmologische Darreichungsform (Augentropfen):
    • Erwachsene und Kinder ab 2 Jahren: Tragen Sie 4 bis 6 Mal täglich einen oder zwei Tropfen in das betroffene Auge auf. Ihr Arzt wird Ihnen möglicherweise empfehlen, die Tropfen bei schweren Infektionen häufiger anzuwenden.
    • Kinder unter 2 Jahren: Anwendung und Dosierung müssen von Ihrem Arzt festgelegt werden.
  • Für ophthalmologische Darreichungsform (Augensalbe):
    • Erwachsene: Tragen Sie drei- bis viermal täglich eine kleine Menge (ca. 1 cm) in das Auge auf.
    • Kinder – Anwendung und Dosis müssen von Ihrem Arzt festgelegt werden.

Missed dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and return to your regular dosing schedule. Do not double the dose.

storage

Keep away from children.

Do not keep medications that are outdated or no longer needed.

Ask your doctor how to throw away medicines you don't use.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Protect from freezing.

This medicine can also be stored in the refrigerator or in a cool, dry place.

Precautions when using Maxitrol

Your eye doctor will examine your eyes at regular visits to make sure this medicine is working properly and to check for unwanted effects, especially if you use this medicine for 10 days or longer.

This medicine may cause blurred vision. Make sure you know how you react to this medicine before driving, operating machinery, or doing other activities that could be dangerous.

If your symptoms do not improve within a few days or worsen, contact your ophthalmologist (eye doctor) immediately.

Consult your doctor immediately if you have an eye injury, eye infection, or are planning eye surgery.

Side effects of Maxitrol

In addition to the necessary effects, a medicine may also have some undesirable effects. Although not all of these side effects may occur, medical attention may be required if they occur.

Consult your doctor immediately if any of the following side effects occur:

For eye drops and eye ointment

Incident not known

• Blindheit
• verschwommene Sicht
• Veränderung der Vision
• verminderte Sehkraft
• Augenschmerzen
• Kopfschmerzen
• Übelkeit oder Erbrechen
• langsame Wundheilung

For eye drops

Incident not known

• Brennende, trockene, juckende Augen
• Ausfluss, übermäßiger Tränenfluss
• Augenrötung, Reizung oder Schmerzen
• Erhöhung der Durchblutung des Weißen der Augen
• Rötung, Schmerzen, Schwellung des Auges, des Augenlids oder der inneren Augenlidschleimhaut

For eye ointment

Incident not known

• Verschwommenes Sehen oder andere Sehstörungen
• Augenschmerzen
• Rötung des Auges
• Lichtempfindlichkeit des Auges
• Tränen im Auge

Some side effects may occur that usually do not require medical attention. These side effects may disappear during treatment as your body gets used to the medicine. Your doctor may also be able to give you ways to prevent or reduce some of these side effects. If any of the following side effects persist or are bothersome, or if you have any questions, contact your doctor:

For eye drops and eye ointment

Incident not known

• Juckreiz, Rötung, Schwellung oder andere Anzeichen einer Augen- oder Augenlidreizung

Some patients may also experience other side effects not listed. If you notice other side effects, contact your doctor.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Commonly used brand names

In the USA

• Maxitrol

Pharmacological class: adrenal glucocorticoid

Chemical Class: Aminoglycoside

More information