Brand Name

TobraDex {Alcon Laboratories}

Generic Name

tobramycin and dexamethasone ophthalmic, pronounced TOE bra MYE sin and DEX a METH a sone off THAL mik

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Drug Guide

The information contained in the following drug guide is intended as an educational resource only. This guide is not exhaustive and does not contain all available information about this drug.This guide is not intended as medical advice for individual conditions or treatment.

The information provided in this guide does not replace the need for the advice and services of medical professionals or the need for medical examination. Always talk to your physician or pharmacist before taking any prescription medication or over the counter drugs (including any supplements) or before making any changes to your treatment. Only your doctor, nurse or pharmacist can provide you with safe and effective advice regarding your drug treatment.

The use of the information in this guide is at your sole risk. This information is provided "AS IS" with no warranties to accuracy or timeliness.

**All trademarks and registered trademarks are the property of their respective owners.

What is TobraDex?

TobraDex is used to treat bacterial infections of the eye. TobraDex is a combination of
tobramycin, an antibiotic and dexamethasone, which is a steroid. Dexamethasone ophthalmic helps
to treat the swelling associated with eye infections.

TobraDex may also be prescribed for purposes not listed in this medication guide.

Key Facts About TobraDex

Talk to your doctor if your symptoms do not get better or if they get worse within the first
several days of using TobraDex.

You should wait at least 15 minutes or longer to put your contact lenses in after using
TobraDex eye drops.

You should not use any other eye drops while you are using TobraDex without talking to your
doctor first.

You should be careful not to allow the tip of the TobraDex eye dropper to touch any surface,
which includes your eyes or hands. If the dropper touches any surfaces it could become
contaminated, leading to a different infection of your eye. Eye infections can cause serious
damage or even vision loss.

Take care to use caution while driving or operating heavy machinery, as TobraDex may cause
blurred vision.

TobraDex is in FDA pregnancy category C. It is not known whether TobraDex can be harmful to an
unborn baby. You should tell your doctor if you are pregnant or plan to become pregnant before
using TobraDex. Do not use TobraDex if you are breastfeeding as it is not known if TobraDex
passes into breast milk.

Before You Take TobraDex

You should not take TobraDex if you are allergic to either tobramycin or
dexamethasone.

TobraDex will treat a bacterial infection of the eye only. This medicine will not treat a
viral or fungal infection of the eye.

Tell your doctor if you are taking an oral steroid, like prednisone (Deltasone) before
starting treatment with TobraDex.

You should avoid using too much of this medication. Use only the amount of TobraDex that your
doctor has prescribed for you.

TobraDex Drug Interactions

There are no particular medications, oral or injectable, that interact with TobraDex. Tell
your doctor if you are taking an oral steroid, like prednisone (Deltasone) before starting
treatment with TobraDex. However, you should tell your doctor about all of the medications you
use. This includes prescription drugs, vitamins, supplements and herbal products, and over the
counter medications. You should not begin taking a new medication without telling your doctor
first.

Directions for Taking TobraDex

You should take TobraDex exactly how it was prescribed for you. You should not use TobraDex in
larger or smaller amounts, or use it for longer or shorter than recommended by your doctor.
Follow the directions exactly on your prescription label.

A patient instruction guide comes with your TobraDex prescription which gives you instructions
for safe and effective use of this medication. Be sure to follow the instructions for using
TobraDex carefully, and ask your doctor or pharmacist if you have any questions.

When you are ready to apply the TobraDex eye drops you should tilt your head back slightly and
pull your lower eyelid down to create a small pocket. Hold the dropper steadily above your eye
with the tip facing down. You should look up and away from the dropper as you squeeze out a drop.
Close your eye after administering the drop for a few seconds. Next, lightly press your finger to
the inside corner of the eye (near your nose) for about 1 minute to keep the liquid from draining
into your tear duct.

If you need to have eye surgery, if you have an eye injury or develop a worsened eye infection
at any time during your treatment with TobraDex you should tell your doctor immediately.

Do not use TobraDex eye drops if they are discolored or contain particles.

You should be careful not to allow the tip of the TobraDex eye dropper to touch any surface,
which includes your eyes or hands. If the dropper touches any surfaces it could become
contaminated, leading to a different infection of your eye. Eye infections can cause serious
damage or even vision loss.

TobraDex needs to be stored at room temperature, with the cap on tightly. Do not freeze
TobraDex.

If you miss a dose of TobraDex you should attempt to take the missed dose as soon as you
remember. However, if it is almost time for your next scheduled dose do not take the missed dose
in addition to your regular dose.

TobraDex Side Effects

If you experience any of the following adverse effects you should stop taking TobraDex and
seek emergency medical help immediately:

• allergic reaction such as difficulty breathing, hives or swelling of your throat, face, tongue
  or lips

Less Serious TobraDex side effects may include:

• blurred vision
• increased sensitivity to light
• redness, swelling, itching or pain in or around your eye
• stinging or burning in your eyes

It should be noted that this is not a complete list of possible side effects of TobraDex. You
should contact your physician for a complete list and medical advice regarding these effects.

TobraDex Description and Dosing

TobraDex is available as a sterile ophthalmic suspension in a 2.5 mL dropper that contains
tobramycin 0.3% (3 mg) and dexamethasone 0.1% (1 mg).

TobraDex is prescribed based on the individual need of each patient. Your doctor will tell you
the right dose for you.

If you suspect that you have overdosed with TobraDex you should seek emergency help
immediately.

Ingredients in TobraDex

TobraDex is comprised of the main ingredients tobramycin and dexamethasone ophthalmic
suspension. The preservative benzalkonium chloride 0.01% can be found in TobraDex. Additional
inactive ingredients include tyloxapol, edetate disodium, sodium chloride, hydroxyethyl
cellulose, sodium sulfate, sulfuric acid and/or sodium hydroxide and purified water.

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The information contained in this drug guide is intended as an educational resource only. This guide is not exhaustive and does not contain all available information about this drug.This guide is not intended as medical advice for individual conditions or treatment.

The information provided in this guide does not replace the need for the advice and services of medical professionals or the need for medical examination. Always talk to your physician or pharmacist before taking any prescription medication or over the counter drugs (including any supplements) or before making any changes to your treatment. Only your doctor, nurse or pharmacist can provide you with safe and effective advice regarding your drug treatment.

The use of the information in this guide is at your sole risk. This information is provided "AS IS" with no warranties to accuracy or timeliness.

**All trademarks and registered trademarks are the property of their respective owners.