Do not dispose of medications in wastewater e. Ask your pharmacist how to dispose of medications that are no longer needed or have expired. Polymyxin B - bacitracin - gramicidin should not be used by anyone who is allergic to polymyxin B, bacitracin, gramicidin, or to any of the ingredients of the medication.
Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.
Many of these side effects can be managed, and some may go away on their own over time. Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects. Stop taking the medication and seek immediate medical attention if any of the following occur:. Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.
Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health.
These factors may affect how you should use this medication. Overgrowth of organisms: Prolonged use of this medication may cause an overgrowth of organisms that this medication does not effectively kill. If your symptoms worsen or do not improve, call your doctor as soon as possible. Pregnancy: It is not clear what effects polymyxin B - bacitracin zinc - gramicidin may have on the unborn baby when used by pregnant women.
This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor as soon as possible.
Breast-feeding: It is not known if polymyxin B - bacitracin zinc - gramicidin passeHs into breast milk. Bacterial keratitis. With most corneal ulcerations, I would start with Ciloxan ciprofloxacin HCl, Alcon or Ocuflox ofloxacin, Allergan and have the patient instill drops every 15 minutes for 6 hours. The antibiotic drops are then reduced to every 30 minutes for the next 18 hours. Polysporin ointment is directed to be applied to the lids and lower fornix four times daily after lid scrubs, saline rinse, homatropine and antibiotic drop instillation.
Ibuprofen mg every 4 to 6 hours helps relieve pain and reduces the anterior chamber reaction. After 24 hours, the cornea is re-evaluated, and a judgment is made as to whether the eye is stable. In the first 24 hours, the main concern is that the infection is not progressing.
With most infections, it is too early to see much improvement. The antibiotic drop is usually reduced to every hour, and the other medications are continued as prescribed. If stomach upset is noted, it may be necessary to reduce or discontinue the ibuprofen. Evaluate the eye daily until the pain has subsided and the lesion shows slight or no stain with fluorescein. The homatropine and ibuprofen can then be discontinued and the antibiotic drops reduced to four times per day for 5 to 7 more days.
The Polysporin is usually reduced to bedtime use with continued application in the lower fornix and to lid margins for 5 to 7 more days. Prophylactic treatment. When patching an abrasion or after foreign body removal, Polysporin ointment is an excellent antibiotic to use to prevent infection. It causes too much blurring for use as a prophylactic antibiotic during the day when the eye is not patched. Polytrim trimethoprim sulfate, polymyxin B sulfate, Allergan or Ocuflox may be a better choice for use during the day.
Polysporin is a broad-spectrum antibiotic that is on most formularies and is readily available at pharmacies. Excellent results are achieved when this medication is used for treating blepharitis. It can also be used in conjunction with other antibiotics for treating more severe infections. Because polymyxin B and bacitracin are not available in injectable or oral forms, there is less concern for allergic reactions.
When allergic reactions do occur, they are usually mild and easily rectified by discontinuing the ointment. It provides the practitioner with an inexpensive and effective treatment for lid disease and anterior surface infection. Healio News Optometry Therapeutics.
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