osudhkosh

Generic

Bacitracin Zinc + Polymixin B Eye prep

2 brands available in the market

At a glance

Bacitracin Zinc + Polymixin B Eye prep is a combination antibiotic used for the treatment of bacterial eye infections and prevention of post-surgical eye infections. It is effective against both gram-positive and gram-negative bacteria.

Description

Bacitracin Zinc + Polymixin B Eye prep is a combination of two antibiotics: Bacitracin and Polymyxin B. Bacitracin inhibits bacterial cell wall synthesis and is active against gram-positive bacteria. Polymyxin B disrupts the bacterial cytoplasmic membrane of most gram-negative organisms. This combination provides broad-spectrum antibacterial activity.

Apply ½ inch ribbon of ointment to the affected eye(s). For acute infections: every 3-4 hours; for mild-to-moderate infections: 2-3 times daily for 7-10 days. Continue treatment for another 2 days after the eye has apparently recovered.

Indications
  • Bacterial eye infections (conjunctivitis, blepharitis)
  • Prevention of post-surgical eye infections
Therapeutic class

Ophthalmic Antibiotic Combination

Pharmacological class

Polypeptide + Polymyxin

Pharmacology

Bacitracin inhibits bacterial cell wall peptidoglycan synthesis and is active against gram-positive bacteria (staphylococci, streptococci, corynebacteria, clostridia) and some gram-negative species (Neisseria and Haemophilus influenzae).

Polymyxin B binds to membrane phospholipids, disrupting the bacterial cytoplasmic membrane of most gram-negative organisms, allowing leakage of intracellular constituents.

Mechanism of action

Bacitracin inhibits bacterial cell wall peptidoglycan synthesis. Polymyxin B disrupts the bacterial cytoplasmic membrane. This combination provides broad-spectrum activity against both gram-positive and gram-negative bacteria.

Dosage

Adults and Children:

  • Acute infections: Apply ½ inch ribbon to affected eye(s) every 3-4 hours for 7-10 days
  • Mild-to-moderate infections: Apply ½ inch ribbon to affected eye(s) 2-3 times daily for 7-10 days
  • Continue treatment for another 2 days after the eye has apparently recovered
Administration

For ophthalmic use only. Clean the affected area gently before application. Apply ½ inch ribbon of ointment to the conjunctival sac. Do not touch the dropper tip to the eye or any surface. Ointment may blur vision temporarily.

Missed dose

If you miss a dose, apply as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Side effects
  • Allergic contact dermatitis (<1%)
  • Conjunctival erythema
  • Swelling
  • Itching
  • Burning
Precautions & warnings
  • Ointment may blur vision temporarily
  • Prolonged use may cause overgrowth of non-susceptible organisms, including fungi
  • Consult doctor before use if wearing contact lenses
  • Caution during pregnancy and lactation
Contraindications
  • Hypersensitivity to bacitracin, polymyxin B, or any component
Drug interactions
  • Bacitracin Zinc: Increased nephrotoxicity risk with other nephrotoxic drugs; may enhance neuromuscular-blocking agents
  • Polymyxin B: Additive neurotoxic or nephrotoxic effects with bacitracin, streptomycin, neomycin, gentamicin, tobramycin, amikacin, colistin; increased risk of respiratory paralysis with neuromuscular blockers
Food interactions

No food restrictions (topical application).

Use in pregnancy

[CONSULT YOUR DOCTOR] Limited safety data during pregnancy (Category C). Use only if clearly needed and under medical supervision.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Use in lactation

[CONSULT YOUR DOCTOR] Excretion in breast milk is unknown. Use with caution in nursing mothers.

Pediatric use

Pediatric dosage is same as adults. Consult doctor before use in neonates.

Geriatric use

No dose adjustment needed for elderly patients.

Renal / hepatic impairment

Systemic absorption with topical application is minimal, but caution is advised in severe renal or hepatic impairment.

Overdose effects

Overuse may cause systemic absorption and toxicity. Consult a doctor if symptoms occur.

Storage conditions

Store in a cool and dry place, protected from light. Keep out of reach of children.

Chemical structure

Bacitracin Zinc + Polymyxin B Sulphate

Common questions

What is this eye ointment used for?
It is used for bacterial eye infections and prevention of post-surgical eye infections.
How should it be used?
Apply ½ inch ribbon to the affected eye(s). Acute infections: every 3-4 hours; mild-moderate: 2-3 times daily for 7-10 days.
What are the side effects?
Allergic dermatitis, conjunctival redness, swelling, itching, and burning may occur.
Does it blur vision?
Yes, the ointment may temporarily blur vision.
Can it be used during pregnancy?
Category C. Consult your doctor before use.
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.