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At a glance

Neomycin Sulphate + Polymixin B Sulphate + Prednisolone Eye prep is used for bacterial ocular infections and steroid-responsive inflammatory eye conditions.

Indications
  • Bacterial ocular infection
  • Steroid-responsive inflammatory eye conditions
  • Conjunctivitis
  • Keratitis
Pharmacology

Neomycin binds to 30S ribosomal subunit to inhibit bacterial protein synthesis. Prednisolone inhibits polymorphonuclear leukocyte migration and reverses capillary permeability to reduce inflammation and suppresses immune system. Polymyxin B causes bacterial membrane leakage to produce bactericidal effect.

Dosage

Adult Dose (Eye Drops):

  • 1-2 drops every 3-4 hours; acute infections may require every 30 minutes; reduce frequency as infection is controlled
  • For lid treatment: 1-2 drops every 3-4 hours, close eye and rub excess on lids

Pediatric Dose: 1-2 drops 2-4 times daily

Side effects

Side Effects:

  • Elevation of intraocular pressure (glaucoma and optic nerve damage)
  • Posterior subcapsular cataract formation
  • Delayed wound healing
  • Fungal and viral infections of cornea (with long-term steroid use)
Use in pregnancy

Use in Pregnancy: Safety not established; consult doctor.

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

Precautions & warnings
  • Prolonged corticosteroid use may result in optic nerve damage and vision defects
  • Monitor intraocular pressure regularly with prolonged use
  • Risk of fungal and viral infections
Overdose effects

Limited information on overdose; symptomatic treatment.

Storage conditions

Store in a cool and dry place, away from light; keep out of reach of children.

Neomycin Sulphate 0.35% + Polymixin B Sulphate 0.127% + Prednisolone 0.5% Eye prep — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.