Doctor insights on:
Nebcin Allergy In Children
Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more
Yes: They're different. However, no guarantee there won't be another allergy. ...Read more
With kid trachees, colonized with pseudo, esbl kleb oxytoca & staph, what inhaled abx could be used prophylaxi? (obv. Working with pulmo) tobi (tobramycin) allergy
Ciprofloxacin: Approved for inhaled use, would discuss with pulmonary. Benefits may outweigh the risks. ...Read more
Eye Problem, Accidentally have been using antibiotic tobramycin "pink eye" drops for general dry/allergy eye issues - Can this hurt my eyes?
Unlikely: It is unlikely that the drops you put in your eye will lead to any problem, as it is meant for the eye. It certainly won't help your allergy symptoms, but it shouldn't cause any harm. The most common side effects of Gentamicin eye drops are stinging, burning, redness or temporary blurred vision. ...Read more
Eye infection not cleared up after tx with tobramycin for 7days, 3X/ day. Does this mean it's viral not bacterial. I have no allergies.
Treatment failure: Symptoms of an illness that will respond to a particular antibiotic usually start to improve within 3-4 days if the appropriate antibiotic was prescribed, and they were taken as directed. Relapse or persistence of symptoms is generally regarded as a treatment failure or inaccuracy of the original diagnosis (i.e. viral not bacterial). ...Read more
Blepharitis and dry eyes not going away. Have allergies and asthma. Experiencing symptoms for 10 months. Prescribed tobradex (tobramycin and dexamethasone) ointment and feel worser.
Not a good idea: If you are thinking of using leftover med for your kid, it is not a good idea. If your kid has pinkeye, I would at least consult with his/her doc. Instillation of this steroid/abx drop in some cases can allow a viral infection by the herpes virus to cause long term damage. ...Read more
Kidney & hearing: Nebcin (tobramycin) is an aminoglycoside used to treat serious infections like pneumonia. It's given parenterally i.e. By injection or intravenously. Potential side effects include kidney & nerve damage & permanent hearing loss. These can occur at standard dosages but are much more likely at higher doses. Following serum levels is important. Such concerns should be addressed to your physician. ...Read more
Is nebcin (tobramycin) just an in-hospital antibiotic; is there a similar pill for outpatient use?
Ophthalmic?: Tobramycin comes in injectable forms for intramuscular and intravenous usage. It is also available in an ophthalmic preparation for ocular infections. I presume you are asking about the eye medication formulation. Typically it is used one drop to affected eye (s) 4 times/day for 7 to 10 days then stopped. ...Read more
Eye infection: This is an antibiotic. It is used to treat bacterial infections of the eye such as conjunctivitis or keratitis. It is an older antibiotic and has more surface toxicity than the newer fluoroquinolone antibiotics. It typically kills gram negative bacteria better than gram positive bacteria. ...Read more
Most Viral: Viral infection on the inner part of the eyelid and thin moist "skin"covering the eyeball-called the conjunctiva is called "conjunctivitis." you infect your eye when you touch a surface (or person) with the virus and rub your eye-transfering the virus. Frequent hand washing helps prevent this. Sharing towels or pillows can also cause infection. Antibiotics don't work. Just time 7-14 days. ...Read more
Part of treatment: Use of tobradex (tobramycin and dexamethasone) is a combination of antibiotic and steroid which helps treat infection portion of sty and manage inflammation. This plus adequate drainage is often effective. You should see a local opthalmologist to manage. Prolonged use of tobradex (tobramycin and dexamethasone) is not recommended due to risk of fungal infections, etc in the eye. ...Read more
Not helpful: Chalazia are the end product of the body's attempt to defeat a stye. They are an encysted nodule in the lid. Tobramycin and other antibiotics will not enter the chalazion so they will have no effect. Some chalazia spontaneously disappear, but if yours is obvious or troublesome, your ophthalmologist can suggest in office ways to get rid of it. ...Read more
It depends on blood: Level and pharmacokinetics. If nebulized, you may get less of it in your blood than IV. Speak to your prescribing doctor, and pharmacist about it, and do get a baseline hearing test so you know what that is. SO, it's not based on time per se, but on cumulative dosing in your blood. You need to find out your steady state level. ...Read more
Can you tell me about how long it takes for someone using nebulized tobramycin to begin losing their hearing?
This is not time: Dependent but dose dependent. Your persrcibing doctor should keep tract of the doseage. ...Read more
Should an n95 mask block nebulized medication particles? [specifically tobramycin neb via lc star- yes, pulmonology question]
N95 mask: I don't know the answer. But an important advise, make sure the n95 mask is fit for you size. There a method to get measured, otherwise you may not be protected. ...Read more
Why do we give 1/2 dose (150) inhaled tobramycin, twice a day? Could 36lb kids get a full dose once daily to same effect? (trach w colonized pseudom)
Antibiotic dosing: Your body breaks down antibiotics at a steady rate, and it takes a certain amount of antibiotic for it to work. If you were to only dose the tobramycin once a day, it will be too low to work in ~12-16 hrs; by using it twice a day, you keep it in your system & it works much better. ...Read more
Check with doctor: Generally, a drop safe for the eye should be safe for the ear, but the one you mentioned has a steroid in it which might be contraindicated for certain types of ear infections. So, I would check with the prescribing doctor to make sure that the medication is ok to use for the ear problem. ...Read more
No: No, you cannot use it in the ear. ...Read more
Antibiotic: Intravenous tobramycin is an antibiotic used to treat various kinds of infections caused by gram negative organisms. Hospital acquired pneumonia is a common scenario where IV tobramycin is used. Topical tobramycin can be used to treat conjunctivitis and external ear infections. ...Read more
Tobramycin: Was it given as an ointment? If yes, it means 1/4 inch to area affected 2x per day for 7 days. Send us a photo of the bottle or tube if not. ...Read more
See below: The injectable or eyedrop forms of tobramycin should clear your body within 24 hours. However, if you have been told your kidneys don’t work as well as they should, it could take as long as 3 days for the tobramycin to clear. On the other hand, if you have cystic fibrosis and take the drug by inhaling it, it takes a little over a day to be eliminated from the body. ...Read more
Resistance to tobi (tobramycin): Yes you can develop resistance to tobi (tobramycin) after prolonged use, like with any other antibiotics, and you have to take cultures to confirm the resitance. Intermittent use of tobi (tobramycin) is preferred as there is less chance of resistance that way. ...Read more
Probably yes: Tobramycin ophthalmic solution 0.3% is a fairly common eye drop, or at least used to be. If it is a veterinary preparation, it should probably not be used in humans. That said, it is probably the same drop. In general, it is not a good idea to self diagnose and treat. Please see an competent eye care professional, and get an evaluation! ...Read more