Neomycin/ polymyxin b/ bacitracin/ hydrocortisone ointment

Generic Name: neomycin/polymyxin b/bacitracin/hydrocortisone (NEE-oh-MYE-sin/POL-ee-MIX-in B/BAS-i-TRAY-sin/HYE-droe-KOR-ti-sone)
Brand Name: Generic only. No brands available.

Neomycin/ polymyxin b/ bacitracin/ hydrocortisone ointment is used for:

Treating eye inflammation and infection caused by certain bacteria.

Neomycin/polymyxin b/bacitracin/hydrocortisone ointment is an antibiotic and corticosteroid combination. The antibiotics work by slowing the growth of, or killing, sensitive bacteria on the eye. The corticosteroid reduces inflammation.

Do NOT use neomycin/ polymyxin b/ bacitracin/ hydrocortisone ointment if:

  • you are allergic to any ingredient in neomycin/polymyxin b/bacitracin/hydrocortisone ointment
  • you have a fungal (eg, ringworm), viral (eg, herpes simplex, chickenpox, vaccinia), or mycobacterial infection of the eye

Contact your doctor or health care provider right away if any of these apply to you.

Slideshow: 2014 Update: First Time Brand-to-Generic Switches

Before using neomycin/ polymyxin b/ bacitracin/ hydrocortisone ointment:

Some medical conditions may interact with neomycin/polymyxin b/bacitracin/hydrocortisone ointment. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances (including kanamycin, paromomycin, streptomycin, and gentamicin)
  • if you have diabetes, glaucoma, or thinning of the cornea or white of the eye
  • if you have a wound at the application site
  • if you have recently had cataract surgery or any other eye surgery

Some MEDICINES MAY INTERACT with neomycin/polymyxin b/bacitracin/hydrocortisone ointment. Because little, if any, of neomycin/polymyxin b/bacitracin/hydrocortisone ointment is absorbed into the blood, the risk of it interacting with another medicine is low.

Ask your health care provider if neomycin/polymyxin b/bacitracin/hydrocortisone ointment may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use neomycin/ polymyxin b/ bacitracin/ hydrocortisone ointment:

Use neomycin/polymyxin b/bacitracin/hydrocortisone ointment as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Neomycin/polymyxin b/bacitracin/hydrocortisone ointment is only for the eye. Do not get it in your nose or mouth.
  • Wash your hands well before and after using neomycin/polymyxin b/bacitracin/hydrocortisone ointment.
  • Neomycin/polymyxin b/bacitracin/hydrocortisone ointment may be used around the eye or in the eye. To use neomycin/polymyxin b/bacitracin/hydrocortisone ointment in the eye, first, wash your hands. Using your index finger, pull the lower eyelid away from your eye to form a pouch. Squeeze a thin strip of ointment into the pouch. After using neomycin/polymyxin b/bacitracin/hydrocortisone ointment, gently close your eyes for 1 to 2 minutes. Wash your hands to remove any medicine that may be on them. Wipe the applicator tip with a clean, dry tissue.
  • To prevent germs from contaminating your medicine, do not touch the applicator tip to any surface, including the eye. Keep the container tightly closed.
  • Do not wear contact lenses while you are using neomycin/polymyxin b/bacitracin/hydrocortisone ointment. Take care of your contact lenses as directed by the manufacturer. Check with your doctor before you use them.
  • To clear up your infection completely, use neomycin/polymyxin b/bacitracin/hydrocortisone ointment for the full course of treatment. Keep using it even if you feel better in a few days.
  • If you miss a dose of neomycin/polymyxin b/bacitracin/hydrocortisone ointment, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use neomycin/polymyxin b/bacitracin/hydrocortisone ointment.

Important safety information:

  • Neomycin/polymyxin b/bacitracin/hydrocortisone ointment may cause blurred vision. Use it with caution. Do not drive or perform other possibly unsafe tasks if you cannot see clearly.
  • Neomycin/polymyxin b/bacitracin/hydrocortisone ointment only works against bacteria; it does not treat fungal or viral infections.
  • Be sure to use neomycin/polymyxin b/bacitracin/hydrocortisone ointment for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.
  • Long-term or repeated use of neomycin/polymyxin b/bacitracin/hydrocortisone ointment may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.
  • Long-term use of neomycin/polymyxin b/bacitracin/hydrocortisone ointment may cause an increase in the pressure in your eyes. Do NOT use more than the recommended dose or use for longer than 10 days without checking with your doctor.
  • If your symptoms do not improve within 48 hours or if they become worse, check with your doctor.
  • Tell your doctor or dentist that you take neomycin/polymyxin b/bacitracin/hydrocortisone ointment before you receive any medical or dental care, emergency care, or surgery.
  • Neomycin/polymyxin b/bacitracin/hydrocortisone ointment should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using neomycin/polymyxin b/bacitracin/hydrocortisone ointment while you are pregnant. It is not known if neomycin/polymyxin b/bacitracin/hydrocortisone ointment is found in breast milk after topical use. Do not breast-feed while using neomycin/polymyxin b/bacitracin/hydrocortisone ointment.

Possible side effects of neomycin/ polymyxin b/ bacitracin/ hydrocortisone ointment:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Burning, stinging, or mild irritation when you put neomycin/polymyxin b/bacitracin/hydrocortisone ointment in your eye.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); eye pain or swelling; severe or persistent eye itching, burning, or redness; vision changes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of neomycin/polymyxin b/bacitracin/hydrocortisone ointment:

Store neomycin/polymyxin b/bacitracin/hydrocortisone ointment at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Keep the container tightly closed. Keep neomycin/polymyxin b/bacitracin/hydrocortisone ointment out of the reach of children and away from pets.

General information:

  • If you have any questions about neomycin/polymyxin b/bacitracin/hydrocortisone ointment, please talk with your doctor, pharmacist, or other health care provider.
  • Neomycin/polymyxin b/bacitracin/hydrocortisone ointment is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take neomycin/polymyxin b/bacitracin/hydrocortisone ointment or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about neomycin/polymyxin b/bacitracin/hydrocortisone ointment. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to neomycin/polymyxin b/bacitracin/hydrocortisone ointment. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using neomycin/polymyxin b/bacitracin/hydrocortisone ointment.

Issue Date: September 3, 2014
Database Edition 14.3.1.003
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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