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Package Leaflet - Information for the User


eye drops, suspension
Dexamethasone, Neomycin sulphate, Polymyxin B sulphate
Read all of this leaflet carefully before you start using this medicine
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or your pharmacist.
• This medicine has been prescribed for you. Do not pass it on to others.
It may harm them, even if their symptoms are the same as yours.
• If any of the side effects get serious, or if you notice any side effects not listed in this leaflet,
please tell your doctor or pharmacist.

1. What MAXITROL is and what it is
used for
2. Before you use MAXITROL
3. How to use MAXITROL


6. Further information

It is used for the short term treatment of
inflammation of the eye, where administration of
an antibiotic is also required to prevent an eye


Do not use MAXITROL...
• If you have any type of infection of the eye
that is not being treated. Use of steroids may
make infections worse.
• If you have a red eye that has not been seen
by a doctor.
• If you are allergic to neomycin or to any of the
other ingredients listed in section 6.
Ask your doctor for advice.

Take special care...
• Do not inject or swallow this medicine.
• Consult your doctor or pharmacist before using
this medicine if you have a disorder causing a
thinning of the eye tissues.
• You should have your eye pressure checked
regularly while using this medicine. This is
especially important for children.
• The risk of increase in eye pressure and / or
cataract formation is higher in susceptible
patients ( e.g. patients with diabetes ) using
• Consult your doctor or pharmacist if your eye
pain, redness, swelling, or irritation gets worse
or persists.
• Steroids applied to the eye may delay the
healing of your eye wound. Topical NSAIDs
( Non-Steroidal Anti Inflammatory DrugsMedications ) are also known to slow or delay
healing. Simultaneous use of topical NSAIDs
and topical steroids may increase the potential
for healing problems.
• As with any antibiotic, use of MAXITROL for a
long time may lead to other infections. If your
symptoms get worse or suddenly return tell
your doctor.


5. How to store MAXITROL


MAXITROL contains a steroid, dexamethasone
and two antibiotics, neomycin sulphate and
polymyxin B sulphate.


4. Possible side effects

Pregnancy and breast-feeding
MAXITROL is not recommended during
pregnancy or breast-feeding. If you are pregnant
or might get pregnant, or if you are breast-feeding
a baby, talk to your doctor before you use

Driving and using machines
You may experience blurred vision after using
MAXITROL. Do not drive or use any machines
unless your vision is normal.

Using other medicines
Tell your doctor or pharmacist if you are
taking or have recently taken any other
medicines, including medicines obtained without
a prescription. Taking MAXITROL with other
medicines may increase the seriousness of the
side effects. Tell your doctor if you are using
topical NSAIDs. Simultaneous use of topical
steroids and topical NSAIDs may increase healing
problems in your eye.

Important information if you wear
Contact Lenses
Wearing contact lenses is not advisable during
the treatment of an eye infection, as they may
make your condition worse.
If you do continue to wear your lenses, you must
remove them before using MAXITROL and wait at
least 15 minutes after use before putting your
lenses back in.
There is a preservative in MAXITROL
( benzalkonium chloride ) that can discolour soft
contact lenses.


The usual dose
The usual dose is 1 or 2 drops into the space
between your eyelid and eye 6 times daily, or
more frequently if required.
Remove the loose collar from the cap when
the bottle is first opened.

Always use MAXITROL exactly as your doctor
has told you. You should check with your doctor
or pharmacist if you are not sure.
MAXITROL should not be used for a long period
of time unless advised by your doctor.

Continued over



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HOW TO USE MAXITROL* ( continued )

How to use

Wash your hands before you start.
Shake the bottle well.
Twist off the bottle cap.
Hold the bottle pointing down,
between your thumb and
• Tilt your head back.
• Pull down your lower eyelid with
a finger, until there is a ‘pocket’
between the eyelid and your
eye. The drop will go in here
( picture 1 ).

• If a drop misses your eye, try again.
• If you forget to take MAXITROL, do not
worry, just take it as soon as possible.
Do not take a double dose to make up.
• If you use more MAXITROL than you
should it can be washed out of your eye with
warm water.


• Bring the bottle tip close to the eye. Do this in
front of a mirror if it helps.
• Do not touch your eye or eyelid,
surrounding areas or other surfaces with the
dropper. It could infect the drops.
• Gently press on the base of the bottle to
release one drop at a time ( picture 2 ).
• Do not squeeze the bottle, only a gentle
press on the bottom is needed.
• If you use drops in both eyes, repeat the steps
for your other eye. Put the bottle cap firmly
back on immediately after use.

• If you are using other eye drops, wait at
least 5 minutes after putting in MAXITROL
before using the other eye drops. Eye
ointments should be administered last.
If you have any further questions on the use
of MAXITROL, ask your doctor or pharmacist.


Like all medicines, MAXITROL can cause side
effects, although not everybody gets them.
You may experience some or all of the
following effects in your eyes :
Uncommon ( affect 1 to 10 users in 1000 ) :
eye surface inflammation, increased pressure in
eye, blurred vision, sensitivity to light, change in
pupil size, drooping of eye lid, eye pain, swelling
or redness, eye irritation, itching or discomfort,
abnormal eye sensation, increased tear
Thinning of the surface of the eye has also been
reported. It is not known how many users may
have experienced this side effect.

You may also experience effects in other
parts of your body :
Hypersensitivity or general allergy to MAXITROL
and headache have been reported. It is not
known how many users may have experienced
these side effects

Reporting of side effects
If you get any side effects, talk to your doctor or
pharmacist. This includes any possible side
effects not listed in this leaflet. You can also
report side effects directly via the national
reporting system ( see details below ). By reporting
side effects you can help provide more
information on the safety of this medicine.
United Kingdom
Yellow Card Scheme
Website : / yellowcard



Keep out of the reach and sight of children.
Do not refrigerate or store above 25 °C.
Keep the bottle tightly closed.
Keep away from direct sunlight.
Do not use the drops after the expiry date
( marked ‘Exp’ ) on the bottle and the carton.
The expiry date refers to the last day of that


• Stop using the bottle 4 weeks after first
opening, to prevent infections.
• Medicines should not be disposed of via waste
water or household waste. Ask your pharmacist
how to dispose of medicines no longer
required. These measures will help to protect
the environment.
• Do not pass this medicine on to others.
It may harm them even if their symptoms are
the same as yours.


What MAXITROL contains
• The active substances are dexamethasone
1 mg / ml, neomycin sulphate 3500 IU / ml,
polymyxin B sulphate 6000 IU / ml.
• The other ingredients are sodium chloride,
polysorbate 20, hypromellose, benzalkonium
chloride, hydrochloric acid and / or sodium
hydroxide ( to adjust pH ) and purified water.

Marketing authorisation holder :
Alcon Laboratories ( UK ) Ltd.
Frimley Business Park
Frimley, Camberley
Surrey GU16 7SR
United Kingdom.
* a trademark of Novartis

What MAXITROL looks like and
contents of the pack
MAXITROL Eye Drops is a cloudy, white liquid
supplied in a pack containing a 5 ml or 10 ml
plastic bottle with a screw cap.

Manufacturer :
SA Alcon-Couvreur NV
Rijksweg 14, B-2870 Puurs, Belgium.
This leaflet was last revised in July 2014.


© 2010, 2013, 2014 Novartis


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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.