TOBRAVISC 3.0 MG/ML EYE DROPS SOLUTION
Active substance(s): TOBRAMYCIN
TOBRAVISC® 3.0 mg/ml eye drops, solution
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 further questions, ask your doctor or 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.
IN THIS LEAFLET
What TOBRAVISC is and what it is used for
Before you use TOBRAVISC
How to use TOBRAVISC
Possible side effects
How to store TOBRAVISC
WHAT TOBRAVISC® IS AND WHAT IT IS USED FOR
TOBRAVISC belongs to a group of medicines known as aminoglycoside antibiotics.
It is used for the treatment of bacterial infections of the surface of the eye and eyelids, such as
conjunctivitis and blepharitis.
BEFORE YOU USE TOBRAVISC
Do not use TOBRAVISC...
If you are allergic to tobramycin, or any of the other ingredients listed in section 6.
In CHILDREN under the age of 1 year.
Ask your doctor for advice.
Only use TOBRAVISC for dropping in your eye(s).
Take special care...
If you suffer from liver or kidney disease. Tell your doctor if you are taking any other
antibiotic medicines by mouth or by injection.
As with any antibiotic, use of TOBRAVISC for a long time may lead to other infections. If
your symptoms get worse or suddenly return tell your doctor.
If you experience allergic reactions with TOBRAVISC, discontinue use and consult your
doctor. Allergic reactions may vary from localized itching or skin redness to severe allergic
reactions (anaphylactic reaction) or serious skin reactions. These allergic reactions may occur
with other topical or systemic antibiotics of the same family (aminoglycosides)
Pregnancy and breast-feeding
TOBRAVISC should be used during pregnancy only if clearly needed. If you are pregnant, you think
you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before
using this medicine. TOBRAVISC is not recommended during breastfeeding.
Driving and using machines
You may find that your vision is blurred for a time just after you use TOBRAVISC. Do not drive or
use any machines unless your vision is clear.
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.
If you are using other eye drops, wait at least 5-10 minutes after putting in TOBRAVISC before
using the other drops. Put all your eye drops in before using any eye ointment.
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.
Do not use the drops while wearing contact lenses. Wait at least 15 minutes after using the eye drops
before putting your lenses back in. There is a preservative in TOBRAVISC (benzododecinium
bromide) that can affect soft contact lenses.
HOW TO USE TOBRAVISC
The usual dose
The usual dose in adults and children 1 year and older is 1 drop in your eye(s), twice a day–
morning and evening for 7 days.
In severe infections, this may be increased to 1 drop 4 times a day for the first day, followed by 1
drop twice a day for 6 days.
Do not stop using TOBRAVISC before your doctor advises, even if your symptoms improve.
Remove the loose collar from the cap when the bottle is first opened.
Always use TOBRAVISC exactly as your doctor has told you. You should check with your doctor or
pharmacist if you are not sure.
Continued over >
HOW TO USE TOBRAVISC® (continued)
How to use
Wash your hands before you start.
Twist off the bottle cap.
Hold the bottle pointing down, between your thumb and fingers.
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).
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).
Don’t 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 a drop misses your eye, try again.
If you forget to use TOBRAVISC, do not worry, just use it as soon as possible. However, if
it is almost time for your next dose, skip the missed dose and go back to your normal dosing
schedule. Do not take a double dose to make up.
If you use more TOBRAVISC than you should, it can be, rinsed out with warm water.
If you have any further questions on the use of TOBRAVISC, ask your doctor or pharmacist.
POSSIBLE SIDE EFFECTS
Like all medicines, TOBRAVISC can cause side effects, although not everybody gets them.
The following side effects are common and are experienced by up to 1 in 10 people using
TOBRAVISC: eye redness, eye discomfort, eye allergy, itchy eyelids.
The following uncommon side effects have been reported by up to 1 in 100 people using
headache, hypersensitivity reactions
inflammation, scratching or other problems with the surface of the eye such as swelling
impaired or blurred vision
redness or swelling of the eyelid
eye discharge, eye pain, dry eyes, itchy eyes, watery eye(s)
problems with the skin such as abnormal sensations, inflammation of the skin, itchy or dry skin
the appearance of patches on the skin
loss of eyebrows or eyelashes
The following side effects have also been reported but it is not known how many people have been
severe allergic reactions
serious skin reactions (Stevens-Johnson syndrome and erythema multiforme).
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side
effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme
at: www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide more information on
the safety of this medicine.
HOW TO STORE TOBRAVISC
Keep out of the reach and sight of children.
Keep the bottle tightly closed.
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 month.
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
Do not pass this medicine on to others. It may harm them, even if their symptoms are the
same as yours.
What TOBRAVISC contains
The active substance is tobramycin 3 mg/ml.
The other ingredients are xanthan gum, benzododecinium bromide, mannitol, trometamol,
boric acid, polysorbate 80, sulphuric acid and/or sodium hydroxide (to adjust pH) and purified
What TOBRAVISC looks like and contents of the pack
TOBRAVISC is a clear solution supplied in a pack containing a 5 ml plastic bottle with a screw cap.
Marketing authorisation holder:
Novartis Pharmaceuticals UK Limited
Frimley Business Park,
Frimley, Camberley, Surrey
GU16 7SR, United Kingdom.
SA Alcon-Couvreur NV
Rijksweg 14, B-2870 Puurs, Belgium.
This leaflet was last revised in 03 2017
Alcon a Novartis company
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.