Colbiocin, eye ointment 5 g

A combined antibacterial drug for topical use in ophthalmology.

Chloramphenicol is a broad spectrum antibiotic, inhibits protein synthesis of susceptible microorganisms; active against Gram-positive and Gram-negative bacteria, Mycoplasma spp, Rickettsia spp., Chlamydia spp.; not active against Pseudomonas aeruginosa, fungi.

Tetracycline is a broad spectrum antibiotic that inhibits protein synthesis of bacteria at RNA level and has bacteriostatic action. It is active against Gram-negative bacteria, Chlamydia spp., Mycoplasma spp., Rickettsia spp., Entamoeba histolytica. Resistance of microorganisms develops slowly.< /p>

Sodium colistimethate is an antibiotic that is isolated from Bacillus polymixa, var. colistinus. It has a bactericidal effect on most gram-negative bacteria (including Pseudomonas spp., Haemophilus spp.); active against fungi. There is no cross-resistance with broad-spectrum antibiotics with which colistimethate sodium shows synergism.< /p>

Indications

As part of complex therapy:
bacterial blepharitis;
blepharoconjunctivitis;
bacterial conjunctivitis (catarrhal, purulent);
chlamydial conjunctivitis;
bacterial keratitis;
purulent corneal ulcer;
dacryocystitis.

Pharmacological effect

Combined antibacterial drug for local use in ophthalmology.

Chloramphenicol is a broad-spectrum antibiotic that inhibits the synthesis of proteins of sensitive microorganisms; active against gram-positive and gram-negative bacteria, Mycoplasma spp., Rickettsia spp., Chlamydia spp.; not active against Pseudomonas aeruginosa, fungi.

Tetracycline is a broad-spectrum antibiotic that inhibits bacterial protein synthesis at the RNA level and has a bacteriostatic effect. Active against gram-negative bacteria, Chlamydia spp., Mycoplasma spp., Rickettsia spp., Entamoeba histolytica. Microbial resistance develops slowly.

Colistimethate sodium is an antibiotic isolated from Bacillus polymixa, var. colistinus. Has a bactericidal effect on most gram-negative bacteria (including Pseudomonas spp., Haemophilus spp.); active against fungi. There is no cross-resistance with broad-spectrum antibiotics, with which colistimethate sodium exhibits synergism.

Special instructions

Because Rare cases of bone marrow hypoplasia have been reported due to long-term topical use of chloramphenicol, the drug is recommended to be prescribed for a short period of time and under the control of peripheral blood patterns.
With prolonged use, resistance of the pathogen develops.
During treatment, it is necessary to monitor intraocular pressure.
It is not recommended to wear contact lenses while using the drug.
When using Colbiocin ophthalmic ointment with other ophthalmic agents, the interval between use of the drugs should be 5-10 minutes

Active ingredient

Colistimethate sodium, Tetracycline, Chloramphenicol

Active components

chloramphenicol Rec.INN WHO registered colistimethate sodium Rec.INN WHO registered tetracycline Rec.INN WHO registered

Composition

Eye ointment in the form of a soft mass of light yellow color.
100 g
tetracycline 0.5 g
chloramphenicol 1 g
colistimethate sodium 18,000,000 IU
Excipients: anhydrous lanolin – 15 g, liquid paraffin – 15 g, soft white paraffin – up to 100 g.

Pregnancy

The drug is contraindicated for use during pregnancy and lactation (breastfeeding).

Use in children

The drug is contraindicated in children under 8 years of age.

Contraindications

individual hypersensitivity to the components of the drug;
dysfunction of the liver, kidneys;
pregnancy;
lactation period;
children’s age (up to 8 years).

Side Effects

Local reactions: transient blurred vision, local irritation (short-term conjunctival hyperemia).
Cases of hypersensitivity symptoms such as burning, angioedema, urticaria, bullous and maculopapular dermatitis have been reported. The appearance of the above symptoms requires stopping the use of the drug and prescribing therapy.

Interaction

Drug interactions between Colbiocin and other topical medications have not been described.

Overdose

There is no information about drug overdose.

Recommendations for use

A strip of ointment 1-1.5 cm long is placed behind the lower eyelid of the affected eye 3-4 times a day. If the use of eye ointment is combined with the use of Colbiocin in the form of eye drops, then using the ointment once a day at night is sufficient. To administer the ointment, carefully pull the lower eyelid down and, lightly pressing the tube, insert a strip of ointment into the conjunctival sac. Then slowly lower the eyelid and press it with a cotton swab or cotton swab for 1-2 minutes. After this, you should close your eyes for 1-2 minutes.
The duration of treatment is 7-8 days. In case of severe conjunctivitis, blepharoconjunctivitis, keratitis, dacryocyst, as well as purulent corneal ulcer, the duration of treatment can be up to 14 days.

Storage conditions

The drug should be stored out of the reach of children at a temperature not exceeding 25°C.

Shelf life

3 years. Do not use the drug after the expiration date indicated on the package.
After opening the package, the drug should be used within 30 days.

Manufacturer

S.I.F.I. S.p.A., Italy