Negara: Amerika Serikat
Bahasa: Inggris
Sumber: NLM (National Library of Medicine)
TOBRAMYCIN (UNII: VZ8RRZ51VK) (TOBRAMYCIN - UNII:VZ8RRZ51VK), DEXAMETHASONE (UNII: 7S5I7G3JQL) (DEXAMETHASONE - UNII:7S5I7G3JQL)
NuCare Pharmaceuticasl,Inc.
OPHTHALMIC
PRESCRIPTION DRUG
INDICATIONS AND USAGE: Tobramycin and dexamethasone ophthalmic suspension is indicated for steroid-responsive inflammatory ocular conditions for which a corticosteroid is indicated and where superficial bacterial ocular infection or a risk of bacterial ocular infection exists. Ocular steroids are indicated in inflammatory conditions of the palpebral and bulbar conjunctiva, cornea and anterior segment of the globe where the inherent risk of steroid use in certain infective conjunctivitides is accepted to obtain a diminution in edema and inflammation. They are also indicated in chronic anterior uveitis and corneal injury from chemical, radiation or thermal burns, or penetration of foreign bodies. The use of a combination drug with an anti-infective component is indicated where the risk of superficial ocular infection is high or where there is an expectation that potentially dangerous numbers of bacteria will be present in the eye. The particular anti-infective drug in this product is active against the followi
HOW SUPPLIED: Tobramycin and dexamethasone ophthalmic suspension, USP is sterile ophthalmic suspension supplied as a 2.5 mL, 5 mL, or 10 mL suspension in a 5 mL, 10 mL or 10 mL natural polyethylene bottle respectively with a natural polyethylene controlled drop tip and a white polypropylene cap. NDC 68071-2772-2: 2.5 mL STORAGE: Store at 8°C to 27°C (46°F to 80°F). Store suspension upright and shake well before using. After opening, tobramycin and dexamethasone ophthalmic suspension can be used until the expiration date on the bottle. Rx Only
Abbreviated New Drug Application
TOBRAMYCIN AND DEXAMETHASONE- TOBRAMYCIN AND DEXAMETHASONE SUSPENSION/ DROPS NUCARE PHARMACEUTICASL,INC. ---------- TOBRAMYCIN AND DEXAMETHASONE OPHTHALMIC SUSPENSION, USP STERILE DESCRIPTION: Tobramycin and dexamethasone ophthalmic suspension USP is a sterile, multiple dose antibiotic and steroid combination for topical ophthalmic use with a pH of approximately 5.5 and an osmolality of approximately 300 mOsm/kg. The chemical structures for tobramycin and dexamethasone are presented below: Tobramycin Empirical Formula: C H N O Chemical Name: _O_-3-Amino-3-deoxy-α-D-glucopyranosyl-(1→4)- _O_-[2,6-diamino-2,3,6- trideoxy-α-D- _ribo_-hexopyranosyl-(1→6)]-2-deoxy-L-streptamine MW: 467.52 18 37 5 9 Dexamethasone Empirical Formula: C H FO Chemical Name: 9-Fluoro-11β,17,21-trihydroxy-16α-methylpregna-1,4-diene-3,20-dione MW: 392.47 EACH ML OF TOBRAMYCIN AND DEXAMETHASONE OPHTHALMIC SUSPENSION CONTAINS: ACTIVES: tobramycin 0.3% (3 mg) and dexamethasone 0.1% (1 mg). PRESERVATIVE: benzalkonium chloride 0.01%. INACTIVES: edetate disodium dihydrate, hydroxyethyl cellulose, sodium chloride, sodium sulfate anhydrous, sulfuric acid and/or sodium hydroxide (to adjust pH), tyloxapol, and water for injection. CLINICAL PHARMACOLOGY: Corticoids suppress the inflammatory response to a variety of agents and they probably delay or slow healing. Since corticoids may inhibit the body's defense mechanism against infection, a concomitant antimicrobial drug may be used when this inhibition is considered to be clinically significant. Dexamethasone is a potent corticoid. The antibiotic component in the combination (tobramycin) is included to provide action against susceptible organisms. _In vitro _studies have demonstrated that tobramycin is active against susceptible strains of the following microorganisms: _Staphylococci_, including _S. aureus _and _S. epidermidis _(coagulase-positive and coagulase- negative), including penicillin-resistant strains. _Streptococci_, including some of the Group A-beta-hemolytic species, some nonhemoly Baca dokumen lengkapnya