TOBRADEX Kolir 5 ml.

WHAT TOBRADEX drops AND WHAT IT IS USED
TOBRADEX eye drops-inflammatory corticosteroid combination.
Corticosteroids (dexamethasone in this case) to prevent or reduce inflammation in the eye. Anti-inflammatory agents (tobramycin in this case) are effective against a broad spectrum of microorganisms that may infect the eye (s).
TOBRADEX eye drops are used for prevention and treatment of inflammation of the eye, as well as to prevent the possible infection of the eye after cataract surgery (known. Cataract) in adults and children over 2 years.

2 BEFORE USING TOBRADEX eye drops
Do not use eye drops TOBRADEX:
if you are allergic (hypersensitive) to tobramycin, and / or dexamethasone, or any of the other ingredients of TOBRADEX eye drops, suspension;
if you suspect that you have:
infection in the eye, epithelial herpes simplex keratitis, smallpox (variola), chickenpox or other viral infection of the eye;
tuberculosis of the eye;
fungal infections of the eye.
Take special care with TOBRADEX eye drops:
TOBRADEX use eye drops for dropping in your eyes.
If you get allergic reactions such as itching, eyelid swelling or redness of the eye, discontinue use of the product and consult your doctor. Such allergic sensitization is possible to obtain with the use of other antibiotics (aminoglycosides) for local or systemic administration.
If your symptoms worsen or suddenly resume, please contact your doctor.
Consult your doctor if you use other antibiotics, including oral, together with the use of TOBRADEX drops.

If you use TOBRADEX eye drops for a long time, you can:
become more susceptible to eye infections;
you have increased pressure in your eye / eyes;
develop cataracts (clouding of the natural lens of the eye called. curtain).
If you have glaucoma or high pressure in the eye / eye intraocular pressure in your eye should be checked regularly while using TOBRADEX drops. Ask your doctor.
Eye pressure should be monitored frequently, especially in children under 6 years in the treatment of used medicines containing dexamethasone.
Steroids applied to the eye may slow the healing of eye wounds.
Consult your doctor or pharmacist before using this medicine if you have a disorder causing thinning of the eye tissues.
If you are using other drugs, please read the important part, "Using other medicines".

If you wear contact lenses:
Wearing contact lenses (hard or soft) is not recommended during treatment of ocular inflammation or infection.
children
TOBRADEX eye drops should not be used in children under 2 years because safety and efficacy of this drug has not been established in this group of patients.

Using other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. If you use more than one drug for topical ocular administration is required interval of 5 minutes between them. Eye ointment is placed last.

Pregnancy and lactation
Ask your doctor's advice before taking any medicine.
If you are pregnant or may become pregnant or are breast feeding, consult your doctor before using this medicine.
TOBRADEX eye drops should not be used during pregnancy or breastfeeding.

Driving and using machines
It was just after TOBRADEX drops appear blurred vision. You should wait until your vision is clear and only then to drive or operate machinery.

Important information about some of the ingredients of TOBRADEX eye drops
If you wear contact lenses:
Wearing contact lenses (hard or soft) is not recommended during treatment of ocular inflammation.
If you continue to wear contact lenses, remove them immediately before use TOBRADEX eye drops and wait 15 minutes before putting your lenses back. TOBRADEX a preservative in eye drops (benzalkonium chloride) that can discolour soft lenses.

3 HOW TO USE TOBRADEX eye drops
TOBRADEX Always use eye drops exactly as prescribed by your doctor. If you are not sure, ask your doctor or pharmacist
The usual dose for adults and children over 2 years, one or two drops in the eye (s) every four to six hours. The duration of treatment is at the discretion of your doctor.

TOBRADEX use eye drops for your eyes only.

Take 1 bottle TOBRADEX drops and mirror.
2 Wash your hands.
3 Shake the bottle well.
4 Unscrew the cap.
5 Hold the bottle, pointing down, between your thumb and middle finger.
6 Tilt your head back. Pull down your eyelid with a clean finger, until there is a 'pocket' between the eyelid and your eye. The drop should go in this place.
7 Move the dropper tip of the bottle close to the eye. Use the mirror if it helps,
8 Do not touch your eye or eyelid, surrounding areas or other surfaces with the dropper. There is a risk of contamination of the drops.
9 Gently press with the index based on the down bottle to release one drop TOBRADEX drops.
10 Once the TOBRADEX eye drops, release the lower eyelid, close the eye and gently press eye with a finger in the corner of the nose. This will prevent TOBRADEX drops to move to other parts of the body.
11 If you use drops in both eyes, repeat the steps with the other eye.
12 Replace the cap and close the bottle immediately after use.
13 Use only one bottle.

If a drop misses your eye, try again.

If you forget to put TOBRADEX eye drops, continue with the next dose at your regular routine. However, if it is time for your next dose, skip the missed one and go back to your regular dosing schedule. Do not take a double dose to make up for a missed dose.

If you use more than the required amount TOBRADEX drops rinse with warm water. Do not put more drops until it is time for your next regular dose.

If you have any further questions on the use of this ask your doctor or pharmacist.
                              
4 POSSIBLE SIDE EFFECTS
Like all medicines, TOBRADEX eye drops can cause side effects, although not everybody gets them. The following adverse reactions have been observed in TOBRADEX eye drops:
Uncommon side effects (affects 1 to 10 users in 1000):
Effects in the eye: increased pressure in the eye / eye, eye pain, eye pruritus, eye discomfort, eye irritation, increased slazeotdelyane, eyelid swelling, eyelid itching, inflammation of the ocular surface.
Rare side effects (affects 1 to 10 users in 10,000):
Effects in the eye: allergy, blurred vision, dry eye, abnormal sensation in the eye, eye irritation, redness;
General effects: bad taste.
Not known (can not be estimated from available data):
Effects in the eye: increase the size of the pupil;
General effects: headache, nausea, stomach upset, rash, skin irritation, redness or itching, swelling of the face.
Usually, you can continue use of the product, unless the effects are serious. If you're worried, ask your doctor or pharmacist.

If any of the side effects gets serious, or if you notice other effects not listed in this leaflet, please tell your doctor or pharmacist.

5 HOW TO STORE TOBRADEX eye drops
Keep out of reach of children.
Do not use the medicine after the expiry date stated on the bottle and carton (marked as "EXP").
Do not store above 25 ° C. Do not freeze.
The bottle should be discarded four weeks after first opening to prevent infections.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
Store in a tightly closed container.

6 FURTHER INFORMATION
Contents TOBRADEX eye drops
The active substances are: tobramycin 3 mg / ml and dexamethasone 1 mg / ml.
Other ingredients are: benzalkonium chloride, edetate disodium, sodium chloride, anhydrous sodium sulfate (E514), tyloxapol, hydroxyethylcellulose, and purified water. Were added small amounts of sulfuric acid and / or sodium hydroxide to maintain the acidity levels (pH levels).

Looks TOBRADEX drops and contents of the pack
TOBRADEX drops liquid (white to off-white suspension) supplied in a pack containing 5 ml plastic bottle with a screw cap with a protective ring.