TOBREX 5 ml.

WHAT TOBREX eye drops AND WHAT IT IS USED
TOBREX eye drops from a group of medicines called anti-inflammatory. This group includes antibiotics (tobramycin in this case), which are effective against a broad spectrum of microorganisms that may infect the eye (s).
TOBREKS eye drops for the treatment of bacterial infections of the external eye (s) and surrounding surfaces in adults and children over 1 year old.

2. BEFORE YOU USE TOBREX eye drops
Do not use TOBREX eye drops:
if you are allergic (hypersensitive) to tobramycin or any of the other ingredients of TOBREX drops.
Take special care with TOBREX eye drops:
Use TOBREX eye drops for your eyes;
if you experience allergic reactions such as itching in the eyelid, swelling or redness of the eye, discontinue use of the product and consult your doctor. Such allergic sensitization may occur in the use of other aminoglycoside antibiotics for the topical or systemic administration;
ask your doctor if you are using another antibiotic treatment simultaneously TOBREX eye drops;
if your symptoms get worse or suddenly resume, please consult your doctor. If you use eye drops TOBREX long, you can become susceptible to eye infections;
If you wear contact lenses:
the wearing of contact lenses (hard or soft) is not recommended during the treatment of ocular inflammation;
if you are taking other medicines, please also read section "Using other medicines" of this leaflet.
Using other medicines
Please tell your doctor or pharmacist if you are using or have recently used any other medicines, including medicines obtained without a prescription.

Pregnancy and lactation
Ask your doctor before taking any medicine.
If you are pregnant or might become pregnant, or are breast-feeding, talk to your doctor before taking this medicine.
TOBREKS eye drops should not be used during pregnancy or breastfeeding.

Driving and using machines
It is possible immediately after placing the TOBREX turbot eyes may find that your vision is blurred. Wait until your vision is clear and only then drive or operate machinery.

Important information about some of the ingredients of TOBREX eye drops:
TOBREX preservative in eye drops (benzalkonium chloride) may cause eye irritation, as well as discoloration of soft contact lenses.
If you wear contact lenses, you should remove the lenses before using this medicine and wait at least 15 minutes before putting lenses back. Wearing contact lenses is not recommended during treatment of eye infection.

3. HOW TO USE TOBREX eye drops
TOBREKS Always use eye drops exactly as your doctor tells you. If you're not sure, ask your doctor or pharmacist.
Use TOBREX for your eyes only.

Adults and children over 1 year old:
In mild to moderate disease states, the usual dose is one or two drops in the affected eye (s) every four hours.
In severe medical conditions, the usual dose is one or two drops in the affected eye (s) every hour until improvement is noticed, then reduce the frequency of administration before stopping treatment.
The usual duration of treatment is 7-10 days. The duration of treatment is determined by your doctor.

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

If a drop misses your eye, try again.

If you put more than the required amount TOBRBEX eye drops, rinse the eye / eye with lukewarm water. Symptoms of overdose may include eye irritation, eye redness, eye swelling, eyelid pruritus.

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

If you use other medicinal products for the eyes (drops or ointment), wait at least 5 minutes between each of them. Eye ointment should be placed last.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS
Like all medicines, TOBREX eye drops can cause side effects, although not everybody gets them.
The following adverse reactions have been reported with the use of eye drops TOBRE:
Common side effects (affects 1 to 10 users in 100):
Effects in the eye: eye discomfort, redness of the eye, damage to the eye.
Uncommon side effects (affects 1 to 10 users in 1000):
Effects in the eye: eye surface inflammation, damage to the cornea, visual impairment, blurred vision, redness of the eyelids, swelling of the eye and eyelids, eyelid disorder, eye pain, dry eye, eye discharge, eye pruritus, abnormal sensation (foreign body) in the eye, increased slazeotdelyane;
Effects associated with whole body: allergy (hypersensitivity), headache, rash, skin irritation, decreased growth or number of eyelashes, loss of pigmentation of the skin, itching, dry skin.
Effects with unknown frequency (can not be estimated from available data):
Effects in the eye: eye allergy, eye irritation, itching of the eyelid;
Effects associated with whole body: rash.
If any of the side effects gets serious, or you notice other effects not listed in this leaflet, please tell your doctor or pharmacist.

5. HOW TO STORE TOBREKS eye drops
Keep out of reach of children.
TOBREKS not use eye drops after the expiry date stated on the bottle and carton after 'EXP'. The expiry date refers to the last day of that month.
The bottle should be discarded 4 weeks after first opening to prevent infections.
Do not store above 25 ° C.
Keep container tightly closed.
Medicines should not be disposed of in wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6. FURTHER INFORMATION
What TOBREX eye drops
The active substance is tobramycin. One milliliter of solution contains 3 mg of tobramycin.
Other ingredients are: boric acid (E284), anhydrous sodium sulfate (E514), sodium chloride, taloksapol, benzalkonium chloride, and purified water. Were added small amounts of sodium hydroxide and / or sulfuric acid to maintain the acidity levels (pH levels).