Neomycin-Bacitracin-Poly-Hc (neomycin sulfate/bacitracin zinc/polymyxin B/hydrocortisone)

Dosage of neomycin sulfate is expressed in terms of the base.

Dosage of bacitracin or bacitracin zinc is expressed in terms of the base.

Potency and dosage of polymyxin B sulfate are expressed in terms of polymyxin B activity (units of polymyxin B).

Hydrocortisone or its acetate ester is applied topically to the eye or ear. For ophthalmic or otic use, hydrocortisone and hydrocortisone acetate currently are commercially available only in fixed-combination preparations.

Care should be taken to avoid contamination of the tip of the ointment tube or dropper of the solution or suspension when the drug is used ophthalmically.

No dosing information is available for this tab.

There is no enhanced messaging for this drug.

There are no contraindication interactions for this drug.

There are no severe interactions for this drug.

There are no moderate interactions for this drug.

There is no enhanced messaging for this drug.

• Fungal infection of eye
• Herpes simplex dendritic keratitis
• Tuberculosis of the eye
• Vaccinia virus keratitis

• Amebic infection of the eye
• Ocular hypertension
• Ocular injury

• Corneal erosion
• Diabetes mellitus
• Krukenberg spindle
• No disease contraindications
• Open angle glaucoma
• Severe myopia

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More Frequent

• Contact dermatitis
• Ocular inflammation
• Ocular itching
• Ocular redness
• Skin rash

Less Frequent

• Ocular hypertension
• Ocular irritation

Rare or Very Rare

• Adrenocortical insufficiency
• Anaphylaxis
• Bullous dermatitis
• Cataracts
• Central serous chorioretinopathy
• Corneal degeneration
• Corneal edema
• Corneal erosion
• Corneal ulcer
• Fungal infection of eye
• Glaucoma
• Globe perforation
• Hypercortisolism
• Hypersensitivity drug reaction
• Keratitis
• Optic nerve damage
• Punctate keratitis
• Reduced visual acuity
• Uveitis
• Visual changes
• Visual field defect

More Frequent

• Blurred vision

Less Frequent

• Blurred vision
• Headache disorder
• Iritis
• Ocular irritation
• Ocular pain

Rare or Very Rare

• Accommodation disorder
• Allergic dermatitis
• Blepharoptosis
• Calcification of cornea
• Chemosis
• Conjunctival hyperemia
• Conjunctival hyperemia
• Conjunctival hyperemia
• Conjunctivitis
• Dizziness
• Dysgeusia
• Eye tearing
• Foreign body sensation of eye
• Impaired wound healing
• Mydriasis
• Ocular infection
• Ocular irritation
• Ocular itching
• Ocular itching
• Ocular redness
• Ocular redness
• Photophobia
• Urticaria
• Urticaria

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No enhanced messaging available.

Animal reproduction studies have not been conducted with neomycin sulfate. It is not known whether ophthalmic or otic preparations containing neomycin sulfate can cause fetal harm when administered to a pregnant woman.

Fixed-combination ophthalmic preparations containing neomycin sulfate, polymyxin B sulfate, and either bacitracin zinc or gramicidin should be used during pregnancy only if clearly needed.

Fixed-combination ophthalmic preparations containing neomycin sulfate, other anti-infectives (i.e., polymyxin B sulfate, bacitracin zinc), and a corticosteroid (i.e., dexamethasone, hydrocortisone, hydrocortisone acetate) should be used during pregnancy only if potential benefits justify potential risks to the fetus.

Fixed-combination otic preparations containing neomycin sulfate, colistin, and hydrocortisone acetate should be used during pregnancy only if potential benefits justify potential risks to the fetus. Although aminoglycosides can cause congenital deafness in humans if administered during pregnancy, the manufacturers state that clinically important systemic concentrations of neomycin are not anticipated when otic preparations containing neomycin are used as directed.

Fixed-combination otic preparations containing neomycin sulfate, polymyxin B sulfate, and hydrocortisone should be used during pregnancy only if potential benefits justify potential risks to the fetus.

Animal reproduction studies have not been performed with bacitracin. It is not known whether ophthalmic preparations containing bacitracin or bacitracin zinc can cause fetal harm when administered to pregnant women.

Fixed-combination ophthalmic preparations containing bacitracin zinc and polymyxin B sulfate with or without neomycin sulfate should be used during pregnancy only if clearly needed.

Fixed-combination ophthalmic preparations containing bacitracin zinc, neomycin sulfate, polymyxin B sulfate, and a corticosteroid (i.e., hydrocortisone, hydrocortisone acetate) should be used during pregnancy only if potential benefits justify potential risks to the fetus.

Animal reproduction studies have not been performed with polymyxin B sulfate. It is not known whether ophthalmic preparations containing polymyxin B sulfate can cause fetal harm when administered to pregnant women.

Fixed-combination ophthalmic preparations of polymyxin B sulfate and bacitracin zinc or polymyxin B sulfate, neomycin sulfate, and either bacitracin zinc or gramicidin should be used during pregnancy only if clearly needed.

Because trimethoprim may interfere with folic acid metabolism, fixed-combination ophthalmic preparations containing polymyxin B sulfate and trimethoprim sulfate should be used during pregnancy only if potential benefits justify potential risks to the fetus.

Fixed-combination ophthalmic preparations containing polymyxin B sulfate, other anti-infectives (i.e., neomycin sulfate, bacitracin zinc), and a corticosteroid (i.e., dexamethasone, hydrocortisone, hydrocortisone acetate) should be used during pregnancy only if potential benefits justify potential risks to the fetus.

Fixed-combination otic preparations containing polymyxin B sulfate, neomycin sulfate, and hydrocortisone should be used during pregnancy only if potential benefits justify potential risks to the fetus.

It is not known whether neomycin is distributed into milk.

Fixed-combination ophthalmic preparations containing neomycin sulfate and other anti-infectives (i.e., bacitracin zinc, gramicidin, polymyxin B sulfate) should be used with caution in nursing women.

Fixed-combination ophthalmic preparations containing neomycin sulfate, polymyxin B sulfate, and dexamethasone should be used with caution in nursing women.

The manufacturers of fixed-combination ophthalmic preparations containing neomycin sulfate, polymyxin B sulfate, bacitracin zinc, and hydrocortisone or hydrocortisone acetate state that a decision should be made whether to discontinue nursing or the ophthalmic preparation, taking into account the importance of the drug to the woman.

Fixed-combination otic preparations containing neomycin sulfate, colistin, and hydrocortisone acetate and fixed-combination otic preparations containing neomycin sulfate, polymyxin B sulfate, and hydrocortisone should be used with caution in nursing women.

It is not know whether bacitracin is distributed into milk.

Bacitracin and fixed-combination ophthalmic preparations containing bacitracin zinc and polymyxin B sulfate with or without neomycin sulfate should be used with caution in nursing women.

The manufacturers of fixed-combination ophthalmic preparations containing bacitracin zinc, neomycin sulfate, polymyxin B sulfate, and a corticosteroid (i.e., hydrocortisone, hydrocortisone acetate) state that a decision should be made whether to discontinue nursing or the ophthalmic preparation, taking into account the importance of the drug to the woman.

Some experts consider topical bacitracin compatible with nursing.

Fixed-combination ophthalmic preparations containing polymyxin B sulfate and other anti-infectives (i.e., bacitracin zinc, gramicidin, neomycin sulfate, trimethoprim sulfate) should be used with caution in nursing women.

Fixed-combination ophthalmic preparations containing polymyxin B sulfate, neomycin sulfate, and dexamethasone should be used with caution in nursing women.

The manufacturers of fixed-combination ophthalmic preparations containing polymyxin B sulfate, neomycin sulfate, bacitracin zinc, and hydrocortisone or hydrocortisone acetate state that a decision should be made whether to discontinue nursing or the ophthalmic preparation, taking into account the importance of the drug to the woman.

Fixed-combination otic preparations containing polymyxin B sulfate, neomycin sulfate, and hydrocortisone should be used with caution in nursing women.

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