Nebracin Dm Eye Drop
Nebracin DM (tobramycin 0.3% + dexamethasone 0.1%) — aminoglycoside + steroid eye drop for bacterial conjunctivitis with inflammation. Contraindicated in HSV keratitis.
✓ Medisch beoordeeld door Morgan Ellis — Apotheekonderzoeker · 8 jaar ervaring · Laatst beoordeeld: mei 2026
⚡ Quick Answer — What is Nebracin DM Eye Drop?
Nebracin DM Eye Drop combines Tobramycin 0.3% (antibiotic) with dexamethasone 0.1% (corticosteroid) for bacterial eye infection complicated by significant inflammation. Use only when both bacterial infection AND inflammation are present. Avoid in viral or fungal keratitis.
📦 Elke bestelling is gedekt door onze Reshipment Assurance Policy — als uw pakket niet binnen 20 werkdagen arriveert, sturen wij het opnieuw.
Waarom bestellen bij MedsBase
Nebracin DM Eye Drop is sourced from a WHO-GMP certified manufacturer and shipped worldwide in plain, discreet packaging. Every order is covered by our Reshipment Assurance Policy — als het niet is aangekomen na 20 werkdagen, sturen wij het opnieuw zonder extra kosten. Ondersteund door meer dan 1.400 geverifieerde klantbeoordelingen.
What is Nebracin DM Eye Drop?
Nebracin DM Eye Drop is manufactured by FDC — a fixed combination of the antibiotic Tobramycin 0.3% and the corticosteroid dexamethasone 0.1%. The dual mechanism kills bacterial pathogens while suppressing the inflammatory response that contributes to symptom severity. Reserved for situations where both components are clinically justified.
Hoe het werkt
Tobramycin binds the 30S ribosomal subunit and disrupts bacterial protein synthesis — bactericidal against susceptible Gram-positive and Gram-negative organisms. dexamethasone binds intracellular glucocorticoid receptors, suppressing transcription of pro-inflammatory cytokines and leukocyte trafficking, reducing redness, swelling, and discomfort.
Indicaties
- Bacterial conjunctivitis with significant inflammation
- Bacterial blepharoconjunctivitis
- Post-operative bacterial keratitis with corneal oedema (under specialist guidance)
- Anterior uveitis with bacterial co-infection (rare; specialist setting only)
- Selected post-cataract regimens that bundle antibiotic prophylaxis with steroid
Dosering
1–2 drops in affected eye(s) every 4–6 hours. In severe inflammation, dose may be increased to every 2 hours during the first 24–48 hours. Tapering schedule is set by the prescribing ophthalmologist. Typical course: 7–14 days, never indefinite.
Bijwerkingen
Steroid-related: elevated intraocular pressure (steroid response — typically appears 2+ weeks into therapy; about a third of the population are ‘steroid responders’), posterior subcapsular cataract with prolonged use, delayed corneal/conjunctival wound healing, secondary infection from immune suppression (especially fungal and herpetic).
Antibiotic-related: stinging on instillation, conjunctival hyperaemia, lid eczema, hypersensitivity, punctate keratopathy with prolonged aminoglycoside use.
Waarschuwingen & Contra-indicaties
- Herpes simplex keratitis (dendritic / geographic ulcer) — absolute
- Fungal keratitis — absolute
- Varicella, vaccinia, mycobacterial eye disease — absolute
- Hypersensitivity to either component
- Children — use only with specialist guidance and IOP monitoring
- Pregnancy / breastfeeding — discuss with prescriber; topical absorption minimal but steroid Category C
- Open-angle glaucoma — relative contraindication; monitor IOP closely
- Prolonged use beyond 14 days — increases all risks above
Opslag
Store at 15–25°C protected from light. Shake before each use if specified. Discard 28 days after first opening.
Veelgestelde vragen
When is Nebracin DM Eye Drop the right choice?
Bacterial eye infection where inflammation is contributing significantly to symptoms — classically post-operative or significantly inflamed bacterial conjunctivitis. If you are unsure whether the infection is bacterial, antibiotic alone is the safer choice.
Why not always combine antibiotic and steroid?
Steroids mask infection signs and accelerate viral and fungal disease. Adding steroid to a missed herpes simplex ulcer or fungal keratitis can blind the eye within days. Always confirm bacterial diagnosis first.
What is steroid response?
About 30% of the population have a genetic predisposition to develop elevated IOP when exposed to topical steroids. Onset is typically 2+ weeks into therapy. Your ophthalmologist should check IOP if you use topical steroid for more than 2 weeks.
How long can I use Nebracin DM Eye Drop?
Most courses are 7–14 days. Indefinite use risks cataract, glaucoma, and opportunistic infection. Always have a defined end-point and ophthalmology review.
What if my vision worsens during treatment?
Stop and seek same-day ophthalmology review. Worsening on antibiotic+steroid is a red flag for missed herpetic, fungal, or amoebic keratitis.
Is Nebracin DM Eye Drop safe in pregnancy?
Topical absorption is minimal, but steroids carry Category C status. Discuss with your prescriber; usually possible with short courses when clearly indicated.
Can children use Nebracin DM Eye Drop?
Only under specialist supervision with IOP monitoring. Children are particularly vulnerable to steroid-induced cataract and glaucoma.
Why are dexamethasone and prednisolone different choices?
Dexamethasone is more potent but carries higher IOP-raising potential. Prednisolone has slightly lower IOP risk. Loteprednol (a different molecule) is designed to be ‘soft’ with lower IOP risk and is often preferred for chronic use.
What if I'm a contact-lens user?
Stop lenses during treatment. Steroid-mediated immunosuppression makes contact-lens microbial keratitis particularly dangerous.
What if I have herpes simplex history?
Disclose this clearly to your prescriber. Steroids can reactivate dormant herpes and convert minor flare-ups into vision-threatening keratitis. A different antibiotic-only regimen is safer.
Andere oogzorgmedicijnen
Klanten die dit product bekijken, overwegen ook deze alternatieven in ons Oogzorg assortiment:
- Pred Forte (prednisolone acetate)
- FML Eye Drop (fluorometholone)
- Lotepred Eye Drop (loteprednol)
- Acular LS (ketorolac)
- Megabrom (bromfenac)
Medische Disclaimer
De informatie op deze pagina is alleen voor educatieve doeleinden en is geen vervanging voor medisch advies van een gekwalificeerde oogarts of optometrist. Oogaandoeningen kunnen snel een bedreiging vormen voor het gezichtsvermogen — plotseling verlies van gezichtsvermogen, hevige pijn of trauma is een oogheelkundig spoedgeval. Raadpleeg altijd een oogzorgprofessional voordat u een behandeling start, stopt of wijzigt.
Meer opties in oogzorg
Gerangschikt op recente bestelvolumes van MedsBase — wat andere klanten in deze categorie kiezen.
| Sterkte | 0.3%+0.1% |
|---|---|
| Hoeveelheid | 1 Oogdruppel, 3 Oogdruppels, 6 Oogdruppels |
| Farmaceutische vorm | Oogdruppel/s |
| Fabrikant | Sunways India |
| Behandeling | Oogzorg |
| Generiek merk | Tobramycin + Dexamethasone |
Nebracin Dm Eye Drop
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