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Chapter 11Table 11.2
Commonly Used Opthalmic Anti- Infectives
Generic | Brand | Dosage Form | ROA | Common Dose |
---|---|---|---|---|
Tobramycin | Tobrasol, Tobrex | Solution, ointment | Opthalmic | 1-2 drops every 4 hours; half inch ribbon 2-6 times a day |
Macrolides | --------- | -------------- | ----------------- | -------------- |
Enthromycin | Enthromycin | Ointment | Opthalmic | Half inch ribbon 2-6 times a day |
Sulfonamides | --------- | ---------------- | ------------------- | ------------ |
Sulfacetamide | Bleph-10, Cetamide, Sulamyd | Solution, ointment | Opthalmic | 1-2 drops every 2-3 hrs; thin ribbon 1-4 times a day and at bedtime |
Trimethoprim, Polymyxin B | Polytrim | Solution | Opthalmic | 1-2 drops every 4-6 hours |
Quinolones | ------------------ | ---------------------- | ------------------- | ------------------- |
Ciprofloaxcin | Ciloxan | Solution, ointment | Opthalmic | 1-2 drops every 2-5 hours; half-inch ribbon 2-3 times a day |
Levofloaxcin | Iquix, Quixin | Solution | Opthalmic | 1-2 drops every 2-4 hours |
Ofloxacin | Ocuflox | Solution | Opthalmic | 1-2 drops every 2-4 hours or 4 times a day |
Miscellaneous Combinations | --------------------- | -------------------- | -------------------- | ------------------ |
Gentamicin, prednisolone | Pred- G | Suspension, ointment | Opthalmic | 1 drop every 2-4 hours; half-inch ribbon 1-3 times a day |
Neomycin, bacitracin, polymyxin B, hydrocortisone | Cortisporin | Ointment | Opthalmic | Half-inch ribbon every 3-4 hours |
Neomycin, dexamethasone | NeoDecadron | Solution | Opthalmic | 1-2 drops every 3-4 hours |
Neomycin, polymyxin B, dexamethasone | Dexasporin, Maxitrol | Suspension, ointment | Opthalmic | 1-2 drops every 3-4 hours ; half-inch ribbon 3-4 times a day |
Neomycin, polymyxin B, prednisolone | Poly-Pred | Suspension | Opthalmic | 1-2 drops every 3-4 hours |
Sulfadetamide, fluorometholone | FML-S | Solution | Opthalmic | 1-3 drops every 2-3 hrs |
Sulfacetamide, prednisolone | Blephamide | Solution, ointment | Opthalmic | 1-3 drops every 2-3 hours; apply 1-4 times a day |
Tobramycin, dexamethasone | TobraDex | Suspension, ointment | Opthalmic | 1-2 drops every 4 hours; apply 2-3 times a day |
Antivirals | ---------------------- | -------------------- | --------------- | -------------- |
Cidofovir | Vistide | Solution | IV | 5mg/kg IV over an hour given every 1-2 weeks |
Ganciclovir | Cytovene | Capsule, injection | Oral, IV, intravitreal | 1,000 mg orally 3 times a day; 5mg/kg IV every 12-24 hours; 1 implant every 5-8 months |
Foscarnet | Foscavir | Solution | IV | 60-120 mg/kg given every 8-12 or 24 hours |
Trifluridine | Viroptic | Solution | Opthalmic | 1 drop every 2-4 hours |
Valganciclovir | Valcyte | Tablet | Oral | 900 mg once or twice a day |
Aminoglycosides | -------------- | ---------------- | -------------------- | ---------------- |
Gentamicin | Garamycin, Genoptic | Solution, ointment | Opthalmic | 1-2 drops every 4 hours; half inch ribbon 2-3 times a day |
Neomycin | Bacitracin, polymyxin B | Ointment | Opthalmic | Apply small amount every 3-4 hours |