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This document provides critical safety information regarding the use of TobraDex (tobramycin/dexamethasone) eye medication. It is important to understand these warnings and contraindications to ensure safe and effective treatment. For any questions or concerns, please consult with your healthcare provider.

• Application Instructions: Only apply TobraDex to the surface of the eye. Do not ingest or apply to other body parts, and avoid using it as an injection in any part of the eye.

• Increased Eye Pressure: Long-term use of steroid-containing eye medications like TobraDex can elevate eye pressure, potentially damaging the eyes and impairing vision. This is particularly significant for individuals with glaucoma or high eye pressure. Discuss with your prescriber if you fall under these categories, especially if using TobraDex for more than 10 days.

• Risk of New or Worsened Eye Infections: Prolonged use of TobraDex may increase the likelihood of developing bacterial or fungal eye infections. It should not be used for viral eye infections, as it may exacerbate the condition. If you experience eye pain, redness, blurred vision, sensitivity to light, or watery discharge, or if symptoms persist after a few days of treatment, seek medical advice.

• Potential for New Eye Problems: Long-term use of TobraDex might lead to thinning of the cornea or the "whites" of the eye, increasing the risk of eye damage. Additionally, it may cause cataracts to develop. Immediate medical attention is required if you experience vision loss, blurry vision, or eye pain.

• Allergic Reactions: Inform your healthcare provider if you have a history of allergies to similar antibiotics, such as gentamicin, as you may also react to TobraDex.

Contraindications:

• TobraDex should not be used if you have viral eye infections like those caused by varicella (chickenpox or shingles) or herpes, or if you have mycobacterial or fungal eye infections. Always consult your healthcare provider before starting this medication if these conditions apply to you.

Common side effects:

• Temporary blurred vision
• Eye redness
• Eye irritation

• Itchy or swollen eyelids

  Serious side effects:

• New or worsening eye symptoms
• Changes in vision
• Significant eye pain
• New fungal eye infection
• Glaucoma
• Cataracts
• Severe allergic reaction