Bacterial Conjunctivitis
| BACTERIAL CONJUNCTIVITIS◊ | ||||||
|---|---|---|---|---|---|---|
| Brand | Generic | Strength | Size | Formulation† | Dosing Regimen‡ | |
| AZASITE
(Inspire) |
azithromycin | 1% | Rx | 2.5mL | soln* | <1yr: not recommended.
≥1yr: 1 drop twice daily (8–12hrs apart) for 2 days, then once daily for 5 days. |
| BACITRACIN OPHTHALMIC OINTMENT
(Fera) |
bacitracin | 500 Units/g | Rx | 3.5g | oint | Adults and Children: Apply 1–3 times daily. Blepharitis: remove scales and crusts before applying to lid margins. |
| BESIVANCE
(FSC Pediatrics) |
besifloxacin | 0.6% | Rx | 5mL | susp* | <1yr: not recommended.
≥1yr: 1 drop in affected eye(s) 3 times daily (4–12 hrs apart) for 7 days. Shake bottle once before use. |
| BLEPH-10
(Allergan) |
sulfacetamide
sodium |
10% | Rx | 5mL | soln* | <2months: not recommended.
≥2months: Initially 1–2 drops every 2–3hrs during the day (less often at night). Treat for 7–10 days. |
| CILOXAN
(Alcon) |
ciproxfloxacin (as HCl) | 0.3% | Rx | 3.5g | oint | <2yrs: not recommended.
≥2yrs: Apply ½ inch into conjunctival sac 3 times daily for 2 days, then twice daily for 5 days. |
| 2.5mL
5mL 10mL |
soln* | <1yr: not recommended.
≥1yr: 1–2 drops every 2hrs while awake for 2 days, then 1–2 drops every 4hrs while awake for 5 days. |
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| ERYTHROMYCIN OPHTHALMIC OINTMENT
(Fera) |
erythromycin | 5mg/g | Rx | 3.5g | oint | Adults and Children: Apply 1cm ribbon of ointment to infected area up to 6 times daily. Prophylaxis of neonatal gonoccocal or chlamydial conjunctivitis: instill 1cm ribbon of ointment into each lower conjunctival sac. |
| GARAMYCIN
(Fera) |
gentamicin
sulfate |
3mg/g | Rx | 3.5g | oint | Adults and Children: Apply a ½ inch of ointment 2–3 times daily. |
| MOXEZA
(Alcon) |
moxifloxacin
(as HCl) |
0.5% | Rx | 3mL | soln | <4 months: not recommended.
≥4 months: 1 drop twice daily for 7 days. |
| NEOSPORIN
(King) |
polymyxin B sulfate | 10000 Units/mL | Rx | 10mL | soln*** | Children: not recommended.
Adults: 1–2 drops every 4hrs for 7–10 days. Max up to 2 drops every hour. |
| neomycin (as sulfate) | 1.75mg/mL | |||||
| gramicidin | 0.025mg/mL | |||||
| OCUFLOX
(Allergan) |
ofloxacin | 0.3% | Rx | 5mL | soln* | <1yr: not recommended.
≥1yr: 1–2 drops every 2–4hrs for 2 days, then 4 times daily for 5 more days. |
| POLYMYXIN B/ BACITRACIN (various) |
polymyxin B sulfate | 10000 Units/g | Rx | Contact supplier | oint | Adults and children: Apply every 3–4hrs for 7–10 days. |
| bacitracin zinc | 500 Units/g | |||||
| POLYMYXIN B/ BACITRACIN/ NEOMYCIN (various) |
polymyxin B sulfate | 10000 Units/g | Rx | Contact supplier | oint | Adults and children: Apply every 4hrs for 7–10 days. |
| bacitracin zinc | 400 Units/g | |||||
| neomycin (as sulfate) | 3.5mg/g | |||||
| POLYTRIM
(Allergan) |
trimethoprim sulfate | 1mg/mL | Rx | 10mL | soln* | <2months: not recommended.
≥2months: 1 drop every 3hrs for 7–10 days; max 6 doses/day. |
| polymyxin B sulfate | 10000 Units/mL | |||||
| QUIXIN
(Vistakon) |
levofloxacin (as hemihydrate) | 0.5% | Rx | 1mL
5mL |
soln* | <1yr: not recommended.
≥1yr: 1–2 drops every 2hrs while awake (max 8 times/day) on days 1 and 2, then 1–2 drops every 4hrs while awake (max 4 times/day) on days 3–7. |
| TOBREX
(Alcon) |
tobramycin | 0.3% | Rx | 3.5g | oint** | Severe infections: initially 2 drops every hr or ½ inch of ointment every 3–4hrs; then may prolong dosing interval. Mild to moderate infections: 1–2 drops every 4hrs or ½ inch of ointment 2–3 times daily. |
| 5mL | soln* | |||||
| VIGAMOX
(Alcon) |
moxifloxacin (as HCl) | 0.5% | Rx | 3mL | soln | <1yr: not recommended.
≥1yr: 1 drop 3 times daily for 7 days. |
| ZYMAR
(Allergan) |
gatifloxacin | 0.3% | Rx | 5mL | soln* | <1yr: not recommended.
≥1yr: 1 drop every 2hrs while awake for 2 days (up to 8 times daily), then 1 drop 4 times daily while awake for 5 more days. |
| ZYMAXID
(Allergan) |
gatifloxacin | 0.5% | Rx | 2.5mL | soln* | <1yr: not recommended.
≥1yr: 1 drop every 2hrs (max 8 doses) on day 1 then 1 drop 2–4 times daily while awake on days 2–7. |
| NOTES | ||||||
|
† soln = solution; oint = ointment; susp = suspension
(Rev. 1/2013) |
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