Product Elements:
Gentamicin sulfate gentamicin sulfate benzalkonium chloride sodium chloride sodium phosphate tyloxapol sodium hydroxide hydrochloric acid water gentamicin sulfate gentamicin
Indications and Usage:
Indications and usage gentamicin sulfate ophthalmic solution is indicated in the topical treatment of ocular bacterial infections, including conjunctivitis, keratitis, keratoconjunctivitis, corneal ulcers, blepharitis, blepharoconjunctivitis, acute meibomianitis, and dacryocystitis caused by susceptible strains of the following microorganisms: staphylococcus aureus, staphylococcus epidermidis, streptococcus pyogenes, streptococcus pneumoniae, enterobacter aerogenes, escherichia coli, haemophilus influenzae, klebsiella pneumoniae, neisseria gonorrhoeae, pseudomonas aeruginosa, and serratia marcescens.
Warnings:
Warnings not for injection into the eye. gentamicin sulfate ophthalmic solution is not for injection. it should never be injected subconjunctivally, nor should it be directly introduced into the anterior chamber of the eye.
Dosage and Administration:
Dosage and administration instill one or two drops into the affected eye(s) every four hours. in severe infections, dosage may be increased to as much as two drops once every hour.
Contraindications:
Contraindications gentamicin sulfate ophthalmic solution is contraindicated in patients with known hypersensitivity to any of the components.
Adverse Reactions:
Adverse reactions bacterial and fungal corneal ulcers have developed during treatment with gentamicin ophthalmic preparations. the most frequently reported adverse reactions are ocular burning and irritation upon drug instillation, non-specific conjunctivitis, conjunctival epithelial defects, and conjunctival hyperemia. other adverse reactions which have occurred rarely are allergic reactions, thrombocytopenic purpura, and hallucinations. to report suspected adverse reactions, contact sandoz inc. at 1-800-525-8747 or fda at 1-800-fda-1088 or www.fda.gov/medwatch.
Use in Pregnancy:
Pregnancy pregnancy category c. gentamicin has been shown to depress body weights, kidney weights, and median glomerular counts in newborn rats when administered systemically to pregnant rats in daily doses approximately 500 times the maximum recommended ophthalmic human dose. there are no adequate and well-controlled studies in pregnant women. gentamicin should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
Pediatric Use:
Pediatric use safety and effectiveness in neonates have not been established.
Description:
Description gentamicin sulfate is a water-soluble antibiotic of the aminoglycoside group. gentamicin sulfate ophthalmic solution is a sterile, aqueous solution buffered to approximately ph 7 for ophthalmic use. gentamicin is obtained from cultures of micromonospora purpurea . it is a mixture of the sulfate salts of gentamicin c 1 , c 2 , and c 1a . all three components appear to have similar antimicrobial activities. gentamicin sulfate occurs as white powder and is soluble in water and insoluble in alcohol. the structure is as follows: established name: gentamicin sulfate chemical name: 0-3-deoxy-4-c-methyl-3-(methylamino)-β-l-arabinopyranosyl-(1â6)-0-[2,6-diamino-2,3,4,6-tetradeoxy-α-d-erythro-hexopyranosyl-(1â4)]-2-deoxy-d-streptamine. ingredients: each ml contains: active: gentamicin sulfate usp (equivalent to 3 mg gentamicin). preservative: benzalkonium chloride 0.1 mg (0.01%). inactives: sodium chloride, dried sodium phosphate, tyloxapol, sodium hydroxide and/or hydrochloric acid (to adjust ph) and purified water. chemicalstructure
Clinical Pharmacology:
Clinical pharmacology microbiology: gentamicin sulfate is active in vitro against many strains of the following microorganisms: staphylococcus aureus, staphylococcus epidermidis, streptococcus pyogenes, streptococcus pneumoniae, enterobacter aerogenes, escherichia coli, haemophilus influenzae, klebsiella pneumoniae, neisseria gonorrhoeae, pseudomonas aeruginosa, and serratia marcescens.
Carcinogenesis and Mutagenesis and Impairment of Fertility:
Carcinogenesis, mutagenesis, impairment of fertility there are no published carcinogenicity or impairment of fertility studies on gentamicin. aminoglycoside antibiotics have been found to be non-mutagenic.
How Supplied:
How supplied gentamicin sulfate ophthalmic solution: 5 ml in plastic dispenser. ndc: 70518-1323-00 packaging: 5 ml in 1 bottle plastic type 0 storage protect from light and store away from heat. store at controlled room temperature 15° to 25°c (59° to 77°f). repackaged and distributed by: remedy repack, inc. 625 kolter dr. suite #4 indiana, pa 1-724-465-8762
Information for Patients:
Information for patients to avoid contamination, do not touch tip of container to the eye, eyelid, or any surface. repackaged by / distributed by: remedyrepack inc. 625 kolter drive, indiana, pa 15701 (724) 465-8762
Package Label Principal Display Panel:
Drug: gentamicin sulfate generic: gentamicin sulfate dosage: solution adminstration: ophthalmic ndc: 70518-1323-0 packaging: 5 ml in 1 bottle, plastic active ingredient(s): gentamicin sulfate 3mg in 1ml inactive ingredient(s): benzalkonium chloride sodium chloride sodium phosphate tyloxapol sodium hydroxide hydrochloric acid water mm1