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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Oct 9, 2024 | 12:39 PM IST
Cobex D Eye Drop is used to treat bacterial eye and ear infections. It is used to treat eye infections such as conjunctivitis (infection of the outer white membrane of the eyeball) and corneal ulcers (ulcer that occurs in the transplant membrane of the eye called the cornea). It contains Tobramycin and Dexamethasone, which kills bacteria and reduces swelling and redness. It may cause common side effects (when eye drops are used), including redness, itching, swelling, burning sensation, tearing, and temporary blurred vision (with ointment use). Before using this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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Manufacturer/Marketer

Biocare Remedies Pvt Ltd

Consume Type

OPHTHALMIC

Return Policy

Not Returnable

for this medicine

About Cobex D Eye Drop

Cobex D Eye Drop is a combination of antibiotics and corticosteroids used to treat bacterial eye and ear infections. It is used to treat eye infections such as conjunctivitis (infection of the outer white membrane of the eyeball) and corneal ulcers (ulcer that occurs in the transplant membrane of the eye called the cornea). This infection is highly contagious in nature and can pass from one to another. Signs and symptoms include pink/red-toned eyes, gritty feeling in eyes, itchiness in areas of eyes, teary eyes, and thick discharge around eyes. 

Cobex D Eye Drop contains Tobramycin and Dexamethasone. Tobramycin is an aminoglycoside which inhibits the growth of bacteria by interfering with protein synthesis and leads to cell death. Dexamethasone is a corticosteroid medicine that reduces swelling and redness by preventing infection-fighting white blood cells (WBCs) 

Cobex D Eye Drop is an external preparation and should be administered as advised by your doctor. Cobex D Eye Drop should be taken in the dose and duration your doctor advises. You are advised to take Cobex D Eye Drop for as long as your doctor has prescribed it for you, depending on your medical condition. Cobex D Eye Drop can cause some common side effects (when eye drops are used), including redness, itching, swelling, burning sensation, tearing, and temporary blurred vision (with ointment use). Most of these side effects of Cobex D Eye Drop do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor. Long-term use of eye drops may cause a fungal eye infection. So, take this medicine for a duration prescribed by your doctor.

Cobex D Eye Drop should be avoided if you are allergic to it, other aminoglycoside antibiotics or other ingredients. Inform your doctor if you are on any topical nonsteroidal anti-inflammatory drugs (NSAIDs), as Cobex D Eye Drop combined with topical NSAIDs may cause your eye wound to heal more slowly. Avoid wearing contact lenses during the treatment of ocular infection or inflammation, as it can worsen the condition. Tell your doctor about all your current medications and medical history before using Cobex D Eye Drop. Inform your doctor if you have any vision problems after using this medication. Tell your doctor if you are pregnant or breastfeeding. Cobex D Eye Drop is not recommended for use in children below two years of age. 

Uses of Cobex D Eye Drop

Treatment of Bacterial conjuctivitis

Medicinal Benefits

Cobex D Eye Drop is a combination of two drugs: Tobramycin (antibiotics) and Dexamethasone (corticosteroids). Tobramycin works by inhibiting the growth of bacteria. Dexamethasone blocks the chemical messenger in the brain responsible for causing inflammation (redness, itching, and swelling). As a result, it lowers inflammation, which could worsen the condition. Cobex D Eye Drop is used to prevent and treat inflammation and prevent possible bacterial infection of the eye after cataract surgery in adults and children above two years of age. 

Directions for Use

Wash your hands thoroughly with water before and after use. Tilt your head and pull down the lower eyelid to create a small sac. Squeeze the prescribed amount of dose into the sac using the dropper. Close your eyes for about 2 to 3 minutes. Wipe any excess liquid with a tissue. Do not wipe or rinse the dropper tip after use. Place the dropper back on the bottle and tighten the cap.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Cobex D Eye Drop

  • Eye redness
  • Burning sensation
  • Eye pain
  • Dry eyes

Drug Warnings

If you are allergic to Cobex D Eye Drop or any other medicines, please tell your doctor. Consult your doctor before taking Cobex D Eye Drop if you are pregnant or breastfeeding. Cobex D Eye Drop is not recommended for children unless prescribed by a doctor. Let your doctor know if you have had myasthenia gravis (muscle weakness) or Parkinson’s disease, antibiotics like tobramycin may worsen muscle weakness. You are advised to remove soft contact lenses before using Cobex D Eye Drop as it contains a preservative that may cause eye irritation and discolouration of soft contact lenses. You can reinsert contact lenses after 15 minutes of using Cobex D Eye Drop. Do not use the topical non-steroidal inflammatory drug while using Cobex D Eye Drop. Cobex D Eye Drop contains dexamethasone; if you use a topical non-steroidal inflammatory drug and dexamethasone together, it may delay the healing of your eye wound. If you have diabetes, please consult your doctor before using Cobex D Eye Drop. The risk of intraocular pressure (glaucoma) and cataract formation is increased in diabetic patients. Cobex D Eye Drop may cause temporary vision problems (blurred vision), so be cautious while driving and operating machinery. 

Drug Interactions

Drug-drug interactions: Cobex D Eye Drop may interact with other antibiotics (e.g., vancomycin, gentamicin, kanamycin, streptomycin, cephalothin), pain relievers (e.g., diclofenac, bromfenac) antiviral (e.g., ritonavir, cobicistat, boceprevir, amprenavir, atazanavir), antifungal (e.g., itraconazole, ketoconazole, miconazole, posaconazole, voriconazole), antidiabetics (e.g., metformin, canagliflozin, glimepiride, pioglitazone), smallpox vaccine.

Drug-food interactions: No food interactions found.

Drug-disease interactions: Cobex D Eye Drop should be used with caution in patients with a corneal transplant, diabetes, myasthenia gravis, and Parkinson's disease.

Drug-Drug Interactions Checker List

  • VANCOMYCIN
  • GENTAMICIN
  • KANAMYCIN
  • STREPTOMYCIN
  • CEPHALOTHIN
  • DICLOFENAC
  • BROMFENAC
  • RITONAVIR
  • COBICISTAT
  • BOCEPREVIR
  • AMPRENAVIR
  • ATAZANAVIR
  • ITRACONAZOLE
  • KETOCONAZOLE
  • MICONAZOLE
  • POSACONAZOLE
  • VORICONAZOLE
  • METFORMIN
  • CANAGLIFLOZIN
  • GLIMEPIRIDE
  • PIOGLITAZONE
  • SMALLPOX VACCINE

Habit Forming

No

Diet & Lifestyle Advise

  • Sleep for at least 6-8 hours to rejuvenate your eyes naturally.
  • Wash your eyes with clean water at least 2-3 times a day
  • Manage stress, eat healthily, drink plenty of water, exercise regularly, and get plenty of sleep.
  • Placing cooled tea bags on your eyes while they are closed can be a way to relax and unwind.

Special Advise

  • Do not take Cobex D Eye Drop on your own, as self-medication may lead to antibiotic resistance in which antibiotics fail to act against specific bacterial infections.
  • Use of Cobex D Eye Drop for prolonged may result in a new fungal eye infection (secondary infection). Do not use Cobex D Eye Drop for longer than prescribed.
  • Cobex D Eye Drop should not be administered directly into the anterior chamber of the eye.  

Disease/Condition Glossary

Bacterial eye infection: Bacterial eye infection occurs when harmful bacteria invade any part of the eye, such as the eyeball, conjunctiva, or cornea. The common bacterial eye infections are conjunctivitis, keratitis, etc. Conjunctivitis (pink eye) is the inflammation or infection of the conjunctiva (white part of the eye) and the inner eyelid. It is a highly contagious infection that is spread by eye secretions. Symptoms include redness, itchiness, and discharge or crusting around the eye. Keratitis is the inflammation of the cornea that occurs due to frequent use of contact lenses, injury, diabetes, or surgery.

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Alcohol

Caution

The interaction of Cobex D Eye Drop with alcohol is unknown. Consult your doctor for more information.

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Pregnancy

Caution

If you are pregnant, inform your doctor before using Cobex D Eye Drop. It is given to pregnant women only if the doctor thinks the benefits outweigh the risks.

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Breast Feeding

Caution

Consult your doctor if you are a nursing mother. Your doctor will prescribe Cobex D Eye Drop only if the benefits outweigh the risks.

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Driving

Caution

It is better to avoid driving as Cobex D Eye Drop usually causes temporarily blurred vision and affects your driving ability.

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Liver

Safe if prescribed

Cobex D Eye Drop can be used safely in patients with liver diseases if prescribed by a doctor.

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Kidney

Safe if prescribed

Cobex D Eye Drop can be used safely in patients with kidney diseases if prescribed by a doctor.

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Children

Caution

Cobex D Eye Drop should be used in children when prescribed by a doctor. This medicine is not advised for use in children below two years of age.

Country of origin

India

Manufacturer/Marketer address

Plot - 707, Sector - 28 GIDC, Gandhinagar, Gujarat 382028
Other Info - COBE843

Author Details

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FAQs

Cobex D Eye Drop is used to treat bacterial eye and ear infections. It is used to treat eye infections such as conjunctivitis (infection of the outer white membrane of the eyeball) and corneal ulcers (ulcer that occurs in the transplant membrane of the eye called the cornea).
Cobex D Eye Drop contains tobramycin and dexamethasone. Tobramycin is an aminoglycoside antibiotic. It acts by inhibiting bacteria's growth. It binds to the proteins in the bacteria, disrupting the cell functions and eventually leading to bacterial death. Dexamethasone is a corticosteroid that blocks the production of certain chemical messengers (prostaglandins) that make the eye red, swollen, and itchy.
Do not take Cobex D Eye Drop on your own, as self-medication may lead to antibiotic resistance in which antibiotics fail to act against specific bacterial infections.
If you have diabetes, Cobex D Eye Drop can increase the risk of intraocular pressure (glaucoma) and cataract formation in diabetic patients. However, please consult your doctor before using Cobex D Eye Drop.
If you miss a dose of Cobex D Eye Drop, take the missed dose as soon as you remember it. However, if it's almost time for the next dose, do not take a double dose to make up for a missed one.
It is advised to use Cobex D Eye Drop only for the prescribed period as long-term usage of Cobex D Eye Drop may cause a new fungal eye infection (secondary infection). Prolonged use of corticosteroids may result in glaucoma, damage to the optic nerve, and defects in visual acuity and fields of vision. Intraocular pressure should be monitored if this product is used for ten days or longer.

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