TOBRA D DROPS is a combination of one antibiotic and one corticosteroid 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), corneal ulcers (ulcer that occurs in the transplant membrane of the eye called the cornea), acute bacterial otitis media (an infection of the middle ear), and otitis externa (an infection in the ear canal). Eye infections are contagious and can pass from one to another. Signs and symptoms include pink or red-toned eyes, itching in areas of eyes, teary eyes, thick discharge around eyes/ears, ear discomfort, etc. 

TOBRA D DROPS is a combination medicine that contains Tobramycin and Dexamethasone. Tobramycin is an aminoglycoside antibiotic 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). 

TOBRA D DROPS is an external preparation and should be administered as advised by your doctor. TOBRA D DROPS may cause certain common side effects, including (when used as eye drops) redness, itching, swelling, burning sensation, tearing, and temporary blurred vision (when used as ear drops), including ear pain and discomfort, discharge from ears, etc. Most of these side effects do not require medical attention and gradually subside over a time span. However, if the side effects persist for an extended period of time, consult your doctor. 

TOBRA D DROPS should be avoided if you are allergic to it, other aminoglycoside antibiotics or any other ingredients present in it. Inform your doctor if you are on any topical nonsteroidal anti-inflammatory drugs (NSAIDs), as TOBRA D DROPS 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 TOBRA D DROPS. Inform your doctor if you have any vision or hearing problems after using this medication. Tell your doctor if you are pregnant or breastfeeding. TOBRA D DROPS is not recommended for use in children below 2 years of age. 

TOBRA D DROPS is a combination medicine that contains 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. TOBRA D DROPS 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. 

• Eye redness
• Burning sensation
• Ear discomfort
• Discharge from the ear
• Ear pain
• Dry eyes
• Ringing sound 

• It is for external use only. If you are allergic to TOBRA D DROPS or any other medicines, please tell your doctor. Consult your doctor before using TOBRA D DROPS if you are pregnant or breastfeeding. 
• TOBRA D DROPS is not recommended for children below 2 years of age. 
• You are advised to remove soft contact lenses before using TOBRA D DROPS 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 TOBRA D DROPS. 
• Do not use the topical non-steroidal inflammatory drug while using TOBRA D DROPS. TOBRA D DROPS 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 TOBRA D DROPS. The risk of intraocular pressure (glaucoma) and cataract formation is increased in diabetic patients. 
• TOBRA D DROPS may cause temporary vision problems (blurred vision), so be cautious while driving and operating machinery. 

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

• VANCOMYCIN
• GENTAMICIN
• STREPTOMYCIN
• DICLOFENAC
• RITONAVIR
• ITRACONAZOLE
• PIOGLITAZONE
• VORICONAZOLE
• METFORMIN
• ATAZANAVIR
• BOCEPREVIR

• 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.
• Avoid pricking your ears with cotton buds or fingers as it can scratch the skin and allows germs which result in infection.
• The ear infection can also occur due to improper cleaning of ears after bathing or swimming. Hence, cleaning your ears thoroughly with a clean and dry cloth is advised.

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

Bacterial eye infection: Bacterial eye infection occurs when pathogenic bacteria infiltrate any part of the eye, including the eyeball, conjunctiva, and cornea. Conjunctivitis, keratitis, and other bacterial eye infections are common. The inflammation or infection of the conjunctiva (white part of the eye) and the inner eyelid is known as conjunctivitis (pink eye). It is a highly contagious infection spread through eye secretions. Redness, itchiness, and discharge or crusting around the eye are all symptoms. Keratitis is an inflammation of the cornea caused by contact lens use, injury, diabetes, or surgery.

Bacterial ear infection: Bacterial ear infection occurs when pathogenic bacteria infiltrate any part of the ear, including the eardrum, middle ear, and ear canal. Acute otitis media and otitis externa are two common bacterial ear infections. Acute bacterial otitis media is a middle ear infection that occurs behind the eardrum. It is most prevalent in children. Otitis externa (Swimmer's ear) is an infection of the ear canal, which connects to the eardrum. It is primarily caused by frequent pricking of the ear with cotton buds or inserting fingers into the ear, which results in ear infections.