Maxitrol

Maxitrol is a prescription medicine used to treat the symptoms of inflammatory ocular conditions/infections. Maxitrol may be used alone or with other medications.

Maxitrol belongs to a class of drugs called Antibiotics/Corticosteroids, Ophthalmic.

• Use of ocular steroids may prolong the course and may exacerbate the severity of many viral infections of the eye (including herpes simplex). 
• Prolonged use may result in glaucoma, with damage to the optic nerve, defects in visual acuity and fields of vision, and posterior subcapsular cataract formation. Prolonged use may suppress the host response and thus increase the hazard of secondary ocular infections. In acute purulent conditions or parasitic infections of the eye, steroids may mask infection or enhance existing infection.
• In those diseases causing thinning of the cornea or sclera, perforations have been known to occur with the use of topical steroids.
• If this product is used for 10 days or longer, intraocular pressure (IOP) should be routinely monitored even though it may be difficult in children and uncooperative patients. Steroids should be used with caution in the presence of glaucoma. IOP should be checked frequently.
• The use of steroids after cataract surgery may delay healing and increase the incidence of bleb formation.
• Products containing neomycin sulfate may cause cutaneous sensitization. 

• blurred vision,
• tunnel vision,
• eye pain,
• seeing halos around lights,
• swelling, redness, severe discomfort, crusting, or drainage (may be signs of infection),
• pain behind your eyes,
• sudden vision changes, and
• a wound that will not heal

Get medical help right away, if you have any of the symptoms listed above.

• blurred vision, and
• mild eye irritation

Tell the doctor if you have any side effect that bothers you or that does not go away.

These are not all the possible side effects of Maxitrol. For more information, ask your doctor or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Not for injection. Apply a small amount into the conjunctival sac(s) up to three or four times daily.

How to Apply Maxitrol (neomycin and polymyxin B sulfates and dexamethasone ophthalmic ointment):

1. Tilt your head back.
2. Place a finger on your cheek just under your eye and gently pull down until a "V" pocket is formed between your eyeball and your lower lid. 
3. Place a small amount (about ½ inch) of Maxitrol (neomycin and polymyxin B sulfates and dexamethasone ophthalmic ointment) in the "V" pocket. Do not let the tip of the tube touch your eye.
4. Look downward before closing your eye. Not more than 8 g should be prescribed initially and the prescription should not be refilled without further evaluation

• There are no adequate or well-controlled studies in pregnant women.
• Maxitrol (neomycin and polymyxin B sulfates and dexamethasone ophthalmic ointment) should be used during pregnancy only if the potential benefit to the mother justifies the potential risk to the embryo or fetus.
• Infants born of mothers who have received substantial doses of corticosteroids during pregnancy should be observed carefully for signs of hypoadrenalism.
• Systemically administered corticosteroids appear in human milk and could suppress growth, interfere with endogenous corticosteroid production, or cause other untoward effects.
• It is not known whether topical administration of corticosteroids could result in sufficient systemic absorption to produce detectable quantities in human milk.
• Because many drugs are excreted in human milk, caution should be exercised when Maxitrol (neomycin and polymyxin B sulfates and dexamethasone ophthalmic ointment) is administered to a nursing woman.