Neomycin, polymyxin, and bacitracin ophthalmic combination is used to treat eye and eyelid infections. Neomycin, polymyxin, and bacitracin are in a class of medications called antibiotics. Neomycin, polymyxin, and bacitracin combination works by stopping the growth of bacteria infecting a surface of the eye.
Ophthalmic neomycin, polymyxin, and bacitracin combination comes as an ointment to apply inside the lower lid of an infected eye. The ointment is usually applied to the eye every 3 to 4 hours for 7 to 10 days, as directed by your doctor. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use neomycin, polymyxin, and bacitracin ophthalmic ointment exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.
Your eye or eyelid infection should begin getting better during the first few days of treatment with neomycin, polymyxin, and bacitracin combination. If your symptoms do not go away or get worse, call your doctor.
Continue to use neomycin, polymyxin, and bacitracin combination as directed, even if your symptoms improve. Do not stop using neomycin, polymyxin, and bacitracin combination without talking to your doctor. If you stop using this medication too soon or skip doses, your infection may not be completely cured and bacteria may become resistant to antibiotics.
This medication is for use in the eye only. Do not let neomycin, polymyxin, and bacitracin combination get into your nose or mouth, and do not swallow it.
Never share your tube of ophthalmic ointment, even with someone who was also prescribed this medication. If more than one person uses the same tube, infection may spread.
Wash your hands thoroughly with soap and water.
Use a mirror or have someone else apply the ointment.
Avoid touching the tip of the tube against your eye or anything else. The ointment must be kept clean.
Tilt your head forward slightly.
Holding the tube between your thumb and index finger, place the tube as near as possible to your eyelid without touching it.
Brace the remaining fingers of that hand against your cheek or nose.
With the index finger of your other hand, pull the lower lid of your eye down to form a pocket.
Place a small amount of ointment into the pocket made by the lower lid and the eye. A 1/2-inch (1.25-centimeter) strip of ointment usually is enough unless otherwise directed by your doctor.
Gently close your eyes and keep them closed for 1 to 2 minutes to allow the medication to be absorbed.
Replace and tighten the cap right away.
Wipe off any excess ointment from your eyelids and lashes with a clean tissue. Wash your hands again.
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
Unless your doctor tells you otherwise, continue your normal diet.
Apply the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not apply a double dose to make up for a missed one.
irritation, burning, itching, swelling, or redness of the eye or eyelid
worsening eye discharge
red or scaly patches around eye or eyelid
difficulty breathing or swallowing
swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
Neomycin, polymyxin, and bacitracin combination may cause other side effects. Call your doctor if you have any unusual problems while using this medication.
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at http://www.fda.gov/Safety/MedWatch] or by phone [1-800-332-1088].
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.
Keep all appointments with your doctor.
Ask your pharmacist any questions you have about refilling your prescription.
If you still have symptoms of infection after you finish the neomycin, polymyxin, and bacitracin combination ointment, call your doctor.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
Last Reviewed - 12/01/2011
AHFS® Consumer Medication Information. © Copyright, 2015. The American Society of Health-System Pharmacists, Inc., 7272 Wisconsin Avenue, Bethesda, Maryland. All Rights Reserved. Duplication for commercial use must be authorized by ASHP.