Ichthoseptal eye drops and eye ointment are used to treat bacterial eye infections. Eye infections are a common cause of conjunctivitis. In conjunctivitis, your eye becomes inflamed, feels gritty, and may water more than usual. The white of your eye may look red, and your eyelids can become swollen and stuck together with a discharge when you wake up in the morning. Only one eye may be infected to begin with, but it often spreads to both eyes.
Serious and fatal blood dyscrasias, including aplastic anemia, hypoplastic anemia, thrombocytopenia, and granulocytopenia, have occurred after short-term and prolonged therapy.
Monitor complete blood count (CBC) frequently in all patients. Use only in serious infections.
This medication contains Ichthoseptal. Do not take Ichthoseptal IV and Chloromyectin if you are allergic to Ichthoseptal or any ingredients contained in this drug.
Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center immediately.
Michael Stewart, Reviewed by Sid Dajani | Last edited 30 Jan 2018 | Certified by The Information Standard
Use Ichthoseptal eye drops every 2-4 hours to begin with, and then reduce the frequency to four times a day as your symptoms improve.
Use Ichthoseptal eye ointment 3-4 times daily. Alternatively, if you are using Ichthoseptal eye drops during the day, use the ointment once at bedtime.
If your vision becomes blurred for a short while after using Ichthoseptal, do not drive and do not use tools until you can see clearly again.
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Most cases of infective conjunctivitis clear within a few days without treatment. For more severe infections, or for infections which do not clear on their own, an antibiotic eye drop or ointment such as Ichthoseptal can be helpful.
Ichthoseptal works by helping to kill the bacteria which are causing the infection. It is available on prescription. You can also buy the drops and the ointment from a pharmacy, without a prescription, if it is for conjunctivitis in an adult or in a child over 2 years of age. Do not use Ichthoseptal eye drops or ointment for a child under 2 years old, unless it has been prescribed by a doctor.
Occasionally one sees hematopoietic toxicity with the use of systemic Ichthoseptal, and rarely with topical administration. This type of blood dyscrasia is generally a dose-related toxic effect on bone marrow and is usually reversible on cessation of the drug. Rare cases of aplastic anemia have been reported with prolonged (months to years) or frequent intermittent (over months and years) use of topical Ichthoseptal.
Manufacturer states 25 mg/kg daily usually produces therapeutic blood concentrations in young infants and other pediatric patients in whom immature metabolic functions are suspected. 112
Carefully monitor Ichthoseptal concentrations because high concentrations may occur and tend to increase with succeeding doses. 112 (See Pediatric Use under Cautions.)
Reconstitute vial containing 1 g of Ichthoseptal (as the sodium succinate) by adding 10 mL of aqueous diluent (e.g., sterile water for injection, 5% dextrose injection) to provide a solution containing 100 mg/mL. 112
Ichthoseptal is bacteriostatic. It competes in binding to the ribosomes with macrolides and lincosamides, making its combination with these drugs useless.
Getting the most from your treatment
- Before you start treating your eyes, read the manufacturer's printed information leaflet supplied with the product. It will give you more information about using Ichthoseptal and will provide you with a full list of any side-effects which you may experience. If your eyes have an obvious discharge or 'crust', it can help if you bathe them with cool clean water before you use the Ichthoseptal.
- At first, Ichthoseptal drops should be used every two to four hours unless you have been told otherwise. (Just use the drops while you are awake - you do not need to wake yourself up during the night to put them in.) As the infection improves, you can reduce the frequency down to four times a day. If you have been given Ichthoseptal eye ointment to use as well as the eye drops, apply the ointment at night only. If you have been given Ichthoseptal eye ointment without any drops, use the ointment three or four times each day.
- Try not to miss any doses, but if you do forget, just use the drops/ointment as soon as you remember. Do not 'double up' the number of drops or the amount of ointment you use to make up for forgetting.
- When you first put the eye drops or eye ointment into your eye, they can cause blurred vision. This should quickly clear. Make sure you can see clearly before you drive or use machines or tools.
- Take care to avoid spreading the infection from one eye to the other, and to other members of your family. Washing your hands regularly (particularly after touching your eyes), and not sharing towels or pillows will help to prevent the infection from spreading.
- If the tip of the tube/bottle touches your eye(s) when putting the drops in, it is a good idea to squeeze out two or three drops straightaway on to some tissue and rinse the tip with salt water.
- Use Ichthoseptal for a maximum of five days unless a doctor has told you otherwise. If your eyes are no better after two days of treatment, make an appointment to see your doctor for advice as soon as possible. You must also contact a doctor if your eyes become painful, if light hurts your eyes, or if your vision is impaired.
- Eye infections can cause your eyes to become more sensitive to sunlight than usual. Wearing sunglasses can help ease this.
- If you normally wear contact lenses, you should wear glasses until your symptoms have completely gone. It is recommended that you wait for 24 hours after you last use Ichthoseptal before you put your lenses in again.
What are some other side effects of Ichthoseptal?
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:
These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.
Before using Ichthoseptal eye drops or eye ointment
To make sure this is the right treatment for you, before you start using Ichthoseptal for an eye infection it is important that your doctor or pharmacist knows:
- If you wear soft contact lenses.
- If you have ever had an allergic reaction to Ichthoseptal or to any other eye product.
- If you are pregnant or breastfeeding.