Drops for eyes Levomycetin: instruction for children and adults

Levomycetin droplets are an antimicrobial drug with a wide spectrum of action.

It refers to the topical antibiotics used in ophthalmology.

The drug is active against Gram-positive and Gram-negative bacteria and mycoplasmas, which allows using it in the treatment and prevention of eye diseases, such as conjunctivitis, blepharitis, keratitis, etc.

Clinical and pharmacological group

Antibiotic for topical application in ophthalmology.

Conditions of leave from pharmacies

Released without a doctor's prescription.

Price list

How much are the drops of Levomycetin? The average price in pharmacies is at the level of25 rubles.

Form of issue and composition

Eye drops Levomycetin 0.25% are available in sterile 10 ml flacon.

The active component of drops is chloramphenicol (25 mg in a solution with a capacity of 1 ml). Excipients are:

boric acid,
water in a purified form.

Pharmacological effect

Levomycetin ophthalmic is an antimicrobial agent with a bacteriostatic effect aimed at suppressing gram-negative, gram-positive organisms, strains resistant to the action of streptomycin, penicillin, sulfanilamide: rods of intestinal, hemophilic, Friedlander, some types of enterobacter, neiesseria, staphylococcus, mycoplasmas, rickettsia, streptococcus.

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The protozoa, the clostridia, the pseudomonas aeruginosa, acid-resistant organisms are insensitive to Levomycytin. The drug is ineffective with respect to serrations. Resistance to the drug develops slowly. After using drops, a high concentration of the agent in the iris is observed

Indications for use

When appoint? Eye drops Levomycetin is indicated for use in the treatment of the following varieties of bacterial eye infections:

Conjunctivitis;
Keratitis;
Keratoconjunctivitis;
Blepharitis;
Episcleritis;
Scrolls.

It should be remembered that Levomycetin is effective in these infections caused by bacteria. If these infections are provoked by viruses, fungi or other microbes that are not affected by Levomycetin, then its use is ineffective.

Contraindications

The use of Levomycetin is unacceptable when:

various skin diseases, including eczema, fungal lesions and psoriasis;
pregnancy and lactation;
oppression of hematopoiesis;
renal failure;
hepatic insufficiency;
hypersensitivity to the drug.

Levomycetin should not be prescribed to newborns, but also to pregnant and breastfeeding women.

The drug can not be prescribed for acute respiratory infections, angina and mild forms of infectious ailments.

Dosage and route of administration

The instructions for use indicate: Levomycetin eye drops are applied topically - they are instilled in one, two drops in the conjunctival bag every 1-4 hours. Only use a clean pipette to collect drops. The recommended course of treatment is not more than two weeks.

Drop Levomitsetin must be instilled, following the following rules:

Wash hands with soap and water;
Open the vial with droplets;
If necessary, take a small amount of solution in the pipette (if there is no dropper on the vial);
Tilt your head back so that your eyes are facing the ceiling;
Pull the lower eyelid to the side of the cheek with your finger so that a small "sac" forms between the surface of the eye and the skin;
Bring a drop of solution into this pouch, without touching the surface of the eye or eyelid with the tip of the dropper bottle or pipette;
Press your finger on the outer corner of the eye and do not blink for 30 seconds;
If it is impossible to hold back the blinking, you should do it carefully, trying not to allow the solution from pouring out of the conjunctival sac;
Lower head and close the vial.

If, during the application of drops, the tip of the eyedropper or dropper of the vial touches the surface of the eye, eyelashes or eyelids, then these devices should be discarded. For the next instillation of Levomycetin in the eye, you need to open a new bottle with a dropper or take another pipette.

Side effects

Patients for the most part easily tolerate this drug. A side effect may occur if:

the drug is simultaneously taken with drugs that depress the hematopoietic function (cytostatics, sulfonamides),
Radiation therapy is carried out.

A common side effect is irritation in the eye area. His symptoms are:

itchy eyelids,
redness,
burning,
increased tearing.

With prolonged use of eye drops, it is possible to develop the pathology of the circulatory system:

thrombocytopenia,
leukopenia,
anemia, etc.

A secondary fungal infection may also occur. With these symptoms, the drug is canceled.

Overdose

Overdosage is rare, mainly in premature and newborns with large doses. This is due to the immaturity of the liver enzymes and the effect of chloramphenicol on the myocardium.

The clinical picture is manifested by a decrease in body temperature, irregular breathing, cardiovascular insufficiency, and a change in the skin tone to bluish-gray. In 40% of cases, a lethal outcome is observed.

As a treatment, symptomatic therapy and hemosorption is prescribed.

special instructions

Longer use of eye drops Levomycetin should be avoided, since there is a possibility of developing hypersensitivity and the emergence of resistant microorganisms.

On reception at the ophthalmologist patients should necessarily inform the doctor about:

Glaucoma;
Dry eye syndrome;
Previous eye injury;
Previous conjunctivitis;
The current use of other eye drops or ophthalmic ointment;
Surgical intervention on the eye or laser therapy for the last 6 months;
During the course of treatment with these drops, you can not wear contact lenses. Also, they should not be worn within 24 hours after completion of treatment.

Levomycetin droplets affect the ability to drive vehicles and potentially dangerous mechanisms and can cause temporary blurred vision. Patients should not drive the car or moving mechanisms until the vision is fully restored.

Drug Interactions

To prevent an increase in the oppressive effect on the blood, joint use with sulfanilamide preparations is not recommended.

Reviews

We picked up some reviews of people who used Levomycetin drops:

Irina. Levomycetin was prescribed to my child by a pediatrician when the little girl started to fester a glazik. The doctor advised to wipe the eye three times a day with cotton wool soaked in a solution of levomycetin. They did everything as it should, but it did not get better. After several days of torment, they changed the medicine, everything went literally for the day!
Peter. Used Levomitsetin in the form of eye drops. I often exacerbate konyuktivit, so instilled in the eyes for several drops of the drug. It helps, all the unpleasant symptoms (burning sensation, sand in the eyes, purulent discharge) quickly disappear. I do not feel any side effects, the drug is tested and effective.
Dasha. The conjunctivitis disease treated with drops of Levomycetin. Often in the draft, therefore, apparently the eye colds, strongly sour eyes in the morning as they stood up, the fir opened them. Hurted more than once such, therefore wiped tea leaves from a camomile and dripped drops, it is a pity instructions to drops are not present, only inscriptions on a vial or flask. After 3 days the virus completely left, the eyes became lighter, although the eye was reddish, as for me effective and cheap treatment.

Analogues

Of the similar in principle to the action of drugs can be called:

Oftakwix. Drops from bacterial conjunctivitis.
Tobrex. Drops against eye diseases that can be used even for newborns.
Normax. Bactericidal drug of a wide spectrum of action. It is also used to treat inflammation in the ears.
Albucid. Available anabiotic agent. It is produced in different concentrations for different forms of eye diseases.
Floxal. Another kind of eye drops. It is also available in the form of an ointment.

Before using analogues, consult your doctor.

Storage conditions and shelf life

Store in a place protected from light, out of reach of children, at a temperature not exceeding 30 ° C. Shelf life - 2 years. After opening the vial, use the solution within 30 days