Dexa-Gentamicin Special Precautions

Contact lenses should not be worn during treatment with Dexa-Gentamicin.
Prolonged use of topical antibiotics or corticosteroids may give rise to overgrowth of nonsusceptible microorganisms and fungi. Should this occur, or if irritation or hypersensitivity to Dexa-Gentamicin develops, discontinue use of this preparation and institute appropriate therapy.
Cross-allergenicity among aminoglycosides or corticosteroids has been demonstrated.
Talk to the doctor or pharmacist before using Dexa-Gentamicin.
Talk to the doctor if the patient experiences swelling and weight gain around the trunk and in the face as these are usually the first manifestations of a syndrome called Cushing's syndrome. Suppression of the adrenal gland function may develop after stopping a long-term or intensive treatment with Dexa-Gentamicin. Talk to the doctor before stopping the treatment.
These risks are especially important in children and patients treated with a drug called ritonavir or cobicistat.
Visual disturbance: Visual disturbance may be reported with systemic and topical corticosteroid use. If a patient presents with symptoms such as blurred vision or other visual disturbances, the patient should be considered for referral to an ophthalmologist for evaluation of possible causes which may include cataract, glaucoma or rare diseases such as central serous chorioretinopathy (CSCR) which have been reported after use of systemic and topical corticosteroids.
Contact a doctor if the patient experiences blurred vision or other visual disturbances.
Eye drops: Benzalkonium chloride may cause eye irritations.
Avoid contact with soft contact lenses. Benzalkonium chloride may cause discoloration of soft contact lenses. Contact lenses have to be removed before using the eye drops and have to be inserted not earlier than 15 minutes after application.
Eye oint: Ophthalmic ointment may retard corneal healing.
Wool fat may cause local irritation of the skin (e.g. contact dermatitis).
Driving and using machines: Eye drops: No special precautions are required.
Eye oint: After the use of Dexa-Gentamicin eye ointment, the ointment film causes temporarily blurred vision, affecting reaction time. Therefore the patient must not drive, operate machines or work without stable footing shortly after applying Dexa-Gentamicin Eye Ointment.
Use in Pregnancy & Lactation: Eye oint: There are no controlled clinical data about the use of Dexa-Gentamicin Eye Ointment in pregnancy and lactation. Therefore, it should only be used after a very careful benefit-risk analysis of the treating physician.
Use in Children: Safety and effectiveness of the eye drops in children below the age of 8; and eye ointment in children less than six years of age have not been established yet.