Neomycin
Neomycin: instructions for use and reviews
- 1. Release form and composition
- 2. Pharmacological properties
- 3. Indications for use
- 4. Contraindications
- 5. Method of application and dosage
- 6. Side effects
- 7. Overdose
- 8. Special instructions
- 9. Application during pregnancy and lactation
- 10. Use in childhood
- 11. Drug interactions
- 12. Analogs
- 13. Terms and conditions of storage
- 14. Terms of dispensing from pharmacies
- 15. Reviews
- 16. Price in pharmacies
Latin name: Neomycin
ATX code: D06AX04
Active ingredient: neomycin (neomycin)
Producer: Tarchomin Pharmaceutical Works Polfa, SA (Poland)
Description and photo update: 2019-20-08
Neomycin is a topical antibiotic drug.
Release form and composition
Dosage form - aerosol for external use: a homogeneous white or almost white suspension with a characteristic odor (in aerosol cans of 16 or 32 g, 1 can in a cardboard box, complete with a spray device and a valve).
The 1000 mg aerosol contains:
- Active ingredient: neomycin - 11.72 mg (in the form of sulfate);
- Auxiliary components: lecithin - 0.2 mg, sorbitan trioleate - 10.3 mg, propellant (propane / butane / isobutane) - 843.8 mg, isopropyl myristate - 134 mg.
Pharmacological properties
Pharmacodynamics
Neomycin belongs to the group of aminoglycoside antibiotics. Its mechanism of action is due to the ability to suppress the formation of a complex of transport and matrix ribonucleic acid (RNA) and, as a consequence, disrupt protein synthesis.
In low concentrations, the drug has a bacteriostatic effect (disrupts protein synthesis in microbial cells), in high doses - a bactericidal effect (damages the cytoplasmic membranes of a microbial cell). Neomycin is able to penetrate into the microbial cell, where it binds to specific receptor proteins on the 30S ribosome subunit, as a result of which it disrupts the formation of a complex of the transport and messenger RNA (30S ribosome subunit) and inhibits protein synthesis.
The antibiotic Neomycin is effective against infections caused by a number of gram-positive and gram-negative aerobic microorganisms, including Streptococcus spp. and Staphylococcus spp.
The drug is moderately active against the following microorganisms: aerobic bacteria Listeria monocytogenes and Corynebacterium diphtheriae, Enterobacteriaceae Shigella spp., Salmonella spp., Klebsiella pneumonia, Proteus spp., Vibrio cholerae, Enterobacter aerogenes and Mycobacterium influenza coli, Escherbacus influenza coli
Neomycin has no effect on anaerobic bacteria and Pseudomonas aeruginosa.
Resistance of bacteria to the drug develops slowly and to a small extent.
In the form of an aerosol for external use, Neomycin inhibits the development of bacterial flora in the foci of skin inflammation. It also has a cooling and drying effect.
Pharmacokinetics
In the absence of skin lesions at the sites of application of the drug, neomycin is practically not absorbed into the blood. Otherwise, it can be absorbed into the bloodstream and cause systemic effects.
Indications for use
- Skin infectious and inflammatory diseases caused by microorganisms sensitive to the action of the active substance (including contagious impetigo, furunculosis);
- Infected frostbite and burns of I and II degrees.
Contraindications
- Trophic ulcers, a large area of the lesion, violation of the integrity of the skin, weeping at the site of application;
- Simultaneous use with other nephro- and ototoxic drugs;
- Childhood;
- Hypersensitivity to drug components.
Pregnant women can use Neomycin only in cases where the benefits to the health of the mother are higher than the possible harm to the fetus. During lactation, breastfeeding should be interrupted.
Instructions for the use of Neomycin: method and dosage
The aerosol is used externally. Shake the can vigorously several times before each use.
The affected areas of the skin are irrigated with an aerosol for 3 seconds, holding the bottle vertically at a distance of about 15-20 cm from the skin surface.
The frequency of application of the drug is 1-3 times a day with observance of equal intervals of time.
The average duration of the treatment course is 7-10 days.
Side effects
During the use of Neomycin, allergic reactions may develop, manifested in the form of itching, rash, hyperemia and edema. With prolonged therapy, contact allergy may occur.
If you experience side effects not listed in the instructions or aggravate the violations described above, you need to consult a doctor.
Overdose
Overdose can manifest itself as a rash, itching, edema, hyperemia, as well as nephro- and ototoxicity.
The drug should be discontinued. Overdose treatment is symptomatic.
special instructions
Avoid contact of aerosol on mucous membranes and protect eyes from its effects. If the drug comes in contact with the eyes or mucous membranes, they must be thoroughly rinsed with cool water.
Do not inhale the sprayed drug.
It is not recommended to apply the aerosol to large areas of the skin (especially damaged ones), as well as under occlusive dressings due to the likelihood of absorption of the active substance into the blood and the development of side effects characteristic of the systemic action of Neomycin (nephrotoxicity, ototoxicity). If the above violations occur, the drug must be immediately canceled.
In case of skin irritation at the site of application, therapy should be interrupted.
Long-term therapy can lead to the growth of resistant strains of fungi and bacteria.
The aerosol container must not be hit, opened or heated.
Influence on the ability to drive vehicles and complex mechanisms
The components of the drug do not have any effect on the patient's ability to drive vehicles and perform other potentially hazardous activities that require speed of reactions and / or increased concentration.
Application during pregnancy and lactation
Before prescribing Neomycin to pregnant women, the doctor should assess the benefit / risk ratio. The use of the drug is allowed when the expected effect of therapy exceeds the potential likelihood of complications.
If treatment is required during lactation, it is recommended to stop breastfeeding.
Pediatric use
According to the instructions, Neomycin is not used in pediatric practice.
Drug interactions
In order to avoid the development of drug interactions, the antibiotic Neomycin can be used simultaneously with other drugs only in consultation with the doctor.
Long-term combination therapy with nephro- and ototoxic drugs (including gentamicin, ethacrynic acid and colistin) may increase the toxicity of neomycin.
Analogs
Analogues of Neomycin are: Neomycin sulfate, Flucort N, Polygynax, Nefluan, Polydexa, Polygynax Virgo, Pimafukort, Baneocin, Flucinar N, Dexona, Triasept, Maxitrol, Polydexa with phenylephrine, Trofoderminov, Anauran, Bettina.
Terms and conditions of storage
Store in a dark, dry place out of reach of children at temperatures up to 25 ° C.
Shelf life is 2 years.
Terms of dispensing from pharmacies
Dispensed by prescription.
Reviews of Neomycin
Aerosol for external use Neomycin, according to reviews, quickly relieves itching and inflammation in skin diseases caused by sensitive microorganisms, accelerates the healing of burns. There are no complaints about the development of side effects.
The price of Neomycin in pharmacies
Depending on the region and the pharmacy network, the price of Neomycin varies between 240-360 rubles. for 1 bottle.
Anna Kozlova Medical journalist About the author
Education: Rostov State Medical University, specialty "General Medicine".
Information about the drug is generalized, provided for informational purposes only and does not replace the official instructions. Self-medication is hazardous to health!
