Polymyxin B and Trimethoprim

Polymyxin B and Trimethoprim Brand Name– Polytrim

What is Polymyxin B and Trimethoprim

Polymyxin B and trimethoprim are combined in an ophthalmic preparation for the treatment of acute bacterial ocular infections.

Polymyxin B is a polypeptide antibiotic derived from a strain of Bacillus polymyxa. Trimethoprim is a synthetic antiinfective agent.

Polymyxin B has activity against gram-negative aerobic bacteria, including Pseudomonas aeruginosa, while trimethoprim is effective against both gram-positive and gram-negative organisms.

The FDA approved this combination eye product in October 1988.

Indications

  1. bacterial conjunctivitis
  2. blepharoconjunctivitis
  3. Escherichia coli
  4. Haemophilus aegyptius
  5. Haemophilus influenzae (beta-lactamase negative)
  6. Haemophilus influenzae (beta-lactamase positive)
  7. Klebsiella pneumoniae
  8. Proteus mirabilis
  9. Proteus vulgaris
  10. Pseudomonas aeruginosa
  11. Serratia marcescens
  12. Staphylococcus aureus (MSSA)
  13. Staphylococcus epidermidis
  14. Streptococcus pneumoniae
  15. Streptococcus pyogenes (group A beta-hemolytic streptococci)
  16. Viridans streptococci

Side Effects

  1. edema
  2. epiphora
  3. erythema
  4. ocular irritation
  5. ocular pruritus
  6. pruritus
  7. rash
  8. superinfection

Monitoring Parameters

  • laboratory monitoring not necessary

Contraindications

  • breast-feeding
  • contact lenses
  • infants
  • infection
  • neonates
  • polymyxin hypersensitivity
  • pregnancy
  • trimethoprim hypersensitivity

Interactions

There are no drug interactions associated with Polymyxin B and Trimethoprim products.

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