How to use levomycetin eye drops. Levomycetin - eye drops

Suspicious discharge from the eyes appears, which they immediately try to remove with a clean cotton swab. But very soon it becomes clear that this is not enough, and mothers think about eye drops for their babies. The first thing that comes to mind is Levomycetin. After all, it is one of the most known means for eyes. Let's find out if it's suitable for babies.

Composition and pharmacological actions

This clear solution consists of active chloramphenicol and excipients: boric acid and distilled water.

Important! According to the content of chloramphenicol, there are two types: with a share active substance 25.0 mg/ml and 12.5 mg/ml. You need to pay attention to this when buying medicine at a pharmacy. The vials indicate 0.25% and 0.125%, respectively.

The pharmacological action of this drug is directed against a wide range pathogenic bacteria, that is, it fights strains of both gram-positive and gram-negative bacteria. The action is based on the bacteriostatic effect, that is, it stops the development and reproduction of these microbes. This happens due to the suspension of the reproduction of proteins in bacteria, which, due to a lack of " building material» are destroyed. Microbes resistant to penicillin, sulfonamides and streptomycin are sensitive to the action of Levomycetin. Their adaptation to Levomycetin is very slow. And at the same time this drug ineffective against bacteria resistant to acidic environment. When instilled into the conjunctival sac of the eye (the cavity between the eyeball and the eyelid), the active substance is concentrated in the cornea, eye mucosa, vitreous body and iris, but does not penetrate into the crystal. The half-life of chloramphenicol is 1.5-4 hours, but it is slightly prolonged. It is excreted in the urine, bile, feces, and is also inactivated in the liver.

What diseases can be prescribed

Being an antibiotic, the drug is used in the treatment of a variety of infections. In ophthalmology eye drops based on "Levomycetin" are prescribed for the treatment of adults and children suffering from conjunctivitis, keratitis and other infectious diseases - complete list indicated in the instructions for use.

Did you know? TearsIt is the natural defense of the eye against bacteria. Lacrimal fluid contains lysozyme- an antibacterial enzyme that destroys the walls of the cells of this type of microbes.

From what age is allowed

Most pediatricians believe that treating infants this antibiotic is universally undesirable. It should be used only in exceptional cases, when other means and methods of treatment do not help. Here we are talking about ophthalmic diseases accompanied by inflammation or discharge of pus. For small patients, special dosages of eye drops are calculated. In this dosage, Levomycetin can be prescribed to a child as early as four months of age. However, by special indications the drug with due care can be prescribed from the first days of the baby's life. After all, infections such as the already mentioned conjunctivitis and keratitis, as well as blepharitis and dacryocystitis, are more difficult for infants than adults.

Important! If an infant has inflammation of the eyelids, corners of the eyes or cornea, as well as a clogged nasolacrimal canal, contact a pediatrician immediately. The above symptoms may indicate eye infection at your baby.

How to drip the eyes of a child

So, we found out whether it is possible to give Levomycetin to children. Now let's figure out how to do it. As a rule, infants are advised to dose 1 drop 3-4 times a day. And here it is important to strictly follow the doctor's prescription: do not overdo it with the use of the drug, no matter how much you want to quickly cure the baby, but also do not spare him by skipping the planned procedure. The effect comes in best case 2 hours after instillation, so be patient. Don't worry about possible violation baby's vision. After all, as already mentioned, the active substance will be removed from his body very soon.

Application rules eye drops:

1. The pipette must be clean.
2. An opened vial with drops is good for no longer than 30 days.
3. Treatment should not last longer than 14 days.

Precautionary measures

"Levomitsetin" can not be used to treat non-bacterial forms of ophthalmic diseases in children - for example, with allergic or viral. And, of course, the drug cannot be used without the appointment of a pediatrician, not to mention some preventive purposes. To avoid side effects, eye drops should not be used simultaneously with the appointment of drugs that slow down hematopoiesis. The danger of exceeding the treatment period has already been mentioned above, but it is worth repeating. Indeed, when using drops for more than two weeks, hypersensitivity to chloramphenicol may develop, or bacteria will develop resistance to this active substance. In addition, the drug contains boric acid as an auxiliary substance, and it can cause toxic reactions. Before the doctor prescribes treatment with Levomycetin drops, he must be notified of previous eye diseases, ophthalmic surgical interventions, eye injuries, current use of other eye medications.

Contraindications and possible side effects

Contraindications for small children include the following circumstances:

• kidney or liver failure;
• violation of hematopoietic functions;
• individual intolerance to chloramphenicol or boric acid;
• the patient has gingivitis, eczema or mycoses ( fungal infections) skin;
• age younger than 4 months is considered with extreme caution.

For the treatment of bacterial inflammatory processes in the organs of vision, antimicrobial eye drops Levomycetin are used. One of the advantages of using the drug is that a person does not get used to it too quickly, so drops are allowed to be used even for the treatment of infants.

Composition and form of release

Levomitsetin 0.25% eye drops are produced in sterile 10 ml vials. Also on the shelves in pharmacies you can see the gel or eye ointment with chloramphenicol. The active ingredient in the preparation is chloramphenicol. Auxiliary components - boric acid and purified water.

To date, many pharmaceutical factories and firms are engaged in the production of drugs with Levomycetin. Basically, the name of the drug consists of the active substance and the name of the company or manufacturer (for example, Levomycetin-AKOS, Levomycetin-DIA, etc.). Imported medicines containing chloramphenicol may be called differently.

pharmachologic effect

The instructions for use say that Levomycetin eye drops help to overcome infections of bacterial origin that affect the eyeball. The medicine is often prescribed when more weak drugs and antibiotics penicillin series powerless.

The drug, once on the mucous membrane, inhibits the production of protein in pathogens. The resistance of these microorganisms to the drug is very low, so a long course of treatment will be required, during which there is no need to replace the medication. The drug is actively introduced into the sclera and vitreous body and, without touching the lens, begins to be actively absorbed into the systemic circulation. The effect of the drug begins already half an hour after the procedure.

Mode of application

Based on the instructions for the use of Levomycetin, instillation should be carried out three times a day, one drop in each eye. The duration of therapy is on average a week, but only a doctor can determine exactly how many days it will take.

Before dripping the drug into the eyes, wash your hands, then shake the contents of the vial thoroughly. Great amount people don't understand whether a drug is considered an antibiotic or not. Levomycetin is antibacterial drug therefore, it can be used in the treatment of eye diseases only after receiving a prescription from a doctor.

For instillation, you need to pull the lower eyelid down, forming a conjunctival sac, and look up. The bottle with the drug is brought to the eye so as not to touch it with the tip eyeball(this can injure the organ). After hitting the medicine, you need to blink several times, and then repeat the procedure for the second eye.

Correct instillation of eye drops is very important for effective treatment.

When using Levomycetin ointment, it is laid behind the lower eyelid five times a day. The tube with the drug is pre-heated in the hands. When the ointment is already under the eyelid, it is necessary to make circular movements with the hand so that the product evenly spreads.

Indications for use

The use of eye drops with chloramphenicol is recommended for such ophthalmic diseases of an infectious nature:

• barley;
• conjunctivitis;
• blepharitis;
• keratitis.

Adverse reactions and contraindications

Often, if the use of Levomycetin drops was carried out correctly, no side effects are observed. However, with the parallel use of the drug with other drugs that depress hematopoiesis, the patient may experience:

• active tearing;
• itching in the eyes and eyelids;
• redness around the conjunctiva;
• secondary fungal infection.

When such adverse reactions specialists replace the drug with an analog one.

Contraindications to therapy:

• hypersensitivity to the components of the drug;
• kidney and liver failure;
• violation of hematopoietic function;
• the period of bearing a baby;
• breast-feeding;
• eczema.

Use in children

Levomycetin is contraindicated in children who are under two years old. The drug is prescribed to newborns from four one month old, however, therapy is carried out under the full supervision of a specialist. When using a drug to treat a child, you need to know about possible appearance adverse reactions in the form of nausea, vomiting, gastrointestinal disorders.

Terms and conditions of storage

In a pharmacy, the drug can be stored for no more than two years, after which the remains are disposed of. If the bottle has been opened, it must be used within a month. Store the drug in a dark place, observing temperature regime eight to fifteen degrees.

Analogues

In drops with levomycetin, there are analogue preparations that have differences in composition, but have a similar therapeutic effect:

• Sulfacyl sodium. The drug is prescribed for the treatment of conjunctivitis, keratitis, ulcers in the cornea. The downside of the drug is that pathogens develop resistance to it, so the specialist has to replace the drug;
• Albucid. The medicine helps to eliminate inflammation of the eyeball, lesions of the anterior segment of the eyes. Many recommend the use of the drug in order to prevent infectious diseases in the organs of vision;
• Phloxal. It is a broad-spectrum antibacterial drug that is used to treat infectious diseases. inflammatory diseases anterior section organs of vision, bacterial infections resulting from eye injury or surgery;
• Tobrex. A drug that has repeatedly shown its effectiveness in the fight against inflammatory and infectious eye diseases. The medicine has minimal amount possible side effects and is approved for use by both adults and children.

Drugs with a similar effect

Price

The popularity of Levomycetin drops is due not only to their effectiveness, but also to their low cost. On the territory of Russia, the price of a bottle of drops is from forty to fifty rubles. In Ukraine, the drug costs from seven to twelve hryvnia.

Eye - the most important body man in the knowledge of the world around him. This complex "device" allows you to see objects and people, read, enjoy the colors of nature. Any eye disease brings a person not only physical suffering from pain, but also limits the ability to visual perception the surrounding world.

Eye drops

For the prevention and treatment of the eyeball, drugs in the form of drops are very effectively used. They act directly on a sore or inflamed area. Eye drops necessarily contain a minimum amount of active substance and subjected to a special cleaning technology.

Eye drops according to the method of exposure to the organ of vision are divided into:

• Anti-inflammatory (antiseptic), these drops are designed to relieve inflammation in the anterior tissues of the eyeball. For this, albucid, zinc sulfate, diclofenac and others are often used.
• Anti-allergenic, designed to eliminate (but not treat!) The manifestations caused by the allergen: redness, itching, burning, swelling, lacrimation. As a rule, kromheksal, hydrocortisone, alomid and others are used.
• Drugs that help speed up metabolic processes in the tissues of the organ of vision. They are usually used to slow down age-related changes eyeball and improvement functional state sclera of the eyes. This group includes drugs: taufon, catachrom, emoxylin and others.
• Vasoconstrictor drugs(Visin, Octilia, Irifrin), used for hyperemia and swelling of the mucous membrane of the eyeball.
• Drugs that help reduce intraocular pressure(betaksol, fosfakol and others).
• Antibacterial and antiviral drugs for eyes. They are successfully used to treat various infections and inflammations caused by viruses and bacteria of various etymologies. Often used: levomycetin, tobrex, tsipromed, oftavix and others.

When using eye drops, you should know:

• Eye preparations, including drops, are used only as directed by a doctor.
• Drops are used only in the dosage prescribed by the doctor and the scheme of instillation into the eyes.
• You cannot stop treatment on your own.
• Eye drops in an opened vial can not be stored for more than one month.
• A bottle of drops should be used by only one patient.

Levomycetin eye drops

Pharmacology

Eye drops "Levomitsetin" - antibiotic local action used for infectious or bacterial diseases eyeball i. This drug successfully fights gram-negative and gram-positive microbes, streptococcal and staphylococcal strains, coli and other microorganisms and bacteria that are resistant to penicillin, streptomycin and sulfanilamide. The success of the drug is in the ability to slow down and stop the process of producing proteins of pathogenic bacteria and microbes.

Unfortunately, chloramphenicol does not destroy protozoa, acid-resistant organisms, Pseudomonas aeruginosa and clostridia. Therefore, before proceeding with treatment, it is necessary to determine the sensitivity pathogenic microorganisms to the action of chloramphenicol. For this, the patient should take a swab(for microbiological analysis) and do a blood test. After making sure that the drug is effective against these bacteria, the patient is prescribed treatment with chloramphenicol.

During treatment, the active substance is concentrated in the cornea, vitreous body and iris, partially entering the circulatory system.

The composition of the drug. Release forms. Storage conditions

• - Chloramphenicol (active ingredient)
• - Purified water ( excipient)
• - Boric acid(auxiliary).

For use in ophthalmology, Levomycetin is available in the form of 0.25 percentage solution clapamphenicol in glass or plastic bottles with a pipette dropper with a volume of five or ten milliliters.

The drug must be stored at a temperature of eight to fifteen degrees Celsius, in a dark place. After opening the vial, the shelf life is no more than thirty days. The sealed bottle can be stored for two years from the date of issue.

Indications and contraindications

Levomycitin eye drops are effectively used in the treatment of infectious diseases caused by bacteria. This drug is indicated for blepharitis, conjunctivitis, keratitis, keratoconjunctivitis, blepharoconjunctivitis and a number of other diseases caused by microorganisms that are sensitive to chloramphenicol. For prevention, the drug is prescribed for injuries of the eye sclera.

The use of levomycetin is not allowed with the following diseases:

• with fungal skin diseases, eczema, psoriasis
• at liver failure
• in violation of the function of hematopoiesis

Levomycetin should not be used in children under four months old, nursing mothers, pregnant women, patients undergoing chemotherapy, as well as persons with hypersensitivity to chloramphenicol.

When using drops, some patients complain of a short-term loss of vision clarity. In this case, it is not recommended to engage in activities that require clear vision, speed of reaction and attention.

In no case should you use levomycetin if its expiration date of the drug has expired.

The drug chloramphenicol is used as prescribed by a doctor. Usually to the infected organ instill one or two drops every hour(V acute period), then every three or four hours. The duration of treatment depends on the degree of the disease, the standard course is two weeks.

For preventive purposes, drops are used two or three times a day.

If the patient independently (without the supervision of a doctor) drips chloramphenicol into the eyes, then treatment is indicated only for three days. Next, you need to consult with a specialist.

For those who wear contact lenses: before the instillation procedure, the lenses are removed, after the procedure, lenses can be put on no earlier than thirty minutes later.

Levomycetin - eye drops, the instructions for use of which contain basic rules of use in the treatment of eyes, but before dripping them into the eyes - consult an ophthalmologist!

How to properly bury your eyes?

There is nothing complicated in the eye instillation procedure, but it is advisable to follow the following rules:

• - make sure that the medicine has not expired.
• - Carry out the procedure with thoroughly washed hands.
• - before instillation of any drops, the vial with the drug should be held in the hand so that the contents warm up to body temperature.
• - Shake the vial with the drug.
• - if you use a vial with a pipette or a dispenser, then pull back the lower eyelid, tilt your head back, tilt the vial over the eyelid and press the dispenser (pipette). After getting the medicine in the eye, gently hold the inner corner of the lower eyelid with your finger so that the medicine does not leak out.
• - if after the introduction of chloramphenicol into the eye there is a feeling of sharp pain, burning, which does not go away after one and a half or two minutes, then quickly rinse the eye clean water and see a doctor.

The use of drops "Levomitsetin" for the treatment of children

Eye drops "Levomitsetin" are indicated for the treatment of infectious eye diseases in children starting from 4 months of age(according to the instructions), but pediatrician in rare cases, may prescribe treatment for children over early age(if it is impossible to suppress the infection with other drugs).

In this case, the minimum dosage is prescribed, overdose can lead to a dangerous violation of protein production in the body of the baby. Treatment is carried out under the obligatory supervision of a pediatrician.

Reactions must be closely monitored. child's body for injecting drops. Individual intolerance can cause a child "grey syndrome", which is expressed primarily by respiratory failure, a decrease in body temperature and the appearance of a gray tint of the skin.

Then comes general poisoning an organism that provokes disruption of the heart muscle and blood vessels.

Complications may occur in young children during treatment with chloramphenicol:

• vomiting, nausea, diarrhea
• decrease in hemoglobin in the blood

Conclusion

Drops "Levomitsetin" are successfully used for a number of common infections of the eyeball. The product is easy to use, it affordable(the cost of a bottle of 10 milliliters - ranges from 6 rubles 40 kopecks to twenty rubles), it is produced in Russia and it is freely sold in pharmacies.

Many patients use this medicine repeatedly throughout their lives.

Remember! We must take care of our own vision. Before you drip something into your eyes, visit an ophthalmologist, only a doctor should give you specific recommendations on the use of Levomycetin drops.

Be healthy!

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Eye drops Levomycetin is an antimicrobial medicinal product, which has a wide range of activities. The agent produces a pronounced bacteriostatic effect. The mechanism of action of the drug is associated with its ability to inhibit the synthesis of proteins of microorganisms. Sensitivity to the action of the agent have strains of gram-negative and gram-positive microorganisms. The drug affects some strains resistant to streptomycin, sulfonamides and penicillin.

Low sensitivity to the action of Levomycetin is possessed by protozoa, acid-resistant microorganisms, clostridia and Pseudomonas aeruginosa.

Drug resistance develops slowly.

As a result of topical use of eye drops, high therapeutic concentrations are observed in the iris, vitreous and cornea. The medicine does not penetrate the lens of the eye.

Indications for use

Levomycetin is used in ophthalmology for the treatment of patients suffering from and other infectious diseases caused by microorganisms that are sensitive to the action of the drug.

Also, the tool is used in ophthalmology for the treatment of infectious diseases in the absence of the effectiveness of others. medicines.

Instructions for use

As a rule, 1 drop of Levomycetin is prescribed in each eye three times a day, unless another method of application has been prescribed by the attending physician. The drug must be drawn from the vial using a clean pipette.

The duration of the course of treatment is determined by the doctor for each patient individually.

Contraindications

Contraindications for the use of Levomycetin are:

• hypersensitivity to its components;
• fungal infections of the skin, psoriasis, eczema;
• period of pregnancy and lactation;
• for children - age under 4 months.

If it is necessary to prescribe a drug to women during lactation, it is necessary to interrupt breastfeeding, since the drug is undesirable for newborns.

Side effects

Levomycetin is usually well tolerated by patients. There are reports of isolated cases in patients with increased individual sensitivity, eye irritation, excessive tearing, development of itching and skin rash.

Special instructions and precautions

With caution, Levomycetin is prescribed to patients whose work requires driving a car or operating potentially dangerous mechanisms.

With caution, the drug is prescribed to patients who have previously received radiation exposure or were treated with cytotoxic drugs. Otherwise, there is a risk of developing bone marrow hypoplasia.

With a bacterial infection in children and adults, only an antibiotic can cope. Levomycetin preparations are effective against big list microorganisms. Medicines are not expensive and are freely sold in pharmacies. They are powerful antibiotics, used after consultation with your doctor.

Composition and principle of action of the drug

The active substance of Levomycetin is chloramphenicol. The antibiotic obtained synthetically is identical to the waste products of streptomycetes. Purified water for injection and boric acid are used as auxiliary components.

Forms of the drug:

• eye drops with a concentration of chloramphenicol - 0.25%;
• capsules and tablets - 250 and 500 mg;
• extended-release tablets - 650 mg;
• alcohol solution containing active ingredient 3, 5, 1 and 0.25%;
• eye ointment - 5 and 1%.

Levomycetin destroys gram-positive and gram-negative microorganisms, including spirochetes and rickettsia, as well as microbes resistant to sulfonamides and penicillin. The drug has no effect on clostridia, Pseudomonas aeruginosa and bacteria that are not susceptible to an acidic environment.

The principle of action of chloramphenicol is in a detrimental effect on the vital activity of sensitive microorganisms by disrupting the formation of protein in them. With local exposure to eye drops, Levomycetin penetrates the cornea, vitreous body and iris. The substance is not absorbed into the lens. Penetration into the blood is negligible.

In what cases and from what age is Levomycetin prescribed?

This article talks about typical ways to solve your questions, but each case is unique! If you want to know from me how to solve exactly your problem - ask your question. It's fast and free!

Levomycetin in the form of drops is used for eye pathologies:

• conjunctivitis (we recommend reading:);
• keratoconjunctivitis;
• keratitis;
• scleritis;
• episcleritis;
• blepharitis.

The drug is effective only in the bacterial nature of these inflammatory diseases. Sometimes the remedy is prescribed for the prevention of infectious diseases of the eye tissues.

The instructions for use of Levomycetin drops indicate at what age they are allowed to use. It is undesirable to prescribe the drug to newborns and children under three years of age. At this age, therapy is carried out when it is impossible to treat with other local bacteriostatics.

However, when urgent need a pediatrician or ophthalmologist prescribes drops for the treatment of children from four months. Similar situations arise with intolerance or ineffectiveness of other antimicrobial agents. The instructions for use indicate that the drug is used to treat bacterial eye diseases for adults and children from three years of age.

The use of eye drops for children

Levomycetin drops are used to treat diseases of the eyes and nose. Appointment, as well as dosages for patients of different age groups made by the attending physician. By standard scheme Levomycetin is prescribed 1 drop three times a day. The duration of treatment does not exceed two weeks.

For eye diseases

Levomycetin is prescribed to the child one drop three times a day. The duration of therapy does not exceed 14 days.

Babies from four months remedy make with a glass pipette so that there is no side effects due to inaccurate dosing. From an ordinary bottle, the solution comes out in the form of drops of different volumes, which is not so important for an adult, but critical for a baby.

1. Before the procedure, wash your hands and wash your eyes. The eyes are wiped with cotton pads soaked in a solution of Furacilin or chamomile decoction (more in the article:).
2. Shake the medicine container.
3. In the diseased eye, the drug is applied directly from the vial or using a pipette.
4. After instillation of the product in one eye, press your finger to the inner corner for a couple of minutes to prevent leakage.
5. Repeat the procedure with the second eye.

It is important not to touch the tip of the dropper to the eyelids and cornea. If touched, re-infection is possible.

From the age of three, Levomycetin is prescribed 5 times within 24 hours. After relief of symptoms, the frequency of applications is reduced. One vial of the product is used only for one patient.

For the treatment of the nose

Runny nose is a common occurrence in preschoolers. The most common cause is a virus. Sometimes joins bacterial infection. In such situations, the pediatrician prescribes to drip Levomycetin in the nose. For the treatment of the common cold, the drug is prescribed only with a clear clinical picture bacterial infection.

Drip the drug into the cleaned nasal passages. Rinse nose before use saline solution or cleaned with an aspirator. Improvement occurs on the 2-3rd day of treatment. The pediatrician or ENT doctor determines how many days you need to drip chloramphenicol into the nose.

Dosage:

• kids from 2 years old - 1-2 drops three times a day;
• children from 12 years old - 3-4 drops 3 times a day.

Contraindications

Levomycetin is contraindicated:

• newborn babies up to 4 months;
• people suffering from infectious and fungal skin diseases, eczema;
• patients with depressed hematopoietic function;
• with individual intolerance to the components.

With caution, chloramphenicol preparations are prescribed for children under three years of age, pregnant and lactating women, persons who have undergone radiation therapy. In addition, patients with kidney failure and liver pathologies.

Side effects and interactions with other drugs

Levomycetin eye drops are usually tolerated without problems, but adverse reactions are likely:

• itching of the skin of the eyelids;
• hyperemia of the skin of the eyelids and cornea;
• lacrimation.

Chloramphenicol is incompatible with sulfonamides and penicillin. Simultaneous use of such drugs leads to a decrease in the effectiveness of drugs. Also, the drug is not used in parallel with drugs that depress the body's hematopoiesis - Erythromycin, Phenobarbital, Lincomycin. The simultaneous use of these drugs leads to the manifestation of side effects.

Means analogues

Levomycetin is affordable and is not a scarce drug. The need to choose an analogue arises only when the patient has an intolerance to any component or the remedy is ineffective. Of the drugs similar in principle of action, we can name:

1. Normax. Broad-spectrum bactericidal drug. It is also used to treat inflammation in the ears.
2. Albucid. Available anabioticheskoe means. Available in different concentrations for different forms eye diseases.
3. Oftaquix. Drops from bacterial conjunctivitis (see also:).
4. Tobrex (we recommend reading: