Gentamicin Ophthalmic (Genoptic, Garamycin)

Category:

  • Antibiotic

Description:

  • Aminoglycoside antibiotic

  • Aminoglycoside and steroidal anti-inflammatory combination

Indications:

  • Ocular infections due to susceptible organisms (see Gentamicin injection monograph)

Contraindications:

  • Generally not indicated for long-term therapy due to nephrotoxocity and ototoxicity

Precautions:

  • Pregnancy category D

  • Use proper ophthalmic application procedures (tilt head backward, pull lower eyelid downward to make a “cup”, avoid touching tip of bottle, drop in eye, place light pressure on lacrimal sac for ~1 minute)

  • Ophthalmic suspension must be shaken prior to use

  • Notify provider immediately at the first sign of skin rash or other allergic reaction  

  • Use of steroids in the presence of viral infections such as herpes, may prolong or worsen the severity of the viral infection.

Adverse Reactions (Side Effects):

  • Transient irritation, burning or stinging

  • May cause white crystalline precipitates and lid margin crusting

Dosage:

  • Administered by ophthalmic drops and ointment

  • Gentamicin Ophthalmic Drops:

    • 1-2 drops into affected eye(s) every 4 hours

  • Gentamicin Ophthalmic Ointment:

    • Apply 1/2 inch ribbon of ointment into the affected conjunctival sac(s) every 4 hours.

 

 

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Approved for public release; Distribution is unlimited.

The information contained here is an abbreviated summary. For more detailed and complete information, consult the manufacturer's product information sheets or standard textbooks.

Source: Operational Medicine 2001, Health Care in Military Settings, NAVMED P-5139, May 1, 2001, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C., 20372-5300.

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300

Operational Medicine
 Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
  January 1, 2001

United States Special Operations Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323

*This web version is provided by The Brookside Associates, LLC.  It contains original contents from the official US Navy NAVMED P-5139, but has been reformatted for web access and includes advertising and links that were not present in the original version. The medical information presented was reviewed and felt to be accurate in 2001. Medical knowledge and practice methods may have changed since that time. Some links may no longer be active. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense.

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