Which is better: Levomycetin or Tobrex?

The effectiveness of Levomycetin for conjunctivitis

The main active ingredient of the drug is chloramphenicol. This is a remedy that has a wide range of effects on various bacteria. The solution is prescribed if the patient has developed resistance to the action of penicillin, streptomycin, or sulfonamide.

The action of the drug is carried out by suppressing protein synthesis inside the bacterium. They stop reproducing, their membrane is destroyed. Cells die.

Resistance in bacteria to the drug develops slowly. Therefore, doctors resort to prescribing a solution for a long course of treatment of bacterial conjunctivitis. The addiction does not form for a long time, so the doctor does not need to replace the drug with an analogue.

After instillation of the product, the active substance penetrates the vitreous body and sclera. After this, it is absorbed into the systemic circulation, so there is no effect on the lens. This reduces the number of side effects from the drug.

The effect of the drug after instillation occurs within 20 minutes. The maximum area of effect is observed in the anterior parts of the eye. Therefore, it is used for conjunctivitis and other bacterial formations on the mucous membrane and skin in the eye area.

Mode of application

For babies under 1 year old, it is recommended to drop 1 drop into each eye 3-4 times a day.

Under no circumstances should the dosage of the drug be changed. If the doctor prescribed only 3 procedures, there is no need to add a fourth, no matter how much you would like to speed up the baby’s recovery.

The maximum effect of the drug occurs 2-3 hours after use.

Levomycetin drops are an antibiotic that has an antibacterial effect not only in the eyes, but also in the nasal cavity. That is why, on the recommendation of a doctor, it is permissible to bury drops in the nose.

Tips for users on using drops:

Use a clean pipette.
An open bottle can be used for no more than 1 month.
Treatment with this antibiotic should not exceed two weeks.

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Medicine for conjunctivitis for children https://eyesdocs.ru/zabolevaniya/konyunktivit/lechenie-i-profilaktika-detskie-glaznye-kapli.html

Features of application

Before prescribing the drug, the ophthalmologist should consult the patient about additional recommendations in the field of its use:

The solution does not cause clouding or decreased visual acuity. Therefore, it can be used when driving a vehicle or working in an enterprise that requires increased concentration.
The drug may cause allergic reactions. Therefore, if a patient has eczema or psoriasis, it is necessary to first consult a doctor. The drug is not contraindicated, but is used with caution so as not to cause an exacerbation of the disease.
If the drug is used for persons after radiation exposure, the dosage is reduced. The active substance may inhibit the function of red bone marrow.
If side effects occur, you cannot wait for the body to get used to it. The drug is immediately cancelled, consult a doctor.

Comparison of drugs

Composition and action

The drug Albucid consists of an active component - sulfacetamide, which has pronounced antibacterial activity. The substance easily penetrates the tissue structures of the eye and suppresses the proliferation of pathogenic microorganisms, as a result of which they die. "Albucid" is sold in the form of drops used for eye drops. Its absolute analogue, Levomycetin, consists of another main ingredient, namely chloramphenicol. It also has an antibacterial effect, i.e. it stops the growth and reproduction of pathogenic cells by disrupting intracellular protein synthesis.

Prescriptions and contraindications

The drug is prescribed for the treatment of barley, conjunctivitis, blepharitis.
In ophthalmology, Albucid eye drops are actively used for conjunctivitis, purulent ulcerative lesions of the cornea and blepharitis. The medicine is also widely used for the prevention of purulent inflammation of the optic organ in newborns, as well as in patients who have undergone ophthalmic surgery. Albucid is often used to treat barley. "Levomycetin" also effectively treats blepharitis, inflammatory damage to the mucous membrane and eyelids of the eye. Secondary bacterial infections are also susceptible to chloramphenicol-based ophthalmic drops.

Contraindications to Albucid include personal intolerance to any of the components. The medicine has no other restrictions on its use and can be prescribed even to children immediately after their birth. A local antibiotic is not contraindicated during pregnancy.

Levomycetin has a much longer list of contraindications and includes such pathologies as:

hypersensitivity to the components of the drug;
impaired activity of the kidneys and liver in a chronic form;
skin pathologies;
G6PD deficiency.

Drops are contraindicated for young children and women during lactation.
"Levomycetin" is not recommended for children under 2 years of age, but at the discretion of the ophthalmologist it can be prescribed before this age. In case of emergency, the eye drops in question are prescribed to women carrying a child and nursing mothers. Consequently, during the period of treatment of eye pathologies with Levomycetin, it will be necessary to stop breastfeeding.

Directions for use and doses

The correct use of eye drops is described in detail in the instructions, but in what dosage to use the medicine, it is better to discuss with a specialized physician - an ophthalmologist. Thus, the annotation for the drug “Albucid” presents general recommendations and according to them, it is recommended to apply eye drops during exacerbation of inflammatory processes up to 6 times a day, 2-3 drops. Use until the symptoms associated with the disease disappear. However, as the manifestations of the disease decrease, it is necessary to reduce the number of instillations per day daily. Typically, final recovery occurs within 7 days from the start of therapy. A child should use Albucid 20% for eye drops.

"Levomycetin" is instilled into each eye, 1-2 drops with an interval of 4 hours. An ophthalmologist will tell you more specifically about the dosage regimen and duration of treatment, who will select treatment individually for each patient, depending on the causative agent and the severity of the disease. For children over 3 years old, Levomycetin is prescribed 1 drop in the eye up to 4 times a day.

Negative effects

During therapy, eye hyperemia may occur.
Albucid is usually well tolerated and causes side symptoms extremely rarely. But even if any undesirable effects occur, this is not a reason to immediately refuse the medicine; perhaps the doctor will prescribe a solution of a lower concentration. The following symptoms may appear against the background of Albucid instillations:

swelling, redness of the conjunctiva;
itching of the skin of the eyelids;
copious secretion of tear fluid;
burning, irritation.

People with hypersensitivity to thiazide drugs, as well as those who exceed the doses recommended by the ophthalmologist, often develop a negative reaction.

The use of Levomycetin can cause such undesirable effects as:

The product may cause severe lacrimation and pain.

rash around the skin of the visual organ;
increased lacrimation;
burning pain, itching;
secondary fungal infection.

Is there a difference in price?

When choosing a medicine for eye diseases, cost is of no small importance. Thus, the ophthalmic drug “Albucid” can be purchased at a Russian pharmacy for 80-95 rubles. The eye medicine “Levomycetin” costs no more than 15 rubles, and in some regions you can buy it for up to 10 rubles. At the same time, a low price does not mean that the medical product is ineffective; the difference in cost is due to different manufacturing companies.

Levomycetin for conjunctivitis in adults

Before using the drug, wash your hands with bactericidal soap. This will prevent pathogenic microorganisms from entering the packaging and the eye area. Open the bottle, tilt your head back, and drop the product onto the area of the conjunctival sac. After this, do not close the eyes for several seconds so that the solution is distributed throughout the mucous membrane. This way the active agent will affect a wide area of eye tissue.

For adults, the dosage is 1 drop in each eye 3 times a day. The course of treatment is determined by the doctor individually for each patient after a general examination and tests.

Conclusion

Treatment of eye pathologies is a responsible, serious undertaking. Only an experienced ophthalmologist can select medications, prescribe a course of treatment, and recommend how many times a day to take them.

. Remember, when buying the right product, be it Levomycetin eye drops or any analogue, always read the instructions. Never use Levomycetin eye drops or other eye medications whose shelf life has long expired after opening. The consequences of such treatment may result in loss of vision, so be careful!

Infectious diseases of the visual apparatus are a fairly common problem. Mothers of children of different ages and even many adults often encounter it. Successful treatment of such ailments is possible only under the supervision of a qualified ophthalmologist who can correctly diagnose the disease and prescribe appropriate medications. Thus, treatment of infectious eye diseases is often carried out using drops. And today we will talk about what is better to use Levomycetin or Tobrex or Albucid?

Tobrex is better or Levomycytin

In order to understand which medicine is better, you need to understand the features of such drugs. Thus, Tobrex and Levomycytin are antibacterial eye drops that can be purchased at any pharmacy without a prescription.

The active substance of Tobrex is tobramycin, which is an antibiotic with a broad spectrum of action and belongs to the group of aminoglycosides. This remedy successfully copes with streptococci and staphylococci, Klebsiella, E. coli and diphtheria bacteria.

Levomycetin for conjunctivitis in children

Eye drops are recommended for use in children over two years of age. If the doctor decides that the solution will have a greater effect than side effects, it is used from 4 months. Parents should be careful when instilling the solution; do not exceed the prescribed dosage. The baby may experience nausea and vomiting.

The dosage for children is 1 drop in each eye 2 times a day. If the disease affects a large area of the eyes, the doctor may increase the dosage to 3 times a day.

Levomycytin

Having a wide spectrum of action, Levomycytin is a representative of the chloramphenicol group and contains the active substance of the same name. It is an antibiotic and is used to fight many bacteria. Prescribed in the form of eye drops for the treatment of inflammatory processes.

Eye diseases for which Levomycytin is prescribed:

Conjunctivitis.
Endophthalmitis.
Meibomite.
Iridocyclitis.
Dacryocystitis.
Blepharitis.

Drops of the solution can be used starting from the age of two. The frequency of use and duration of therapy are individually selected by the ophthalmologist. Depends on the age of the patient, the symptoms of inflammation, and the complexity of the disease.

Drops should not be used for dermatological diseases of the skin around the eyes, for pregnant women, or during breastfeeding. A contraindication may be individual intolerance to the active substance.

Levomycytin can cause skin rash, irritation, and increased lacrimation. Of the adverse reactions, allergic manifestations are most often observed. Itching, burning, redness of the eyes, and in some cases painful sensations appear.

Side effects

Side effects develop when the dosage is selected incorrectly, self-medication, or the presence of contraindications. The most common symptoms that develop are:

allergic reactions in the form of itching, burning, irritation, redness, swelling, inflammation;
inhibition of hematopoietic function (rarely develops when using large dosages);
dyspeptic disorders (nausea, vomiting, change in stool);
the formation of a fungal infection;
superinfection that is resistant to most drugs.

If side effects occur, the drug should be discontinued immediately. Contact a doctor. He can replace the product with an analogue that will not have a negative effect on the body.

Comparison of the safety of Levomycetin and Tobrex

The safety of a drug includes many factors.

At the same time, it is higher for Tobrex than for Levomycetin. It is important where the drug is metabolized: drugs are excreted from the body either unchanged or in the form of products of their biochemical transformations. Metabolism occurs spontaneously, but most often involves major organs such as the liver, kidneys, lungs, skin, brain and others. When assessing the metabolism of Tobrex, as well as Levomycetin, we look at which organ is the metabolizing organ and how critical the effect on it is.

The risk-benefit ratio is when the prescription of a drug is undesirable, but justified under certain conditions and circumstances, with the obligatory observance of caution in use. At the same time, Tobrex has fewer risks when used than Levomycetin.

Also, when calculating safety, it is taken into account whether only allergic reactions occur or possible dysfunction of the main organs. In other matters, as well as the reversibility of the consequences of using Tobrex and Levomycetin.

Contraindications

The following conditions and diseases are contraindications to the use of the solution:

increased sensitivity of the body to one of the components of the product;
liver and kidney disease;
blood disease, bone marrow damage;
pregnancy, lactation.

If there are contraindications, it is prohibited to use the drug. The patient's health may deteriorate sharply. Allergic reactions and dyspeptic disorders will appear.

What's better?

It is quite difficult to choose one medicine between “Levomycetin” and “Albucid”, since they both act in the fight against pathogenic microorganisms and, judging by the reviews, cope with the assigned tasks very well. They do not have any special differences in indications and scheme of use. Therefore, if the doctor prescribed these medications to choose from, then you should give preference to the one that is more suitable for the price. It is important to first read the instructions and make sure that there are no contraindications to one or another active component in the ophthalmic solution.

Analogs

The drug is replaced with an analogue if there are contraindications, side effects, or lack of effect from its use. Chloramphenicol eye drops have the following substitutes:

Tobrex or Tobradex;
Albucid;
Oftaquix;
Tsipromed.

The above drugs have an antibacterial effect. They have their own contraindications and side effects. Therefore, only a doctor can replace the product with an analogue after examining the patient and conducting tests.

More details about analogues can be found here

What are Levomycetin drops and why should they be used?

Among the wide variety of drops that experts prescribe for conjunctivitis, the most popular is Levomycetin.

Why he? This medicine is very effective and is a strong antibiotic that kills bacteria. When used, the inflammatory process disappears, and burning, itching and other unpleasant symptoms are immediately eliminated. These drops can be used by both adults and children. Looking ahead, let's say that people who wear contact lenses should consult a specialist about proper treatment of conjunctivitis with chloramphenicol drops. Typically, optical products are removed and put on again half an hour after instillation.

Reviews from doctors

Eremina Daria, ophthalmologist: Patients with bacterial conjunctivitis often come to me. I prescribe topical chloramphenicol eye drops. The product has a low cost with a minimum of side effects. The action begins immediately after instillation of the drug. The next day, all manifestations of conjunctivitis should disappear.
Oleg Eroshkin, ophthalmologist: If a patient comes to me with bacterial conjunctivitis who has become resistant to many antibiotics, I prescribe Levomycetin eye drops. They can be used for a long time without developing resistance.

Comparison of ease of use of Levomycetin and Tobrex

This includes dose selection taking into account various conditions and frequency of doses. At the same time, it is important not to forget about the release form of the drug; it is also important to take it into account when making an assessment.

The ease of use of Levomycetin is approximately the same as Tobrex. However, they are not convenient enough to use.

The drug ratings were compiled by experienced pharmacists who studied international research. The report is generated automatically.

Last update date: 2020-12-04 13:45:00

Consumer Reviews

Anastasia: Recently, purulent discharge appeared from my eyes. The doctor said it was bacterial conjunctivitis. He prescribed me Levomycetin. The very next day all the discharge disappeared. But I continued treatment for 1 week, as the doctor said that this would reduce the risk of relapse. Only within a week's course will the bacteria die.
Michael. I often get bacterial conjunctivitis. I have already tried many antibiotics. Some became addictive. The doctor prescribed me Levomycetin. He said that it can be used over a long course. So far there has been no addiction. The effect appeared quickly, all symptoms disappeared.

What is better - “Albucid” or “Levomycetin” (eye drops)?

Both of these drugs are effective against bacterial damage to the organs of vision.

"Albucid" is an affordable remedy that is used for uncomplicated eye diseases, if the pathology does not threaten serious health complications. It is the drug of first choice in the treatment of infectious diseases due to its good tolerability. But sometimes it does not bring the desired result, since many strains of bacteria have developed resistance to its action.

In this case, Levomycetin comes to the rescue. It is considered a backup backup drug that helps in difficult situations when, against the background of an infectious process, there is a threat of serious visual impairment. Therefore, there is no need to say which is better - “Levomycetin” or “Albucid”. They simply complement each other.

Comparison of drugs

Among the identical indicators of drugs are:

bacteriostatic effect;
medications are intended for both children and adult patients;
absorption of the main substance into the blood is at a minimum level;
side effects are similar.

The difference in the use of Albucid and Levomycetin consists of the following factors:

different active ingredient;
Levomycetin is characterized by a detrimental effect on microorganisms;
Albucid stops the proliferation of pathological microorganisms;
Levomycetin has a wider range of effects on infectious pathogens;
Albucid has fewer contraindications;
due to long-term use of the drug based on chloramphenicol, anemia may develop;
It is permissible to prescribe a medicine developed on the basis of sodium sulfacyl during pregnancy or breastfeeding.
Albucid is almost 80% cheaper than Levomycetin, which does not indicate the ineffectiveness of the drug developed on the basis of sodium sulfacyl.