Tobacent-D Ophthalmic Solution is a prescription medicine used in the treatment of bacterial eye infections. It stops the growth of bacteria and helps in relieving redness, itching, and swelling.
Tobacent-D Ophthalmic Solution is to be used only in the affected eye. Read the label carefully for instructions before you use the medicine. Use it in the exact dose and duration as advised by the doctor or as instructed on the label. Wash your hands before using this medicine. Complete your dose even if you feel better. Stopping the medicine too early may bring back the infection.
Common side effects of Tobacent-D Ophthalmic Solution include irritation, itching, and redness at the site of application. These are usually temporary and resolve with time. However, if they persist or get worse, inform your doctor. They may be able to suggest ways to treat or manage the side effects.
In case of accidental contact with your ears, nose, or mouth, immediately rinse it with water. Inform your doctor if you have a known allergy to any of the ingredients in this medicine or if you are taking any other medication. Do not drive or operate heavy machinery immediately after using this medicine, as it may cause temporary blurring of vision and may affect your ability to drive.
Tobacent-D Ophthalmic Solution stops the growth of bacteria causing infection and helps relieve pain, swelling, redness, itching or irritation in the eyes. Use it 2-3 times a day for atleast a week or as prescribed by the doctor. Your symptoms might improve after using Tobacent-D Ophthalmic Solution. However, make sure to complete the full course of treatment. This will ensure that the infection is completely cured and prevent it from returning.
Side effects of Tobacent-D Ophthalmic Solution
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Tobacent-D
Eye toxicity
Hypersensitivity
Eyelid itching
Eyelid swelling
Conjunctival edema
Secondary infections
How to use Tobacent-D Ophthalmic Solution
This medicine is for external use only. Take it in the dose and duration as advised by your doctor. Check the label for directions before use. Hold the dropper close to the eye without touching it. Gently squeeze the dropper and place the medicine inside the lower eyelid. Wipe off extra liquid.
How Tobacent-D Ophthalmic Solution works
Tobacent-D Ophthalmic Solution is a combination of two medicines: Dexamethasone and Tobramycin. Dexamethasone is a steroid that blocks the production of certain chemical messengers (prostaglandins) that make the eye red, swollen, and itchy. Tobramycin is an antibiotic. It stops bacterial growth in the eye by preventing the synthesis of essential proteins required by bacteria to carry out vital functions.
Safety advice
Alcohol
No interaction found/established
Pregnancy
CONSULT YOUR DOCTOR
Tobacent-D Ophthalmic Solution may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
SAFE IF PRESCRIBED
Tobacent-D Ophthalmic Solution is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Driving
UNSAFE
Tobacent-D Ophthalmic Solution may cause blurring of your vision for a short time just after its use. Do not drive until your vision is clear.
Kidney
No interaction found/established
Liver
No interaction found/established
What if you forget to take Tobacent-D Ophthalmic Solution?
If you miss a dose of Tobacent-D Ophthalmic Solution, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
Wash your hands first before applying the Tobacent-D Ophthalmic Solution. To avoid contamination, do not touch the dropper tip or let it touch your eye or any other surface.
Do not wear contact lenses until your infection clears up.
Eye infections can cause your eyes to become more sensitive to sunlight than usual. Wearing sunglasses may help to prevent this.
Take care to avoid spreading the infection from one eye to the other and other members of your family. Washing your hands regularly (particularly after touching your eyes) and not sharing towels or pillows will help prevent the infection from spreading.
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OPHTHAL OTOLOGICALS
Patient concerns
I am facing toothache i currently voveran d , currently facing pain and some swelling
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Dental Surgery
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Dr. Gopal Bansilal Samdani
Paediatrics
Antibiotics are required if bacterial infections. Consult child specialist
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Obstetrics and Gynaecology
PCOS is a condition of hormonal imbalance. You can take external hormones to restore that balance if required. For that first get your PCOD profile- serum FSH, LH, testosterone free, and insulin fasting done on the 2nd day of your cycle and then take treatment acc.
Tobacent-D Ophthalmic Solution is used to treat bacterial eye infections involving eye inflammation (swelling, redness, irritation). They combine an antibiotic (tobramycin) to fight bacteria and a steroid (dexamethasone) to reduce inflammation.
Can I use Tobacent-D Ophthalmic Solution in all eye infections?
Tobacent-D Ophthalmic Solution should only be used if it's a bacterial infection. Do not use Tobacent-D Ophthalmic Solution for viral (like herpes or chickenpox) or fungal infections. Using steroids (a medicine in Tobacent-D Ophthalmic Solution) in these cases can make the infection worse. Consult your doctor for accurate diagnosis and treatment.
What are the serious side effects of Tobacent-D Ophthalmic Solution I should watch for?
During Tobacent-D Ophthalmic Solution treatment, you should watch out for increased eye pressure (which can lead to glaucoma), blurred vision or eye pain, allergic reactions like swelling or rash, and eye infections that don’t heal. If you notice any of these, stop using Tobacent-D Ophthalmic Solution and contact your doctor.
Is it safe to use Tobacent-D Ophthalmic Solution long-term?
No. Long-term Tobacent-D Ophthalmic Solution use can cause glaucoma, cataracts, delayed healing, and aggravated new or worsening infections. You should use it only as long as your doctor recommends.
Can Tobacent-D Ophthalmic Solution be used in children?
Tobacent-D Ophthalmic Solution is not recommended for children under 2 years old. In children above 2 years of age, your doctor will decide if the benefits outweigh the risks.
How often should I use Tobacent-D Ophthalmic Solution?
Typically, you should use 1-2 drops of Tobacent-D Ophthalmic Solution every 4-6 hours (or as prescribed).
How long does Tobacent-D Ophthalmic Solution take to work?
The exact time Tobacent-D Ophthalmic Solution takes to work and show results is not known. However, you may experience relief from redness/swelling within a few days. The full infection clearance may take a few days to weeks. You should complete the prescribed course for safer and faster results.
Can I wear contact lenses while using Tobacent-D Ophthalmic Solution?
No. You should remove your contact lenses before using Tobacent-D Ophthalmic Solutions and wait at least 15 minutes before putting them back in. Contact lenses can trap the medicine and may irritate your eyes.
When to call the doctor during Tobacent-D Ophthalmic Solution treatment?
You should seek immediate medical attention if you experience worsening eye pain/redness, vision changes, and/or signs of allergy (swelling, severe itching).
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Dexamethasone and Tobramycin [Prescribing Information]. 2009. [Accessed 06 Apr. 2026] (online) Available from:
Dexamethasone and Tobramycin [Prescribing Information]. East Hanover, New Jersey: Novartis Pharmaceuticals Corporation; 2021. [Accessed 06 Apr. 2026] (online) Available from:
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