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Tobamist Respules
Prescription Required
Product introduction
Tobamist Respules is an antibiotic used to prevent or treat infections of the lung (e.g., pneumonia). It is particularly effective in managing lung infections in people suffering from a disease known as cystic fibrosis.
Tobamist Respules is only meant for inhalation using a nebulizer. The solution should not be injected or swallowed. It works by stopping the growth of bacteria. This helps to improve your symptoms and resolve the underlying infection. It should be used regularly at evenly spaced time intervals as prescribed by your doctor. Do not skip any doses and finish the full course of treatment even if you feel better. Stopping the medicine too early may lead to the infection returning or worsening.
Common side effets of this medicine include increased may cause cough, pharyngitis, change in taste, or voice change as side effects in some patients. These are temporary and usually resolve with time. Regular rinsing of the mouth with warm saline water and the use of lozenges may help you to overcome the side effects. Consult your doctor if any of the side effects persist or if your condition does not improve.
Your doctor may advise you periodic blood counts and kidney function tests for monitoring. Inform your doctor if you are pregnant, planning to conceive, or breastfeeding before using this medicine.
Tobamist Respules is only meant for inhalation using a nebulizer. The solution should not be injected or swallowed. It works by stopping the growth of bacteria. This helps to improve your symptoms and resolve the underlying infection. It should be used regularly at evenly spaced time intervals as prescribed by your doctor. Do not skip any doses and finish the full course of treatment even if you feel better. Stopping the medicine too early may lead to the infection returning or worsening.
Common side effets of this medicine include increased may cause cough, pharyngitis, change in taste, or voice change as side effects in some patients. These are temporary and usually resolve with time. Regular rinsing of the mouth with warm saline water and the use of lozenges may help you to overcome the side effects. Consult your doctor if any of the side effects persist or if your condition does not improve.
Your doctor may advise you periodic blood counts and kidney function tests for monitoring. Inform your doctor if you are pregnant, planning to conceive, or breastfeeding before using this medicine.
Uses of Tobamist Respules
- Treatment and prevention of Lung infections in patients with cystic fibrosis
Benefits of Tobamist Respules
In Treatment and prevention of Lung infections in patients with cystic fibrosis
People with cystic fibrosis (CF) are at greater risk of getting lung infections because thick, sticky mucus builds up in their lungs, allowing infectious bacteria to grow and multiply. Lung infections are a serious problem for such patients because they can lead to severe or worsening lung disease. Tobamist Respules helps treat lung infections in such people and also improves lung function. This helps to prevent further complications and prolongs the life of CF patients. Follow your doctor’s instructions carefully to get the most benefit from Tobamist Respules.
Side effects of Tobamist Respules
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 Tobamist
- Taste change
- Voice change
- Rash
- Coughing up blood
- Breathlessness
- Sore throat
- Cough
- Increased sputum production
- Lung disorder
How to use Tobamist Respules
Use this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Twist off the top of the respule/transpule and squeeze all the liquid into the nebulizer. It should be used right away after opening.
How Tobamist Respules works
Tobamist Respules is an antibiotic. It stops bacterial growth in the airways by preventing synthesis of essential proteins required by bacteria to carry out vital functions. This treats infection in the airways.
Safety advice
Alcohol
SAFE
Consuming alcohol with Tobamist Respules does not cause any harmful side effects.
Pregnancy
CONSULT YOUR DOCTOR
Tobamist Respules is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Breast feeding
SAFE IF PRESCRIBED
Tobamist Respules is safe to use during breastfeeding. Human studies suggest that the drug does not pass into the breastmilk in a significant amount and is not harmful to the baby.
Driving
No interaction found/established
Kidney
No interaction found/established
Liver
No interaction found/established
What if you forget to take Tobamist Respules?
If you miss a dose of Tobamist Respules, use 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.
No substitutes found for this medicine
Quick tips
- Tobamist Respules is used for long-term management of chronic lung infections in patients with cystic fibrosis.
- This medicine is for inhalation using a nebuliser only. The solution should not be injected or swallowed.
- Take the first dose of this medicine under medical supervision as it may cause wheezing or tightening of the airways (bronchospasm) immediately after using.
- Inform your doctor if you experience any hearing loss, sensation of ringing in the ears, or dizziness and unsteadiness.
- Your doctor will regularly monitor your kidney function while taking Tobamist Respules to detect any toxicity.
- Can I stop taking Tobamist Respules when I feel better?
- Do not skip any doses and finish the full course of treatment even if you feel better.
- Tobamist Respules may cause damage to cornea on long-term use.
- Apply pressure on the corner of the eye (close to the nose) for about 1 minute immediately after instilling the drop.
- Wait for at least 5-10 minutes before delivering the next medication in the same eye to avoid dilution.
- Stinging sensation may occur for 1-2 mins. Notify your doctor if it persists for longer.
- Make sure to use it within 4 weeks of opening the bottle.
Fact Box
Chemical Class
Aminoglycosides
Habit Forming
No
Therapeutic Class
OPHTHAL OTOLOGICALS
Action Class
Aminoglycosides
Interaction with drugs
Taking Tobamist with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Abamune, A-Bec
Serious
Brand(s): Adesera, Adheb, Adfovir
Serious
Brand(s): Alendrate, Alenost, Aldrofos
Serious
Brand(s): Amphocil
Serious
Patient concerns
User feedback
Patients taking Tobamist Respules
Twice A Day
74%
Once A Day
15%
Thrice A Day
5%
Thrice A week
5%
Twice A Week
1%
What are you using Tobamist Respules for?
Bacterial inf*
92%
Others
8%
*Bacterial infections
How much was the improvement?
Average
57%
Excellent
23%
Poor
20%
What were the side-effects while using Tobamist Respules?
No Side Effec*
67%
Hearing loss
33%
*No Side Effect
How do you take Tobamist Respules?
With food
50%
Empty stomach
25%
With or witho*
25%
*With or without food
Please rate Tobamist Respules on price
Expensive
80%
Average
20%
FAQs
Q. How do you give Tobamist Respules?
Tobamist Respules is given via a nebulizer for inhalation purpose. Your healthcare provider will teach you the method of taking it. Take it exactly as prescribed by your doctor. Use 2 single containers per day for 28 days. Inhale the contents of 1 container in the morning and one in the evening. After taking it for 28 days, stop for 28 days and then again take the medicine for 28 days. Maintain this 28 days on and 28 days off cycle. Try to keep the 2 doses 12 hours apart. Do not take your dose less than 6 hours apart.
Q. Should Tobamist Respules be refrigerated?
Yes, Tobamist Respules inhalation solution should be refrigerated at 2- 8°C/36-46°F. Upon removal from refrigeration or if refrigerator is unavailable, the solution pouches (opened/unopened) should be stored at room temperature (up to 25°C/77°F) for up to 28 days. It should not be exposed to intense light. Not storing it in the refrigerator may darken the medicine. However, color change does not indicate change in quality.
Q. Is Tobamist Respules bad for kidneys?
Yes, Tobamist Respules belongs to aminoglycoside class of antibiotic medicine, which may affect the kidney function. However, there is no firm evidence to suggest so. If your kidney function is already impaired, then you should be careful while using Tobamist Respules. Your doctor will get your kidney function tested before starting Tobamist Respules and at regular intervals during treatment. Tell your doctor if you experience decreased urination, unusual tiredness or weakness or swelling of the face, arms, hands, feet, ankles, or lower legs.
Q. What is antibiotic resistance? Does this occur with Tobamist Respules?
Sometimes the bacteria gets modified in your body and the medicine no longer works. This is called drug resistance. Resistance can occur with Tobamist Respules if it is used inappropriately, for example if you do not adhere to the dose and duration of therapy. It may also occur if you use it for viral and fungal infections instead of bacterial infections. Therefore, it is important that you continue taking Tobamist Respules for the duration advised by your doctor even if you start feeling better.
Q. Can I take other inhaler medicines along with Tobamist Respules?
Yes, you can take other inhaler medicines along with Tobamist Respules but not simultaneously. If you are receiving several respiratory therapies, it is recommended that you adhere to the following order: bronchodilator, respiratory physiotherapy, other inhaled medicinal products and finally Tobamist Respules. You should not mix other inhalation medicinal products with Tobamist Respules. You should consult your doctor who will let you know when to take which medicine.
Q. Is Tobamist Respules effective?
Tobamist Respules is effective if used in the dose and duration advised by your doctor. Do not stop taking it even if you see improvement in your condition. If you stop using Tobamist Respules too early, the symptoms may return or worsen.
Q. What if I don't get better after using Tobamist Respules?
Inform your doctor if you don't feel better after finishing the full course of treatment. Also, inform the doctor if your symptoms are getting worse while using this medicine.
Q. Can I stop using Tobamist Respules when I feel better?
No, do not stop taking Tobamist Respules without consulting your doctor even if you are feeling better. Your symptoms may improve before the infection is completely cured. Therefore, for better and complete treatment, it is advised to continue your treatment for the prescribed duration.
Q. Does Tobamist Respules have a steroid in it?
No, Tobamist Respules alone does not have steroids in it. It is an antibiotic, which means that it is effective against bacterial infections. It is not effective against viral or fungal infections and hence should not be used in these kinds of infections. Tobamist Respules may be combined with steroids such as dexamethasone.
Q. What bacteria does Tobamist Respules kill?
Tobamist Respules is effective against a wide range of bacteria. Tobamist Respules must be used only against susceptible bacteria. A whole gamut of bacteria that can be killed by Tobamist Respules includes S. Aureus and S. epidermidis, some species of Streptococci, Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae, Enterobacter aerogenes, Proteus mirabilis, Morganella morganii, most Proteus vulgaris strains, Haemophilus influenza, and H. aegyptius, Moraxella lacunata, Acinetobacter calcoaceticus, and some Neisseria species. Your doctor will evaluate whether this medicine is suitable for your condition.
Q. How long should you use Tobamist Respules?
The doctor will decide the duration of treatment which will depend on the severity of infection. For instance, if you have mild to moderate eye infection, your doctor will advise 1-2 eye drops, 4 times a day, usually. In severe infections, you may be prescribed 2 drops every hour. Do not use more or less of it or use it more often than prescribed by your doctor. You should use it exactly as prescribed by your doctor.
Q. How should Tobamist Respules be used?
You should wash your hands before using the eye drops. Avoid touching the dropper tip against your eye or anywhere else. Tilt your head slightly and instill one drop. Close your eyes for 2 or 3 minutes with your head tipped down, avoid blinking or squinting. Gently press your finger to the inside corner of the eye for about 1 minute, to keep the liquid from draining into your tear duct. If you use more than one drop, wait about 5 minutes between the drops. Wait at least 10 minutes before using any other eye drops your doctor has prescribed.
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Disclaimer:
Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.References
- MacDougall C, Chambers HF. Aminoglycosides. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 1516.
- Chambers HF, Deck DH. Aminoglycosides & Spectinomycin. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 812.
- Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1371-72.
- Tobramycin. Netherlands: Sun Pharmaceutical Industries; 2017. [Accessed 31 Mar. 2019] (online) Available from:
- Drugs.com. Tobramycin Pregnancy and Breastfeeding Warnings. [Accessed 31 Mar. 2019] (online) Available from:
Marketer details
Name: Cipla Ltd
Address: Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013
Country of origin: India
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₹2668.25
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