Blephapred (10/0.2%) 3.5g Eye Ointment

Phenylephrine, a sympathomimetic amine, acts as a selective alpha-1 adrenergic receptor agonist, causing vasoconstriction of the conjunctival and episcleral blood vessels, thereby reducing ocular redness and inflammation. Sulphacetamide, a sulfonamide antibiotic, exerts its effect by inhibiting the synthesis of folic acid in susceptible bacteria, thereby disrupting their growth and proliferation. Prednisolone and prednisone are corticosteroids that possess potent anti-inflammatory properties. They bind to cytoplasmic glucocorticoid receptors, altering gene expression and suppressing the release of inflammatory mediators, leading to a reduction in ocular inflammation, itching, and allergic responses.

Ophthalmic anti-inflammatory and decongestant.

Ointment

The following are the uses of Phenylephrine, Sulphacetamide, Prednisolone and Prednisone Ointment:

• Used for reducing eye redness and swelling caused by allergies or irritation.
• Used to treat bacterial eye infections and relieve associated discomfort.
• Effective in reducing inflammation and itching associated with various eye conditions.
• Helps manage inflammation and itching related to allergic conjunctivitis.
• Can be used to prevent or treat inflammation and itching after eye surgery.
• Provides relief from symptoms of allergic conjunctivitis, such as itching and redness.
• Aids in reducing inflammation and promoting healing in certain eye conditions.
• Used to alleviate symptoms of eye irritation and dryness.

In the case of an overdose of Phenylephrine, Sulphacetamide, Prednisolone, and Prednisone Ointment, symptoms may include increased heart rate, high blood pressure, dizziness, and skin irritation. In severe cases, it can lead to seizures, difficulty breathing, and even loss of consciousness. Prompt medical attention is required, and healthcare professionals should be informed about the specific medications involved to provide appropriate treatment and monitor for potential complications.

In the case of a missed dose of Phenylephrine, Sulphacetamide, Prednisolone, and Prednisone Ointment, it is recommended to apply the medication as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply extra ointment to make up for the missed dose. For Phenylephrine, if you miss a dose, apply it as soon as possible, but avoid applying it too close to the next scheduled dose to prevent excessive medication.

To apply the Phenylephrine, Sulphacetamide, Prednisolone, and Prednisone Ointment, gently clean and dry the affected area, then apply a thin layer of the ointment to the skin, ensuring that you cover the entire affected area as directed by your healthcare provider.

Here are the conditions or situations when Phenylephrine, Sulphacetamide, Prednisolone, and Prednisone Ointment should not be used:

• Do not use if you have a known allergy or hypersensitivity to any of the active ingredients Phenylephrine, Sulphacetamide, Prednisolone, or Prednisone.
• Avoid using this ointment if you have a bacterial, viral, or fungal infection in the eye, especially herpes simplex or vaccinia infections.
• Not suitable for individuals with tuberculosis of the eye or untreated bacterial infections.
• Should not be used if you have a history of glaucoma or narrow-angle closure.
• Contraindicated in individuals with recent eye surgery or injury until fully healed.
• Not recommended for those with corneal ulcers or perforations.
• Avoid using this ointment if you have a history of systemic fungal infections.
• Do not use if you have a known allergy to sulfa drugs or corticosteroids.

The side effects of Phenylephrine, Sulphacetamide, Prednisolone, and Prednisone Ointment may include:

• Burning or stinging sensation at the application site
• Itching or skin irritation
• Redness or swelling of the skin
• Allergic reactions (skin rash, hives, itching)
• Increased eye pressure (with prolonged use)
• Slowing of wound healing
• Thinning of the skin

Following are the precautions and warnings for Phenylephrine, Sulphacetamide, Prednisolone, and Prednisone Ointment:

• Avoid contact with eyes and mucous membranes; if contact occurs, rinse thoroughly with water.
• This medication is for external use only; do not ingest or apply to open wounds.
• Do not use if you are allergic to any of the ingredients, including phenylephrine, sulphacetamide, prednisolone, or prednisone.
• Inform your doctor if you have any pre-existing medical conditions, especially glaucoma, high blood pressure, or thyroid issues.
• Prolonged use of this ointment may lead to skin thinning, so it should only be used for the duration prescribed by your healthcare provider.
• Wash your hands thoroughly after applying the ointment to avoid accidental transfer to sensitive areas.
• Discontinue use and seek medical attention if you experience severe irritation, rash, or any allergic reaction.

Following are the drug interactions for Phenylephrine, Sulphacetamide, Prednisolone and Prednisone Ointment:

• Phenylephrine may interact with other medications that raise blood pressure, such as certain decongestants or stimulants, potentially causing hypertension.
• Sulphacetamide can reduce the efficacy of sulfonamide antibiotics, as it competes for the same metabolic pathway.
• The ointment may enhance the systemic absorption of topical steroids, including prednisolone and prednisone, leading to increased corticosteroid effects.
• Using this combination with other topical steroids or immunosuppressants may increase the risk of skin atrophy and other local side effects.
• Prednisolone and prednisone can interact with antidiabetic medications, making blood sugar control more challenging.
• They may also reduce the effectiveness of live vaccines and increase the risk of infections.
• Caution is advised when combining with nonsteroidal anti-inflammatory drugs (NSAIDs), as it may increase the risk of gastrointestinal issues and mask the signs of infection.

Following are the food interactions for Phenylephrine, Sulphacetamide, Prednisolone, and Prednisone Ointment:

• Grapefruit and grapefruit juice should be avoided as they may inhibit certain enzymes, leading to increased drug levels in the body and potential side effects.
• Alcohol may increase the risk of gastrointestinal bleeding when taken with Prednisolone or Prednisone.
• High-sodium foods should be consumed in moderation, as Prednisolone and Prednisone can cause sodium retention.
• Sulphacetamide may decrease the absorption of folic acid, so ensure an adequate intake of folate-rich foods.
• Phenylephrine may interact with caffeine, so monitor your caffeine intake from coffee, tea, or energy drinks.
• Dairy products may interfere with the absorption of Sulphacetamide, so consider spacing out the consumption of milk, cheese, or yogurt.
• Vitamin C-rich foods might be beneficial as they can enhance the effectiveness of Sulphacetamide.
• Avoid high-fat meals, as they can delay the absorption of Prednisolone and Prednisone.

Phenylephrine, Sulphacetamide, Prednisolone, and Prednisone Ointment should be stored in a cool and dry place, preferably at room temperature, ensuring protection from direct sunlight and moisture. Keep the ointment in its original container tightly sealed to maintain its integrity. Avoid storing it in bathrooms or near heat sources to prevent temperature-induced degradation. Dispose of any unused or expired ointment responsibly; do not flush it down the toilet or pour it into drains. Consult your pharmacist for appropriate disposal methods, and keep all medications out of children's reach to prevent accidental exposure.

Following are the quick tips for Phenylephrine, Sulphacetamide, Prednisolone and Prednisone Ointment:

• Wash your hands before and after applying the ointment to maintain hygiene.
• Clean and dry the affected area before applying the ointment for better absorption.
• Apply a thin layer of the ointment to the affected area as directed by your doctor.
• Avoid applying the ointment to broken or infected skin.
• Do not cover the treated area with a bandage unless instructed by your doctor.
• Store the ointment at room temperature, away from direct sunlight and moisture.
• Inform your doctor if you experience any vision changes, persistent redness, or severe irritation.