Product image of Kaogram (Propamidine Isetionate) supplied by GNH India

Kaogram

Active Ingredient:
Propamidine Isetionate
Origin:
EU

Kaogram (Propamidine Isetionate)

Propamidine Isetionate, the active ingredient in Kaogram, is a diamidine antiseptic presented as an ophthalmic solution for ocular use. It is employed to treat infections of the eye, including Acanthamoeba keratitis and bacterial conjunctivitis.

GNH India supplies Kaogram as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑approved batches to meet global demand, ensuring reliable logistics and product integrity for healthcare providers across multiple regions.

Manufacturer / TM Owner

Horus Pharma

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Indications & Clinical Uses

Kaogram, containing propamidine isetionate, is used in ophthalmology to manage specific infectious conditions of the eye.

  • Acanthamoeba keratitis: helps eradicate the protozoan infection and reduce corneal inflammation.
  • Bacterial conjunctivitis: provides broad‑spectrum antimicrobial activity to clear bacterial contamination of the conjunctiva.
  • Prophylaxis of ocular infections: used to prevent infection following ocular surgery or trauma.

How It Works

  • Propamidine isetionate belongs to the diamidine class and exerts its antimicrobial effect by binding to the DNA of susceptible microorganisms. This interaction interferes with DNA replication and transcription, leading to inhibition of protein synthesis and cell death. The broad‑spectrum activity covers bacteria and certain protozoa, making it effective in ocular infections.

Side Effects

Topical ocular administration of Kaogram may be associated with local and systemic adverse reactions.

Common Side Effects

  • Stinging or burning sensation upon instillation.
  • Redness of the conjunctiva.
  • Transient blurred vision.
  • Mild ocular irritation or itching.

Serious or Rare Side Effects

  • Allergic contact dermatitis of the eyelid or peri‑ocular skin.
  • Corneal ulceration or epithelial defect.
  • Severe ocular inflammation or uveitis.

Precautions & Warnings

When using Kaogram, certain precautions should be observed to ensure safety and efficacy.

  • Contraindication: known hypersensitivity to propamidine or other diamidines.
  • Pregnancy: safety not established; use only if clearly needed.
  • Breastfeeding: insufficient data; weigh benefits against potential risks.
  • Contact lens wearers: avoid using the solution while lenses are in place; remove lenses before administration.
  • Systemic absorption: minimal, but monitor for signs of systemic toxicity in extensive use.
  • Store at below 25°C: keep in original container, protect from light and moisture.

Avoid Interactions

Kaogram may interact with other ophthalmic agents; awareness of potential interactions helps prevent adverse outcomes.

Major Interactions (Avoid)

  • Concurrent use with other ocular antiseptics (e.g., povidone‑iodine) may cause additive irritation.
  • Co‑administration with topical corticosteroids may mask signs of infection.

Moderate Interactions (Monitor Closely)

  • Systemic antibiotics: monitor for overlapping toxicity if large ocular surface area is treated.
  • Anticholinergic eye drops: may affect tear film stability, increasing discomfort.
  • Contact lens solutions containing preservatives: assess compatibility to avoid corneal irritation.

Frequently Asked Questions

Kaogram is an ophthalmic preparation containing propamidine isetionate. It is indicated for the treatment of Acanthamoeba keratitis, bacterial conjunctivitis, and for prophylaxis of ocular infections following surgery or trauma. The medication targets microbial pathogens on the ocular surface to reduce infection and inflammation.

Propamidine isetionate belongs to the diamidine class of antiseptics. It binds to microbial DNA, disrupting replication and transcription processes. This interference halts protein synthesis, leading to cell death of bacteria and certain protozoa, thereby providing broad‑spectrum antimicrobial activity in the eye.

The dosing regimen for Kaogram is determined by the prescribing ophthalmologist based on the specific indication, severity of infection, and patient factors. The prescriber will specify the number of drops, frequency, and duration of treatment appropriate for each case.

Safety data for propamidine isetionate in pregnancy and lactation are limited. It should be used only if the potential benefit justifies any potential risk to the fetus or infant. Healthcare providers should evaluate the clinical situation before prescribing to pregnant or nursing patients.

To request Kaogram, submit an enquiry on the product page at gnhindia.com, indicating the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide. After submission, the sales team will verify trade or institutional credentials and respond with pricing, availability, shipping details and any required import documentation.

Kaogram’s active ingredient, propamidine isetionate, offers a broad‑spectrum diamidine mechanism distinct from agents such as chlorhexidine or polyhexamethylene biguanide (PHMB). While all provide antimicrobial activity, propamidine may have a different safety profile and efficacy against Acanthamoeba species, making it a preferred option in certain protozoal infections.

Kaogram should be stored at temperatures below 25 °C, protected from light, moisture and extreme temperature fluctuations. Keep the product in its original sealed container until use. Do not freeze the solution, and avoid exposing it to direct sunlight or humid environments.

Kaogram is applied topically to the eye as a sterile solution. The prescribed number of drops is instilled into the conjunctival sac, typically without touching the tip of the bottle to the eye or surrounding tissues. Patients should wash their hands before and after administration and avoid contact lens use until advised.

Serious adverse reactions, though rare, can include allergic contact dermatitis of the eyelid, corneal ulceration or epithelial defects, and severe ocular inflammation such as uveitis. Prompt medical evaluation is required if any of these symptoms develop during treatment.

Kaogram is contraindicated in individuals with a known hypersensitivity to propamidine, other diamidines, or any component of the formulation. Patients with active severe ocular surface disease unrelated to infection should consult their ophthalmologist before use. Contact lens wearers should follow specific guidance regarding lens removal during treatment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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