Product image of Maxitrol (Neomycin Sulfate, Polymyxin B Sulfate, Dexamethasone) supplied by GNH India

Maxitrol

Active Ingredient:
Neomycin Sulfate, Polymyxin B Sulfate, Dexamethasone
Origin:
EU

Maxitrol (Neomycin Sulfate, Polymyxin B Sulfate, Dexamethasone)

Neomycin sulfate, Polymyxin B sulfate and Dexamethasone, the active ingredients in Maxitrol, are an antibiotic corticosteroid combination presented as a 3%/0.1%/0.5% ophthalmic suspension for ocular (topical) use. It treats bacterial conjunctivitis, keratitis and postoperative ocular inflammation in patients who need both antimicrobial and anti‑inflammatory therapy.

GNH India supplies Maxitrol as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Sia Novartis Baltics

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Indications & Clinical Uses

Maxitrol is indicated for bacterial eye infections and inflammatory conditions of the ocular surface.

  • Bacterial conjunctivitis: reduces bacterial load and inflammation, promoting rapid resolution of infection.
  • Keratitis: provides antimicrobial coverage while suppressing corneal inflammation.
  • Post‑operative ocular inflammation: controls inflammation and prevents infection after eye surgery.
  • General ocular inflammation: alleviates swelling, redness and discomfort associated with non‑infectious inflammatory eye disorders.

How It Works

  • Neomycin sulfate binds the 30S ribosomal subunit of susceptible bacteria, inhibiting protein synthesis; Polymyxin B sulfate interacts with bacterial cell membranes, increasing permeability and causing cell death; Dexamethasone activates glucocorticoid receptors, modulating gene transcription to suppress inflammatory mediators, reduce vascular permeability, and limit immune cell infiltration in ocular tissues.

Side Effects

Adverse reactions may occur with ocular use of Maxitrol.

Common Side Effects

  • Burning or stinging sensation at the application site.
  • Transient blurred vision after instillation.
  • Mild eye itching or discomfort.
  • Temporary increase in intra‑ocular pressure.
  • Redness of the conjunctiva.
  • Mild tearing.

Serious or Rare Side Effects

  • Allergic reactions such as angioedema, urticaria or severe eye irritation.
  • Secondary ocular infection or corneal ulceration.
  • Significant rise in intra‑ocular pressure leading to glaucoma.
  • Systemic corticosteroid effects with prolonged use, including adrenal suppression.
  • Vision loss due to severe inflammation or infection.

Precautions & Warnings

Use Maxitrol only under professional supervision and observe the following precautions.

  • Pregnancy: safety not established; prescribe only if potential benefit outweighs risk.
  • Breastfeeding: unknown excretion; consider risk to infant before use.
  • Contact lens wear: discontinue lenses while applying the drops and until irritation resolves.
  • Pre‑existing glaucoma or ocular hypertension: monitor intra‑ocular pressure closely.
  • Prolonged therapy: limit duration to reduce risk of steroid‑related complications.
  • Store at room temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Maxitrol may interact with other ophthalmic agents; consider the following.

Major Interactions (Avoid)

  • Systemic corticosteroids: may increase systemic steroid exposure and related adverse effects.
  • Concurrent use of other ophthalmic antibiotics: risk of antagonistic activity or additive toxicity.
  • Anticholinergic eye drops: may reduce ocular absorption of Maxitrol.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory eye drops: may potentiate intra‑ocular pressure elevation.
  • Glaucoma medications: monitor pressure as Maxitrol can counteract pressure‑lowering effects.
  • Preservative‑containing contact lens solutions: may increase ocular irritation when used together.

Frequently Asked Questions

Maxitrol is a prescription ophthalmic suspension used to treat bacterial eye infections such as conjunctivitis and keratitis, as well as to control inflammation after eye surgery or in other inflammatory ocular conditions. The combination of two antibiotics and a corticosteroid provides both antimicrobial activity and anti‑inflammatory relief.

Neomycin interferes with bacterial protein synthesis by binding the 30S ribosomal subunit, while polymyxin B disrupts bacterial cell membranes, leading to cell death. Dexamethasone, a glucocorticoid, binds intracellular receptors and modulates gene expression to suppress inflammatory mediators, reducing swelling, redness, and pain in the eye.

The dosing regimen for Maxitrol is determined by the prescribing clinician based on the specific indication, severity of infection, and patient factors. Typically, the medication is instilled as one to two drops in the affected eye(s) at intervals recommended by the eye care professional.

Safety data for Maxitrol in pregnancy and lactation are limited. It should be used only if the potential therapeutic benefit justifies the potential risk to the fetus or infant. Healthcare providers will weigh the risks and benefits before prescribing to pregnant or nursing individuals.

To place an order, submit an enquiry on the Maxitrol product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Maxitrol combines a broad‑spectrum aminoglycoside (neomycin), a membrane‑active antibiotic (polymyxin B), and a potent corticosteroid (dexamethasone). Compared with single‑agent steroid‑antibiotic products, Maxitrol offers a wider antibacterial spectrum and stronger anti‑inflammatory potency, which can be advantageous in mixed‑infection or severe inflammatory cases.

Store Maxitrol at room temperature, preferably below 25 °C, in its original container. Protect the suspension from light and moisture, and keep the cap tightly closed when not in use. Do not freeze the product, and discard any solution that appears discolored or contains particles.

Maxitrol is applied topically to the eye as an ophthalmic suspension. The patient should wash their hands, tilt the head back, pull down the lower eyelid, and place the prescribed number of drops into the conjunctival sac. The eye should be gently closed for a few seconds to allow absorption, avoiding blinking or wiping the excess.

Serious risks include allergic reactions such as angioedema or severe eye irritation, secondary ocular infections or corneal ulceration, and a significant rise in intra‑ocular pressure that could lead to glaucoma. Prolonged systemic absorption of dexamethasone may also cause adrenal suppression. Patients should report any worsening vision, pain, or swelling promptly.

Maxitrol is contraindicated in individuals with known hypersensitivity to neomycin, polymyxin B, dexamethasone, or any other component of the formulation. It should also be avoided in patients with active viral or fungal eye infections, uncontrolled glaucoma, or ocular conditions where steroid use is prohibited, unless specifically directed by an eye specialist.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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