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 a combination antibiotic and corticosteroid presented as a 3.5 mg/mL neomycin, 10,000 IU/mL polymyxin B and 0.1 % dexamethasone ophthalmic suspension for topical ocular use. It treats bacterial eye infections with an inflammatory component in patients requiring prescription therapy.

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

Manufacturer / TM Owner

Novartis Pharma N.V.

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Indications & Clinical Uses

Maxitrol is used for ocular infections and inflammatory conditions where bacterial contamination and inflammation coexist.

  • Bacterial conjunctivitis: reduces bacterial load and alleviates conjunctival inflammation.
  • Keratitis: eradicates pathogenic bacteria and diminishes corneal swelling.
  • Post‑operative ocular inflammation: controls inflammation while preventing infection after eye surgery.
  • Anterior uveitis: suppresses intra‑ocular inflammation and limits bacterial involvement.
  • Other ocular infections with inflammatory component: provides broad‑spectrum antibacterial coverage together with anti‑inflammatory action.

How It Works

  • Neomycin binds the 30S ribosomal subunit of susceptible bacteria, inhibiting protein synthesis; Polymyxin B interacts with bacterial cell‑membrane phospholipids, disrupting membrane integrity and causing cell death; Dexamethasone activates intracellular glucocorticoid receptors, modulating gene transcription to suppress pro‑inflammatory cytokines, reduce vascular permeability, and limit leukocyte migration, thereby providing anti‑inflammatory and immunosuppressive effects in ocular tissues.

Side Effects

Adverse ocular reactions may occur with topical use of Maxitrol.

Common Side Effects

  • Eye irritation or burning sensation.
  • Stinging or mild pain upon instillation.
  • Transient blurred vision.
  • Increased intra‑ocular pressure (mild).
  • Conjunctival hyperemia.

Serious or Rare Side Effects

  • Allergic contact dermatitis or severe hypersensitivity reaction.
  • Corneal ulceration or secondary infection.
  • Marked rise in intra‑ocular pressure leading to glaucoma.
  • Vision loss or severe visual impairment.
  • Persistent ocular pain or photophobia.

Precautions & Warnings

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

  • Pregnancy: safety not established; avoid unless clearly needed.
  • Breastfeeding: unknown risk; consider potential exposure to the infant.
  • Contact lens wearers: remove lenses before instillation and wait before reinserting.
  • Concurrent ocular steroids: monitor intra‑ocular pressure regularly.
  • Prolonged use: may increase risk of secondary infections or cataract formation.
  • 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: additive immunosuppression may increase infection risk.
  • Other ophthalmic antibiotics: potential antagonism or cumulative toxicity.
  • Anticholinergic eye drops: may reduce therapeutic efficacy.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory eye drops: may heighten ocular irritation.
  • Glaucoma medications: monitor intra‑ocular pressure for additive effects.
  • Antiviral eye preparations: assess for reduced antiviral activity.

Frequently Asked Questions

Maxitrol is prescribed for bacterial eye infections that involve inflammation, such as bacterial conjunctivitis, keratitis, post‑operative ocular inflammation, anterior uveitis, and other ocular infections where an anti‑infective and anti‑inflammatory approach is required.

Neomycin inhibits bacterial protein synthesis by binding the 30S ribosomal subunit, while polymyxin B disrupts bacterial cell‑membrane integrity, leading to rapid bacterial death. Dexamethasone activates glucocorticoid receptors, suppressing inflammatory mediators and reducing ocular swelling and redness.

The dosing regimen for Maxitrol is determined by the prescribing ophthalmologist based on the specific infection, severity, and patient factors. The prescriber will provide instructions on the number of drops, frequency, and duration of therapy.

Safety data for Maxitrol in pregnancy and lactation are limited. It should only be used if the potential benefit justifies any potential risk to the fetus or infant, and the decision should be made by a qualified healthcare professional.

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 and any necessary import documentation.

Compared with single‑agent ophthalmic antibiotics, Maxitrol offers a broader antibacterial spectrum through neomycin and polymyxin B, plus the added anti‑inflammatory benefit of dexamethasone. This dual action can simplify therapy for infections with significant inflammation, but it also requires careful monitoring for steroid‑related side effects.

Maxitrol should be stored at room temperature, below 25 °C, in its original container. Keep the bottle tightly closed, protect it from light and moisture, and discard any remaining product after the indicated period once opened.

Maxitrol is applied as an ophthalmic suspension. The patient instills the prescribed number of drops into the affected eye(s) using the provided dropper, typically after washing hands and avoiding contact between the tip and the eye or surrounding surfaces.

Serious risks include severe allergic reactions, corneal ulceration, marked increase in intra‑ocular pressure that may lead to glaucoma, and rare cases of vision loss. Patients should report any worsening pain, redness, or visual changes immediately.

Maxitrol should be avoided in individuals with known hypersensitivity to neomycin, polymyxin B, dexamethasone, or any component of the formulation. It is also contraindicated in patients with viral eye infections such as herpes simplex keratitis, where steroids could exacerbate the disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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