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, the active ingredient in Maxitrol, is a combination antibiotic corticosteroid presented as an ophthalmic suspension for ocular use. It treats bacterial eye infections and associated inflammation in patients of all ages, and the formulation also contains Polymyxin B sulfate and Dexamethasone to provide broad‑spectrum antibacterial activity together with anti‑inflammatory effects.

GNH India supplies Maxitrol as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring reliable quality and regulatory compliance across global markets.

Manufacturer / TM Owner

Novartis Europharm Limited

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Indications & Clinical Uses

  • Maxitrol is a combination antibiotic corticosteroid indicated for several ocular conditions where bacterial infection and inflammation coexist.
  • Bacterial conjunctivitis: reduces bacterial load and associated inflammation, promoting faster symptom resolution.
  • Ocular inflammation (non‑infectious): diminishes swelling, redness, and discomfort caused by inflammatory processes.
  • Post‑operative eye inflammation: controls inflammation and helps prevent secondary infection after ocular surgery.

How It Works

  • Neomycin sulfate binds the bacterial 30S ribosomal subunit, inhibiting protein synthesis; Polymyxin B sulfate interacts with phospholipids of the bacterial cell membrane, disrupting its integrity and causing cell death. Dexamethasone, a potent glucocorticoid, penetrates ocular tissues, binds intracellular glucocorticoid receptors and modulates gene transcription, leading to reduced production of inflammatory mediators and suppression of immune cell activity. The three agents act synergistically to eliminate infection and control inflammation.

Side Effects

Adverse ocular reactions have been reported with Maxitrol and can be classified by frequency.

Common Side Effects

  • Eye irritation or burning sensation
  • Itching or mild redness
  • Temporary blurred vision
  • Mild increase in intra‑ocular pressure
  • Tearing or discharge

Serious or Rare Side Effects

  • Severe allergic reaction (e.g., angio‑edema, anaphylaxis)
  • Corneal ulceration or perforation
  • Persistent or worsening vision loss
  • Secondary ocular infection with resistant organisms
  • Elevated intra‑ocular pressure leading to glaucoma

Precautions & Warnings

  • Before prescribing Maxitrol, clinicians should consider several safety and handling points.
  • Assess for viral or fungal eye infections: avoid use as it may worsen these infections.
  • Monitor intra‑ocular pressure: corticosteroid component can raise pressure, especially with prolonged use.
  • Use with caution in patients with known hypersensitivity to any component: discontinue if reaction occurs.
  • Limit duration of therapy: prolonged use increases risk of cataract formation and glaucoma.
  • Avoid use in children unless directed: pediatric eyes are more susceptible to steroid‑induced side effects.
  • Store at room temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Maxitrol may interact with other ophthalmic or systemic agents; interactions are grouped by clinical significance.

Major Interactions (Avoid)

  • Systemic corticosteroids: additive immunosuppression may increase infection risk.
  • Other topical ophthalmic antibiotics: may cause antagonistic effects or increased toxicity.
  • Antiglaucoma medications (e.g., beta‑blockers): steroid‑induced pressure rise can counteract their effect.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory eye drops: may increase risk of corneal toxicity.
  • Anticholinergic eye drops: may reduce tear production, enhancing irritation.
  • Systemic aminoglycosides: potential additive nephrotoxicity if systemic absorption occurs (rare).

Frequently Asked Questions

Maxitrol is a prescription ophthalmic suspension that combines an antibiotic (Neomycin), a second‑generation antibiotic (Polymyxin B) and a corticosteroid (Dexamethasone). It is used to treat bacterial conjunctivitis, reduce ocular inflammation, and manage post‑operative eye inflammation after eye surgery.

Neomycin interferes with bacterial protein synthesis by binding the 30S ribosomal subunit, while Polymyxin B disrupts bacterial cell‑membrane integrity, leading to cell death. Dexamethasone binds intracellular glucocorticoid receptors, altering gene transcription to suppress inflammatory mediators and immune‑cell activity. Together they eliminate infection and control inflammation.

The dosing regimen for Maxitrol is determined by the prescribing clinician based on the specific indication, severity of infection, and patient factors. Typically, a few drops are instilled into the affected eye(s) at the frequency indicated on the prescription, and the treatment duration is set by the healthcare professional.

Safety data for Maxitrol in pregnancy and lactation are limited. Because it contains a corticosteroid and antibiotics, the product should only be used if the potential benefit justifies any potential risk to the fetus or infant. The prescriber should evaluate the individual situation and discuss alternatives if necessary.

To order Maxitrol, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials. The sales team then replies with pricing, availability, shipping details (including any cold‑chain requirements) and the necessary import documentation.

Compared with single‑agent antibiotic drops, Maxitrol offers the advantage of combined antibacterial coverage (Neomycin and Polymyxin B) plus anti‑inflammatory action from Dexamethasone, reducing the need for separate steroid therapy. However, the presence of a corticosteroid requires careful monitoring for intra‑ocular pressure rise, which may not be an issue with antibiotics alone.

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 avoid freezing. Do not use the product if the solution appears discolored or contains particles.

Maxitrol is applied as an eye drop. The patient should wash their hands, tilt the head back, pull down the lower eyelid to create a small pocket, and instill the prescribed number of drops into the conjunctival sac. The eye should be closed gently for a few seconds to allow absorption, and any excess liquid can be wiped away.

Serious risks include severe allergic reactions such as angio‑edema or anaphylaxis, corneal ulceration or perforation, significant elevation of intra‑ocular pressure that can lead to glaucoma, and secondary infections with resistant organisms. Patients should be instructed to seek immediate medical attention if they experience sudden vision loss, intense eye pain, or signs of an allergic reaction.

Maxitrol should be avoided in individuals with known hypersensitivity to Neomycin, Polymyxin B, Dexamethasone, or any excipients in the formulation. It is also contraindicated in eyes with viral (e.g., herpes simplex) or fungal infections, as the steroid component may exacerbate these conditions. Caution is advised in children and in patients with a history of glaucoma or cataract.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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