Product image of O-Biotic (Dexamethasone, Tobramycin) supplied by GNH India

O-Biotic

Active Ingredient:
Dexamethasone, Tobramycin
Origin:
EU

O-Biotic (Dexamethasone, Tobramycin)

Dexamethasone and Tobramycin, the active ingredients in O-Biotic, are a corticosteroid and an aminoglycoside antibiotic presented as a topical ophthalmic suspension for ocular use. They treat inflammation and bacterial infection in the eye, providing combined anti‑inflammatory and antimicrobial activity.
GNH India supplies O-Biotic as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Zwitter Pharmaceuticals Επε

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Indications & Clinical Uses

O-Biotic, a combination of dexamethasone and tobramycin, is used in ophthalmology to address inflammatory and bacterial conditions.

  • Bacterial conjunctivitis: reduces bacterial load and alleviates associated redness.
  • Post‑operative ocular inflammation: controls swelling and pain after eye surgery.
  • Bacterial keratitis: combats infection while suppressing inflammatory response.

How It Works

  • Dexamethasone binds to intracellular glucocorticoid receptors, modulating gene transcription to suppress pro‑inflammatory cytokines, leukocyte migration, and edema. Tobramycin attaches to the bacterial 30S ribosomal subunit, causing misreading of mRNA and inhibition of protein synthesis, leading to bacterial cell death. The combination provides simultaneous anti‑inflammatory and bactericidal effects in ocular tissues.

Side Effects

Adverse reactions may occur with ocular use of O-Biotic.

Common Side Effects

  • Eye irritation or burning sensation.
  • Transient blurred vision.
  • Increased intra‑ocular pressure.
  • Ocular discomfort or foreign‑body sensation.

Serious or Rare Side Effects

  • Allergic reaction such as eyelid swelling or rash.
  • Secondary ocular infection or fungal overgrowth.
  • Corneal ulceration or thinning.
  • Glaucoma development.
  • Cataract formation with prolonged use.

Precautions & Warnings

Use O-Biotic only under professional supervision and observe the following precautions.

  • Pregnancy: consult a healthcare provider; risk category is C.
  • Breastfeeding: caution advised as the drug may be excreted in milk.
  • Contact lens wearers: avoid use; may cause irritation.
  • Patients with viral eye infections: do not use; may worsen condition.
  • Store below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Consider potential drug interactions when prescribing O-Biotic.

Major Interactions (Avoid)

  • Systemic corticosteroids: may increase systemic glucocorticoid effects.
  • Other ophthalmic NSAIDs: additive ocular irritation.
  • Anticholinergic eye drops: may reduce dexamethasone efficacy.

Moderate Interactions (Monitor Closely)

  • Concurrent topical antibiotics (non‑tobramycin): possible antagonism.
  • Glaucoma medications: monitor intra‑ocular pressure closely.
  • Preservative‑containing contact lens solutions: may heighten irritation.

Frequently Asked Questions

O-Biotic is a combination ophthalmic suspension containing dexamethasone and tobramycin. It is used to treat ocular inflammation and bacterial eye infections such as conjunctivitis, post‑operative inflammation, and bacterial keratitis, providing both anti‑inflammatory and antimicrobial effects.

Dexamethasone is a synthetic glucocorticoid that binds to intracellular glucocorticoid receptors. This interaction modulates gene expression, suppressing the release of inflammatory mediators, reducing edema, and inhibiting leukocyte migration, thereby decreasing ocular inflammation.

The dosage of O-Biotic is determined by the prescribing clinician based on the specific condition, severity, and patient factors. The prescriber will specify the number of drops, frequency, and duration appropriate for each case.

Pregnancy and breastfeeding considerations should be discussed with a healthcare professional. Dexamethasone is classified as pregnancy category C, and both ingredients may be excreted in breast milk, so caution is advised and benefits must outweigh potential risks.

To order O-Biotic, submit an enquiry on the product page at gnhindia.com, indicating the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details, and any necessary import documentation.

O-Biotic combines a corticosteroid (dexamethasone) with an aminoglycoside antibiotic (tobramycin), offering both anti‑inflammatory and antibacterial activity in a single formulation. In contrast, many eye antibiotics lack anti‑inflammatory properties, requiring separate steroid therapy for inflammation.

O-Biotic should be stored below 25 °C, in its original container, protected from moisture and direct sunlight. Keep the suspension tightly sealed and avoid freezing. Follow any additional handling instructions provided on the label.

O-Biotic is applied as an ophthalmic suspension. The prescribed number of drops is instilled into the affected eye(s) at the frequency indicated by the prescriber, typically using a sterile dropper to avoid contamination.

Serious risks include allergic reactions such as eyelid swelling or rash, secondary ocular infections, corneal ulceration, increased intra‑ocular pressure leading to glaucoma, and cataract formation with prolonged use. Patients should be monitored for these events.

O-Biotic should be avoided in patients with known hypersensitivity to dexamethasone, tobramycin, or any formulation components. It is also contraindicated in viral eye infections (e.g., herpes simplex keratitis) and in individuals for whom corticosteroid use is prohibited.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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