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Reason for Submission: GDS 09 & QRD Text Date: October 2013 MHRA Submission Date:

MHRA Approval Date:

Version No.: Issue 2 Draft 1 SPC Version No.: Issue 3 Draft 1 CO Number: N/A

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Package Leaflet: Information for the User

Neosporin® Eye Drops

polymyxin B sulphate, neomycin sulphate and gramicidin

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

•    Keep this leaflet. You may need to read it again.

•    If you have any further questions, ask your doctor or pharmacist.

•    This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.

•    If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

What is in this leaflet:

1    What Neosporin is and what it is used for

2    What you need to know before you use Neosporin

3    How to use Neosporin

4    Possible side effects

5    How to store Neosporin

6    Contents of the pack and other information

1 What Neosporin is and what it is used for


The name of your eye drops is Neosporin. It is used for the treatment and prevention of bacterial infections of the eye. They may also be used before or after an eye operation or after removal of a foreign body from the eye, to prevent infection.

•    Neosporin contains three medicines called: polymyxin B sulphate, neomycin sulphate and gramicidin.

•    Polymyxin B sulphate, neomycin sulphate and gramicidin belong to a group of medicines called antibiotics. They kill the germs that can cause eye infections.

2 What you need to know before you use Neosporin

Do not use Neosporin:

•    if you are allergic to polymyxin B sulphate, neomycin sulphate, gramicidin or any of the other ingredients of this medicine (listed in section 6)

•    if you are allergic (hypersensitive) to aminoglycoside antibiotics such as framycetin, kanamycin or gentamicin

•    if there is a possibility of Neosporin getting inside the eye itself, for example before or during some types of surgery

•    for long periods of time or in large quantities as this may effect your hearing, nerves and kidneys, this is very unlikely to happen in normal use however

•    whilst wearing contact lenses

•    for a child under 2 years old.

Do not use if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before using Neosporin.

Conditions you need to look out for

Inflammation of the large intestine, causing watery diarrhoea usually with blood and mucus, stomach pain and/or fever.

Contact your doctor as soon as possible if you get these symptoms.

Take special care with Neosporin

Check with your doctor or pharmacist before using your medicine if:

•    you have kidney, nerve or ear problems. Your doctor may change how often you use Neosporin

If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before using Neosporin.

If you are due to have surgery

Tell your doctor you have used Neosporin if you are due to have surgery. If Neosporin is absorbed into the body in large amounts, the effects of medicines used to relax muscles during surgery can last longer or these effects could be stronger.

Other medicines and Neosporin

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

Do not use Neosporin with antibiotics such as framycetin, kanamycin or gentamicin, or other aminoglycosides. Using them at the same time may increase the risk of hearing, nerve and kidney damage.

Pregnancy and breast-feeding

Use of Neosporin is not recommended if you are pregnant or breast-feeding.

If you are pregnant or breat-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medince.

Neosporin contains benzalkonium chloride

May cause eye irritiation. Avoid contact with soft contact lenses. Remove contact lenses prior to application and wait at least 15 minutes before reinsertion. Known to discolour soft contact lenses.

3 How to use Neosporin


Always use this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

Adults and children over 2 years old

• apply 1 or 2 drops inside the lower eyelid two to four times a day, or more frequently as requred, for up to 7 days. If you find this difficult it may be easier if you use a mirror or for someone else to do this for you

•    try to avoid the tip of the bottle touching any part of the eye

•    after application, close your eye for 15 seconds and squeeze the top of your nose for 1-2 minutes to stop the eye drops running through into your nose

•    in severe infections it might be necessary to start treatment with more frequent application, up to every 15 to 30 minutes. Your doctor will tell you if you need to use the drops this often

•    Neosporin should not be used in children less than 2 years old

•    wash your hands before and after using the drops

•    you should carry on using Neosporin for at least 2 days after your condition has got better

•    if your condition has not improved after 7 days, you should return to your doctor

If you accidentally swallow some of the drops, or especially if you think that a child has used or swalled any, you should contact your doctor.

If you use more Neosporin than you should

If you think you have been using too much Neosporin, tell your doctor or pharmacist. If you forget to use Neosporin

If you forget a treatment, apply 1 or 2 drops to the affected eye as soon as you remember, then go on as before. Do not use a double-dose to make up for a forgotten dose.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. The following side effects may happen with this medicine:

•    An allergic reaction to Neosporin can occur. It is also possible for some types of germs which are not killed by the drops to start causing a problem. In either case your eye infection may seem to get worse instead of better. If this happens you should stop using the drops and talk to your doctor

•    If you use Neosporin in large quantities, it can affect your hearing, nerves and kidneys. This is unlikely when you use the normal dose of the ear drops.

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard

By reporting side effects you can help provide more information on the safety of this medicine.

5 How to store Neosporin

Keep this medicine out of the sight and reach of children

•    Do not use this medicine after the expiry date which is stated on the carton and the bottle label. This expiry date (EXP) refers to the last day of that month

•    Do not store above 25°C

•    Keep the bottle tightly closed

•    Neosporin should be stored in the carton to protect it from light

•    Do not use for longer than one month after forst opening the bottle

•    Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.

6 Contents of the pack and other information

What Neosporin contains

•    The active substances per ml are polymyxin B sulphate 5,000 IU, neomycin sulphate 1,700 IU and gramicidin 25 IU.

•    The other ingredients are ethanol, propylene glycol, poloxamer 188, sodium chloride, and purified water. Small amounts of sulfuric acid and/or sodium hydroxide are used to adjust the pH.

What Neosporin looks like and contents of the pack

Each carton has a plastic bottle with a nozzle and a screw cap, which contains 5 ml of liquid.

Marketing authorisation holder and manufacturer

Marketing Authorisation Holder: The Wellcome Foundation Ltd., Stockley Park West, Uxbridge, Middlesex UB11 1BT

Manufacturer: GlaxoSmithKline Manufacturing S.p.A., Parma, Italy.

Other formats

To listen to or request a copy of this leaflet in Braille, large print or audio please call, free of charge:

0800 198 5000 (UK Only)

Please be ready to give the following information:

Product name    Neosporin Eye Drops

Reference number    00003/5108R

This is a service provided by the Royal National Institute of Blind People.

Leaflet date: October 2013

Neosporin is a registered trademark of the GlaxoSmithKline group of companies © 2013 GlaxoSmithKline group of companies. All rights reserved [GlaxoSmithKline Logo]