Gramicidin
Mechanism :
Gramicidin is a heterogeneous mixture of six antibiotic compounds divided into three categories: Gramicidin A, Gramicidin B and C, all of which are obtained from the soil bacterial species Bacillus brevis and called collectively Gramicidin D. It is used primarily as a topical antibiotic and is one of the three constituents of consumer antibiotic Neosporin Ophthalmic Solution. Its bactericidal activity is a result of increasing the permeability of the bacterial cell wall allowing inorganic cations to travel through unrestricted, thereby destroying the ion gradient between the cytoplasm and the extracellular environment.
Indication :
- Bacterial eye infections.
Contraindications :
Fungal and viral infections of the eye.
Dosing :
Available as 1.75 mg/10,000 units/0.025 mg/mL solution.
Apply 1 drop to affected eye.
Adverse Effect :
Burning, irritation, stinging, blurred vision, redness, itching, eyelid swelling or crusting, sensitivity to light.
Interaction :
Use caution with contact lenses. After applying this medication, wait at least 15 minutes before inserting contact lenses.
Hepatic Dose :
No dosage adjustments are recommended.