B Mycin Ointment

Bacitracin Zinc + Neomycin Sulphate Topical
500IU + 5mg/gm
G. A. Company Ltd.
Pack size
Unite Price 17.36 BDT

Indications

B Mycin Ointment is used for: Bacterial skin infections

Adult Dose

Adult: Topical: Cream: Apply 3 times/day. Powder: Apply 2-4 times/day.

Child Dose

Topical: Cream: Apply 3 times/day. Powder: Apply 2-4 times/day.

Renal Dose

Administration

Contra Indications

Hypersensitivity to aminoglycosides. Pre-existing nerve deafness. Neonates and infants <2 yr.

Precautions

Avoid application in large quantities and prolonged use. Pregnancy and lactation. Liver and renal impairment.

Pregnancy-Lactation

Interactions

Bacitracin Zinc: Increased risk of nephrotoxicity when used with other nephrotoxic drugs. May enhance the action of neuromuscular-blocking agents. Neomycin Sulphate: Additive nephrotoxic and neurotoxic effect w/ other aminoglycosides (e.g. paromomycin), bacitracin, cisplatin, vancomycin, amphotericin B, polymyxin B, colistin and viomycin. Enhanced toxicity w/ potent diuretics (e.g. ethacrynic acid, furosemide). May impair the absorption of other drugs (e.g. phenoxymethylpenicillin, digoxin, methotrexate and some vit). May reduce the efficacy of OCs. May enhance the effect of acarbose. May enhance the effect of non-depolarising muscle relaxants. May antagonise the parasympathomimetic effect of neostigmine and pyridostigmine. May increase the risk of hypocalcaemia in patients receiving bisphosphonates. May alter INR when given w/ anticoagulants. May inactivate oral typhoid vaccine.

Side Effects

Side effects of Bacitracin Zinc + Neomycin Sulphate Topical : >10% Allergic contact dermatitis (60%)

Mode of Action

Neomycin, an aminoglyoside with antimicrobial spectrum similar to gentamicin, binds to the 30S subunits of the bacterial ribosome, inhibiting protein synthesis and thereby disrupting DNA synthesis. It is active against many gram-negative aerobes and against some strains of staphylococci. Bacitracin, on the other hand, inhibits bacterial cell wall synthesis and is active against many gram-positive bacteria (e.g. staphylococci, streptococci, corynebacteria and clostridia) and some gram-negative species (e.g. Neisseria and Haemophilus influenzae). They are often found in combinations in topical preparations as broad spectrum antibacterial agents.

Note

B Mycin 500IU + 5mg/gm Ointment generic name is Bacitracin Zinc + Neomycin Sulphate Topical. B Mycin 500IU + 5mg/gm Ointment is manufactured by G. A. Company Ltd.B Mycin is availble in all over Bangladesh. Mes BD drug index information on B Mycin Ointment is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.

Some other brands of Bacitracin Zinc + Neomycin Sulphate Topical :