Polymyxin B Sulfate and Trimethoprim Ophthalmic Solution

Manufacturer
Akorn
Effective date
2022-07-01
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
9
Source
full-release
Hydrated at
2026-05-31 20:42:13

Label at a glance#

ProductPOLYMYXIN B SULFATE AND TRIMETHOPRIM
Active ingredientTrimethoprim sulfate, Polymyxin B sulfate
Label structure12 sections

Indications and uses

Polymyxin B Sulfate and Trimethoprim Ophthalmic Solution is indicated in the treatment of surface ocular bacterial infections, including acute bacterial conjunctivitis, and blepharoconjunctivitis, caused by susceptible strains of the following microorganisms: Staphylococcus aureus, Staphylococcus epidermidis, Streptococcus pneumoniae, Streptococcus viridans, Haemophilus influenza and Pseudomonas aeruginosa. * *Eff...

Dosage and administration

Adults: In mild to moderate infections, instill one drop in the affected eye(s) every three hours (maximum of 6 doses per day) for a period of 7 to 10 days. Pediatric Use: Clinical studies have shown Polymyxin B Sulfate and Trimethoprim Ophthalmic Solution to be safe and effective for use in pediatric patients over two months of age. The dosage regimen is the same as for adults.

Label contents#

Full prescribing information#

SPL UNCLASSIFIED SECTION

Rx only

DESCRIPTION

DESCRIPTION SECTION

Polymyxin B Sulfate and Trimethoprim Ophthalmic Solution is a sterile antimicrobial solution for topical ophthalmic use. Trimethoprim sulfate, 2,4-diamino-5-(3,4,5-trimethoxybenzyl)pyrimidine sulfate (2:1), occurs as a white, odorless, crystalline powder with a molecular weight of 678.72. The structural formula is as follows:

Structural Formula
Structural Formula

Polymyxin B sulfate is the sulfate salt of polymyxin B1 and B2 which are produced by the growth of Bacillus polymyxa (Prazmowski) Migula (Fam. Bacillaceae). It has a potency of not less than 6,000 polymyxin B units per mg, calculated on an anhydrous basis. The structural formula is as follows:

Structural Formula
Structural Formula

Each mL contains:

Actives: Trimethoprim Sulfate equivalent to Trimethoprim 1 mg (0.1%) and Polymyxin B Sulfate 10,000 units. Preservative: Benzalkonium Chloride 0.04 mg (0.004%). Inactives: Sodium Chloride, Sulfuric Acid and Sodium Hydroxide may be added to adjust pH (3.0 to 5.5), and Water for Injection.

CLINICAL PHARMACOLOGY

CLINICAL PHARMACOLOGY SECTION

Trimethoprim is a synthetic antibacterial drug active against a wide variety of aerobic gram-positive and gram-negative ophthalmic pathogens. Trimethoprim blocks the production of tetrahydrofolic acid from dihydrofolic acid by binding to and reversibly inhibiting the enzyme dihydrofolate reductase. This binding is very much stronger for the bacterial enzyme than for the corresponding mammalian enzyme. For that reason, trimethoprim selectively interferes with bacterial biosynthesis of nucleic acids and proteins.

Polymyxin B, a cyclic lipopeptide antibiotic, is rapidly bactericidal for a variety of gram-negative organisms, especially Pseudomonas aeruginosa. It increases the permeability of the bacterial cell membrane by interacting with the phospholipid components of the membrane.

When used topically, trimethoprim and polymyxin B absorption through intact skin and mucous membranes is insignificant.

Blood samples were obtained from 11 human volunteers at 20 minutes, 1 hour and 3 hours following instillation in the eye of 2 drops of ophthalmic solution containing 1 mg trimethoprim and 10,000 units polymyxin B per mL. Peak serum concentrations were approximately 0.03 mcg/mL trimethoprim and 1 unit/mL polymyxin B.

MICROBIOLOGY SECTION

Microbiology: In vitro studies have demonstrated that the anti-infective components of Polymyxin B Sulfate and Trimethoprim Ophthalmic Solution are active against the following bacterial pathogens that are capable of causing external infections of the eye:

SPL UNCLASSIFIED SECTION

Trimethoprim: Staphylococcus aureus and Staphylococcus epidermidis, Streptococcus pyogenes, Streptococcus faecalis, Streptococcus pneumoniae, Haemophilus influenzae, Haemophilus aegyptius, Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis (indole-negative), Proteus vulgaris (indole-positive), Enterobacter aerogenes, and Serratia marcescens.

SPL UNCLASSIFIED SECTION

Polymyxin B: Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae, Enterobacter aerogenes and Haemophilus influenzae.

INDICATIONS AND USAGE

INDICATIONS & USAGE SECTION

Polymyxin B Sulfate and Trimethoprim Ophthalmic Solution is indicated in the treatment of surface ocular bacterial infections, including acute bacterial conjunctivitis, and blepharoconjunctivitis, caused by susceptible strains of the following microorganisms:

Staphylococcus aureus, Staphylococcus epidermidis, Streptococcus pneumoniae, Streptococcus viridans, Haemophilus influenza and Pseudomonas aeruginosa.*

*Efficacy for this organism in this organ system was studied in fewer than 10 infections.

CONTRAINDICATIONS

CONTRAINDICATIONS SECTION

Polymyxin B Sulfate and Trimethoprim Ophthalmic Solution is contraindicated in patients with known hypersensitivity to any of its components.

WARNINGS

WARNINGS SECTION

NOT FOR INJECTION INTO THE EYE. If a sensitivity reaction to Polymyxin B Sulfate and Trimethoprim Ophthalmic Solution occurs, discontinue use. Polymyxin B Sulfate and Trimethoprim Ophthalmic Solution is not indicated for the prophylaxis or treatment of ophthalmic neonatorum.

PRECAUTIONS

PRECAUTIONS SECTION

GENERAL PRECAUTIONS SECTION

General: As with other antimicrobial preparations, prolonged use may result in overgrowth of nonsusceptible organisms, including fungi. If superinfection occurs, appropriate therapy should be initiated.

INFORMATION FOR PATIENTS SECTION

Information for Patients: Avoid contaminating the applicator tip with material from the eye, fingers, or other source. This precaution is necessary if the sterility of the drops is to be maintained.

If redness, irritation, swelling or pain persists or increases, discontinue use immediately and contact your physician.

Carcinogenesis, Mutagenesis, Impairment of Fertility

CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY SECTION

SPL UNCLASSIFIED SECTION

Carcinogenesis: Long-term studies in animals to evaluate carcinogenic potential have not been conducted with polymyxin B sulfate or trimethoprim.

SPL UNCLASSIFIED SECTION

Mutagenesis: Trimethoprim was demonstrated to be non-mutagenic in the Ames assay. In studies at two laboratories no chromosomal damage was detected in cultured Chinese hamster ovary cells at concentrations approximately 500 times human plasma levels after oral administration; at concentrations approximately 1000 times human plasma levels after oral administration in these same cells a low level of chromosomal damage was induced at one of the laboratories. Studies to evaluate mutagenic potential have not been conducted with polymyxin B sulfate.

SPL UNCLASSIFIED SECTION

Impairment of Fertility: Polymyxin B sulfate has been reported to impair the motility of equine sperm, but its effects on male or female fertility are unknown.

No adverse effects on fertility or general reproductive performance were observed in rats given trimethoprim in oral dosages as high as 70 mg/kg/day for males and 14 mg/kg/day for females.

PREGNANCY SECTION

Pregnancy: Teratogenic Effects

Pregnancy Category C. Animal reproduction studies have not been conducted with polymyxin B sulfate. It is not known whether polymyxin B sulfate can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity.

Trimethoprim has been shown to be teratogenic in the rat when given in oral doses 40 times the human dose. In some rabbit studies, the overall increase in fetal loss (dead and resorbed and malformed conceptuses) was associated with oral doses 6 times the human therapeutic dose.

While there are no large well-controlled studies on the use of trimethoprim in pregnant women, Brumfitt and Pursell, in a retrospective study, reported the outcome of 186 pregnancies during which the mother received either placebo or oral trimethoprim in combination with sulfamethoxazole. The incidence of congenital abnormalities was 4.5% (3 of 66) in those who received placebo and 3.3% (4 of 120) in those receiving trimethoprim and sulfamethoxazole. There were no abnormalities in the 10 children whose mothers received the drug during the first trimester. In a separate survey, Brumfitt and Pursell also found no congenital abnormalities in 35 children whose mothers had received oral trimethoprim and sulfamethoxazole at the time of conception or shortly thereafter. Because trimethoprim may interfere with folic acid metabolism, trimethoprim should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

NONTERATOGENIC EFFECTS SECTION

Nonteratogenic Effects: The oral administration of trimethoprim to rats at a dose of 70 mg/kg/day commencing with the last third of gestation and continuing through parturition and lactation caused no deleterious effects on gestation or pup growth and survival.

NURSING MOTHERS SECTION

Nursing mothers: It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Polymyxin B Sulfate and Trimethoprim Ophthalmic Solution is administered to a nursing woman.

PEDIATRIC USE SECTION

Pediatric Use: Safety and effectiveness in pediatric patients below the age of 2 months have not been established (see WARNINGS).

ADVERSE REACTIONS

ADVERSE REACTIONS SECTION

The most frequent adverse reaction to Polymyxin B Sulfate and Trimethoprim Ophthalmic Solution is local irritation consisting of increased redness, burning, stinging, and/or itching. This may occur on instillation, within 48 hours, or at any time with extended use. There are also multiple reports of hypersensitivity reactions consisting of lid edema, itching, increased redness, tearing, and/or circumocular rash.

Photosensitivity has been reported in patients taking oral trimethoprim.

DOSAGE AND ADMINISTRATION

DOSAGE & ADMINISTRATION SECTION

SPL UNCLASSIFIED SECTION

Adults: In mild to moderate infections, instill one drop in the affected eye(s) every three hours (maximum of 6 doses per day) for a period of 7 to 10 days.

SPL UNCLASSIFIED SECTION

Pediatric Use: Clinical studies have shown Polymyxin B Sulfate and Trimethoprim Ophthalmic Solution to be safe and effective for use in pediatric patients over two months of age. The dosage regimen is the same as for adults.

HOW SUPPLIED

HOW SUPPLIED SECTION

Polymyxin B Sulfate and Trimethoprim Ophthalmic Solution is supplied as a sterile solution in plastic dropper bottles in the following size: 10 mL in a 10 mL bottle NDC 17478-703-11

STORAGE AND HANDLING SECTION

STORAGE: Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature]. Protect from light.

WARNING – KEEP THIS AND ALL DRUGS OUT OF THE REACH OF CHILDREN.

Akorn

Distributed by:
Akorn Operating Company LLC
Gurnee, IL 60031

ATP00N
Rev. 03/22

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Principal Display Panel Text for Container Label:

NDC 17478-703-11

Polymyxin B Sulfate

and Trimethoprim

Ophthalmic Solution

10 mL

For the eye

Sterile

Rx only

Principal Display Panel Text for Container Label
Principal Display Panel Text for Container Label

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Principal Display Panel Text for Carton Label:

NDC 17478-703-11

Polymyxin B

Sulfate and

Trimethoprim

Ophthalmic

Solution

For the eye

10 mL

Sterile

Rx only Akorn Logo

Principal Display Panel Text for Carton Label
Principal Display Panel Text for Carton Label

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYSPL version
244967polymyxin B sulfate 10,000 UNT / trimethoprim sulfate 1 MG in ML Ophthalmic SolutionPSN9
244967polymyxin B 10000 UNT/ML / trimethoprim 1 MG/ML Ophthalmic SolutionSCD9
244967polymyxin B 10,000 UNT / trimethoprim (as trimethoprim sulfate) 0.1 % Ophthalmic SolutionSY9
244967polymyxin B 10,000 UNT / trimethoprim 0.1 % Ophthalmic SolutionSY9
244967Polymyxin B 10000 UNT/ML / TMP 1 MG/ML Ophthalmic SolutionSY9

DailyMed Pharmacologic Classes#

Class, Version, Type table
ClassVersionTypeEffective
POLYMYXIN B Pharmacologic Class Indexing2Indexing - Pharmacologic Class20180813
TRIMETHOPRIM Pharmacologic Class Indexing3Indexing - Pharmacologic Class20180813

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
4ce811b5-329e-27f8-b5ff-66d52b435c00Product name320240108
8d30c4f0-0228-cea4-e3aa-f19064c47f27Product name320221128
6e20c430-5e8f-85da-1b03-f7dbc0c51fadProduct name320190926
25340b3b-3e4c-4ff8-abf6-3e62ec46bd0cProduct name120160603
b045ad64-0f28-9a02-2f9b-b34d94fb2278Product name120140508
c1381fd7-868a-f499-ef90-8f6d3e3ee6b3Product name120140508

FDA-Initiated Inactive NDC Indexing#

NDC, Effective, Action table
NDCEffectiveActionDocumentIndexing SPLRelated label
17478-703-112024-01-30C16284748780-11030e365-5a3b-111a-e063-dadaa90a10e2Polymyxin B Sulfate and Trimethoprim Ophthalmic Solution

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
17478-703-11POLYMYXIN B SULFATE AND TRIMETHOPRIM10 mL in 1 BOTTLE, DROPPERSOLUTION109
17478-703-11POLYMYXIN B SULFATE AND TRIMETHOPRIM1 in 1 CARTONSOLUTION19

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
17478-703POLYMYXIN B SULFATE AND TRIMETHOPRIM SOLUTION [AKORN]9Legacy NDC, 2 package rows20220706_507c7308-6526-40d7-b8aa-3ca7b5d8cc17.zip

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
17478-703-11ML - Milliliter17478-7039e844551-b9ea-478b-a43c-72ee81e5901812012-07-24

DailyMed Socrata Ingredients#

Ingredient, Type, UNII table
IngredientTypeUNIISPL versionUploaded
Polymyxin B sulfateACTIVE INGREDIENT19371312D42
Trimethoprim sulfateACTIVE INGREDIENTE377MF8EQ82
Polymyxin BACTIVE MOIETYJ2VZ07J96K2
TrimethoprimACTIVE MOIETYAN164J8Y0X2
benzalkonium chlorideINACTIVE INGREDIENTF5UM2KM3W72
sodium chlorideINACTIVE INGREDIENT451W47IQ8X2
sodium hydroxideINACTIVE INGREDIENT55X04QC32I2
sulfuric acidINACTIVE INGREDIENTO40UQP6WCF2
waterINACTIVE INGREDIENT059QF0KO0R2

Products#

Every source-derived product name is available through these pages.

DailyMed product names page 1 of 1 · 10 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
17478-70317478-703-11

Ingredients#

Every source-derived ingredient row is available through these pages.

DailyMed ingredient rows page 1 of 1 · 7 matching rows.

Source Document#

Source XML

Inactive ingredient matches#

Inactive Ingredient Database values describe FDA-listed use contexts. The match method and ambiguity count are shown because ingredient names, routes, and dosage forms are not always unique. Browse recovered IID releases and source provenance.

Inactive ingredient links page 1 of 6 · 360 matching rows.

DailyMed ingredient, IID ingredient, UNII table
DailyMed ingredientIID ingredientUNIIDosage form / routePotencyMaximum daily exposureMatch
sodium chlorideSODIUM CHLORIDE451W47IQ8XSYSTEM / IONTOPHORESIS3.1 mgExact identifier — unii candidate
134 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IINJECTION / INTRAVASCULARADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IINJECTION, POWDER, LYOPHILIZED, FOR SOLUTION / INTRAMUSCULAR0.35 %w/vExact identifier — unii candidate
174 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32ISOLUTION / INTRAMUSCULARADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IINJECTION, SUSPENSION / INTRALESIONALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IINJECTION, SOLUTION / INTRAMUSCULAR78 mgExact identifier — unii candidate
174 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XPOWDER / RESPIRATORY (INHALATION)NAExact identifier — unii candidate
134 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XSYRUP / ORAL40 mgExact identifier — unii candidate
134 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XINJECTION, POWDER, LYOPHILIZED, FOR SOLUTION / INTRAMUSCULAR360 mgExact identifier — unii candidate
134 equally ranked IID candidates
benzalkonium chlorideBENZALKONIUM CHLORIDEF5UM2KM3W7SUSPENSION / OPHTHALMIC1 mgExact identifier — unii candidate
24 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XSOLUTION / INTRAPERITONEAL0.54 %w/vExact identifier — unii candidate
134 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IINJECTION, POWDER, FOR SOLUTION / INTRAVENOUS136.55 mgExact identifier — unii candidate
174 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IINJECTION, POWDER, FOR SUSPENSION / INTRAVENOUSADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sulfuric acidSULFURIC ACIDO40UQP6WCFSUSPENSION / AURICULAR (OTIC)0.02 %w/vExact identifier — unii candidate
28 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XINJECTION, EMULSION / INTRAVENOUS0.62 %w/vExact identifier — unii candidate
134 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32ISOLUTION / IONTOPHORESISADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IINJECTION / INTRALESIONALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32ISYRUP / ORAL71 mg/5mlExact identifier — unii candidate
174 equally ranked IID candidates
sulfuric acidSULFURIC ACIDO40UQP6WCFINJECTION, POWDER, FOR SOLUTION / PARENTERALADJ PHExact identifier — unii candidate
28 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32ISOLUTION/ DROPS / AURICULAR (OTIC)ADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XINJECTION / INTRAMUSCULAR1486 mgExact identifier — unii candidate
134 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XSOLUTION/ DROPS / TOPICAL0.86 %w/vExact identifier — unii candidate
134 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XSOLUTION / OPHTHALMIC13 mgExact identifier — unii candidate
134 equally ranked IID candidates
sulfuric acidSULFURIC ACIDO40UQP6WCFSUSPENSION / OPHTHALMICADJ PHExact identifier — unii candidate
28 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XINJECTION, POWDER, LYOPHILIZED, FOR SOLUTION / INTRAVENOUS1800 mgExact identifier — unii candidate
134 equally ranked IID candidates
benzalkonium chlorideBENZALKONIUM CHLORIDEF5UM2KM3W7INJECTION / INTRALESIONAL1 mgExact identifier — unii candidate
24 equally ranked IID candidates
benzalkonium chlorideBENZALKONIUM CHLORIDEF5UM2KM3W7LIQUID / NASAL0.2 mg/1mlExact identifier — unii candidate
24 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IINJECTION, POWDER, LYOPHILIZED, FOR SOLUTION / PARENTERALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XSOLUTION / NASAL330 mgExact identifier — unii candidate
134 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XSUSPENSION/ DROPS / TOPICAL0.23 %w/vExact identifier — unii candidate
134 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IINJECTION / INTRAPLEURALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32ISOLUTION / DENTALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XINJECTION, POWDER, FOR SOLUTION / INTRAPERITONEAL226 mgExact identifier — unii candidate
134 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IINJECTION, POWDER, FOR SOLUTION / INTRADISCALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XINJECTION / INTRAVENOUS28773 mgExact identifier — unii candidate
134 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XTABLET, EXTENDED RELEASE / ORAL335.1 mgExact identifier — unii candidate
134 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XINJECTION, POWDER, FOR SUSPENSION / INTRA-ARTICULAR45 mgExact identifier — unii candidate
134 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32ISUSPENSION, EXTENDED RELEASE / SUBCUTANEOUSNAExact identifier — unii candidate
174 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IPOWDER, FOR SUSPENSION / ENDOTRACHEALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XSUSPENSION / TOPICAL0.32 %w/vExact identifier — unii candidate
134 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IINJECTION, POWDER, FOR SOLUTION / RECTALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32ISUSPENSION, EXTENDED RELEASE / INTRASYNOVIALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XIMPLANT / SUBCUTANEOUS77 mgExact identifier — unii candidate
134 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XSUSPENSION/ DROPS / AURICULAR (OTIC)3 mgExact identifier — unii candidate
134 equally ranked IID candidates
sulfuric acidSULFURIC ACIDO40UQP6WCFINJECTION, POWDER, FOR SOLUTION / INTRAVENOUSADJ PHExact identifier — unii candidate
28 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XSUSPENSION / ENDOTRACHEAL7.6 mgExact identifier — unii candidate
134 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IINJECTION, SUSPENSION / INTRAVITREALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IGRANULE, FOR SUSPENSION / ORALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XINJECTION / INTRASYNOVIAL0.9 %w/vExact identifier — unii candidate
134 equally ranked IID candidates
sulfuric acidSULFURIC ACIDO40UQP6WCFINJECTION / ENDOTRACHEALADJ PHExact identifier — unii candidate
28 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32ILIQUID / INTRAVENOUSADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XLIQUID / NASAL7.4 mg/1mlExact identifier — unii candidate
134 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32ISOLUTION / INTRA-ARTERIALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IINJECTION, POWDER, LYOPHILIZED, FOR SOLUTION / INTRA-ARTERIALADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32ILIQUID / INTRAMUSCULARADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IMOUTHWASH / BUCCAL2 mg/1mlExact identifier — unii candidate
174 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IINJECTION, SUSPENSION, LIPOSOMAL / INTRAVENOUSADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32ISOLUTION / IRRIGATIONADJ PHExact identifier — unii candidate
174 equally ranked IID candidates
sodium hydroxideSODIUM HYDROXIDE55X04QC32IENEMA / RECTAL0.44 %v/vExact identifier — unii candidate
174 equally ranked IID candidates
sodium chlorideSODIUM CHLORIDE451W47IQ8XINJECTION, POWDER, FOR SOLUTION / INTRATHECAL1.35 mgExact identifier — unii candidate
134 equally ranked IID candidates

Orange Book application contexts#

All distinct exact application/product contexts derived from this label’s complete NDC list are paginated below.

Orange Book application contexts page 1 of 1 · 1 matching rows.

Source provenance: Browse the complete Orange Book source catalog · source snapshot 43.

Orange Book products#

Current product rows page 1 of 1 · 1 matching rows.

Application-product, Trade name, Ingredient table
Application-productTrade nameIngredientStrengthDosage form / routeTE codesRLD / RSApproval date
A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATEPOLYMYXIN B SULFATE; TRIMETHOPRIM SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17

Therapeutic equivalence codes#

Current TE-code rows page 1 of 1 · 1 matching rows.

Application-product, TE code table
Application-productTE code
A065006-001AT

Observed Orange Book product history#

Observed FDA ZIP history: Each table is queried independently by exact application/product key from successfully parsed Orange Book snapshots. Capture times identify archived source observations; absence or a change between snapshots is not inferred. FDA publication files that were not recoverable as structured ZIP data are not represented as states.

Product history page 1 of 2 · 43 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productTrade nameStrengthDosage form / routeProduct TE source textRLD / RSApproval dateSource SHA-256
2026-09-14 22:38:342026-08A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-1784e616aacf4f…
2026-08-18 06:07:402026-07A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17caaa826d4ba7…
2026-02-19 14:30 UTC2026-02A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-1731067a03dcf5…
2025-08-23 18:47 UTC2025-08A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-176a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-1703ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-172680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-175bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17d8e5a09893c0…
2024-10-29 15:01 UTC2024-10A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-1779d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-171e350fbaab3a…
2024-05-31 18:47 UTC2024-05A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-178072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-175c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-175d02ea3f76ae…
2022-04-04 05:41 UTC2022-04A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-174b0b4de00fa7…
2019-12-13 00:20 UTC2019-12A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-1774a2ff9319b5…
2022-03-09 01:35 UTC2022-03A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17bb7c543d1eb4…
2021-12-28 21:50 UTC2021-12A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17782e0a99824c…
2021-05-05 16:15 UTC · 3 captures of this ZIP2021-05A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-1787673890dc5c…
2021-03-12 10:30 UTC2021-03A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-175aa47cf7b7d7…
2020-12-22 03:56 UTC2020-12A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-178869cabd3fbd…
2020-11-12 02:37 UTC2020-11A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17c0c555d07b60…
2019-12-14 00:12 UTC2019-12A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-173f01610625f2…
2019-09-15 20:21 UTC2019-09A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17b00525d2431f…
2019-07-19 19:46 UTC2019-07A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17ea99ee380514…
2024-03-16 18:09 UTC · 4 captures of this ZIP2024-03A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-176a51e52b5d6a…
2024-02-18 07:12 UTC2024-02A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-171c564ffb4f44…
2023-12-20 04:57 UTC2023-12A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17ea1830bbd6c7…
2023-11-28 05:40 UTC · 2 captures of this ZIP2023-11A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17a72a2bbeb626…
2023-10-25 00:34 UTC · 2 captures of this ZIP2023-10A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-179b2671bbb829…
2023-07-15 15:27 UTC · 2 captures of this ZIP2023-07A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17a67488948f0b…
2023-06-13 01:57 UTC · 3 captures of this ZIP2023-06A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-173f0d92c62455…
2023-05-13 08:27 UTC2023-05A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17053a50430f4f…
2023-01-26 05:58 UTC2023-01A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-173bdfa0b2c4d7…
2022-11-12 20:34 UTC · 5 captures of this ZIP2022-11A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-173a93d1ddd44b…
2022-10-28 04:53 UTC2022-10A065006-001TRIMETHOPRIM SULFATE AND POLYMYXIN B SULFATE10,000 UNITS/ML;EQ 1MG BASE/MLSOLUTION/DROPS / OPHTHALMICAT1998-12-17f41ea6bd6efb…

Observed Orange Book normalized TE history#

Normalized TE history page 1 of 2 · 43 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productTE codeOrderSource SHA-256
2026-09-14 22:38:342026-08A065006-001AT184e616aacf4f…
2026-08-18 06:07:402026-07A065006-001AT1caaa826d4ba7…
2026-02-19 14:30 UTC2026-02A065006-001AT1011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A065006-001AT131067a03dcf5…
2025-08-23 18:47 UTC2025-08A065006-001AT16a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A065006-001AT1fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A065006-001AT1b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A065006-001AT103ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A065006-001AT12680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A065006-001AT15bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A065006-001AT1d8e5a09893c0…
2024-10-29 15:01 UTC2024-10A065006-001AT1d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A065006-001AT179d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A065006-001AT1301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06A065006-001AT11e350fbaab3a…
2024-05-31 18:47 UTC2024-05A065006-001AT18072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A065006-001AT15c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04A065006-001AT15d02ea3f76ae…
2022-04-04 05:41 UTC2022-04A065006-001AT14b0b4de00fa7…
2019-12-13 00:20 UTC2019-12A065006-001AT174a2ff9319b5…
2022-03-09 01:35 UTC2022-03A065006-001AT1bb7c543d1eb4…
2021-12-28 21:50 UTC2021-12A065006-001AT1782e0a99824c…
2021-05-05 16:15 UTC · 3 captures of this ZIP2021-05A065006-001AT187673890dc5c…
2021-03-12 10:30 UTC2021-03A065006-001AT15aa47cf7b7d7…
2020-12-22 03:56 UTC2020-12A065006-001AT18869cabd3fbd…
2020-11-12 02:37 UTC2020-11A065006-001AT1c0c555d07b60…
2019-12-14 00:12 UTC2019-12A065006-001AT13f01610625f2…
2019-09-15 20:21 UTC2019-09A065006-001AT1b00525d2431f…
2019-07-19 19:46 UTC2019-07A065006-001AT1ea99ee380514…
2024-03-16 18:09 UTC · 4 captures of this ZIP2024-03A065006-001AT16a51e52b5d6a…
2024-02-18 07:12 UTC2024-02A065006-001AT11c564ffb4f44…
2023-12-20 04:57 UTC2023-12A065006-001AT1ea1830bbd6c7…
2023-11-28 05:40 UTC · 2 captures of this ZIP2023-11A065006-001AT1a72a2bbeb626…
2023-10-25 00:34 UTC · 2 captures of this ZIP2023-10A065006-001AT19b2671bbb829…
2023-07-15 15:27 UTC · 2 captures of this ZIP2023-07A065006-001AT1a67488948f0b…
2023-06-13 01:57 UTC · 3 captures of this ZIP2023-06A065006-001AT13f0d92c62455…
2023-05-13 08:27 UTC2023-05A065006-001AT1053a50430f4f…
2023-01-26 05:58 UTC2023-01A065006-001AT13bdfa0b2c4d7…
2022-11-12 20:34 UTC · 5 captures of this ZIP2022-11A065006-001AT13a93d1ddd44b…
2022-10-28 04:53 UTC2022-10A065006-001AT1f41ea6bd6efb…

openFDA label cross-check#

OpenFDA label data provides additional search and identifier links. DailyMed’s Structured Product Label is the canonical label on FDA.report. Matching records are deduplicated before they are shown below.

Matched openFDA labels page 1 of 1 · 1 matching rows.

Brand, Generic, Manufacturer table
BrandGenericManufacturerSPL set IDEffective dateAvailable safety fieldsJoin
2f983ff2-7010-48e2-ac6b-b1343a0915f9507c7308-6526-40d7-b8aa-3ca7b5d8cc172022-07-01Warnings, Adverse reactionsExact identifier
spl id: 2f983ff2-7010-48e2-ac6b-b1343a0915f9
spl set id: 507c7308-6526-40d7-b8aa-3ca7b5d8cc17

Reported adverse events (FAERS/openFDA)#

Adverse event summaries are temporarily unavailable. Other product information remains available.