Tobramycin Ophthalmic Solution, USP 0.3%–Sterile

Manufacturer
Aidarex Pharmaceuticals LLC
Effective date
2018-08-20
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
1
Source
full-release
Hydrated at
2026-05-31 20:26:15

Label at a glance#

ProductTobramycin
Active ingredientTOBRAMYCIN
Label structure13 sections

Indications and uses

Tobramycin Ophthalmic Solution USP, 0.3% is a topical antibiotic indicated in the treatment of external infections of the eye and its adnexa caused by susceptible bacteria. Appropriate monitoring of bacterial response to topical antibiotic therapy should accompany the use of Tobramycin Ophthalmic Solution USP, 0.3%. Clinical studies have shown tobramycin to be safe and effective for use in pediatric patients.

Dosage and administration

In mild to moderate disease, instill one or two drops into the affected eye(s) every four hours. In severe infections, instill two drops into the eye(s) hourly until improvement, following which treatment should be reduced prior to discontinuation.

Storage and handling

Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature]. Keep container tightly closed. Protect from excessive heat. Repackaged by: Aidarex Pharmaceuticals, LLC Corona, CA 92880 Akorn Manufactured by: Akorn, Inc. Lake Forest, IL 60045 GTM00N Rev. 10/16

Label contents#

Full prescribing information#

SPL UNCLASSIFIED SECTION

Rx only

DESCRIPTION:

DESCRIPTION SECTION

Tobramycin Ophthalmic Solution USP, 0.3% is a sterile topical ophthalmic antibiotic formulation prepared specifically for topical therapy of external ophthalmic infections.

Tobramycin is a water soluble aminoglycoside antibiotic active against a wide variety of gram-negative and gram-positive ophthalmic pathogens. The molecular formula is C18H37N5O9, the molecular weight is 467.52 and the structural formula is:

Structural Formula
Structural Formula

Chemical Name:

O-{3-amino-3-deoxy-α-D-gluco-pyranosyl-(1 → 4)}-O-{2,6-diamino-2,3,6-trideoxy-α-D-ribohexo-pyranosyl-(1 → 6)}-2- deoxystreptamine.

Each mL contains:

Active: Tobramycin 3 mg (0.3%). Inactives: Boric Acid, Sodium Chloride, Sodium Sulfate, Tyloxapol, Sodium Hydroxide and/or Sulfuric Acid to adjust pH (7.0 to 8.0), and Water for Injection. Preservative: Benzalkonium Chloride 0.1 mg (0.01%).

CLINICAL PHARMACOLOGY:

CLINICAL PHARMACOLOGY SECTION

SPL UNCLASSIFIED SECTION

In Vitro Data: In Vitro studies have demonstrated tobramycin is active against susceptible strains of the following microorganisms:

Staphylococci, including S. aureus and S. epidermidis (coagulase-positive and coagulase-negative), including penicillin-resistant strains.

Streptococci, including some of the Group A betahemolytic species, some nonhemolytic species, and some Streptococcus pneumoniae.

Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae, Enterobacter aerogenes, Proteus mirabilis, Morganella morganii, most Proteus vulgaris strains, Haemophilus influenzae and H. aegyptius, Moraxella lacunata, Acinetobacter calcoaceticus and some Neisseria species.

Bacterial susceptibility studies demonstrate that in some cases, microorganisms resistant to gentamicin retain susceptibility to tobramycin.

INDICATIONS AND USAGE:

INDICATIONS & USAGE SECTION

Tobramycin Ophthalmic Solution USP, 0.3% is a topical antibiotic indicated in the treatment of external infections of the eye and its adnexa caused by susceptible bacteria. Appropriate monitoring of bacterial response to topical antibiotic therapy should accompany the use of Tobramycin Ophthalmic Solution USP, 0.3%. Clinical studies have shown tobramycin to be safe and effective for use in pediatric patients.

CONTRAINDICATIONS:

CONTRAINDICATIONS SECTION

Tobramycin Ophthalmic Solution USP, 0.3% is contraindicated in patients with known hypersensitivity to any of its components.

WARNINGS:

WARNINGS SECTION

FOR TOPICAL OPHTHALMIC USE ONLY. NOT FOR INJECTION INTO THE EYE. Sensitivity to topically applied aminoglycosides may occur in some patients. If a sensitivity reaction to Tobramycin Ophthalmic Solution USP, 0.3% occurs, discontinue use.

PRECAUTIONS:

PRECAUTIONS SECTION

General:

GENERAL PRECAUTIONS SECTION

As with other antibiotic preparations, prolonged use may result in overgrowth of nonsusceptible organisms, including fungi. If superinfection occurs, appropriate therapy should be initiated. Cross-sensitivity to other aminoglycoside antibiotics may occur; if hypersensitivity develops with this product, discontinue use and institute appropriate therapy. Patients should be advised not to wear contact lenses if they have signs and symptoms of bacterial conjunctivitis.

INFORMATION FOR PATIENTS SECTION

Information for Patients: Do not touch dropper tip to any surface, as this may contaminate the solution.

PREGNANCY SECTION

Pregnancy Category B: Reproduction studies in three types of animals at doses up to thirty-three times the normal human systemic dose have revealed no evidence of impaired fertility or harm to the fetus due to tobramycin. There are, however, no adequate and wellcontrolled studies in pregnant women. Because animal studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed.

NURSING MOTHERS SECTION

Nursing Mothers: Because of the potential for adverse reactions in nursing infants from tobramycin, a decision should be made whether to discontinue nursing the infant or discontinue the drug, taking into account the importance of the drug to the mother.

PEDIATRIC USE SECTION

Pediatric Use: Safety and effectiveness in pediatric patients below the age of two months has not been established.

GERIATRIC USE SECTION

Geriatric Use: No overall clinical differences in safety or effectiveness have been observed between the elderly and other adult patients.

ADVERSE REACTIONS:

ADVERSE REACTIONS SECTION

The most frequent adverse reactions to tobramycin ophthalmic solution are hypersensitivity and localized ocular toxicity, including lid itching and swelling, and conjunctival erythema. These reactions occur in less than three of 100 patients treated with tobramycin. Similar reactions may occur with the topical use of other aminoglycoside antibiotics. Other adverse reactions have not been reported from tobramycin therapy; however, if topical ocular tobramycin is administered concomitantly with systemic aminoglycoside antibiotics, care should be taken to monitor the total serum concentration.

OVERDOSAGE:

OVERDOSAGE SECTION

Clinically apparent signs and symptoms of an overdose of tobramycin ophthalmic solution (punctate keratitis, erythema, increased lacrimation, edema and lid itching) may be similar to adverse reaction effects seen in some patients.

DOSAGE AND ADMINISTRATION:

DOSAGE & ADMINISTRATION SECTION

In mild to moderate disease, instill one or two drops into the affected eye(s) every four hours. In severe infections, instill two drops into the eye(s) hourly until improvement, following which treatment should be reduced prior to discontinuation.

HOW SUPPLIED:

HOW SUPPLIED SECTION

Tobramycin Ophthalmic Solution USP, 0.3% is supplied as a sterile solution in plastic dropper bottle of 5 mL

STORAGE:

STORAGE AND HANDLING SECTION

Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature]. Keep container tightly closed.

Protect from excessive heat.

Repackaged by: Aidarex Pharmaceuticals, LLC
Corona, CA 92880

Akorn
Manufactured by: Akorn, Inc.
Lake Forest, IL 60045

GTM00N
Rev. 10/16

Package Label

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Principal Display Panel Text for Container Label:

NDC 33261-0519 

Tobramycin

Ophthalmic

Solution, USP

0.3%

Sterile

Rx only 5mL

Repackaged by

Aidarex Pharmaceuticals, LLC

Corona, CA 92880

33261-0519_TOBRAMYCIN_5ML
33261-0519_TOBRAMYCIN_5ML

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYSPL version
313415tobramycin 0.3 % Ophthalmic SolutionPSN1
313415tobramycin 3 MG/ML Ophthalmic SolutionSCD1
313415tobramycin 0.3 % Ophthalmic SolutionSY1

DailyMed Pharmacologic Classes#

Class, Version, Type table
ClassVersionTypeEffective
TOBRAMYCIN Pharmacologic Class Indexing2Indexing - Pharmacologic Class20180813

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
f297c7c1-845a-4369-8c02-c51b92d6ae8eProduct name320240725
551d952d-4ce2-24f0-9ab0-630ad9aae596Product name220231211
362d7abb-94e6-4c60-9a58-266894157713Product name120231023
941f67d9-7f03-56d2-750c-36de24f654dbProduct name320221117
9cfa145f-dbe9-bc02-83c2-692786ef6676Product name920210928
2f9713b8-5e7e-bbcc-b364-1b2c27a63796Product name420210903
32a533bc-01c7-2b9f-bbf7-ecfb0d964277Product name420210625
9f5124fb-08b0-4c3e-8e12-a1a6ff310cbaProduct name120150309
745a62af-e1c0-4ca3-6d6e-2b6455b903beProduct name120140508
9ea85abb-fa68-5da6-ab60-2c7eef579000Product name120140508
aa1cd319-ece7-51f7-3a9d-52a64f5f4e81Product name120140508
d029211e-5e6b-725f-3696-ac6ff77da222Product name120140508
ef5b7aed-2b01-3ba8-5a1c-3bc9c9f03bb1Product name120140508

FDA-Initiated Inactive NDC Indexing#

NDC, Effective, Action table
NDCEffectiveActionDocumentIndexing SPLRelated label
33261-519-012020-01-31C16284748780-19d75b9cf-df76-f424-e053-dadaa90a57ceTobramycin Ophthalmic Solution, USP 0.3%–Sterile

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
33261-519-01Tobramycin5 mL in 1 BOTTLE, DROPPERSOLUTION/ DROPS51

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
33261-519TOBRAMYCIN SOLUTION/ DROPS [AIDAREX PHARMACEUTICALS LLC]1Legacy NDC, 1 package rows20180820_73119111-c8a5-4415-83ad-2ccde56590b0.zip

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
33261-519-01ML - Milliliter33261-519a54c9b3d-ca71-497d-abe4-c6338af25f9812018-09-05
17478-290-10ML - Milliliter17478-290169807ad-6732-44b5-a494-c0ecee456d4c12012-07-24

Products#

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

DailyMed product names page 1 of 1 · 9 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
33261-51933261-519-01
17478-290

Ingredients#

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

DailyMed ingredient rows page 1 of 1 · 9 matching rows.

Source Document#

Source XML

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
A064096-001AKTOBTOBRAMYCIN0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-31

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 22:38:342026-08A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-3184e616aacf4f…
2026-08-18 06:07:402026-07A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-31caaa826d4ba7…
2026-02-19 14:30 UTC2026-02A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-31011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-3131067a03dcf5…
2025-08-23 18:47 UTC2025-08A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-316a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-31fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-31b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-3103ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-312680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-315bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-31d8e5a09893c0…
2024-10-29 15:01 UTC2024-10A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-31d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-3179d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-31301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-311e350fbaab3a…
2024-05-31 18:47 UTC2024-05A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-318072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMICAT1996-01-315c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMICAT1996-01-315d02ea3f76ae…
2022-04-04 05:41 UTC2022-04A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMICAT1996-01-314b0b4de00fa7…
2019-12-13 00:20 UTC2019-12A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMICAT1996-01-3174a2ff9319b5…
2022-03-09 01:35 UTC2022-03A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMICAT1996-01-31bb7c543d1eb4…
2021-12-28 21:50 UTC2021-12A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMICAT1996-01-31782e0a99824c…
2021-05-05 16:15 UTC · 3 captures of this ZIP2021-05A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMICAT1996-01-3187673890dc5c…
2021-03-12 10:30 UTC2021-03A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMICAT1996-01-315aa47cf7b7d7…
2020-12-22 03:56 UTC2020-12A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMICAT1996-01-318869cabd3fbd…
2020-11-12 02:37 UTC2020-11A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMICAT1996-01-31c0c555d07b60…
2019-12-14 00:12 UTC2019-12A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMICAT1996-01-313f01610625f2…
2019-09-15 20:21 UTC2019-09A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMICAT1996-01-31b00525d2431f…
2019-07-19 19:46 UTC2019-07A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMICAT1996-01-31ea99ee380514…
2024-03-16 18:09 UTC · 4 captures of this ZIP2024-03A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-316a51e52b5d6a…
2024-02-18 07:12 UTC2024-02A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-311c564ffb4f44…
2023-12-20 04:57 UTC2023-12A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-31ea1830bbd6c7…
2023-11-28 05:40 UTC · 2 captures of this ZIP2023-11A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-31a72a2bbeb626…
2023-10-25 00:34 UTC · 2 captures of this ZIP2023-10A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-319b2671bbb829…
2023-07-15 15:27 UTC · 2 captures of this ZIP2023-07A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-31a67488948f0b…
2023-06-13 01:57 UTC · 3 captures of this ZIP2023-06A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-313f0d92c62455…
2023-05-13 08:27 UTC2023-05A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMIC1996-01-31053a50430f4f…
2023-01-26 05:58 UTC2023-01A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMICAT1996-01-313bdfa0b2c4d7…
2022-11-12 20:34 UTC · 5 captures of this ZIP2022-11A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMICAT1996-01-313a93d1ddd44b…
2022-10-28 04:53 UTC2022-10A064096-001AKTOB0.3%SOLUTION/DROPS / OPHTHALMICAT1996-01-31f41ea6bd6efb…

Observed Orange Book normalized TE history#

Captured, Edition, Application-product table
CapturedEditionApplication-productTE codeOrderSource SHA-256
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A064096-001AT15c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04A064096-001AT15d02ea3f76ae…
2022-04-04 05:41 UTC2022-04A064096-001AT14b0b4de00fa7…
2019-12-13 00:20 UTC2019-12A064096-001AT174a2ff9319b5…
2022-03-09 01:35 UTC2022-03A064096-001AT1bb7c543d1eb4…
2021-12-28 21:50 UTC2021-12A064096-001AT1782e0a99824c…
2021-05-05 16:15 UTC · 3 captures of this ZIP2021-05A064096-001AT187673890dc5c…
2021-03-12 10:30 UTC2021-03A064096-001AT15aa47cf7b7d7…
2020-12-22 03:56 UTC2020-12A064096-001AT18869cabd3fbd…
2020-11-12 02:37 UTC2020-11A064096-001AT1c0c555d07b60…
2019-12-14 00:12 UTC2019-12A064096-001AT13f01610625f2…
2019-09-15 20:21 UTC2019-09A064096-001AT1b00525d2431f…
2019-07-19 19:46 UTC2019-07A064096-001AT1ea99ee380514…
2023-01-26 05:58 UTC2023-01A064096-001AT13bdfa0b2c4d7…
2022-11-12 20:34 UTC · 5 captures of this ZIP2022-11A064096-001AT13a93d1ddd44b…
2022-10-28 04:53 UTC2022-10A064096-001AT1f41ea6bd6efb…
2022-09-29 23:25 UTC2022-09A064096-001AT1e64feba35796…
2022-07-09 03:26 UTC · 3 captures of this ZIP2022-07A064096-001AT1cb3db0bc1861…

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
95c267a5-1ade-416e-bafe-c358d343e10c73119111-c8a5-4415-83ad-2ccde56590b02018-08-20Warnings, Adverse reactionsExact identifier
spl id: 95c267a5-1ade-416e-bafe-c358d343e10c
spl set id: 73119111-c8a5-4415-83ad-2ccde56590b0

Reported adverse events (FAERS/openFDA)#

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