Sulphacetamide Sodium 20% Eye prep

Indications

Sulphacetamide Sodium 20% Eye prep is used for: Conjunctivitis, Blepharitis, Ocular infections

Adult Dose

Ophthalmic Ocular infections Adult: Apply eye drops into the affected eye/s. May be used up to tid.

Child Dose

Renal Dose

Administration

Contra Indications

Hypersensitivity; infants <2 mth.

Precautions

Elderly. History of allergy or asthma; G6PD deficiency; renal and hepatic impairment. Prolonged therapy requires CBC and urinalysis with microscopic examination. Maintain adequate fluid intake. Pregnancy, lactation.

Pregnancy-Lactation

Pregnancy Category: C Lactation: Safety in nursing infants unknown; not recommended

Interactions

Action antagonised by PABA and procaine group of local anaesthetics. PABA present in purulent eye exudates can competitively inhibit the action of sulphacetamide.

Adverse Effects

Side effects of Sulphacetamide Sodium 20% Eye prep : Burning, stinging, conjunctivitis, corneal ulcers, irritation, conjunctival hyperaemia. Systemic absorption from inflamed conjunctiva. Potentially Fatal: Stevens-Johnson syndrome.

Mechanism of Action

Sulfacetamide has bacteriostatic effect on a wide range of gram-positive and gram-negative organisms. It interferes with nucleic acid synthesis thus blocking conversion of PABA to the coenzyme dihydrofolic acid.