Nebacin Ointment

Topical antibiotic combination (powder, ointment) for:

• Prevention of infection in minor cuts, grazes, burns and wounds
• Superficial bacterial skin infections (impetigo, infected eczema)
• Infected wounds after minor surgery
• Umbilical cord care in some practices

Ointment/powder: clean the area, then apply a thin layer or dust lightly 1–3 times daily; may be covered with a sterile dressing.

• Do not use for more than 7–10 days without medical review.
• Avoid large areas of broken skin (especially burns over a large area) because neomycin may be absorbed.
• For external use only.

• Allergy to neomycin, bacitracin, polymyxin or other aminoglycosides
• Large open wounds, extensive burns or perforated eardrum (risk of absorption and hearing/kidney damage)
• Eye use (unless an eye formulation)

Uncommon: itching, redness, rash at the application site.

Neomycin contact allergy: worsening redness, swelling and itching — stop use.

Rare (with absorption from large areas): hearing loss, kidney damage, neuromuscular blockade.

• Stop if the area becomes more red, itchy or swollen.
• Deep, puncture, animal-bite or serious burns need medical care.
• Prolonged use may lead to resistant bacteria or fungal overgrowth.
• Elderly, kidney impairment: avoid large areas.

Use on small areas only in pregnancy and breastfeeding (avoid extensive use due to neomycin absorption).

If absorbed: other ototoxic or nephrotoxic drugs (aminoglycosides, loop diuretics, vancomycin) — additive toxicity.

Not expected with normal topical use. If swallowed in large amounts, seek advice.

Store below 25–30°C, dry.