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Gentamicin eye drops

Gentamicin drops are used to treat (or prevent) eye infections. Follow carefully the instructions you have been given for using the drops.

Your vision may become slightly blurred for a short while after using the drops. If so, do not drive and do not use tools or machines until you can see clearly again.

Do not wear contact lenses until your symptoms have completely gone.

The most common side effects of gentamicin eye drops are mild irritation, stinging, and blurred vision.

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About gentamicin eye drops

Type of medicine

An anti-infective eye drop

Used for

Prevention or treatment of eye infections in adults and children

Available as

Drops (which can be prescribed for use in eyes or ears)

What are gentamicin eye drops used for?

Gentamicin eye drops are used to treat bacterial infections of the eyes or eyelids such as conjunctivitis. The drops kill germs (bacteria) which are the cause of infection. Eye infections are a common cause of conjunctivitis. In conjunctivitis, your eye becomes inflamed, feels gritty, and may water more than usual.

Gentamicin eye drops are also prescribed for minor eye injuries, such as scratches and abrasions to the cornea - the delicate layer covering the surface of your eye. In such cases, the drops are prescribed to prevent an eye infection from developing while the eye heals.

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Side effects of gentamicin eye drops

Common side effects of gentamicin eye drops are:

  • Mild irritation or itching.

  • Burning or stinging.

  • Blurred vision.

A full list of the side effects which can be associated with your medicine, is from the manufacturer's printed information leaflet supplied with the medicine.

Speak with your doctor or pharmacist if any of the following continue or become troublesome.

How to manage gentamicin eye drops side effects

Gentamicin eye drop side effects

What can I do if I experience this?

Mild irritation or itching, burning or stinging

If this continues or becomes severe, speak with your doctor

Blurred vision

This should soon pass, but do not drive and do not use tools or machines while affected

If you experience any other symptoms which you think may be due to the eye drops, speak with your doctor or pharmacist for further advice.

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Who should not use gentamicin eye drops?

Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start using gentamicin drops it is important that your doctor knows:

  • If you are pregnant or breastfeeding.

  • If you have ever had an allergic reaction to gentamicin or to any other antibiotic, or to any other eye drops.

  • If you are taking or using any other medicines. This includes any medicines you are taking which are available to buy without a prescription, as well as herbal and complementary medicines.

How to use gentamicin eye drops

Read the leaflet in the pack before using gentamicin eye drops. It explains how to use it and lists possible side effects.

If your eyes have an obvious discharge or 'crust', it can help if you bathe them with cool clean water before using the gentamicin drops.

  1. Wash your hands before you use the drops.

  2. Remove the cap from the bottle.

  3. Tilt your head back a little and gently pull the lower lid of your eye out to form a pocket.

  4. Hold the bottle upside down near to your eye. Try not to touch your eye as you do this.

  5. Gently squeeze the bottle to release one drop into your eye. Only use a second drop if the first drop missed going into your eye.

  6. Close your eye for a minute or two, and press gently on the side of your nose where the corner of your eye meets your nose. This helps to stop the drop from draining away and keeps it in your eye.

  7. Repeat the process in your other eye if you have been told to use the drops in both eyes.

  8. Replace the cap.

Getting the most from your treatment

  • Take gentamicin eye drops exactly as your doctor tells you to and always check the label for the correct usage.

    • It is usually 3-4 times a day but may be more frequently, particularly on the first day.

  • Try not to miss any doses. If you forget to put the drops in on time, do it as soon as you remember.

  • Your eye should feel better in a few days, but keep using gentamicin for 48 hours after it looks normal to make sure all the bacteria are gone.

  • The drops may blur your vision for a short time. Wait until you can see clearly before driving or using machines.

  • To prevent spreading the infection, wash your hands often, avoid touching your eyes, and don’t share towels or pillows.

  • If the tip of the bottle touches your eye(s) when putting the drops in, it is a good idea to squeeze out two or three drops straightaway on to some tissue and rinse the tip with salt water.

  • Eye infections can cause your eyes to become more sensitive to sunlight than usual. Wearing sunglasses may help to prevent this.

  • If using other eye drops, wait at least 5 minutes between each one so your eye can absorb them properly.

  • If your symptoms get worse while using gentamicin drops, see your doctor immediately, especially if your eye is painful, sensitive to light, or your vision changes.

  • Do not wear contact lenses until your symptoms have completely gone. Wait for 24 hours after the last dose of eye drops before using your lenses again.

How to store gentamicin eye drops

  • Keep all medicines out of the reach and sight of children.

  • Store in a cool, dry place, away from direct heat and light.

  • Throw away the bottle of eye drops after you have finished your course of treatment, even if there is some liquid left.

  • Do not keep opened bottles to use later, as eye drops must not be used if the bottle has been opened for longer than four weeks.

Important information about all medicines

Important information about all medicines

If you suspect that someone has swallowed some of this medicine, contact the accident and emergency department of your local hospital for advice

If you buy any medicines check with a pharmacist that they are safe to use with your other medicines.

If you are having an operation or dental treatment, tell the person carrying out the treatment which medicines you are using.

This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.

Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.

If you have any questions about this medicine ask your pharmacist.

Report side effects to a medicine or vaccine

If you experience side effects, you can report them online through the Yellow Card website.

Frequently asked questions

How long does it take for gentamicin eye drops to work?

Gentamicin eye drops can start to work in just 1 to 2 hours, but visible improvement of symptoms may take a few days.

Can gentamicin eye drops cause nose bleeds?

Nosebleeds are not a known side effect of gentamicin eye drops and are considered very unlikely. If you experience repeated nosebleeds while using them, it’s best to speak with your doctor to rule out another cause.

Is gentamicin a steroid eye drop?

No, gentamicin is an antibiotic eye drop, not a steroid. It works by killing bacteria that cause eye infections rather than reducing inflammation like steroid drops do.

Are gentamicin eye drops painful?

Gentamicin eye drops are usually not painful, though some people may experience mild stinging or burning when first applied. This usually settles quickly and is not harmful.

Further reading and references

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Article history

The information on this page is written and peer reviewed by qualified clinicians.

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