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Bacitracin, neomycin, and polymyxin B (topical): Drug information

Bacitracin, neomycin, and polymyxin B (topical): Drug information
(For additional information see "Bacitracin, neomycin, and polymyxin B (topical): Patient drug information" and see "Bacitracin, neomycin, and polymyxin B (topical): Pediatric drug information")

For abbreviations, symbols, and age group definitions used in Lexicomp (show table)
Brand Names: US
  • Curad Triple Antibiotic [OTC] [DSC];
  • Medi-First Triple Antibiotic [OTC];
  • Neosporin Original [OTC];
  • Triple Antibiotic First Aid [OTC] [DSC];
  • Triple Antibiotic [OTC]
Pharmacologic Category
  • Antibiotic, Topical
Dosing: Adult
Topical infection prevention

Topical infection prevention: Topical: Apply 1 to 3 times/day to infected area; may cover with sterile bandage if necessary.

Dosing: Kidney Impairment: Adult

There are no dosage adjustments provided in the manufacturer’s labeling. However, dosage adjustment unlikely due to low systemic absorption.

Dosing: Hepatic Impairment: Adult

There are no dosage adjustments provided in the manufacturer’s labeling. However, dosage adjustment unlikely due to low systemic absorption.

Dosing: Older Adult

Refer to adult dosing.

Dosing: Pediatric

(For additional information see "Bacitracin, neomycin, and polymyxin B (topical): Pediatric drug information")

Prevention of infection

Prevention of infection: Infants, Children, and Adolescents: Topical: Apply to affected area 1 to 3 times daily

Dosing: Kidney Impairment: Pediatric

There are no dosage adjustments provided in the manufacturer’s labeling. However, dosage adjustment unlikely due to low systemic absorption.

Dosing: Hepatic Impairment: Pediatric

There are no dosage adjustments provided in the manufacturer’s labeling. However, dosage adjustment unlikely due to low systemic absorption.

Adverse Reactions

The following adverse drug reactions and incidences are derived from product labeling unless otherwise specified. Frequency not defined.

Dermatologic: Reddening, allergic contact dermatitis

Local: Itching, failure to heal, swelling, irritation

Miscellaneous: Anaphylaxis

Contraindications

Hypersensitivity to bacitracin, neomycin, polymyxin B, or any component of the formulation.

Warnings/Precautions

Dosage form specific issues:

• Topical ointment: When used for self-medication (OTC use), patients should notify healthcare provider if needed for >1 week. Should not be used for self-medication on deep or puncture wounds, animal bites, or serious burns. Not for application to large areas of the body.

Dosage Forms: US

Excipient information presented when available (limited, particularly for generics); consult specific product labeling. [DSC] = Discontinued product

Ointment, External:

Curad Triple Antibiotic: bacitracin, neomycin, and polymyxin B (1 ea [DSC])

Medi-First Triple Antibiotic: bacitracin, neomycin, and polymyxin B (1 ea)

Neosporin Original: bacitracin, neomycin, and polymyxin B (1 ea, 14.2 g, 28.3 g)

Triple Antibiotic: bacitracin, neomycin, and polymyxin B (1 ea, 144 ea, 9.35 g [DSC], 9.4 g, 14 g, 14.2 g, 15 g, 28 g, 28.4 g, 30 g)

Triple Antibiotic First Aid: bacitracin, neomycin, and polymyxin B (1 ea [DSC])

Generic Equivalent Available: US

Yes

Pricing: US

Ointment (Neosporin Original External)

3.5-400-5000 (per each): $0.25

Disclaimer: A representative AWP (Average Wholesale Price) price or price range is provided as reference price only. A range is provided when more than one manufacturer's AWP price is available and uses the low and high price reported by the manufacturers to determine the range. The pricing data should be used for benchmarking purposes only, and as such should not be used alone to set or adjudicate any prices for reimbursement or purchasing functions or considered to be an exact price for a single product and/or manufacturer. Medi-Span expressly disclaims all warranties of any kind or nature, whether express or implied, and assumes no liability with respect to accuracy of price or price range data published in its solutions. In no event shall Medi-Span be liable for special, indirect, incidental, or consequential damages arising from use of price or price range data. Pricing data is updated monthly.

Administration: Adult

Topical: For external use only. Clean affected area prior to application. Apply amount equal to the surface area of the tip of the finger. Do not use topical ointment in the eyes or over large areas of the body; avoid contact of tube tip with skin.

Administration: Pediatric

Topical: Clean the affected area prior to use. Apply a small amount of product (an amount equal to the surface area of the tip of a finger); may cover with sterile bandage.

Use: Labeled Indications

Topical infection prevention: Prevention of infection in minor cuts, scrapes, or burns.

Metabolism/Transport Effects

None known.

Drug Interactions

There are no known significant interactions.

Pregnancy Considerations

Animal reproduction studies have not been conducted with this combination.

Breastfeeding Considerations

It is not known if bacitracin, neomycin, or polymyxin B is excreted into breast milk.

Mechanism of Action

See individual agents.

Pharmacokinetics (Adult Data Unless Noted)

See individual agents.

Brand Names: International
International Brand Names by Country
For country code abbreviations (show table)

  • (PL) Poland: Multibiotic | Tribiotic;
  • (PR) Puerto Rico: Curad triple antibiotic | Triple antibiotic
  1. Careall Triple Antibiotic ointment (bacitracin zinc/neomycin sulfate/polymyxin B sulfate) [prescribing information]. Nashville, TN: Johnson & Johnson Consumer Products Company Inc; October 2019.
  2. Medi-First Triple Antibiotic ointment (bacitracin zinc/neomycin sulfate/polymyxin B sulfate) [prescribing information]. Fort Myers, FL: Medique Products; July 2019.
  3. Neosporin Original ointment (bacitracin zinc/neomycin sulfate/polymyxin B sulfate) [prescribing information]. Skillman, NJ: Johnson & Johnson Consumer Inc; December 2017.
  4. Triple Antibiotic Original Strength ointment (bacitracin zinc/neomycin sulfate/polymyxin B sulfate) [prescribing information]. Livonia, MI: Major Pharmaceuticals; November 2016.
Topic 103455 Version 210.0

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