Version July 2025
Topical infection/pain prevention: Topical: Apply a small amount to the affected area 1 to 3 times daily.
There are no dosage adjustments provided in the manufacturer's labeling. However, dosage adjustment unlikely due to low systemic absorption.
There are no dosage adjustments provided in the manufacturer's labeling. However, dosage adjustment unlikely due to low systemic absorption.
Refer to adult dosing.
(For additional information see "Bacitracin, neomycin, polymyxin B, and pramoxine: Pediatric drug information")
Prevention of infection and relief of pain and discomfort: Children ≥2 years and Adolescents: Topical: Ointment: Apply a small amount (should not exceed surface area of fingertip) to affected area 1 to 3 times daily; may cover with sterile bandage if necessary
There are no dosage adjustments provided in the manufacturer's labeling; however, dosage adjustment unlikely due to low systemic absorption.
There are no dosage adjustments provided in the manufacturer's labeling; however, dosage adjustment unlikely due to low systemic absorption.
See individual agents.
OTC labeling: When used for self-medication, do not use if hypersensitive to bacitracin, neomycin, polymyxin B, pramoxine, or any component of the formulation.
Concerns related to adverse effects:
• Anaphylaxis: Use with caution in patients who have been previously exposed to bacitracin; anaphylactic reactions have occurred on repeat exposure (Elsner 1990; Farley 1995).
Other warnings/precautions:
• Self-medication (OTC use): When used for self-medication (OTC), do not use in the eyes, over large areas of the body, or for >1 week unless directed by health care provider. Discontinue use and notify health care provider prior to use for deep puncture wounds, bites, or serious burns, if condition persists or worsens, or if rash or other allergic reaction occurs.
Excipient information presented when available (limited, particularly for generics); consult specific product labeling.
Ointment, External:
FT Triple Antibiotic + Pain: Bacitracin 500 units, neomycin 3.5 mg, polymyxin b 10,000 units, and pramoxine hydrochloride 10 mg per g (28.4 g)
Neosporin + Pain Relief Max St: Bacitracin 500 units, neomycin 3.5 mg, polymyxin b 10,000 units, and pramoxine hydrochloride 10 mg per g (14.2 g, 28.3 g, 56.7 g)
Triple Antibiotic Pain Relief: Bacitracin 500 units, neomycin 3.5 mg, polymyxin b 10,000 units, and pramoxine hydrochloride 10 mg per g (28 g)
Triple Antibiotic Plus: Bacitracin 500 units, neomycin 3.5 mg, polymyxin b 10,000 units, and pramoxine hydrochloride 10 mg per g (15 g, 28.4 g)
Triple Antibiotic Plus Max St: Bacitracin 500 units, neomycin 3.5 mg, polymyxin b 10,000 units, and pramoxine hydrochloride 10 mg per g (30 g)
Yes
Ointment (Neosporin + Pain Relief Max St External)
1% (per gram): $0.36
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Topical: For topical use only; do not use in the eyes or over large areas of the body. Clean affected area prior to application. Apply a small amount of product (an amount equal to the surface area of the tip of a finger); may cover with sterile bandage.
Topical: For application to the skin; avoid eyes. Clean the affected area prior to use. Apply to affected area; may cover with a sterile bandage. Wash hands after application.
Topical infection/pain prevention: Prevention of infection and relief of pain in minor cuts, scrapes, or burns.
Refer to individual monographs.
Refer to individual monographs.
