Pharmacy Guide

Patient leaflets and SmPCs, drug interaction checker, official dosages and NHS pharmacy opening hours — all in one place.

Pharmacy Guide

Patient leaflets and SmPCs, drug interaction checker, official dosages and NHS pharmacy opening hours — all in one place.

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Bactroban Nasal Ointment 2%

⚠ This medicine appears to have been discontinued

The electronic medicines compendium (emc) no longer publishes a Summary of Product Characteristics for this product, which usually means it is no longer marketed in the UK. The patient leaflet below is kept for reference, but the product may not be available.

If you were prescribed this medicine, other products containing Mupirocin may still be available. Do not stop your treatment — ask your pharmacist or GP what to use instead.

Active substance: Mupirocin

Equivalent medicines (same active substance, strength and form)

Source: electronic medicines compendium (emc)
Official leaflet: Read the PIL on emc

What it is and what it is used for

for

Bactroban 2% Nasal Ointment (called 'Bactroban' in this leaflet) contains the active substance mupirocin calcium. Bactroban is an antibiotic ointment. It is used: • • •

2

to kill a group of bacteria in the nose called 'Staphylococci' this group includes MRSA (Methicillin Resistant Staphylococcus aureus) this ointment is for use in your nose only.

What you need to know before you take it

e Bactroban

Do not use Bactroban:

  • if you are allergic (hypersensitive) to mupirocin calcium, mupirocin or any of the other ingredients of this medicine (listed in section 6). If you are not sure if this applies to you, do not use this medicine. Talk to your doctor, nurse or pharmacist before using Bactroban. Warnings and precautions
  • Bactroban can cause severe skin reactions or allergies. See 'Conditions to look out for' in Section 4. Thrush (a yeast infection) may develop if Bactroban is used for a long time. If this occurs, tell your doctor, pharmacist or nurse. Keep the ointment away from your eyes.
  • If the ointment gets into your eyes accidentally, wash them thoroughly with water. Other medicines and Bactroban Tell your doctor, nurse or pharmacist if you are using, have recently used or might use any other medicines.

Pregnancy and breast-feeding

1

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine. Driving and using machines It is unlikely that Bactroban will affect your ability to drive or operate machinery.

3

How to take it

Bactroban

Always use this medicine exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure. Using this medicine You usually apply Bactroban to your nose two to three times a day. 1 Wash and dry your hands. 2 Place a small amount of Bactroban, about the size of a match head, on your little finger. 3 Apply this to the inside of one nostril. 4 Repeat steps 2 and 3 for your other nostril. 5 Press the sides of your nose together to spread the ointment around the nostril. 6 Replace the cap on the tube and wash your hands. A cotton bud can be used instead of your little finger to apply the ointment, particularly in infants or the very ill. How long should you use Bactroban for? Use Bactroban for as long as your doctor has told you. If you are not sure, ask your doctor, nurse or pharmacist. The bacteria are normally cleared from your nose within 5 to 7 days of starting treatment. If you swallow any Bactroban If you swallow any of the ointment, speak to your doctor, nurse or pharmacist for advice. If you forget to use Bactroban

  • If you forget to apply Bactroban, apply it as soon as you remember.
  • If your next dose is due within an hour, skip the missed dose.
  • Do not use a double dose to make up for a forgotten dose. If you stop using Bactroban If you stop using Bactroban too early, not all the bacteria may have been killed or they may continue to grow. Ask your doctor, nurse or pharmacist when to stop using the ointment. If you have any further questions on the use of this product, ask your doctor, nurse or pharmacist.

4

Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. Conditions to look out for Severe skin reactions or allergies: These are very rare in people using Bactroban. Signs include:

  • raised and itchy rash
  • swelling, sometimes of the face or mouth, causing difficulty in breathing
  • collapse or loss of consciousness. ➔ Contact a doctor immediately if you get any of these symptoms. Stop using Bactroban
  • If you develop a severe skin reaction or an allergy:
  • wash off the ointment
  • stop using it and

•

tell your doctor as soon as possible.

On rare occasions, medicines like Bactroban can cause inflammation of the colon (large intestine), causing diarrhoea, usually with blood and mucus, stomach pain, fever (pseudomembranous colitis). ➔ Tell your doctor as soon as possible if you get any of these symptoms. The following side effects may happen with this medicine: Uncommon (may affect up to 1 in 100 people)

  • Itching, redness, burning, tingling or stinging of the nose. Very rare (may affect up to 1 in 10,000 people)
  • Some people can develop a skin reaction or allergy that is severe. The signs can include a rash, itchiness, redness or soreness. Reporting of side effects If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

5 • • •

How to store it

Bactroban Keep this medicine out of the sight and reach of children. Do not store above 25°C. Do not use Bactroban after the expiry date which is stated on the tube or carton after (EXP). The expiry date refers to the last day of that month. Bactroban is an off-white smooth ointment. Do not use it if it looks different to normal. Do not throw away medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

• •

6

Contents of the pack and other information

What Bactroban contains

  • The active substance is mupirocin calcium. Each gram of nasal ointment contains mupirocin calcium equivalent to 20 mg mupirocin.
  • The other ingredients are white soft paraffin and Softisan 649. What Bactroban looks like and contents of the pack
  • Bactroban is a smooth off-white ointment.
  • Bactroban is available in a 3 g tube. Each tube comes in a carton.

Marketing Authorisation Holder and Manufacturer Marketing Authorisation holder: Beecham Group plc 79 New Oxford Street London

WC1A 1DG United Kingdom

Manufacturer: Glaxo Wellcome Operations Harmire Road Barnard Castle Co Durham DL12 8DT This leaflet was last revised in November 2024. Other formats: To listen to or request a copy of this leaflet in Braille, large print or audio please call, free of charge:

0800 198 5000 (UK Only) Please be ready to give the following information: Product Name Reference number

Bactroban 2% Nasal Ointment 00038/0347

This is a service provided by the Royal National Institute of Blind People. Trade marks are owned by or licensed to the GSK group of companies. © 2024 GSK group of companies or its licensor

Frequently asked questions about Bactroban Nasal Ointment 2%

How do I take Bactroban Nasal Ointment 2%?

Bactroban Nasal Ointment 2% comes as ointment. Always follow the dose your doctor or pharmacist has given you, and read the leaflet that comes with the medicine.

What is the active substance in Bactroban Nasal Ointment 2%?

The active substance in Bactroban Nasal Ointment 2% is mupirocin.

Are there equivalent medicines to Bactroban Nasal Ointment 2%?

Medicines with the same active substance, strength and form include: Bactroban Ointment 2%, Mupirocin 2% w/w Ointment, Mupirocin Ointment 2%. They are interchangeable only if your prescriber or pharmacist says so.

Where does this information come from?

This leaflet reproduces the patient information leaflet approved for Bactroban Nasal Ointment 2%, as published on the electronic medicines compendium (emc). The version printed inside your medicine’s packaging is the one that applies to you.

Can I get Bactroban Nasal Ointment 2% without a prescription?

Whether a medicine is available over the counter or on prescription only depends on its licence. Check the leaflet, or ask your pharmacist — they can tell you straight away.

About this leaflet

The text above reproduces the patient information leaflet approved for this medicine, restructured for easier reading.

Medical disclaimer: This page is for information only and does not replace advice from your doctor or pharmacist. Always read the leaflet supplied with your medicine. If you are unwell, call NHS 111; in an emergency, call 999.

Medicines with the same active substance: Mupirocin (6 medicines)
See every medicine containing this substance, or browse the full A–Z of active substances.
⚕For healthcare professionals — Summary of Product Characteristics (SmPC)Full SmPC: dosage, interactions, contraindications, warnings+
Technical information intended for healthcare professionals (doctors and pharmacists). The Summary of Product Characteristics (SmPC) is the official document approved by the MHRA/EMA. It does not replace the patient leaflet or a doctor’s advice.

4.1. Therapeutic indications

The elimination of nasal carriage of staphylococci, including methicillin resistant Staphylococcus aureus (MRSA).

4.2. Posology and method of administration

Posology

Adults (including the elderly) and children:

Bactroban Nasal Ointment should be applied to the anterior nares two to three times a day as follows:

A small amount of the ointment about the size of a match head is placed on the little finger and applied to the inside of each nostril. The nostrils are closed by pressing the sides of the nose together; this will spread the ointment throughout the nares. A cotton bud may be used instead of the little finger for the application in particular to infants or patients who are very ill.

Nasal carriage should normally clear within 5-7 days of commencing treatment.

Method of administration

Topical.

4.3. Contraindications

Hypersensitivity to the active substance or to any of the excipients listed in section 6.1.

4.4. Special warnings and precautions for use

Should a possible sensitisation reaction or severe local irritation occur with the use of Bactroban Nasal Ointment, treatment should be discontinued, the product should be wiped away and appropriate therapy instituted.

As with other antibacterial products, prolonged use may result in overgrowth of non-susceptible organisms.

Pseudomembranous colitis has been reported with the use of antibiotics and may range in severity from mild to life-threatening. Therefore, it is important to consider its diagnosis in patients who develop diarrhoea during or after antibiotic use. Although this is less likely to occur with topically applied mupirocin, if prolonged or significant diarrhoea occurs or the patient experiences abdominal cramps, treatment should be discontinued immediately and the patient investigated further.

This mupirocin nasal ointment formulation is not suitable for ophthalmic use.

Avoid contact with the eyes. If contaminated, the eyes should be thoroughly irrigated with water until the ointment residues have been removed.

4.5. Interaction with other medicinal products and other forms of interaction

No drug interactions have been identified

4.6. Fertility, pregnancy and lactation

Pregnancy

Reproduction studies on Bactroban in animals have revealed no evidence of harm to the foetus (see section 5.3). As there is no clinical experience on its use during pregnancy, Bactroban should only be used in pregnancy when the potential benefits outweigh the possible risks of treatment.

Breast-feeding

There is no information on the excretion of Bactroban in milk.

Fertility

There are no data on the effects of mupirocin on human fertility. Studies in rats showed no effects on fertility (see section 5.3).

4.7. Effects on ability to drive and use machines

No adverse effects on the ability to drive or operate machinery have been identified.

4.8. Undesirable effects

Adverse reactions are listed below by system organ class and frequency. Frequencies are defined as: very common (≥1/10), common (≥1/100, <1/10), uncommon (≥1/1000, <1/100), rare (≥1/10,000, <1/1000), very rare (<1/10,000), including isolated reports.

Uncommon adverse reactions were determined from pooled safety data from a clinical trial population of 422 treated patients encompassing 12 clinical studies. Very rare adverse reactions were primarily determined from post-marketing experience data and therefore refer to reporting rate rather than true frequency.

Immune system disorders

Very rare:

Cutaneous hypersensitivity reactions. Systemic allergic reactions including anaphylaxis, generalised rash, urticaria and angioedema.

Respiratory, thoracic and mediastinal disorders

Uncommon:

Nasal mucosa reactions.

Reporting of suspected adverse reactions

Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard

4.9. Overdose

Symptoms and signs

There is currently limited experience with overdosage of mupirocin.

Treatment

There is no specific treatment for an overdose of mupirocin. In the event of overdose, the patient should be treated supportively with appropriate monitoring as necessary. Further management should be as clinically indicated or as recommended by the national poisons centre, where available.

💬 Ask about this leaflet

Ask anything about Bactroban Nasal Ointment 2%. The assistant answers only from this leaflet — if the leaflet does not cover it, it will say so. It does not give medical advice.

Answers come from the patient leaflet published on the electronic medicines compendium (emc). They are not medical advice. Ask a pharmacist or your GP if you are unsure. For urgent help call NHS 111, or 999 in an emergency.

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