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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Chloramphenicol Antibiotic 0.5%w/v Eye Drops

⚠ 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 Chloramphenicol may still be available. Do not stop your treatment — ask your pharmacist or GP what to use instead.

Active substance: Chloramphenicol

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 2. What you need to know before you use Chloramphenicol Antibiotic Eye Drops 3. How to use Chloramphenicol Antibiotic Eye Drops 4. Possible side effects 5. How to store Chloramphenicol Antibiotic Eye Drops 6. Contents of the pack and other information

1. What Chloramphenicol Antibiotic Eye Drops is and what it is used for Chloramphenicol Antibiotic Eye Drops contains an antibiotic called chloramphenicol. It is used in both adults and children aged 2 years and over to treat bacterial infections that affect the front surfaces of the eye. The most common type of infection in this area is called acute bacterial conjunctivitis. When you have this condition, the white part of one or both of your eyes will be red and/or your eyelids will be red or swollen. There will be a sticky discharge, which can make the eye difficult to open in the morning and the eye may feel"gritty" or "irritated". Chloramphenicol Antibiotic Eye Drops is not suitable for treating eye infections that have spread to the deeper layers of the eye coverings or into the fluid within the eyeball. Antibiotic tablets or injections are needed to treat these deeper, more serious infections.

What you need to know before you take it

e Chloramphenicol Antibiotic Eye Drops Chloramphenicol Antibiotic Eye Drops is recommended for use in children aged 2 years and over, in adults and the elderly. A child below the age of 2 years with an eye infection should see a doctor due to necessary dosage adjustment. Do not use Chloramphenicol Antibiotic Eye Drops if

  • you are allergic to chloramphenicol or any of the ingredients of this medicine listed in section 6 'Contents of the pack and other information'
  • you have ever had problems with your blood (in particular very low numbers of blood cells) during previous treatment with chloramphenicol
  • you have a family history of blood problems such as low white blood cell, red blood cell, or platelet counts. Warnings and precautions Talk to your doctor or pharmacist before using Chloramphenicol Antibiotic Eye Drops if
  • your eyesight is affected (loss of sight, reduced vision, blurred or double vision, or halos around lights)
  • you have pain within the eye
  • your eye(s) are more sensitive to light than usual
  • your pupil(s) looks unusual
  • your eye(s) looks cloudy
  • you have pain or swelling around the eye or face
  • your eye is inflamed and you have a rash on the scalp or face
  • you have had an eye infection in the recent past
  • you have glaucoma (a raised pressure in the eye) or dry eye syndrome
  • your eye has suffered a blow or other injury
  • you have (or think you have) a foreign body in your eye, which has not been removed
  • you are using other eye drops or eye ointment
  • you have had eye surgery or laser treatment in the last 6 months
  • you wear contact lenses and your contact lens practitioner or doctor has advised you to use this product, do not wear your lenses during the course of treatment. Wear your glasses instead. Soft contact lenses should not be replaced for 24 hours after completing the treatment
  • you or someone in your family suffer from problems with your blood (aplastic anaemia) or bone marrow problems
  • you suffer from any other eye problems
  • you have ever had an allergic (hypersensitive) reaction to this or any other medicine
  • you are pregnant, trying for a baby or are breast-feeding. Other medicines and Chloramphenicol Antibiotic Eye Drops Tell your doctor or pharmacist if you are using, have recently used or might use any other medicines. If you are taking bone marrow depressant drugs (drugs which decrease the activity of the bone marrow, causing low blood cell counts) such as azathioprine or are receiving chemotherapy, seek the advice of your pharmacist or your doctor before using this product. Pregnancy and breast-feeding 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 Chloramphenicol Antibiotic Eye Drops can cause temporary blurring of vision after you have used them. Wait until your vision is clear before driving or using machines. If in doubt, talk to your pharmacist or doctor. Chloramphenicol contains phenyl mercuric nitrate Chloramphenicol Antibiotic Eye Drops contains phenylmercuric nitrate as a preservative which may cause allergic reactions.

How to take it

Chloramphenicol Antibiotic Eye Drops Always use this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. Contact lens users If you wear contact lenses they must be removed whilst you are using Chloramphenical Antibiotic Eye Drops. You should wait 24 hours after you take your last dose of Chloramphenicol Antibiotic Eye Drops before starting to use your lenses again. Instructions for use To be used in the eye(s) only

  • First wash your hands
  • These drops are supplied as a sealed bottle with spiked cap. When using the bottle for the first time, screw the cap down tightly in order to pierce the tip of the bottle
  • After cap is removed, if the tamper evident snap collar is loose, please remove before using the Continued overleaf

100mm Measurement Verification Bar

product. Take care not to touch the end of the nozzle

  • Tilt your head back and look at the ceiling
  • Pull the lower eyelid gently downwards
  • Hold the bottle upside down above the eye and gently squeeze the bottle to release a drop into your eye
  • Keep the affected eye closed and press your fingertip against the inside corner of the closed eye, and hold for 1 minute
  • When both eyes are to be treated, repeat for the other eye
  • Replace and tighten the cap immediately after use. Whilst applying the drops, do not
  • breathe on or touch the tip of the bottle
  • touch the eyes or eyelids (or any other surface) with the tip of the bottle
  • share your eye drops with anyone else. Always use this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. Use this medicine only in your eyes. How much to use Adults, the elderly and children over 2 years The recommended dose is one drop into the affected eye(s) every 2 hours for the first 48 hours. After this you should reduce the dose to one drop every 4 hours. Use during waking hours only. Do not use Chloramphenicol Antibiotic Eye Drops just before you go to sleep. The course of treatment should be 5 days. Do not use Chloramphenicol Eye Drops for longer than 5 days at a time. Do not stop just because you feel better, this could make your condition worse. Seek further immediate medical advice any time if symptoms worsen. Consult your doctor if your eye infection does not start to improve within 48 hours. If you use more chloramphenicol than you should Chloramphenicol Antibiotic Eye Drops is for external use only. If you have swallowed or you suspect someone else has swallowed any Chloramphenicol Antibiotic Eye Drops, contact your doctor or go to the accident and emergency department of your local hospital at once. Always take the container with you, if possible, even if empty. If you accidentally apply too much drops, you should wash your eye with plenty of water, if any painful symptoms continue after this, you should tell your doctor immediately. If you forget to use Chloramphenicol Antibiotic Eye Drops Try not to miss doses. If you do miss a dose do not worry, take your next dose at the normal time. Never double up on a dose to make up for the one you have missed. Do If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects Like all medicines, this medicine can cause side effects, although not everybody gets them. Some people may get one or more of these side effects. Some effects happen straight away but do not last long, others may only happen after several days of use.

  • Allergic reactions such as itching or rashes. If you get a severe allergic reaction, with swelling or breathing problems stop using the drops immediately and get medical help straight away.
  • Changes in the blood (anaemia)leading to severe tiredness or easy bruising. If you experience these effects, stop using the drops immediately and tell your doctor.
  • Discolouration or clouding of the eye surface (cornea) or lens due to the preservative.
  • The use of topical chloramphenicol may occasionally result in the overgrowth of other

non-susceptible organisms including fungi. If any new infection appears during treatment you should tell your doctor.

  • Blurred vision or mild burning or stinging when you put the drops in. These should subside quickly.
  • Irritation of the skin around the eyes, mercurialentis (brown discolouration of the lens) and a typical band keratopathy (appearance of calcium on the cornea). These may be due to the preservation in the drops called phenylmercuric nitrate. If you do not feel well or are worried about your health, talk to a pharmacist or doctor. If any of the

Possible side effects

get serious or if you experience any side effect not listed in this leaflet please tell your doctor or pharmacist. Reporting of side effects If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme: 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.

How to store it

Chloramphenicol Antibiotic Eye Drops Keep out of the sight and reach of children. Do not use Chloramphenicol Eye Drops after the expiry date printed on the bottle label. The expiry date refers to the last day of that month. Once the bottle is opened use within 4 weeks. You are advised to dispose of the bottle once you have finished your 5 day course of treatment. This medicine needs to be stored upright between 2-8°C (in a refrigerator). Protect from light. Do not allow it to freeze. Medicines should not be disposed of via waste water or household waste. Ask your pharmacist how to dispose of medicines you no longer use. These measures will help to protect the environment.

Contents of the pack and other information

What Chloramphenicol Antibiotic Eye Drops contains: The active substance is chloramphenicol 0.5%w/v The other ingredients are borax, boric acid, phenylmercuric nitrate (as preservative) and purified water. What Chloramphenicol Antibiotic Eye Drops looks like and contents of the pack Chloramphenicol Antibiotic Eye Drops is a clear colourless solution supplied in plastic bottles. Each bottle contains 10ml of solution. Marketing Authorisation Holder and Manufacturer: Martindale Pharmaceuticals Ltd. Bampton Road, Harold Hill Romford Essex RM3 8UG United Kingdom Manufacturer: Famar S.A. 63, Agiou Dimitriou Street 174 56 Alimos – Athens, Greece If you would like any more information, or would like the leaflet in a different format, please contact Medical Information at the above address. This leaflet was last revised in March 2025 PL 00156/0109 D06446

D06446

PACKAGE LEAFLET: INFORMATION FOR THE USER

6446-A

Frequently asked questions about Chloramphenicol Antibiotic 0.5%w/v Eye Drops

How do I take Chloramphenicol Antibiotic 0.5%w/v Eye Drops?

Chloramphenicol Antibiotic 0.5%w/v Eye Drops comes as eye drops containing 0.5%. 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 Chloramphenicol Antibiotic 0.5%w/v Eye Drops?

The active substance in Chloramphenicol Antibiotic 0.5%w/v Eye Drops is chloramphenicol.

Are there equivalent medicines to Chloramphenicol Antibiotic 0.5%w/v Eye Drops?

Medicines with the same active substance, strength and form include: Brolene Antibiotic 0.5%w/v Eye Drops. 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 Chloramphenicol Antibiotic 0.5%w/v Eye Drops, 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 Chloramphenicol Antibiotic 0.5%w/v Eye Drops 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: Chloramphenicol (15 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

Chloramphenicol is broad spectrum antibiotic indicated in both adults and children aged 2 years and over for the treatment of acute bacterial conjunctivitis.

4.2. Posology and method of administration

Posology

Adults (including the elderly) and children aged 2 years and over:

• Put one drop into the affected eye(s) every 2 hours for the first 48 hours and 4 hourly thereafter.

• To be used during waking hours only

• The course of treatment should be 5 days.

Method of administration

For ocular use.

4.3. Contraindications

Chloramphenicol eye drops must not be administered to patients who have:

• Hypersensitivity to the chloramphenicol or to any of the excipients listed in section 6.1.

• Myelosuppression during previous exposure to chloramphenicol.

• Family or personal history of blood dyscrasias including aplastic anaemia.

4.4. Special warnings and precautions for use

Chloramphenicol is absorbed systemically from the eye and systemic toxicity has been reported (see section 4.8).

In severe bacterial conjunctivitis and in cases where infection is not confined to the conjunctivae, the topical use of chloramphenicol should be supplemented by appropriate systemic treatment. Therefore, the patient should be referred to seek medical advice.

The use of topical chloramphenicol may occasionally result in overgrowth of non-susceptible organisms including fungi. If any new infection appears during treatment, the patient should be referred to the doctor.

Prolonged use of chloramphenicol eye drops is not advisable. Prolonged or frequent intermittent topical application of chloramphenicol should be avoided since it may increase the likelihood of sensitisation and emergence of resistant organisms.

Do not use for more than 5 days without consulting your doctor.

The label will state:

• Seek further immediate medical advice any time if symptoms worsen.

• Consult your doctor if your eye infection does not start to improve within 48 hours.

• Discard the medicine after a 5 day course of treatment.

• Do not use if you are allergic to chloramphenicol or any of the ingredients.

• For external use/use in the eye only

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

Patients should be referred to a doctor if any of the following apply:

• Disturbed vision

• Severe pain within the eye

• Photophobia

• Eye inflammation associated with a rash on the scalp or face

• The patient has glaucoma

• The eye looks cloudy

• The pupil looks unusual

• Suspected foreign body in the eye

Patients should also be referred to their doctor if any of the following in his/her medical history apply:

• Previous conjunctivitis in the recent past

• Glaucoma

• Dry eye syndrome

• Eye surgery or laser treatment in the last 6 months

• Eye injury

• Current use of other eye drops or eye ointment

• Contact lens use

If this product is used following advice from a contact lens practitioner or doctor, contact lenses should not be worn during the period of treatment

Soft contact lens wearers should wait 24 hours after completing a course of treatment before starting to use their lenses again.

Phenylmercuric nitrate is irritant to the skin. Topical application to eyes has been associated with mercurialentis and atypical band keratopathy.

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

The concomitant administration of chloramphenicol with other drugs liable to depress bone marrow function should be avoided.

4.6. Fertility, pregnancy and lactation

Pregnancy

The safety of chloramphenicol eye drops during pregnancy and lactation has not been established.

As this product is for sale without prescription it is not recommended for use during pregnancy.

Breast-feeding

In view of the fact that chloramphenicol may appear in breast milk, use of the product during lactation should be avoided.

Fertility

No fertility data are available.

4.7. Effects on ability to drive and use machines

The use of the eye drops may cause transient blurring of vision. Patients should not drive or operate hazardous machinery unless vision is clear.

4.8. Undesirable effects

Eye disorders

Transient irritation, burning, stinging and sensitivity reactions such as itching and dermatitis.

Immune System Disorders

Hypersensitivity reactions including angioedema, anaphylaxis, urticaria, fever, vesicular and maculopapular dermatitis. Treatment must be discontinued immediately in such cases.

Blood and lymphatic system disorders

Bone marrow depression, including the idiosyncratic type of irreversible and fatal aplastic anaemia that is recognised to occur with systemic therapy, has been reported in association with topical administration of chloramphenicol.

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 Yellow card scheme at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

4.9. Overdose

Accidental ingestion of the drops is unlikely to cause systemic toxicity due to the low content of the antibiotic in the product.

In view of the relatively small amount of chloramphenicol in Chloramphenicol

Eye Drops, overdosage with this product is unlikely to constitute a hazard. No specific treatment would be required.

If irritation, pain, swelling, lacrimation or photophobia occur after undesired eye contact, the exposed eye(s) should be irrigated for at least 15 minutes. If symptoms persist after this, an ophthalmological examination should be considered.

💬 Ask about this leaflet

Ask anything about Chloramphenicol Antibiotic 0.5%w/v Eye Drops. 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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