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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Minims Chloramphenicol 0.5%, Eye drops solution

⚠ 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 Minims® Chloramphenicol contains an antibiotic. It is used to treat infections of your eyes. Sometimes parts of the outer surface of the eye, such as the cornea (the transparent membrane covering the surface of the eye) or the conjunctiva (the lining of the inside of the eyelids and part of the eye), may become infected with bacteria. These eye drops can be used to treat this infection and are effective against many different types of bacteria. If the eye infection is very severe, your doctor may give you antibiotic tablets as well as this antibiotic eye drops. This medicine is indicated for children, adults and the elderly. 2. Before you use your eye drops Do not use these drops if

  • you are allergic to the active substance (chloramphenicol) or any of the ingredients (refer to the end of this leaflet). Take special care If you use these eye drops over a long period of time they could possibly become less effective or produce allergic reactions. In order to prevent this, make sure that you stop using this medicine as soon as your doctor tells you to. Do you use any of these medicines? Chymotrypsin (solution used during cataract surgery) may not work properly when used at the same time as Minims® Chloramphenicol. Pregnancy, breast-feeding and fertility If you are pregnant, may be pregnant, or are breastfeeding tell your doctor or eye specialist, he/she may decide to use these drops or to prescribe you an alternative. Contact lenses Your doctor will ask you to remove your contact lenses prior to the administration of the drops. Do not wear your contact lenses throughout the entire treatment course. Driving and using machines

As with all eye drops, your vision may be blurred after putting the drops in. Wait until your vision is clear before driving or using machines. Minims® Chloramphenicol contains borax and boric acid This medicine contains borax (0.12mg per drop equivalent to 3.0 mg/ml) and boric acid (0.60 mg per drop equivalent to 15 mg/ml).

How to take it

your eye drops Do not use this product for longer than the time frame stated by your doctor or eye specialist, as it may become less effective at treating your eye infection. The drops are for single use only and provided in single use Minims units, to treat both eyes if both eyes are infected. Once opened, use immediately. Discard any unused portion. Dosage Adults (including the Elderly) The normal dose is 1 to 2 drops to each infected eye up to six times a day. If you have a severe infection your doctor or eye specialist may ask you to use this medicine more frequently at first, until the infection starts to get better. The frequency of treatment can then be gradually reduced. If your eyes get worse or are not better after a few days of using these eye drops, see your doctor or eye specialist or pharmacist. Children As for adults. The maximum duration of treatment is 10 – 14 days. Use in newborn infants: Your child's doctor may prescribe a lower dose to reduce the risk of side effects. The maximum duration of treatment is 10-14 days. Method of administration Make sure you follow these instructions carefully: 1. Wash your hands. 2. Use a mirror, this will help you to see what you are doing. 3. Carefully dry your eyes using a tissue, and twist off the cap from the Minims body of the unit. 4. Pull your lower eyelid down gently, and then carefully place 1 or 2 drops inside your lower eyelid. Make sure the dropper does not touch any parts of your eye. 5. Close your eye and blink a few times to make sure your eye is covered by the liquid. 6. Close the eyelids. It is advisable to press gently on the inner corner of your eyelid for 3 minutes. This will help stop the solution draining into your nose and throat. This is especially advisable in children, the elderly and population at risk. 7. Repeat steps 4, 5 and 6 for the other eye if necessary, then throw away the Minims unit, even if some solution remains. If you use more Minims® Chloramphenicol than you should, an overdose is very unlikely to occur. If you suddenly feel unwell after receiving the drops, tell your doctor or eye specialist or contact your nearest emergency department immediately. If you forget to use Minims® Chloramphenicol, you should take the missed dose as soon as you remember, unless it is nearly time for the next dose, but you should not take a double dose to make up for a missed dose.

Possible side effects

  • Minims® Chloramphenicol may cause difficulty breathing or swallowing, swelling of the face, lips, throat or tongue (anaphylaxis), burning, stinging, itching or rash with swelling of skin (rash could be puffy (swollen) or blotchy or blister-like appearance) and skin irritation (including dermatitis) around the area it has been used on. These effects are not permanent.
  • Swelling of the face, lips or tongue may also occur.
  • Aplastic anaemia (condition in which the bone marrow is unable to produce blood cells) and bone marrow depression can occur but these are extremely rare and your doctor will have taken your medical history into account when deciding to prescribe Minims® Chloramphenicol. Pale skin, weakness, increased heart rate, out of breath, headache, pain, fever, infection, bruises may be a sign a severe blood disorder. 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: Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

How to store it

your eye drops Keep out of the sight and reach of children. Do not use the eye drops after the expiry date which is stated on the overwrap of each unit and on the carton after the letters "EXP". The expiry date refers to the last day of that month. Store in a refrigerator (2°C – 8°C). Do not freeze. Store in the original package in order to protect from light. If necessary, the product may be stored at temperature not exceeding 25°C for up to 1 month only and then thrown away. In that case, affix a label bearing the relevant expiry date to the carton label. The drops are for single use only and provided in single use Minims units, to treat both eyes if both eyes are infected. Once opened, use immediately. Discard any unused portion. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment. 6. Further information What do your eye drops contain

  • The active ingredient is chloramphenicol. Each Minims unit contains approximately 0.5 ml eye drops solution of chloramphenicol 0.5% w/v (2.5 mg).
  • The other ingredients are borax, boric acid and purified water. This medicine does not contain a preservative as it is a sterile single use unit. Contents of the pack Each carton contains 20 units.

Marketing Authorisation Holders: Bausch & Lomb UK Ltd. 106 London Road – Kingston-upon-Thames – KT2 6TN – UK Manufacturer:

Laboratoire Chauvin Zone Industrielle de Ripotier 50 Avenue Jean Monnet 07200 Aubenas France

DATE OF PREPARATION: November 2023

Frequently asked questions about Minims Chloramphenicol 0.5%, Eye drops solution

How do I take Minims Chloramphenicol 0.5%, Eye drops solution?

Minims Chloramphenicol 0.5%, Eye drops solution comes as eye drops. 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 Minims Chloramphenicol 0.5%, Eye drops solution?

The active substance in Minims Chloramphenicol 0.5%, Eye drops solution is chloramphenicol.

Are there equivalent medicines to Minims Chloramphenicol 0.5%, Eye drops solution?

Medicines with the same active substance, strength and form include: Clorogen Eye Drops 0.5% w/v, Optrex Infected Eye Drops, Chloramphenicol Eye Drops BP 0.5% W/V. 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 Minims Chloramphenicol 0.5%, Eye drops solution, 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 Minims Chloramphenicol 0.5%, Eye drops solution 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 a broad spectrum bacteriostatic antibiotic. It is active against a wide variety of gram-negative and gram-positive organisms as well as rickettsiae and spirochaetes. It is indicated for use as a topical antibacterial in the treatment of superficial ocular infections. Chloramphenicol is indicated in adults and children.

4.2. Posology and method of administration

Adults (including the Elderly)

One to two drops applied topically to each affected eye up to six times daily or more frequently if required. (Severe infections may require one to two drops every fifteen to twenty minutes initially, reducing the frequency of instillation gradually as the infection is controlled).

Paediatric population

As for adults however dosage adjustment may be necessary in newborn infants because of reduced systemic elimination due to immature metabolism and the risk of dose-related adverse effects.

The maximum duration of treatment is 10 - 14 days.

4.3. Contraindications

Hypersensitivity to chloramphenicol or any component of the preparation.

4.4. Special warnings and precautions for use

In severe infections topical use of chloramphenicol should be supplemented with appropriate systemic treatment.

Aplastic anaemia has, rarely, followed topical use of chloramphenicol eye drops and, whilst this hazard is an uncommon one, it should be borne in mind when the benefits of the use of chloramphenicol are assessed.

Prolonged use should be avoided as it may increase the likelihood of sensitisation and the emergence of resistant organisms.

Contact lenses should be removed during the period of treatment.

Systemic absorption may be reduced by compressing the lacrimal sac at the medial canthus for a minute during and following the instillation of the drops. (This blocks the passage of the drops via the naso lacrimal duct to the wide absorptive area of the nasal and pharyngeal mucosa. It is especially advisable in children

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

Chymotrypsin will be inhibited if given simultaneously with chloramphenicol.

4.6. Pregnancy and lactation

Safety for use in pregnancy and lactation has not been established, therefore, use only when considered essential by the physician.

4.7. Effects on ability to drive and use machines

May cause transient blurring of vision on installation. Warn patients not to drive or operate hazardous machinery unless vision is clear.

4.8. Undesirable effects

Local

Sensitivity reactions such as transient irritation, burning, stinging, itching and dermatitis, may occur.

Systemic

Rarely, cases of major adverse haematological events (bone marrow depression, aplastic anaemia and death) have been reported following ocular use of chloramphenicol. Pale skin, weakness, increased heart rate, out of breath, headache, pain, fever, infection, bruises may be a sign a severe blood disorder. Hypersensitivity reactions including angioedema, anaphylaxis, urticaria, vesicular and maculopapular dermatitis may also occur.

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

Not applicable.

💬 Ask about this leaflet

Ask anything about Minims Chloramphenicol 0.5%, Eye drops solution. 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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