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Drug Safety-related Labeling Changes (SrLC)

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TOBREX (NDA-050541)

(TOBRAMYCIN)

Safety-related Labeling Changes Approved by FDA Center for Drug Evaluation and Research (CDER)

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05/14/2021 (SUPPL-31)

Approved Drug Label (PDF)

6 Adverse Reactions

Postmarketing Experience

Newly added information:

The following additional adverse reactions have been reported with systemic aminoglycosides:

Neurotoxicity, ototoxicity and nephrotoxicity have occurred in patients receiving systemic aminoglycoside therapy. Aminoglycosides may aggravate muscle weakness in patients with known or suspected neuromuscular disorders, such as myasthenia gravis or Parkinson’s disease, because of their potential effect on neuromuscular function.

04/24/2020 (SUPPL-30)

Approved Drug Label (PDF)

5 Warnings and Precautions

PRECAUTIONS

Additions and/or revisions underlined:

General

Patients should be advised not to wear contact lenses if they have signs and symptoms of bacterial ocular infection. (replaces ‘conjunctivitis’)

Pregnancy

Pregnancy Category Removed

WARNINGS

Additions and/or revisions underlined:

Sensitivity to topically applied aminoglycosides may occur in some patients. Severity of hypersensitivity reactions may vary from local effects to generalized reactions such as erythema, itching, urticaria, skin rash, anaphylaxis, anaphylactoid reactions, or bullous reactions. If a sensitivity reaction to TOBREX® (tobramycin ophthalmic solution) 0.3% occurs, discontinue use.

6 Adverse Reactions

Newly added information:

Additional adverse reactions identified from postmarketing use include anaphylactic reaction, Stevens-Johnson syndrome, and erythema multiforme.