Any Interaction Between Botox and Tobradex?

Question

Can I have Botox if I am using Tobradex ointment for an eye infection?

Stephen Prendiville, MD · Answer

Although no drug interaction is likely to happen, Botox injection in the face of conjunctivitis is not something I would advise.  Tobradex is a combination ophthalmic drop of tobramycin (Aminoglycoside) and dexamethasone (steroid) and Botox is Botulinum toxin type A.  Although there is a risk of potentiating the effects of Botox with intravenous aminoglycosides, this is not a possible scenario with topical aminoglycosides.

Otto Joseph Placik, MD · Answer

There are no well defined contraindications fotr topical tobradex and dexamethesone. However, as others hace suggested, this depends on the reasonsl the tobradex was prescribed. IF it was for an active infection, I would encourage you to wait unitl this condition was satisfactorily treated prior to initiating Botox therapy.

Ron Shelton, MD · Answer

If you have a bacterial conjunctivits, it would be prudent not to treat the Crow's feet or the area between the eyebrows until the infection clears. If you have an allergic or viral conjunctivitis then it shouldn't matter. The upper forehead can be treated though as this is far away from the possible infection. The main concern is not to spread Staph bacteria from the skin surrounding the eyes, via needle sticks of the Botox treatment, to new areas and develop a bacterial facial skin infeciton.

Michael A. Persky, MD · Answer

Hi Chermini,
Yes, you can have Botox treatment while using Tobradex ointment for your eye infection.  There should be no problem, but clear it with your injecting physician first.
Good luck and be well.
Dr. P

Sigmund L. Sattenspiel, MD · Answer

I know of no interaction between BOTOX and Tobradex. Injections into the skin of the forehead should not be performed if there is a local infection in the vicinity of these injections.

Any Interaction Between Botox and Tobradex?

Answers (8)

Answer: Botox Injection and Tobradex, Any Drug Interactions?

Answer: Botox Injection and Tobradex, Any Drug Interactions?

Answer: No interaction between BOTOX and Tobradex

Answer: No interaction between BOTOX and Tobradex

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Any Interaction Between Botox and Tobradex?

Answers (8)

Answer: Botox Injection and Tobradex, Any Drug Interactions?

Answer: Botox Injection and Tobradex, Any Drug Interactions?

Answer: No interaction between BOTOX and Tobradex

Answer: No interaction between BOTOX and Tobradex

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.