Ultra Mide (Topical)

Neomycin, Polymyxin B, and Bacitracin is a combination antibiotic medicine used to help prevent skin infections.

Neomycin, polymyxin B, and bacitracin combination can be obtained without a prescription.

If your skin problem does not get better within 1 week, or if it gets worse, contact your health care professional.

In deciding to use a medicine, you and your doctor need to think about the risks of taking it versus the benefits it may provide. Here are some important things to consider for this medicine:

Allergies

Let your doctor know if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also, inform your healthcare professional about any other allergies you may have, such as to foods, dyes, preservatives, or animals. For non-prescription products, carefully read the label or package ingredients.

Pediatric

Studies on this medicine have only been conducted with adult patients, and there is no specific information about using topical neomycin, polymyxin B, and bacitracin combination in children compared to other age groups.

Geriatric

Many medicines have not been specifically studied in older adults. Therefore, it may not be clear if they work the same way as they do in younger adults or if they cause different side effects or issues in older people. There is no specific information about using topical neomycin, polymyxin B, and bacitracin combination in the elderly compared to other age groups.

Breast Feeding

Studies suggest that this medication poses minimal risk to infants when used during breastfeeding.

There are no adequate studies in women to determine the risk to infants when using this medication during breastfeeding. Consider the potential benefits against the risks before taking this medication while breastfeeding.

Interactions with Medicines

Some medicines should not be used together at all, while in other cases, two different medicines may be used together, even if there is a chance of interaction. In these situations, your doctor may need to adjust the dose or take other precautions. It is especially important for your healthcare professional to know if you are taking any of the following medicines while using this medicine. The interactions listed below are selected based on their potential significance and may not include all interactions.

Using this medicine with any of the following medicines is usually not recommended, but may be necessary in some cases. If both medicines are prescribed together, your doctor may adjust the dose or how often you take one or both medicines.

• Alcuronium
• Aspirin
• Atracurium
• Cidofovir
• Cisatracurium
• Colistimethate Sodium
• Decamethonium
• Doxacurium
• Emtricitabine
• Ethacrynic Acid
• Fazadinium
• Foscarnet
• Furosemide
• Gallamine
• Hexafluorenium
• Metocurine
• Mivacurium
• Pancuronium
• Pipecuronium
• Rapacuronium
• Rocuronium
• Sorafenib
• Tacrolimus
• Tenofovir Alafenamide
• Tubocurarine
• Vecuronium

Using this medicine with any of the following medicines may raise the risk of certain side effects, but using both drugs may be the best option for you. If both medicines are prescribed together, your doctor may adjust the dose or how often you take one or both medicines.

• Bumetanide

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be taken at or around mealtime or with certain types of food because interactions may happen. Drinking alcohol or using tobacco with certain medicines may also cause interactions. Talk to your healthcare professional about how to use your medicine with food, alcohol, or tobacco.

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do, they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

• Itching, skin rash, redness, swelling, or other signs of irritation not present before using this medicine

Rare

• Any loss of hearing

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

In the U.S.

• Triple Antibiotic
• Ultra Mide

Available Dosage Forms:

• Ointment

Therapeutic Class: Antibacterial Combination

Chemical Class: Aminoglycoside

If you are using this medicine without a prescription, do not use it to treat deep wounds, puncture wounds, serious burns, or raw areas without first checking with your health care professional.

Do not use this medicine in the eyes.

Before applying this medicine, wash the affected area with soap and water, and dry thoroughly.

After applying this medicine, the treated area may be covered with a gauze dressing if desired.

To help clear up your infection completely, keep using this medicine for the full time of treatment, even if your symptoms have disappeared. Do not miss any doses.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For topical dosage form (ointment): For prevention of minor bacterial infections: Adults and children—Apply to the affected area(s) of the skin two to five times a day.

Missed Dose

If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.