Q. How do you give Tobamist Respules?
Tobamist Respules is given via a nebulizer for inhalation purpose. Your healthcare provider will teach you the method of taking it. Take it exactly as prescribed by your doctor. Use 2 single containers per day for 28 days. Inhale the contents of 1 container in the morning and one in the evening. After taking it for 28 days, stop for 28 days and then again take the medicine for 28 days. Maintain this 28 days on and 28 days off cycle. Try to keep the 2 doses 12 hours apart. Do not take your dose less than 6 hours apart.
Q. Should Tobamist Respules be refrigerated?
Yes, Tobamist Respules inhalation solution should be refrigerated at 2- 8°C/36-46°F. Upon removal from refrigeration or if refrigerator is unavailable, the solution pouches (opened/unopened) should be stored at room temperature (up to 25°C/77°F) for up to 28 days. It should not be exposed to intense light. Not storing it in the refrigerator may darken the medicine. However, color change does not indicate change in quality.
Q. Is Tobamist Respules bad for kidneys?
Yes, Tobamist Respules belongs to aminoglycoside class of antibiotic medicine, which may affect the kidney function. However, there is no firm evidence to suggest so. If your kidney function is already impaired, then you should be careful while using Tobamist Respules. Your doctor will get your kidney function tested before starting Tobamist Respules and at regular intervals during treatment. Tell your doctor if you experience decreased urination, unusual tiredness or weakness or swelling of the face, arms, hands, feet, ankles, or lower legs.
Q. What is antibiotic resistance? Does this occur with Tobamist Respules?
Sometimes the bacteria gets modified in your body and the medicine no longer works. This is called drug resistance. Resistance can occur with Tobamist Respules if it is used inappropriately, for example if you do not adhere to the dose and duration of therapy. It may also occur if you use it for viral and fungal infections instead of bacterial infections. Therefore, it is important that you continue taking Tobamist Respules for the duration advised by your doctor even if you start feeling better.
Q. Can I take other inhaler medicines along with Tobamist Respules?
Yes, you can take other inhaler medicines along with Tobamist Respules but not simultaneously. If you are receiving several respiratory therapies, it is recommended that you adhere to the following order: bronchodilator, respiratory physiotherapy, other inhaled medicinal products and finally Tobamist Respules. You should not mix other inhalation medicinal products with Tobamist Respules. You should consult your doctor who will let you know when to take which medicine.
Q. Is Tobamist Respules effective?
Tobamist Respules is effective if used in the dose and duration advised by your doctor. Do not stop taking it even if you see improvement in your condition. If you stop using Tobamist Respules too early, the symptoms may return or worsen.
Q. What if I don't get better after using Tobamist Respules?
Inform your doctor if you don't feel better after finishing the full course of treatment. Also, inform the doctor if your symptoms are getting worse while using this medicine.
Q. Can I stop using Tobamist Respules when I feel better?
No, do not stop taking Tobamist Respules without consulting your doctor even if you are feeling better. Your symptoms may improve before the infection is completely cured. Therefore, for better and complete treatment, it is advised to continue your treatment for the prescribed duration.
Q. Does Tobamist Respules have a steroid in it?
No, Tobamist Respules alone does not have steroids in it. It is an antibiotic, which means that it is effective against bacterial infections. It is not effective against viral or fungal infections and hence should not be used in these kinds of infections. Tobamist Respules may be combined with steroids such as dexamethasone.
Q. What bacteria does Tobamist Respules kill?
Tobamist Respules is effective against a wide range of bacteria. Tobamist Respules must be used only against susceptible bacteria. A whole gamut of bacteria that can be killed by Tobamist Respules includes S. Aureus and S. epidermidis, some species of Streptococci, Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae, Enterobacter aerogenes, Proteus mirabilis, Morganella morganii, most Proteus vulgaris strains, Haemophilus influenza, and H. aegyptius, Moraxella lacunata, Acinetobacter calcoaceticus, and some Neisseria species. Your doctor will evaluate whether this medicine is suitable for your condition.
Q. How long should you use Tobamist Respules?
The doctor will decide the duration of treatment which will depend on the severity of infection. For instance, if you have mild to moderate eye infection, your doctor will advise 1-2 eye drops, 4 times a day, usually. In severe infections, you may be prescribed 2 drops every hour. Do not use more or less of it or use it more often than prescribed by your doctor. You should use it exactly as prescribed by your doctor.
Q. How should Tobamist Respules be used?
You should wash your hands before using the eye drops. Avoid touching the dropper tip against your eye or anywhere else. Tilt your head slightly and instill one drop. Close your eyes for 2 or 3 minutes with your head tipped down, avoid blinking or squinting. Gently press your finger to the inside corner of the eye for about 1 minute, to keep the liquid from draining into your tear duct. If you use more than one drop, wait about 5 minutes between the drops. Wait at least 10 minutes before using any other eye drops your doctor has prescribed.