Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical
A combination eye ointment containing three antibiotics and a corticosteroid, used to treat eye inflammation when bacterial infection is present or likely.
🧬 Where this information comes from Click to expand
The clinical label records used on this page are FDA-filed Structured Product Labeling (SPL) retrieved through openFDA. We identified 5 clinical label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. Forms, routes, brands, labelers, strengths, and NDC product-record counts are built separately from matching FDA National Drug Code Directory records. The linked DailyMed document is a representative official source for verification, not the page’s only clinical source. View the linked label on DailyMed →
This eye ointment pairs three antibiotics (neomycin, polymyxin B and bacitracin) that kill common eye bacteria with hydrocortisone, a steroid that calms swelling, to treat eye inflammation when bacterial infection is present or likely; an older combination usually started by an eye doctor, it has been around since about 1995 and is available generically. Most people notice little beyond brief burning or irritation as it goes in. Watch for neomycin allergy, which looks like itchy, red, swollen eyelids that worsen instead of improving, and stop it if that happens. The steroid can also raise eye pressure, so use past 10 days needs pressure checks.
Clinical pearls
- If you have ever had a herpes simplex eye infection, say so before starting, since the steroid can let it flare.
- If an antibiotic skin ointment containing neomycin ever gave you a rash, mention it, because neomycin allergy is especially common.
- Get rechecked if the eye is not clearly better within 2 days, because the steroid can hide a fungal or viral infection.
- Mention glaucoma or recent cataract surgery first, since the steroid can raise eye pressure and slow healing.
Patient information guide A plain-language walkthrough of Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical, written from its FDA label.
What Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical is used for
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This combination ophthalmic ointment is used for inflammatory conditions of the eye when bacterial infection is present or at risk. It brings together three antibiotics and a corticosteroid in one product.
- Inflammatory conditions of the conjunctiva (the lining of the eye and eyelid), cornea, and the front (anterior segment) of the eye — when bacterial infection is a concern
- Chronic anterior uveitis (ongoing inflammation inside the front of the eye)
- Eye inflammation caused by chemical, radiation, or thermal burns
- Eye inflammation following penetration by a foreign body
- Situations where dangerous numbers of bacteria are present or expected in the eye
The antibiotic ingredients target common bacterial eye pathogens including Staphylococcus aureus, Streptococcus pneumoniae, Pseudomonas aeruginosa, Escherichia coli, Haemophilus influenzae, Klebsiella/Enterobacter species, and Neisseria species. It does not provide adequate coverage against Serratia marcescens.
How Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical works
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This ointment has two types of active ingredients working together. Hydrocortisone is a corticosteroid that suppresses the eye's inflammatory response — reducing swelling, redness, and discomfort. The three antibiotics (neomycin, polymyxin B, and bacitracin) target and kill the bacteria most likely to infect the eye. Combining them in one formulation ensures the right dose of each ingredient is delivered together, improving convenience and compliance.
Because corticosteroids can reduce the eye's natural defenses against infection, pairing them with antibiotics in the same product helps guard against that risk while still controlling inflammation.
Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical dosage
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This ointment is applied directly to the eye (ophthalmic use). Follow your eye doctor's specific instructions for how often to apply it and for how long. Do not inject it into the eye — this product is for surface application only.
- If you use it for 10 days or longer, your eye pressure should be routinely monitored by your provider
- If your symptoms are not improving after 2 days, contact your prescriber for re-evaluation
- Follow the labeled directions and your prescriber's guidance exactly — do not use more often or for longer than directed
Dosing details from the FDA-approved label
From the Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical prescribing information (“Dosage and Administration”). Doses are set by your prescriber for your product, condition, kidney function and age — never change a dose on your own.
- Triple Antibiotic Ointment – affected area (adults and children not otherwise specified in text)
- Clean the affected area
- Apply a small amount of this product (an amount equal to the surface area of the tip of a finger) on the area 1 to 3 times daily
- May be covered with a sterile bandage
- Hydrocortisone Cream – adults and children 2 years of age and older
- Apply to affected area 3 to 4 times daily
- Hydrocortisone Cream – children under 2 years of age
- Do not use, consult a doctor
- Hydrocortisone Cream – adults, external anal itching
- When practical, cleanse the affected area with mild soap and warm water and rinse thoroughly or by patting or blotting with an appropriate cleansing pad
- Gently dry by patting or blotting with toilet tissue or a soft cloth before application of this product
- Apply to affected area 3 to 4 times daily
- Hydrocortisone Cream – children under 12 years of age, external anal itching
- Consult a doctor
Read the label’s full dosing text
Directions – Triple Antibiotic Ointment Clean the affected area Apply a small amount of this product (an amount equal to the surface area of the tip of a finger) on the area 1 to 3 times daily May be covered with a sterile bandage
Directions – Hydrocortisone Cream for adults and children 2 years of age and older: apply to affected area 3 to 4 times daily children under 2 years of age: do not use, consult a doctor adults for external anal itching when practical, cleanse the affected area with mild soap and warm water and rinse thoroughly or by patting or blotting with an appropriate cleansing pad gently dry by patting or blotting with toilet tissue or a soft cloth before application of this product children under 12 years of age: for external anal itching, consult a doctor
Read the full Dosage and Administration section on DailyMed →
Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical side effects
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The most common side effects involve local reactions to the antibiotic or corticosteroid components.
Common side effects
- Eye itching or redness
- Swelling of the eyelid or conjunctiva
- Allergic skin-like reaction (sensitization) to the antibiotic ingredients
- Temporary irritation or burning when applied
- Elevated pressure inside the eye with long-term use
- Slowed wound healing
- Temporary irritation or burning when the ointment is applied
- Elevated intraocular pressure (pressure inside the eye) with prolonged use
- Posterior subcapsular cataract (a type of lens clouding) with extended corticosteroid use
When to get medical help
- Call your doctor if your symptoms are not improving after 2 days of use
- Seek medical attention for signs of severe allergic reaction, including anaphylaxis (sudden swelling, difficulty breathing)
- Tell your doctor right away if you notice changes in vision or eye pain — these may be signs of increased pressure inside the eye or glaucoma
- Contact your doctor if you notice a new or worsening eye infection — the corticosteroid can mask infections or allow secondary infections (bacterial, fungal, or viral) to develop
- Tell your doctor if you notice persistent itching, redness, or failure of the eye to heal — this may be a sensitization reaction to the antibiotic
More serious reactions — including anaphylaxis (a severe, sudden allergic response) — have been reported rarely. Seek immediate medical attention if you have difficulty breathing, severe swelling, or any sudden worsening of symptoms.
Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical warnings and precautions
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- Never inject this ointment into the eye — it is for surface (topical ophthalmic) use only.
- Prolonged use can raise eye pressure, potentially causing glaucoma and optic nerve damage. Eye pressure should be monitored if used for 10 or more days.
- Long-term use can cause a posterior subcapsular cataract (a specific type of cloudiness in the lens of the eye).
- The corticosteroid may suppress the eye's immune defenses, increasing the risk of secondary infections — especially fungal and viral (including herpes simplex).
- Do not use if you have a viral eye infection such as herpes simplex keratitis, chickenpox-related eye disease, or vaccinia — this ointment can make those infections worse.
- Corticosteroids can thin the cornea or sclera over time; in people with already thin tissue, this raises the risk of eye perforation.
- If the ointment causes itching, redness, or eyelid swelling that doesn't improve — or if the eye simply isn't healing — stop use and contact your doctor, as this may be a neomycin sensitization reaction.
- Signs of infection can be hidden or worsened by the corticosteroid; if symptoms don't improve in 2 days, seek re-evaluation.
Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical interactions
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The FDA label for this product does not list specific drug-drug interactions.
Not a complete list. The label covers the interactions the manufacturer studied or reported, and our own interaction database does not cover every medicine either. Bring your full medication list, including vitamins and herbal products, to your pharmacist.
Before taking Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical
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- Do not use if you have a viral eye infection — including herpes simplex keratitis (dendritic keratitis), chickenpox (varicella), or vaccinia — as the corticosteroid can worsen these conditions
- Do not use if you have a fungal or mycobacterial (e.g., tuberculosis-related) eye infection
- Tell your doctor if you are allergic to neomycin, polymyxin B, bacitracin, or hydrocortisone — allergic reactions to neomycin in particular are relatively common with topical antibiotic products
- Tell your doctor if you have glaucoma or elevated eye pressure — corticosteroids can raise intraocular pressure further
- Tell your doctor if you have recently had cataract surgery — corticosteroid use may delay healing and increase the risk of certain post-surgical complications
- Use with caution if your cornea or sclera is known to be thin — there is a risk of perforation with corticosteroid use in that setting
- Use with great caution for herpes simplex eye disease — if it must be used, frequent monitoring with a slit lamp microscope is recommended
What Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical does in the body
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The corticosteroid component (hydrocortisone) reduces inflammation in the eye by suppressing the body's immune response. This decreases swelling (edema), redness, and discomfort in the affected ocular tissues. However, this immune suppression also reduces the eye's natural defenses against infection, which is why the antibiotic components are included. The antibiotics act against susceptible bacterial strains commonly found in eye infections.
How to store Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical
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Store at 20° to 25°C (68° to 77°F) . KEEP OUT OF REACH OF CHILDREN apexa™ Manufactured by: Akorn Inc.
Written from the FDA-approved label with AI and reviewed by our pharmacy team. How we use AI →
Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical: pharmacist answers to common questions
Quick, plain-English answers to the questions patients ask most about Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical — the kind of thing our pharmacy team would talk through with you at the counter.
What exactly is this eye ointment used for?
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How do I apply it to my eye?
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What side effects should I watch for?
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Is it safe to use if I have a history of herpes eye infection?
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Can I use it for longer than 10 days?
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Is this ointment safe if I'm allergic to neomycin?
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Is Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical available over the counter?
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When was Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical first available?
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Who makes Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical?
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Answers drafted from the FDA-approved label with AI and reviewed by our pharmacy team. How we use AI →
More about Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical on HelloPharmacist
Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical forms and strengths (how it comes)
Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical is available in 1 form. Different forms and brands can have different approved uses, doses, schedules, and directions. Follow the instructions for your exact product, and do not switch forms without guidance from your prescriber or pharmacist.
Need a version that does not list lactose, a gluten source, a dye or gelatin? Inactive ingredients differ by manufacturer: see Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical inactive ingredients by manufacturer.
Eye ointment
How this form is used
- Neomycin and Polymyxin B Sulfates, Bacitracin Zinc, and Hydrocortisone Ophthalmic Ointment is used for inflammatory eye conditions — including conjunctivitis, corneal inflammation, and anterior uveitis — where bacterial infection is present or likely
- Neomycin and Polymyxin B Sulfates, Bacitracin Zinc, and Hydrocortisone Ophthalmic Ointment is used for eye inflammation resulting from chemical, radiation, or thermal burns, or from a foreign body in the eye
- Active against common bacterial eye pathogens including Staphylococcus aureus, Pseudomonas aeruginosa, and Streptococcus pneumoniae; does not provide adequate coverage against Serratia marcescens
- Neomycin and Polymyxin B Sulfates, Bacitracin Zinc, and Hydrocortisone Ophthalmic Ointment is applied to the eye (ophthalmic route only) — never injected into the eye
- Follow your prescriber's instructions for how often to apply; if used for 10 days or longer, your eye pressure should be routinely checked
- If signs and symptoms do not improve after 2 days, contact your eye care provider for re-evaluation
- Stop use and tell your doctor if you notice itching, swelling, or redness of the eyelid or conjunctiva — these may be signs of a sensitization reaction
Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical on the U.S. market: products, makers and brands
How Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical appears in the FDA’s National Drug Code Directory — including its dosage forms, strengths, brand names, manufacturers, and FDA-listed product records. These are directory records, not sales or prescription volume.
3 companies list 3 Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical product records with the FDA, mostly as eye ointment; the earliest marketing or approval year on record is 1995. Brand names on the directory include Welly Polka First Aid Kit, Kroger; the rest are generics.
Also listed with the FDA, not a patient dose form: Kit (3) — bulk drug substance sold to compounders/manufacturers and multi-item kits. These aren’t counted in the dose-form total above.
Share of FDA-listed product records by manufacturer — FDA National Drug Code Directory. Record counts are not sales or prescription volume.
How widely Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical is used (Medicaid data)
A general measure of how commonly Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical is prescribed, based on Medicaid — one of the largest public drug programs. The figure below is prescriptions filled in Q1 2025 – Q1 2026, summed across every form and brand of the drug.
Think of this as a proxy for how widely Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical is used, drawn from freely available public data. Medicaid is just one program — these numbers don’t include Medicare, other government coverage, or commercial and cash-pay prescriptions, so real-world use is higher than what’s shown here.
How commonly is Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical prescribed? Of the 1,601 medications we measure, Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical ranks #1,297 by Medicaid prescriptions — more than 19% of them.
Source: Medicaid State Drug Utilization Data (CMS), aggregated by generic ingredient — summed across every NDC (all brands, strengths, salt forms and dosage forms) of Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical, and across all states and both fee-for-service and managed-care claims. A general popularity signal; it excludes Medicare, commercial insurance and cash prescriptions, so it is not total U.S. use. Based on the 2 of 8 listed Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical NDCs with Medicaid activity.
Compare Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical products
A representative set of FDA-listed product records for Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical — across manufacturers, strengths, and dosage forms, grouped by form with each product’s manufacturer and how the FDA approved it. The same medicine may be made and packaged by different companies, so a single drug can have many directory entries. (It’s also why a refill can look different — a new shape, color, or box — even though it contains the same medication.)
| Strength | Route | Manufacturer / Labeler | Category ⓘ | Details |
|---|---|---|---|---|
| 💊Eye ointment | ||||
| NEOMYCIN SULFATE 3.5 mg/g; POLYMYXIN B SULFATE 10000 [USP'U]/g; BACITRACIN ZINC 400 [USP'U]/g; HYDROCORTISONE 10 mg/g | Ophthalmic | Bausch & Lomb Incorporated | ANDA | View NDC → |
| 💊Kits | ||||
| — | — | Dongguan Shenglian Tins Products Co., Ltd. | OTC MONOGRAPH DRUG | View NDC → |
| — | Topical | Kroger | OTC MONOGRAPH DRUG | View NDC → |
Showing 3 of 3 products — FDA National Drug Code Directory.
Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical side effects reported to the FDA (FAERS)
After a medicine reaches the market, patients, doctors and drugmakers can send the FDA reports of problems they think may be linked to it. Here’s what’s been reported for Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical — a signal of what to watch for, not proof the drug caused it.
Source: openFDA, from the FDA Adverse Event Reporting System (FAERS). These are voluntary reports — they don’t prove the drug caused the effect, and counts reflect how often something was reported, not how often it actually happens. Reports also often name the very problem the medicine is taken for — a common reason to file one is that the drug didn’t help — so for a pain reliever you may see “pain” high on the list; that points to why the report was filed, not to the drug causing the symptom. This counts every report that lists Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical in any role, so the total runs higher than the FDA’s official dashboard, which counts only cases where the drug is the suspect. For the authoritative figures, see the FDA FAERS Public Dashboard. Always talk to your pharmacist or doctor.
Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical FDA approval history
How Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical went from FDA review to the pharmacy shelf — the key milestones in its regulatory journey.
Source: Drugs@FDA.
Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical recall history
A recall is when a specific batch of a medicine is pulled from the market — usually a manufacturing issue, not a problem with the drug itself. Class I is most serious, Class III least.
The FDA’s enforcement reports list no Neomycin, Polymyxin, Bacitracin, and Hydrocortisone recalls since July 2021.
✅No Neomycin, Polymyxin, Bacitracin, and Hydrocortisone recalls on record since July 2021Source: FDA enforcement (recall) reports, via openFDA; our copy was last updated Sep 24, 2026.
RxNorm Concept Web — From Ingredient to Every Form and Strength
This page starts with one exact multiple-ingredient concept (MIN). The branches below show its dose-form concepts (SCDF), then the available clinical drug and strength concepts (SCD). A product with a different ingredient combination belongs on a different page.
RxCUI 689623 1 dose form · 1 strength
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Dose form (SCDF) Ophthalmic Ointment RxCUI 374806In current FDA listingsClinical drug / strength (SCD) bacitracin zinc 0.4 UNT/MG / hydrocortisone acetate 0.01 MG/MG / neomycin sulfate 0.0035 MG/MG / polymyxin B sulfate 10 UNT/MGRxCUI 1116150
Look up RxCUI 689623 in the RxCUI Atlas →
RxNorm is the U.S. National Library of Medicine’s normalized drug vocabulary. Its concept hierarchy can include forms that are not currently marketed; the status on each branch compares that concept with current FDA listings. RxCUIs identify vocabulary concepts, not individual packages or manufacturers.
Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical supply and shortage status
Whether Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical is in short supply in the U.S. right now, plus any shortage history the FDA has on record. A shortage usually reflects a manufacturing or demand issue — not a safety problem with the drug.
Source: openFDA, from the FDA Drug Shortages database.
💵 What Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical costs pharmacies (NADAC benchmark)
The national average invoice price pharmacies pay for the drug itself, from CMS's NADAC survey (data as of Sep 30, 2026). This is a supply-cost benchmark — not a retail price and not what you'd pay at the counter.
| Form | Strength | Pharmacy acquisition benchmark | |
|---|---|---|---|
| Ointment · Ophthalmic | 400; 10; 3.5; 10000 [USP'U]/g; mg/g; mg/g; [USP'U]/g | $5.52 per gram | NDC details & price history |
| Ointment · Ophthalmic | NEOMYCIN SULFATE 3.5 mg/g; POLYMYXIN B SULFATE 10000 [USP'U]/g; BACITRACIN ZINC 400 [USP'U]/g; HYDROCORTISONE 10 mg/g | $5.52 per gram | NDC details & price history |
Source: CMS National Average Drug Acquisition Cost (NADAC), a survey of retail pharmacy invoice prices. Benchmarks shown are the range across package sizes of a representative product for each form and strength — other manufacturers' products may differ.
Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical brand names
Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical is sold under 2 brand names in the FDA directory — Welly Polka First Aid Kit, Kroger. A brand and its generic contain the same active ingredient; the brand name belongs to one company's product.
Who makes Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical: manufacturers and labelers
3 companies list Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical products with the FDA. By number of product records, the largest are Bausch & Lomb Incorporated, Dongguan Shenglian Tins Products Co., Ltd., Kroger. Labelers include manufacturers and repackagers; the product in your bottle depends on which one your pharmacy stocks.
Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical drug class (RxNorm)
Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical belongs to the Other antibiotics for topical use class.
Classified by RxNorm RxClass — the U.S. National Library of Medicine's standardized drug-classification service (Established Pharmacologic Class from the FDA, the ATC drug family from the WHO, and mechanism of action). Reference only, not medical advice.
Sources for this Neomycin, Polymyxin, Bacitracin, and Hydrocortisone Topical page
Core label, product, RxNorm, safety, and utilization data on this page come from the sources identified below. AI-written, editorial, and licensed sections are labeled separately.
How this page is built
HelloPharmacist combines public FDA and NLM records and does not author the underlying clinical facts. The plain-language sections are written with AI from the FDA-approved label text and reviewed by our pharmacy team before publication. Akorn is the representative DailyMed label linked for verification and dates. This is general education, not medical advice: always talk to your doctor or pharmacist about your own medicines. How we build and review drug pages →