How Long Should I Use My Eye Ointment for Allergic Conjunctivitis? - Ophthalmology

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Could you please tell me the usage schedule for my eye medication?


About three weeks ago, I visited the doctor due to allergic conjunctivitis and was prescribed an ointment for seven days.
Yesterday, I went back because of soreness in my left eye, and the doctor diagnosed me with mild dry eye due to eye strain.
However, when I picked up my medication, I was given an ointment called Winston Beta Drops (ingredients: Betamethasone 2.0 mg, Neomycin Sulfate 5.0 mg) to be applied once nightly in both eyes.
The doctor instructed me to return for a follow-up in two weeks, but a friend who is knowledgeable in pharmacy mentioned that this ointment should not be used for two weeks.
How long should I use this ointment before considering stopping it?

Xiao Yan, 20~29 year old female. Ask Date: 2016/07/20

Dr. Gao Pilin reply Ophthalmology


Hello, Xiao Yan: The eye drops are actually very gentle, so please feel assured to use them according to your physician's instructions.
Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday to Friday from 8:00 AM to 12:00 PM, Wednesday afternoon from 1:00 PM to 4:30 PM.
Online responses can only serve as a reference; if necessary, you should visit a medical institution for treatment.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2016/07/20

More Info


When dealing with allergic conjunctivitis, the duration of treatment with eye ointments can vary based on the severity of the condition and the specific medication prescribed. In your case, you were prescribed a combination ointment containing Betamethasone and Neomycin Sulfate, which is typically used to reduce inflammation and treat bacterial infections.
For allergic conjunctivitis, the general recommendation is to use topical corticosteroids like Betamethasone for a limited duration to avoid potential side effects, such as increased intraocular pressure or cataract formation. The duration of treatment can depend on the severity of your symptoms and how well you respond to the medication.
In your situation, since your doctor advised you to use the ointment every night for a specified period and to return for a follow-up in two weeks, it is essential to adhere to this guidance. Your doctor likely has a good understanding of your specific case and the potential risks associated with prolonged use of corticosteroids.
Your friend’s concern about using the ointment for two weeks may stem from a general caution regarding corticosteroid use. While it is true that prolonged use can lead to complications, if your doctor has prescribed it for that duration, it is likely because they believe the benefits outweigh the risks in your case.
If you notice any worsening of your symptoms, such as increased redness, pain, or discharge, or if you experience any side effects from the ointment, you should contact your healthcare provider immediately. They may decide to adjust your treatment plan based on your response to the medication.

In terms of when to stop using the ointment, it is generally advisable to continue using it until your symptoms have significantly improved or resolved, as determined by your healthcare provider. If you feel that your symptoms are under control before the two-week mark, it is still best to consult with your doctor before discontinuing the medication. They may suggest tapering the use of the ointment rather than stopping abruptly, especially if you have been using it for an extended period.

Additionally, while using the ointment, ensure that you are following proper application techniques. This includes washing your hands before applying the ointment, avoiding touching the tip of the tube to your eye or any other surface to prevent contamination, and applying a small amount to the affected area as directed.

In summary, follow your doctor's instructions regarding the use of the eye ointment for allergic conjunctivitis. If you have concerns about the duration of treatment or any side effects, do not hesitate to reach out to your healthcare provider for clarification and guidance. Your eye health is paramount, and your doctor is the best resource for managing your condition effectively.

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