Aminoglycoside antibiotic (topical)
Framycetin sulfate
Brand names: Soframycin
Adult dose
Dose: Eye/ear drops 0.5%: 1–2 drops every 1–2 hours initially, reducing as infection controlled
Route: Topical (eye/ear)
Frequency: varies
Clinical pearls
- Bacterial conjunctivitis or otitis externa with intact tympanic membrane
- Limit course to ≤7 days to reduce sensitisation
Contraindications
- Perforated tympanic membrane (ear)
- Hypersensitivity to aminoglycosides
Side effects
- Local hypersensitivity
- Ototoxicity if extensive use through perforated TM
Reference: BNF; https://bnf.nice.org.uk/drugs/framycetin-sulfate/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
- Centor / McIsaac Score for Strep Pharyngitis · Throat
- Ideal Body Weight (Devine) · Anthropometry
- FeverPAIN Score for Strep Throat · Throat
- Jarisch-Herxheimer Reaction Severity Assessment · Treatment Reactions
- PID Severity (CDC Diagnostic Criteria) · Gynaecological Infections
- Gustilo-Anderson Classification (Open Fractures) · Fracture Classification
Pathways
- Adult Upper Airway Obstruction (Stridor) · DAS 2015 unanticipated difficult airway; RCEM
- Epistaxis Management · ENT-UK / NICE
- Acute Otitis Media · NICE NG91 2018
- Tonsillitis and Sore Throat · NICE NG84 2018
- Benign Paroxysmal Positional Vertigo · NICE CG124 / AAO-HNS Guidelines
- Acute Rhinosinusitis · NICE NG79 2017 / EPOS 2020