Diamidine antimicrobial
Propamidine isetionate
Brand names: Brolene, Golden Eye
Adult dose
Dose: 1 drop QDS for ≤7 days; ointment ON
Route: Topical (ophthalmic)
Frequency: QDS
Clinical pearls
- Mild bacterial conjunctivitis; Acanthamoeba keratitis (specialist — adjunct)
- If symptoms persist >48h, refer ophthalmology
Contraindications
- Hypersensitivity
Side effects
- Local irritation
- Hypersensitivity
Reference: BNF; NICE CKS; https://bnf.nice.org.uk/drugs/propamidine-isetionate/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Pathways
- Acute Red Eye / Vision Loss Screen · RCOphth 2020; NICE CKS
- Idiopathic Intracranial Hypertension · ABN; consensus 2018
- Acute Red Eye Assessment · RCOphth / AAO
- Acute Angle Closure Glaucoma · RCOphth / EGS Guidelines
- Retinal Detachment · RCOphth Guidelines / EURETINA
- Diabetic Retinopathy — Screening and Management · NICE NG28 2016 / NHS DES Programme