Please wait while the formulary information is being retrieved.
BLEPH-10 (SULFACETAMIDE SODIUM)
- Bacterial conjunctivitis
- Chlamydial conjunctivitis
- Trachoma
10 % eye drops
- Instill 1 drop into affected eye(s) by ophthalmic route every 2-3 hours during the day and less frequently at night
10 % eye drops
- Instill 1 drop into affected eye(s) by ophthalmic route every 2-3 hours during the day and less frequently at night
Bacterial conjunctivitis
- Instill 1 drop into left eye by ophthalmic route every 2 hours duringthe day and less frequently at night
- Instill 1 drop into right eye by ophthalmic route every 2 hours during the day and less frequently at night
- Instill 1 drop into both eyes by ophthalmic route every 2 hours during the day and less frequently at night
- Instill 2 drops into left eye by ophthalmic route every 2 hours during the day and less frequently at night
- Instill 2 drops into right eye by ophthalmic route every 2 hours during the day and less frequently at night
- Instill 2 drops into both eyes by ophthalmic route every 2 hours during the day and less frequently at night
- Instill 1 drop into left eye by ophthalmic route every 3 hours duringthe day and less frequently at night
- Instill 1 drop into right eye by ophthalmic route every 3 hours during the day and less frequently at night
- Instill 1 drop into both eyes by ophthalmic route every 3 hours during the day and less frequently at night
- Instill 2 drops into left eye by ophthalmic route every 3 hours during the day and less frequently at night
- Instill 2 drops into right eye by ophthalmic route every 3 hours during the day and less frequently at night
- Instill 2 drops into both eyes by ophthalmic route every 3 hours during the day and less frequently at night
- Instill 1 drop into left eye by ophthalmic route every 2-3 hours during the day and less frequently at night
- Instill 1 drop into right eye by ophthalmic route every 2-3 hours during the day and less frequently at night
- Instill 1 drop into both eyes by ophthalmic route every 2-3 hours during the day and less frequently at night
- Instill 2 drops into left eye by ophthalmic route every 2-3 hours during the day and less frequently at night
- Instill 2 drops into right eye by ophthalmic route every 2-3 hours during the day and less frequently at night
- Instill 2 drops into both eyes by ophthalmic route every 2-3 hours during the day and less frequently at night
- Instill 1 drop into left eye by ophthalmic route every 2 hours duringthe day and less frequently at night for 7 days
- Instill 1 drop into right eye by ophthalmic route every 2 hours during the day and less frequently at night for 7 days
- Instill 1 drop into both eyes by ophthalmic route every 2 hours during the day and less frequently at night for 7 days
- Instill 2 drops into left eye by ophthalmic route every 2 hours during the day and less frequently at night for 7 days
- Instill 2 drops into right eye by ophthalmic route every 2 hours during the day and less frequently at night for 7 days
- Instill 2 drops into both eyes by ophthalmic route every 2 hours during the day and less frequently at night for 7 days
- Instill 1 drop into left eye by ophthalmic route every 3 hours duringthe day and less frequently at night for 7 days
- Instill 1 drop into right eye by ophthalmic route every 3 hours during the day and less frequently at night for 7 days
- Instill 1 drop into both eyes by ophthalmic route every 3 hours during the day and less frequently at night for 7 days
- Instill 2 drops into left eye by ophthalmic route every 3 hours during the day and less frequently at night for 7 days
- Instill 2 drops into right eye by ophthalmic route every 3 hours during the day and less frequently at night for 7 days
- Instill 2 drops into both eyes by ophthalmic route every 3 hours during the day and less frequently at night for 7 days
- Instill 1 drop into left eye by ophthalmic route every 2-3 hours during the day and less frequently at night for 7 days
- Instill 1 drop into right eye by ophthalmic route every 2-3 hours during the day and less frequently at night for 7 days
- Instill 1 drop into both eyes by ophthalmic route every 2-3 hours during the day and less frequently at night for 7 days
- Instill 2 drops into left eye by ophthalmic route every 2-3 hours during the day and less frequently at night for 7 days
- Instill 2 drops into right eye by ophthalmic route every 2-3 hours during the day and less frequently at night for 7 days
- Instill 2 drops into both eyes by ophthalmic route every 2-3 hours during the day and less frequently at night for 7 days
- Instill 1 drop into left eye by ophthalmic route every 2 hours duringthe day and less frequently at night for 10 days
- Instill 1 drop into right eye by ophthalmic route every 2 hours during the day and less frequently at night for 10 days
- Instill 1 drop into both eyes by ophthalmic route every 2 hours during the day and less frequently at night for 10 days
- Instill 2 drops into left eye by ophthalmic route every 2 hours during the day and less frequently at night for 10 days
- Instill 2 drops into right eye by ophthalmic route every 2 hours during the day and less frequently at night for 10 days
- Instill 2 drops into both eyes by ophthalmic route every 2 hours during the day and less frequently at night for 10 days
- Instill 1 drop into left eye by ophthalmic route every 3 hours duringthe day and less frequently at night for 10 days
- Instill 1 drop into right eye by ophthalmic route every 3 hours during the day and less frequently at night for 10 days
- Instill 1 drop into both eyes by ophthalmic route every 3 hours during the day and less frequently at night for 10 days
- Instill 2 drops into left eye by ophthalmic route every 3 hours during the day and less frequently at night for 10 days
- Instill 2 drops into right eye by ophthalmic route every 3 hours during the day and less frequently at night for 10 days
- Instill 2 drops into both eyes by ophthalmic route every 3 hours during the day and less frequently at night for 10 days
- Instill 1 drop into left eye by ophthalmic route every 2-3 hours during the day and less frequently at night for 10 days
- Instill 1 drop into right eye by ophthalmic route every 2-3 hours during the day and less frequently at night for 10 days
- Instill 1 drop into both eyes by ophthalmic route every 2-3 hours during the day and less frequently at night for 10 days
- Instill 2 drops into left eye by ophthalmic route every 2-3 hours during the day and less frequently at night for 10 days
- Instill 2 drops into right eye by ophthalmic route every 2-3 hours during the day and less frequently at night for 10 days
- Instill 2 drops into both eyes by ophthalmic route every 2-3 hours during the day and less frequently at night for 10 days
- Instill 2 drops into affected eye(s) by ophthalmic route every 2-3 hours during the day and less frequently at night for 10 days
- Instill 1 drop into affected eye(s) by ophthalmic route every 2-3 hours during the day and less frequently at night for 10 days
- Instill 2 drops into affected eye(s) by ophthalmic route every 3 hours during the day and less frequently at night for 10 days
- Instill 1 drop into affected eye(s) by ophthalmic route every 3 hoursduring the day and less frequently at night for 10 days
- Instill 2 drops into affected eye(s) by ophthalmic route every 2 hours during the day and less frequently at night for 10 days
- Instill 1 drop into affected eye(s) by ophthalmic route every 2 hoursduring the day and less frequently at night for 10 days
- Instill 2 drops into affected eye(s) by ophthalmic route every 2-3 hours during the day and less frequently at night for 7 days
- Instill 1 drop into affected eye(s) by ophthalmic route every 2-3 hours during the day and less frequently at night for 7 days
- Instill 2 drops into affected eye(s) by ophthalmic route every 3 hours during the day and less frequently at night for 7 days
- Instill 1 drop into affected eye(s) by ophthalmic route every 3 hoursduring the day and less frequently at night for 7 days
- Instill 2 drops into affected eye(s) by ophthalmic route every 2 hours during the day and less frequently at night for 7 days
- Instill 1 drop into affected eye(s) by ophthalmic route every 2 hoursduring the day and less frequently at night for 7 days
- Instill 2 drops into affected eye(s) by ophthalmic route every 2-3 hours during the day and less frequently at night
- Instill 1 drop into affected eye(s) by ophthalmic route every 2-3 hours during the day and less frequently at night
- Instill 2 drops into affected eye(s) by ophthalmic route every 3 hours during the day and less frequently at night
- Instill 1 drop into affected eye(s) by ophthalmic route every 3 hoursduring the day and less frequently at night
- Instill 2 drops into affected eye(s) by ophthalmic route every 2 hours during the day and less frequently at night
- Instill 1 drop into affected eye(s) by ophthalmic route every 2 hoursduring the day and less frequently at night
Trachoma
- Instill 2 drops into left eye by ophthalmic route every 2 hours in conjunction with systemic sulfonamide therapy
- Instill 2 drops into right eye by ophthalmic route every 2 hours in conjunction with systemic sulfonamide therapy
- Instill 2 drops into both eyes by ophthalmic route every 2 hours in conjunction with systemic sulfonamide therapy
- Instill 2 drops into affected eye(s) by ophthalmic route every 2 hours in conjunction with systemic sulfonamide therapy
- None
Contraindicated
- None
Severe
Moderate
- None
- Glucose-6-phosphate dehydrogenase (g6Pd) deficiency
- Hemolytic anemia from PK and g6PD deficiencies
Contraindicated
- Porphyria
Severe
Moderate
- None
BLEPH-10 (SULFACETAMIDE SODIUM)
- Bacterial conjunctivitis
- Chlamydial conjunctivitis
- Trachoma
- Erythema
- Pruritus of skin
- Skin inflammation
- Skin irritation
- Skin rash
- None
More Frequent
Severe
Less Severe
- None
- None
Less Frequent
Severe
Less Severe
Rare / Very Rare
Severe
- Glucose-6-phosphate dehydrogenase deficiency anemia
Less Severe
- Eyelid edema
Contraindicated
None
Severe Precaution
None
Management or Monitoring Precaution
Sulfacetamide (Ophth)
Safety and efficacy not established age < 2 months.
- 1 Day – 59 Days
- Safety and efficacy not established age < 2 months.
Sulfacetamide Sodium (ophth & Top)
- Severity Level:
C
- Additional Notes: Insufficient human data
Contraindicated
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
Precaution Exists
Sulfacetamide (ophth, Top, Vag)
Absorp unknown;Kernicterus risk in newborn;Sulfas not rec if g6Pd def infant
| General | Excretion Potential | Effect on Infant | Notes |
| Evaluate use carefully | Unknown | Not known; no or inclusive data | Absorp unknown;Kernicterus risk in newborn;Sulfas not rec if g6Pd def infant |
No Known Risk
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
Contraindicated
None
Precaution Exists
None
No Known Risk
None
- None
| Bacterial conjunctivitis | |
| H10.02 | Other mucopurulent conjunctivitis |
| H10.021 | Other mucopurulent conjunctivitis, right eye |
| H10.022 | Other mucopurulent conjunctivitis, left eye |
| H10.023 | Other mucopurulent conjunctivitis, bilateral |
| H10.029 | Other mucopurulent conjunctivitis, unspecified eye |
| H10.3 | Unspecified acute conjunctivitis |
| H10.30 | Unspecified acute conjunctivitis, unspecified eye |
| H10.31 | Unspecified acute conjunctivitis, right eye |
| H10.32 | Unspecified acute conjunctivitis, left eye |
| H10.33 | Unspecified acute conjunctivitis, bilateral |
| Chlamydial conjunctivitis | |
| A74.0 | Chlamydial conjunctivitis |
| Trachoma | |
| A71 | Trachoma |
| A71.0 | Initial stage of trachoma |
| A71.1 | Active stage of trachoma |
| A71.9 | Trachoma, unspecified |
| 0-9 | A-Z |
|---|---|
| A71 | Trachoma |
| A71.0 | Initial stage of trachoma |
| A71.1 | Active stage of trachoma |
| A71.9 | Trachoma, unspecified |
| A74.0 | Chlamydial conjunctivitis |
| H10.02 | Other mucopurulent conjunctivitis |
| H10.021 | Other mucopurulent conjunctivitis, right eye |
| H10.022 | Other mucopurulent conjunctivitis, left eye |
| H10.023 | Other mucopurulent conjunctivitis, bilateral |
| H10.029 | Other mucopurulent conjunctivitis, unspecified eye |
| H10.3 | Unspecified acute conjunctivitis |
| H10.30 | Unspecified acute conjunctivitis, unspecified eye |
| H10.31 | Unspecified acute conjunctivitis, right eye |
| H10.32 | Unspecified acute conjunctivitis, left eye |
| H10.33 | Unspecified acute conjunctivitis, bilateral |
Formulary Reference Tool